Medical Coding Compliance Specialist
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About The Position
Exciting Opportunity at MSK: QA Compliance Specialist, Health Information Management. The role involves monitoring and maintaining compliance by performing reviews and formal audits validating ICD-10-CM, CPT-4 codes, and modifiers, as well as Evaluation/Management and medication administration for coding/charge processing. The specialist will communicate directly with HIM Leadership, clinical staff, and Patient Accounts to ensure that clinical documentation is in compliance with CMS/other third party carriers, JCAHO, and HIPAA standards/regulatory requirements. Additionally, the role includes participating in and coordinating reviews of third party payors and providing documentation to fulfill external audit requests, as well as special projects involving data management. The position requires working largely independently within defined objectives/responsibilities by operating at a multi-faceted level and promoting solutions.
