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)
Full-time Work From Home
Job Summary :
As an Inpatient Coding Specialist III working remotely, you will meticulously review and assess hospital inpatient medical record documentation.
Your responsibilities include assigning, sequencing, editing, and validating the appropriate ICD-10-CM and ICD-10-PCS codes.
As a Coding Integrity Specialist III, you will perform coding and / or code / DRG validation for multiple facilities, applying coding guidelines and criteria for accurate code selections.
Job Qualifications :
Candidates residing in CA and Colorado, NYC, and Hawaii will not be considered due to the WFH and vaccine mandate.
Additional Responsibilities :
Position Details :
Last updated : 2024-03-23
0 Coding Compliance Specialist jobs found in Tampa, FL area