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)
About our Client
Our client is the global leader in knowledge on-demand. They connect investors and business leaders with the knowledge they need to succeed. Working from nine cities globally, their 1500 colleagues provide round-the-clock coverage to the world’s top investment funds, consultancies, and businesses. Our client was founded in 2008, and is a fast growing founder-led company.
The Role
We are looking for a results-oriented Content Compliance Associate to join our global Content Compliance team and be based in London. The Content Compliance team is a dynamic, external and internal-facing function which enables the expansion of our fastest-growing business segments globally across all of our 9 offices, from Tokyo to San Francisco. As the Content Compliance Associate you will report into the Content Compliance Manager based in London and work closely with the Legal, Client Protection and Content teams as well as a number of other stakeholders across the business.
Your responsibilities include:
We will provide you with autonomy and independence in your day-to-day work and give you the opportunity to be a self-starter. This is an ideal role for someone who’s keen to gain legal and operations experience while having direct access to the commercial and organizational workings of a dynamic, innovative global business. We are looking for a person who wants to join our high-performance team, have real impact and be part of the growth story.
What We Look For
What You Can Expect
NOTE: This position requires pre-settled or settled visa status
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