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)
OakLeaf Clinics - Business Office is seeking a full-time coding specialist to join our expanding team. This position is located at 719 W Hamilton Ave, Suite B. Eau Claire, WI 54701
OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists, and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.
Position description
As a coding specialist, you perform high-volume, accurate medical coding functions in a growing multi-specialty practice setting. You must possess the AHIMA or AAPC coding certification and be a CPT and ICD10 coding expert.
Responsibilities
Qualifications:
Work environment
While performing the duties of this job, the employee regularly works in an office setting.
Physical demands
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Major activities of this job include sitting or standing for long periods and light physical effort performed on a level surface. The office involves carrying, lifting, kneeling, bending, reaching, and squatting. Use a computer and telephone and employ writing and organizational skills. Manual dexterity, mobility, and good vision, including near acuity, depth perception, and accommodation, are necessary for technical work.
Salary: From $22 per hour
Education: High School
Job Type: Full Time
Experience: 1 years
Location: 719 W Hamilton Ave, Suite B • Eau Claire, WI 54701
Janelle Joas, Human Resources Manager
OakLeaf Clinics
3802 Oakwood Mall Dr, Eau Claire, WI 54701
OakLeaf Clinics healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.