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)
Our company was founded in 2005 and serves the Central Florida Geriatric population. We are a large practice with over 25 providers that serve the Skilled Nursing, Assisted Living Facilities and our homebound patients in the comfort of their home in 14 counties. We are committed to providing excellent care to our patients and buildings while reducing hospital readmissions.
Our mission is to create a nurturing healthcare experience, empowering patients, by providing a physician led ecosystem based on a foundation of Science, Technology, Faith and Compassion.
Our medical practice is seeking a highly motivated and detail oriented Billing Compliance Specialist with mastery of Power Point to join our Revenue cycle Management team. In this role, you will be responsible for ensuring accurate and compliant provider coding practices through captivating presentations, auditing SOAP notes, and delivering personalized coaching. You will play a key role in optimizing our billing processes, maintaining compliance, and educating providers in a visually engaging way.
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0 Coding Compliance Specialist jobs found in Orlando, FL area