| Medical Records Coding Compliance Specialist Job Description |
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| The following is a full job description for Medical Records Coding Compliance Specialist. Here are the requirements and responsibilities for Medical Records Coding Compliance Specialist along with statistics. If after reading this page you determine that Medical Records Coding Compliance Specialist is not the position you are looking for, you may want to try one of these similar titles: Medical Records Coding Manager, Medical Records Coding Technician II, Medical Records Coding Technician III, Medical Records Coding Technician I, Medical Records Coding Policy Administrator, Compliance Specialist IV, Medical Chart Compliance Auditor, Compliance Specialist I, Compliance Specialist II |
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| Requirements and Responsibilities For Medical Records 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. 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. 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. Occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Typically requires 2 -4 years of related experience. |
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| Also referred to as: Medical Record Coding Auditor, Medical Record Coding Quality Specialist, Medical Record Documentation and Coding Review Specialist |
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| Similar Jobs: Medical Records Coding Manager, Medical Records Coding Technician II, Medical Records Coding Technician III, Medical Records Coding Technician I, Medical Records Coding Policy Administrator, Compliance Specialist IV, Medical Chart Compliance Auditor, Compliance Specialist I, Compliance Specialist II |
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| Level of Education: Medical Records Coding Compliance Specialist Salaries with an Associate's Degree, Medical Records Coding Compliance Specialist Salaries with a Bachelor's Degree, Medical Records Coding Compliance Specialist Salaries with a Master's Degree or MBA, Medical Records Coding Compliance Specialist Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
