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)
Essential Duties and Responsibilities Responsible for accurate and timely payroll processing for multiple pay groups Researches and corrects issues found during processing Process garnishment requests Provides information and answers employee questions about payroll related matters Prepares payments to third party vendors as needed Responds to payroll related questions from employees and management in a timely manner Produces manual checks as needed Processes new hires and terminations Runs relevant reports and documents as needed Inputs employee records Knowledge, Experience And Skill Requirements High school diploma / GED required Experience in business administration, finance, or accounting preferred Experience with high volume payroll preferred Strong numerical aptitude and attention to detail Excellent communication skills, both verbal and written Good time management and organizational skills Ability to work independently and to contribute to a team Able to prioritize to meet payroll deadlines Powered by JazzHR
Last updated : 2024-04-18
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