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)
```Duties```
- Review and assign classroom assignments and perform adequate classroom management
- Ensure compliance with coding guidelines and regulations, including ICD-10 and HCPCS
- Collaborate with students to clarify documentation and resolve coding discrepancies
- Provide instruction on how to conduct regular audits to ensure coding accuracy and identify areas for improvement
- Stay updated on changes in coding guidelines, regulations, and industry best practices
- Maintain the school's policy, rules and regulations with attendance, instruction, and classroom management
```Experience```
- Minimum of 2 years of experience as a Coding Specialist or similar role in an instructor setting
- Proficient in medical terminology, anatomy, and physiology
- Strong knowledge of ICD-10 coding guidelines and HCPCS coding system
- Experience with health information management systems, such as Epic or similar electronic health record (EHR) software
- Excellent attention to detail and accuracy in coding assignments
- Ability to work independently and meet deadlines
- Strong communication skills to collaborate with the program coordinator and other team members
Please note that this is not an entry-level position. We are looking for candidates with prior experience in medical coding and/or Instruction.
If you are a detail-oriented individual with a strong understanding of medical coding principles and regulations, we encourage you to apply. Join our team of dedicated professionals who are committed to providing high-quality healthcare services.
To apply, please submit your resume along with a cover letter highlighting your relevant experience in medical coding.
Job Type: Part-time
Pay: $21.00 - $25.00 per hour
Expected hours: 7 per week
Experience level:
Schedule:
Work setting:
Work Location: In person
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