Coding Compliance Specialist researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Being a Coding Compliance Specialist assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Additionally, Coding Compliance Specialist has broad knowledge of medical coding systems. May require an associate degree in healthcare administration, a related field, or equivalent. Requires AAPC Certified Professional Coder (CPC). May alternatively require Certified Coding Specialist (CCS) certification. Typically reports to a manager. The Coding Compliance Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Coding Compliance Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Billing Representative / Coding Specialist
Job Title: Billing Representative / Coding Specialist
Department: Administrative
Immediate Supervisor Title: Revenue Cycle Supervisor
Job Supervisory Responsibilities: None
General Summary: Responsible for timely and accurately coding office, radiology, procedure, delivery, obstetrics and surgical encounters.
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HIPAA Compliance: In order to fulfill the responsibilities of this position, access to the following information is required:
Job Types: Full-time, Part-time
Pay: $17.00 - $19.50 per hour
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Work Location: In person
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0 Coding Compliance Specialist jobs found in Canton, OH area