The Coding Compliance Spec supports revenue cycle goals by working claim edits, denials, and rejections to ensure timely and accurate billing. The role collaborates with other departments to identify and resolve coding, CDM, and other compliance issues affecting reimbursement. It uses ICD-10-CM and PCS, HCPCS (including CPT), and other coding references to ensure accurate coding, and addresses NCCI, OCE, LCD, and other applicable coding edits.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED