Coding Compliance Specialist

Also referred to as: Medical Record Coding Auditor, Medical Record Coding Quality Specialist, Medical Record Documentation and Coding Review Specialist

Requirements and Responsibilities

Coding Compliance Specialist audits medical records to ensure compliance with the organization's coding procedures and standards. Reviews insurance payments and denials and recommends billing corrections. Being a Coding Compliance Specialist trains staff members on the coding process. May require an associate degree. Additionally, Coding Compliance Specialist requires CPC (Certified Professional Coder). Typically reports to a supervisor or manager. Coding Compliance Specialist's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement.

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