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)
About us
Samuel Staffing is a agency committed to connected top talent with premier medical organizations nationwide.
Our client is the leading provider of cardiovascualr care in Alaska. Their missions is to deliver compassionate, high-quality care to prevent and treat cardiovascular disease. We collaborate across systems to make proven therapies accessible to all Alaskans, with a commitment to discovering innovative ways to meet the needs of our community.
Position Overview: We are seeking a detail-oriented and experienced Certified Coding Specialist to join our Business Office team. The successful candidate will be responsible for accurately assigning CPT and ICD-10 codes to all billable services provided by AHVI providers. The role demands a thorough understanding of coding guidelines, exceptional organizational skills, and the ability to thrive in a fast-paced environment.
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Job Type: Full-time
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Work Location: In person