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)
"A different kind of care that ensures you’re surrounded by people who make a difference in your life"
Benefits:
Competitive Wages, Insurance, 401K Match, Dental, Vision
Qualifications:
Position Highlights:
NHC HomeCare offers a competitive compensation package for full time employment including health, dental, vision, life, disability insurance, paid time off, 401 (k) with generous company match, stock options, and more.
If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at myNHCHomeCare.com
"Care is our business" -join our family and see why we strive to provide "care in a better way"!
NHC is 50 years Committed, 50 years Caring, 50 years Strong
We look forward to talking with you!! NHC is an Equal Opportunity Employer.
Clear All
0 Coding Compliance Specialist jobs found in Myrtle Beach, SC area