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 Coding Specialist is responsible for accurate and timely assignment and review of professional coding related to ICD-10-CM, CPT, HCPCS codes for multi-specialty group. Pay range for this position is $21.56-25.77 per hour, based on years of experience.
ADVANTAGES OF WORKING FOR UNLV HEALTH
Office Hours are Monday through Friday, 8AM to 5PM! (Actual hours may vary depending on business need)
EDUCATIONAL REQUIREMENTS
QUALIFICATIONS
PHYSICAL REQUIREMENTS
UNLV Health will provide equal opportunity employment to all employees and applicants for employment. No person shall be discriminated against in employment because of race, color, gender, age, national origin, ancestry, religion, physical or intellectual disability, marital status, parental status, sexual orientation, or any other category protected by law.
If you have any questions about our interview and hiring procedures, please contact Recruitment at med.hr.recruitment@medicine.unlv.edu.