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)
The Home Health Coder is responsible for and may be assigned to various types of coding for Holzer Home Health Agency. This position is responsible for assigning ICD-10 diagnoses codes following current guidelines to ensure accuracy and completeness.
The candidate will effectively collaborate with field staff and agency clinical leadership to assist clinicians in support of accurate collection of patient assessment information for the OASIS.
Education, Work Experience and Licensure:
· High School graduate or equivalent required
· LPN/RN required
· Home Health Coding Certification preferred
· OASIS Certification preferred
· Demonstrates proficiency with the EMR software
· Ability to work independently with minimal supervision
· 2 years Home Health Coding experience required
Clear All
0 Coding Compliance Specialist jobs found in Huntington, WV area