Medical Records Coding Compliance Specialist

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Medical Records Coding Compliance Specialist audits medical records to verify coding of ICD or CPT codes following industry-standard coding guidelines. Documents audit findings with details on appropriate coding guideline references and error rates. Being a Medical Records Coding Compliance Specialist maintains up-to-date knowledge of coding and documentation requirements and offers guidance and interpretation. Reviews insurance payment and billing denial data to identify and recommend coding practice changes. Additionally, Medical Records Coding Compliance Specialist may present coding training or updates to staff members. Requires a medical coding certification. May require a bachelor's degree in healthcare administration or a related field. May require Certified Coding Specialist (CCS). Requires CPC (Certified Professional Coder). Typically reports to a manager. The Medical Records Coding Compliance Specialist work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Medical Records Coding Compliance Specialist typically requires 4-7 years of related experience.