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)
We are looking for a product-minded accounting or financial reporting professional with strong technical acumen to join our Product Solutions team: a highly productive and collaborative individual exercising ownership, critical thinking, and attention to detail while delivering a high-quality product experience in a fast-paced environment.
We have a successful SaaS software product and are growing fast (customer base as well as the company) – but this brings all the challenges that come with pursuing ambitious goals and always feeling one step behind. The team is looking for a fast moving, ambitious team member to help us catch up and get ahead of the work creating, maintaining, and testing the configurations that drive our financial reporting software.
The Product
We are building an application for statutory financial reporting teams in the insurance industry (don’t worry, you don’t necessarily have to have STAT experience). Yep, it’s niche. Think about TurboTax but for insurance companies with all the forms, calculations, and reporting guidance that go into every possible tax filing. Our engineering team has built a wonderful platform to support this and the Product Solutions team builds, maintains, and tests all the configurations that bring the software to life for our customers.
The great news is, our competitors are slumbering and we are able to gobble up their picnic. But it’s come at a cost. The fast pace of our early years have been a boon for the business, but has left us scrambling to keep up with the business with an under-investment in tooling to move this team to the next level. They are scrappy and gritty, but it is time to up our game and get the people and tools in place to truly scale.
The team lives in Google Sheets, AirTable, and a range of other software tools in addition to our application, scraping together configurations that drive our products. They live in the weeds of regulatory guidance, forms, and specifications and act as domain experts, sharing their knowledge with other teams within and outside of our company on a regular basis. They are industry leaders who pour their energy into building a great experience and making our customer’s lives better.
How We Work
You’ll be working with a small team of 5-ish accountants with minimal overhead and bureaucracies, who tend to thrive in a collaborative environment and are comfortable talking about failures and how to improve.
This team will build forms, write calculations, write reporting guidance, and tick and tie all the PDF and data files that come out of our software. They are part accountants, part software engineers, part Q/A, and 100% entrepreneurial and superhuman.
We try our best to make planning, designing and building an interactive and collaborative exercise, believing that our best work comes when we can all contribute ideas in a safe place. To facilitate this we have shared product and business goals, as well as time to imagine and explore solutions. We have annual product goals roughly mapped to a quarterly roadmap, with work being broken up into two week sprints (though we use this word pretty loosely). We’ve borrowed some ideas from agile methodologies, but aren’t dogmatic about it.
Your first few months will be stumbling through understanding our business and existing patterns. This should be driven, if not accelerated, by your curiosity. You’ll be expected to challenge how we architect, plan, execute and deliver product-focused deliverables while working alongside most teams within the company to build awareness, work plans, dependencies, and areas with challenges that need to be overcome.
Challenges Ahead in 2022
Executing on Deliverables
Preparing to Scale
Better Systems and Tools
Cross Training
Leadership
Comfortable Experimenting
Benefits
Gain Compliance is a late stage startup. We are focused on producing a great product while developing a sustainable culture. While we don’t have all the perks of a large organization, we make up for this with incredible autonomy and the personal relationships of a small company.
We have full company-paid medical, vision and dental health benefits. We are happy to share our complete health benefits packet upon request.
An unlimited vacation policy for all employees with no blackout dates.
We offer a flexible four week parental leave for new parents.
Company Information
Located in the East Village of downtown Des Moines, Iowa, Gain Compliance has a product-first culture and is building a best-in-class team to leverage the latest technologies and best practices to solve challenging problems. We are committed to a creative, customer-led approach to product development.