Senior Business Analyst, Medical Coding & Policy

About this role

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Business Analyst, Medical Coding & Policy based in the United States.
As a Senior Business Analyst, Medical Coding & Policy, you will serve as a key link between healthcare operations, technical delivery teams, and client stakeholders, ensuring that medical coding, billing, and policy requirements are translated into effective system solutions. In this highly collaborative role, you will leverage your expertise in medical coding and business analysis to improve claims processing, operational workflows, and Medicaid program delivery. You will help transform complex regulatory and business requirements into clear documentation, actionable guidance, and scalable solutions that support both operational excellence and successful implementations. Working in a fully remote environment, you'll collaborate with cross-functional teams while contributing to initiatives that enhance healthcare services and improve outcomes for the communities served.


Accountabilities

• Lead the analysis, documentation, and delivery of coding, billing, and policy-related business solutions from initial requirements through implementation and project completion.
• Gather, analyze, and document business, functional, and operational requirements while translating complex medical coding and billing concepts into clear, actionable deliverables.
• Develop and maintain claims processing instructions, operational procedures, and policy documentation using concise, user-friendly language.
• Assess the impact of coding, billing, and claims processing changes on business operations and system functionality to ensure alignment across teams.
• Act as the primary liaison between operations, business analysts, technical delivery teams, and client stakeholders to ensure consistent understanding of business requirements.
• Participate in requirements workshops, s...