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)
Job Title: Regulatory Compliance Analyst/Specialist (US) - Product Compliance
Reports to: Global Regulatory Compliance Team Manager
Location: US, Remote
Compliance & Risks is the leading provider of market access and product compliance SaaS solutions and is recognized as the leading end-to-end global product compliance solution provider across the technology, consumer goods and retail, industrial goods and life sciences sectors. The company’s market leading SaaS platform, C2P, enables uninterrupted market access for enterprises selling products globally by monitoring and managing key product requirements, regulations and standards in their chosen markets. The C2P platform provides the world’s most comprehensive database of legislative information, insights and actions, linked to product workflows, to help clients bring products to markets faster with lower risk and ensure ongoing compliance. The company serves over 220 global enterprise customers including: GE, Google, Nike, Amazon, Ikea, Bose, Tesla, Vaillant, Unisys, Samsung and Fujitsu.
Overview of Role
As a Regulatory Compliance Analyst/Specialist with a knowledge of and experience in US product safety and environmental regulations, you will be working as part of our Global Regulatory Compliance Team (GRCT). The GRCT is responsible for monitoring global regulatory developments, both enacted and proposed, as well as supporting information, such as guidance documents, on a wide range of topics, from product safety to environmental to occupational health & safety.
The Regulatory Compliance Analyst/Specialist (RCS) will be responsible for tracking regulatory developments globally in the US at both federal and state level as well as certain other designated countries if required and inputting this information into our online database ‘C2P’ (Compliance to Product) in a structured format, providing an overview of the regulatory information and identifying key details such as when the measure enters into force & upcoming compliance deadlines.
Additionally, the RCS will take on responsibility for a specific content area in C2P, actively developing and deepening their knowledge of the area & answering queries on the content from within the team as well as externally e.g. the sales team & clients.
The RCS will also be expected to handle more complex research tasks and aid in researching answers to client queries which come through our “Ask Our Experts” function.
Key Responsibilities:
KRA 1: Monitoring
KRA 2: Entry of Regulatory Information into C2P
KRA 3: Research
KRA 4: Subject Matter Expertise
KRA 5: Process Improvements
Qualifications, Experience & Skills
The successful candidate will be a hard working, self-motivated, strong communicator with good problem solving skills, initiative and attention to detail.
Company Highlights
Our Values:
We are a diverse team in Compliance & Risks and we are committed to building and promoting an inclusive place to work for everyone. We strive to attract and retain a diverse range of people into our organization. We aim to increase the diversity of our employee base by growing our diverse talent pipeline, including partnerships with organizations like Resilient Coders, Women who code, Women in Tech. We are committed to equality of opportunity for all employees, by promoting a work environment free from bullying, discrimination or harassment. Compliance & Risks is an equal opportunities employer