• Review healthcare policy (Medicaid manuals, fee schedules, CCI, OIG Alerts, LCAs/LCDs, NCDs, Medicare manuals, etc.) for coding and billing guidelines that you will interpret and use data validation to ensure the policy and specs align. • Work with the concept creation team who create billing edits that provide clients with monetary savings and promote coding accuracy, to ensure accuracy and provide feedback on their edits. • Ensure that the structural design follows the policy intent by using data analysis. • Build unit tests to verify the functionality of the edits • Apply revenue cycle, coding, and billing expertise to interpret policy based on correct coding, billing, and auditing guidelines • Provide in-depth research on regulations and support edits with official documents • Validate if edits are working as intended and support decisions with validation data • Maintain current industry knowledge of claim edit references including, but not limited to: AMA, CMS, NCCI • Collaborate with the Content, Engineering & Data teams to develop, adjust, and validate edits • Provide subject matter expertise on several professional claims top error areas in coding and billing across multiple specialties • Independently meet weekly productivity and quality goals • Be a self-starter and remain driven while independently working remotely.