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)
Protos Security is the largest technology-enabled security officer management company in the U.S. In addition to providing our clients with industry leading security management software, Protos offers security guarding services via a national network of 4,000 vetted and managed, local security vendors.
We are currently looking to hire an entry-level Compliance Specialist to work full-time, Monday through Friday, in a remote capacity. As part of the existing Compliance team, you will execute daily activities which support, and ensure the ongoing participation of, members of our national network of security vendors. Through phone and electronic communication, you will ensure that each vendor maintains all insurance, licensing, tax, and contract documentation required for participation in our network – and that this information is current, verified, and maintained within internal databases. If you are a detail oriented and enthusiastic team player looking to grow your career in an expanding and industry-leading service organization working each day to keep people safe, read on!
Essential Duties and Responsibilities May Include:
Qualifications:
Additional Information:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PI97185d599dd2-31181-33870064
About the Company:
Protos Security, LLC
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