Yale University · 22 hours ago
Coding and Billing Analyst
New Haven, CT
Full-time
Onsite
Senior Level
$68K/yr - $120K/yr
5+ years expYale University is dedicated to contributing to a better tomorrow and is seeking a Coding and Billing Analyst to enhance their operations. This role involves monitoring the efficiency and accuracy of coding and billing processes, developing policies, and serving as a liaison among clinical departments and compliance services.
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Responsibilities
Regularly reviews billing activity or specific clinical departments or sections. Provides comprehensive, detailed summary of findings (payment history, rejection analysis, frequency and status of unpaid claims, etc.). Communicates and provides regular updates to administration, physicians and coders
Provides advice on operational improvement to enhance efficiency of payment and overall reimbursement of clinical services
Develops, implements, and monitors policies and procedures to optimize provider reimbursement. Functions as a resource and educator for clinical department physicians and all appropriate staff on billing and coding issues by department
Develops training or educational programs and working manuals on procedural guidelines and implementation of new regulatory standards and initiates changes as contracts and regulations change
Collaboratively establishes policies and procedures to resolve issues around claims that are rejected, nor responded to, underpaid, etc. Provides recommendations on how to reduce rejections to improve collections
Researches policies of payers and communicates changes as appropriate. Maintains regular interactions and communication with third party payers
Leads and/or assists with the management and/or performance of ongoing reimbursement projects, including but not limited to in depth analysis of variances and tracking/managing issues with carriers
Performs coding audits, assesses risk and communicates findings
Ensures compliance with University, governmental and all third party regulations, including claim submission, coding accuracy and documentation to support billing. Performs quality assurance processing and assesses degree of risk for non-compliance with internal audit findings
Manages and coordinates decisions on optimizing output of subordinates and colleagues in producing information
May manage staff of both exempt and non-exempt employees
May perform other duties as assigned
Qualification
Required
Current CPC certification required
Knowledge of CPT, ICD-10, HCPCS codes, medical terminology, and HIPPA regulations
Experience with an electronic health record and practice application systems, electronic data entry, and web-based applications and websites
Expert proficiency with MS Word, Excel, PowerPoint, and Outlook (emails and calendars)
Knowledge of medical insurance billing procedures, third-party reimbursement methodologies and documentation/compliance requirements, government and commercial insurance rules and regulations pertaining to correct coding initiatives
Well-developed problem-solving skills with the ability to be innovative, ability to compile comprehensive analysis of data with complex and professional reporting of results, analyze and interpret detailed reports, develop clear conclusions and summarize findings
Demonstrated ability to work independently as well as part of a cross-functional team to plan, research and conduct projects as well as manage timelines and work to achieve common goals
Well-developed interpersonal, and oral and written communication skills demonstrating a high degree of professionalism, diplomacy and accountability
Bachelor's Degree in Health Care Administration or RN and five years of related work experience or an equivalent combination of education and experience
Preferred
Epic experience strongly preferred
Company
Yale University
Yale University is a research and education institution that prioritizes its students.
10001+ employees
H1B Sponsorship
Yale University has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (355)
2024 (449)
2023 (214)
2022 (208)
2021 (190)
2020 (155)
Funding
Current Stage
Late StageTotal Funding
$42.86MKey Investors
Bezos Earth FundAlfred P. Sloan FoundationHyundai Hope On Wheels
2025-10-23Grant
2025-05-21Grant· $0.05M
2023-01-01Grant· $1.27M
Leadership Team
Geoffrey Chatas
Senior Vice President for Operations
Jack Callahan
Senior Vice President for Operations
Recent News
Government Technology US
2026-01-22
2025-12-10
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