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)
Interested in Online Medical Billing & Coding Training? My Medical Career Can Help!
Medical Billing & Coding - HIGH JOB OUTLOOK RATE!
The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success.
Medical technology continues to evolve, opening new doors for knowledgeable and capable individuals like you. According to the U.
S. Department of Labor, this industry is projected to grow 11% from 2018 to 2028 , 2x faster than the average of all occupations (bls.gov).
Why My Medical Career?
My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. We are aligned with numerous training schools throughout the country that offer a variety of services, including job placement assistance to those who qualify.
Requirements
A complimentary 1-MINUTE APPLICATION is all that it takes to get started.
Let us connect you with a quality medical school in your area - LEARN MORE TODAY!
Last updated : 2024-05-06
Clear All
0 Coding Compliance Specialist jobs found in Pine Bluff, AR area