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)
Job Description
Job Description
The Jewelry Repair Coding Specialist at Atlantis Jewels is responsible for accurately assigning appropriate codes to all repair services performed on jewelry items.
This position involves reviewing repair orders, documenting services rendered, and ensuring that all coding is in compliance with industry standards and company protocols.
The ideal candidate possesses strong attention to detail, proficiency in coding systems, and a thorough understanding of jewelry repair processes.
Key Responsibilities :
Qualifications :
Company Description
We are a close-knit and supportive work community that has many growth opportunities.
Company Description
We are a close-knit and supportive work community that has many growth opportunities.
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