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)
Medical CODER SPECIALIST - AMBULATORY
LABORATORY 7010
Job Summary
The CLINICAL CODER SPECIALIST – AMBULATORY is responsible for accurately transcribing/coding external orders into the MHHCC Electronic Health Record (EHR). The CLINICAL CODER SPECIALIST – AMBULATORY authenticates and transcribes external clinical orders from non-employed providers, that are not using the MHHCC EHR, for a previously registered patient.
This position will require coordination and collaboration with staff and departments to ensure accuracy of patient demographics, provider information, and accuracy of ordered tests and clinical procedures. The role will also require distribution of patient instructions and other applicable materials. Knowledge of ICD-10 and associated CPT and HCPCS codes are required. Responsible for all other duties as assigned.
Qualifications
Education:
High School diploma required
Two or Four-year College degree from an accredited program is preferred.
Clinical Coder Certificate (CPC) preferred or eligible
Clinical Certification (i.e. MLT, CRT, CMA, etc.) preferred or eligible
Training:
Three - Six months
Experience:
Previous hospital or physician’s office or equivalent experience is required
Previous transcription or coding experience preferred.
Previous healthcare computer application experience preferred.
Job knowledge, skills, and abilities:
Good understanding of medical terminology, ICD-10 and associated CPT and HCPCS codes are required.
Basic Computer Skills
Excellent Patient Service Skills and Communication Skills
Performance Requirements
Physical Demands:
Utilize proper body mechanics in completing moderate physical effort tasks when applicable. This job may require a lot of sitting and walking. Manual dexterity for handling office and computer equipment.
HEALTH INFORMATION Demands
This position demands a strict adherence to HIPAA privacy rules, CMS mandates on Coding and Transcribing as well as adherence to MHHCC organizational and patient safety policies
Clear All
0 Coding Compliance Specialist jobs found in Vincennes, IN area