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)
Lincoln Family Medicine Center, a program of Lincoln Medical Education Partnership, currently has a Full-time opening for a Certified Billing and Coding Specialist. This is a non-exempt position, responsible for assigning codes to medical procedures and diagnoses in compliance with medical coding guidelines and insurance regulations. Knowledge of medical terminology and experience in medical coding is required. CPC and CCS certification is preferred.
Lincoln Family Medicine Center is a busy office with over 30 providers. We are seeking a team player with a minimum of one year of medical billing experience. One year of ICD-10 billing experience is preferred.
Complete our application form to apply. For a paper application form, please contact Kathy Harper at (402) 483-4581. Resumes may be attached but cannot be substituted for the application form. EOE
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