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)
Description
The Coding Specialist I will assure consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and department requirements.
This is a full-time remote position working Monday through Friday; 8am to 5pm.
We can accept applicants in the following states :
Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care.
This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.
About this position :
Education and Experience Requirements :
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Last updated : 2024-03-02