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)
CES is looking for reliable, detail-oriented individuals to assist Underage Purchasers in performing non-confrontational compliance checks on local tobacco retailers to ensure the sale of tobacco products to Underage Purchasers is restricted. The inspection is used to establish a retailer’s compliance with federal regulations. This work is conducted on a part-time, case-volume basis with flexibility relevant to the individual’s schedule.
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Job Types: Part-time, Contract
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Work Location: On the road
Job Type: Part-time
Pay: $24.00 per hour
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Work Location: On the road
0 Coding Compliance Specialist jobs found in Troy, NY area