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)
Compliance Specialist, Upward Broadband
Location: Paradise PA
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About Upward Broadband
Upward Broadband is a fast-paced fixed Wireless Internet Service Provider (WISP) startup that provides reliable and relevant wireless internet access to under-served areas. We are an equal-opportunity employer, and we believe in empowering our team and allowing them to take pride in and have a passion for helping us accomplish our vision.
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0 Coding Compliance Specialist jobs found in Lancaster, PA area