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)
MUST HAVE A MINIMUM OF 2 YEARS OF RECENT EXPERIENCE
We are looking for a person to join our team. This is not a remote position. A dedicated professional Medical Biller and/or Coder to handle the administrative responsibilities of coding and billing medical claims. No certification is required but must be able to demostrate positive written/verbal communication skills. Must be good at data entry or have a proven work experience as a Medical Biller/Coder or similar. Must have the ability to multitask and manage time effectively with minimum supervison. Must have great personality and easy to get along with others.
Job Type: Full-time
Pay: From $14.00 per hour
Expected hours: 40 per week
Benefits:
Healthcare setting:
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Schedule:
Work Location: In person