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)
Currently seeking someone with billing/coding experience to join our busy medical practice in Tuscaloosa! Position will be flexible and hours will be 28-30 hours per week. This role will support our billing department with a primary job role of completing insurance verifications. This is a great opportunity to secure a position with a dynamic and growing company. We offer a diverse and employee-friendly environment with great work/life balance! Ideal candidate must be dependable, professionally mature, maintain a professional attitude, possess a strong work ethic and enjoy being part of a busy team!
Qualifications
2 year of medical billing/insurance experience REQUIRED
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