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. Typically requires a bachelor's degree. Additionally, Coding Compliance Specialist typically reports to a supervisor or manager. Requires CPC (Certified Professional Coder) certification from the American Association of Professional Coders. Coding Compliance Specialist's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement.