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)
As a Customer Service Representative at Home Care Specialists one will be responsible for the verification of insurance coverage, processing of medical documentation and the scheduling of delivery for a full spectrum of durable medical equipment. In this role individuals will be working with healthcare professionals and insurance companies all while ensuring patients receive the highest standard of care.
Commitment to learning our insurance carrier guidelines and expectations, as well as high-quality standards and timeliness are crucial to success in this role. This position is fast-paced and ever changing; individuals with high energy and passion for exceeding expectations are encouraged to apply.
Compensation: Hourly paid position, $16 per hour starting rate with potential for $18 within first 90 days. Opportunities for growth within the company.
In addition to working at Home Care Specialists INC. benefits offered include:
Hours: Full time; 40 hours/week Monday ? Friday, 8:30am-4:30pm. This position requires week-long on-call commitments for a minimum of 1 times/month, and one Saturday shift per month. Additional compensation provided for on-call weeks.
2 Paid 15 minute breaks and paid half hour lunch each day.
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0 Coding Compliance Specialist jobs found in Concord, NH area