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)
At Nym, we’re passionate about simplifying healthcare by automating the accurate interpretation of clinical language.
Our interdisciplinary team has developed an innovative technology that can understand clinical language and provides an entirely new way of analyzing and decoding medical records into clear, concise, and actionable information. This ultimately ensures clinical and administrative teams can spend more time focused on patient care.
At Nym, the future is bright. Our engine currently processes over five million charts annually in more than 150 emergency department and urgent care settings across the US. We are backed by top-tier VCs and growing rapidly, with offices in NYC and Tel Aviv.
Role and Responsibilities:
As part of the role, you will be expected to:
Approximate base compensation: $50,000-$60,000. The final package may vary and will be determined by various factors, including the location where the role is expected to be performed, candidate experience, education, and ideal qualifications.
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