Medical Coding Compliance Specialist - Remote

Overview

The Medical Coding Compliance Specialist is responsible for ensuring the organization’s medical coding and billing practices are in full compliance with federal and state regulations, as well as with payer and coding guidelines.

In Short

• Conduct coding audits to ensure accuracy and compliance.
• Identify and mitigate compliance risks.
• Provide education and training on coding best practices.
• Stay updated on regulations and coding standards.
• Respond to inquiries regarding coding and billing compliance.
• Prepare reports on audit findings and compliance issues.
• Investigate non-compliant activities or billing discrepancies.
• Collaborate with various departments for seamless workflows.
• Work within a supportive and collaborative team environment.
• Enjoy a Monday to Friday schedule with competitive compensation.

Requirements

• Certification in medical coding (CPC, CCS, CPMA, etc.).
• 5 years of experience in medical coding and auditing.
• Extensive knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
• Analytical skills for root cause analysis and trend identification.
• Excellent communication skills for conveying complex concepts.
• Problem-solving skills with a proactive approach.
• High degree of integrity and confidentiality.

Benefits

• Work-life balance with a Monday to Friday schedule.
• Competitive salary and benefits package.
• Career growth opportunities.
• Comprehensive training programs.
• Paid time off and holidays.
• Life insurance coverage.
• Supportive work environment.