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
Full Job Description:
The Dermatology Coding and Billing Specialist is responsible for accurately coding dermatology procedures and services, submitting insurance claims, and managing the billing process for a dermatology practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement.
Requirements
Key Responsibilities:
Qualifications:
A Dermatology Coding and Billing Specialist is a critical member of the healthcare revenue cycle management team, ensuring accurate reimbursement and financial stability for dermatology practices while maintaining compliance with healthcare regulations.
This is a full-time position. We offer a full benefits package including healthcare insurance, vacation, and 401K. Salary will be commensurate with experience and extremely competitive. Interested candidates should reply with a resume and cover letter.
Benefits:
Application Process: Please email resume to dsultan@baydermatology.com