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)
NJ Institute For Pain Relief LLC is a multidisciplinary practice providing pain management, sports medicine, chiropractic care, physical therapy, acupuncture, orthopedic surgery, and spine surgery, including noninvasive surgical procedures.
Highly skilled, fellowship trained, and board-certified providers help our patients achieve an improved quality of life through individualized care. With a comprehensive approach and the most advanced minimally invasive treatments, our providers treat all types of acute or chronic pain, effectively and safely.
We are seeking a medical coding and billing specialist for our pain management group to join our team in Cranford, New Jersey.
As a medical coding and billing specialist, you will work closely with our providers and their health care administrative team to help our patients achieve an improved quality of life.
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