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)
Job Type Full-time Description
Certified Coding Specialist
Chautauqua County Department of Mental Hygiene
Mayville, NY - On-Site
FULL-TIME Nonexempt : 35 hours / week
seeks a talented Certified Coding Specialist to contribute their expertise in providing essential business services to our provider organizations and customers.
The Certified Coding Specialist is assigned to work on behalf of CCSI’s customer and will support the medical billing of the Mental Hygiene Department with specific efforts towards the sustainability of the Certified Community Behavioral Health Clinic (CCBHC).
CCSI is partnering with Chautauqua County Department of Mental Hygiene to hire a Certified Coding Specialist. This position is employed by CCSI and working on behalf of Chautauqua County Department of Mental Hygiene .
In this role, you will
Requirements
Additional Requirements
Staff working directly with protected health information / electronically stored protected health information, personally identifiable information, and other patient / consumer / customer data, will abide by the specific procedures and policies outlined by CCSI’s Code of Conduct and CCSI’s Privacy and Security Policies, New York State regulations and Federal regulations.
We Are
CCSI employs more than talented, dedicated professionals who provide program management services, consulting, and operational support needed by local departments of mental health and social services, state agencies, community-based organizations, and school districts across New York State and beyond! Our mission, simply put, we help people and communities.
CCSI’s vision is to be an exceptional place for individuals to grow and build a career, while expanding our capacity to invest in communities.
We do this by prioritizing employee voice and equity to ensure we protect employees from harm; provide connection and community;
enable work-life harmony; foster mattering at work; and creating opportunities for growth and development.
Last updated : 2024-04-02
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