Coding Compliance Specialist

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.