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)
Why VTV:
At Vance Thompson Vision, our vision is to create, protect, and maintain clear vision for a lifetime. As a global industry leader in vision surgery, the Vance Thompson Vision team has performed more than 100,000 procedures and participated in over 100 FDA-monitored clinical trials. If you enjoy a fast-paced, innovative, and fun working environment, apply with us today!
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Job Opportunity:
We are growing and we are looking for a Coding Specialist to join our team!
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Vance Thompson Vision offers a full benefits package and competitive compensation, including:
Vance Thompson Vision is an equal opportunity and affirmative action employer. We are committed to creating a diverse and inclusive culture for all employees.
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