Sr. Mapping Analyst (Medical Coding)
The Senior Mapping Analyst is responsible for the creation, support, and maintenance of accurate and compliant administrative code set(s) mappings for customers using IMO Health’s interface terminology. This role focuses on the International Classification of Disease (ICD) and various procedure systems, such as CPT, but also includes work with other common terminology and code sets. The Senior Mapping Analyst contributes to clinical code set mapping projects, supports IMO Health customers and clients with mapping-related inquiries, and serves as a subject matter expert in revenue cycle and health information management across cross-functional projects. This team member also provides feedback, training, and mentorship to junior team members.
WHAT YOU’LL DO:
- Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules.
- Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines.
- Support product release schedules, including resolving identified mapping issues.
- Demonstrate advanced proficiency in initial mapping and QA processes across multiple code sets.
- Identify potential areas for map improvement and manage complex customer inquiries and related calls.
- Participate in tool testing and support complex release-related tasks.
- Provide mentorship and support to developing team members.
- Develop clear editorial content with appropriate examples and manage the editorial process.
- Act as a subject matter expert on revenue cycle and health information management matters on cross-functional team across IMO Health.
WHAT YOU’LL NEED:
- Extensive experience with US-based code sets: ICD-10-CM/PCS, ICD-9-CM, CPT, and HCPCS required.
- One of the following credentials required: RHIA, RHIT, CCS, or CPC.
- Associate or bachelor's degree in health information management systems or equivalent experience preferred.
- A minimum of five years’ experience with medical records coding, electronic health records and medical terminology required.
- Experience with working claims edits and payor denials preferred.
- Recent experience coding in outpatient surgery and procedures strongly preferred.
- Strong conceptual and critical thinking skills with the ability to develop structured solutions aligned to business needs and mapping standards.
- Excellent communication and collaboration skills, with the ability to present complex information clearly and lead through influence across teams.