Judi Health is an enterprise health technology company that provides solutions for employers and health plans, including pharmacy benefit management, health benefit management, and an enterprise health platform that consolidates claim administration workflows.
This role supports the accurate configuration, testing, and maintenance of medical claims processing rules within the Judi platform. The position requires strong medical coding knowledge, health plan operations experience, and the ability to translate client requirements into scalable system configurations. The ideal candidate is detail-oriented, adaptable, and motivated to improve healthcare administration through technology.
Key responsibilities include staying current on coding and coverage guidelines, configuring and maintaining coding rules, translating client requirements into system configurations, researching and resolving coding-related questions, conducting claims reviews and audits, supporting client implementations and platform enhancements, improving operational efficiency, maintaining documentation and reporting, supporting regulatory audits and RFP responses, and maintaining team resources such as SharePoint sites and internal documentation.
Bachelor’s degree strongly preferred.
AAPC Medical Coding & Billing Certification, such as CPC, required.
5+ years of experience with a health plan, payer, or third-party administrator (TPA).
Strong understanding of CPT, ICD-10, HCPCS, Revenue Codes, Bill Type Codes, Place of Service Codes, and Taxonomy Codes.
Medicare and Medicaid experience preferred.
Demonstrated ability to learn and apply new technologies.
Strong project management, time management, prioritization, and organizational skills.
Ability to manage multiple priorities in a fast-paced environment.
Proficiency with Microsoft Office Suite.
Strong verbal, written, presentation, and interpersonal communication skills.
Ability to collaborate effectively with cross-functional and virtual teams.
Preferred qualifications include an analytical mindset, strong problem-solving skills, customer focus, independent work ability, and experience supporting regulatory audits, operational process development, and training or onboarding.
Location
Denver, Colorado, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$70,000 - $85,000
Remote work allowed
Yes
Posted
3 weeks ago