Coding Compliance Specialist

Health Care Service Corporation
54,600
United States, Montana, Helena
3645 Alice Street (Show on map)
Nov 16, 2024
Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding. Validating the coding and supporting the department in the reporting of findings. This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the cms coding guidelines and official icd9 / icd10 coding guidelines. Reviews insurance payments ad denials and recommends coding corrections. Ability to travel 20 - 30 ff the time in and out of state. Job Summary JOB REQUIREMENTS: * High School Diploma or GED. * CPC Coding Certification/CPC, CCS, CCSP * 2 years medical coding experience * Experience with process management * PC experience and skills to include Microsoft Office * Verbal and written communication skills * Analytical skills * Ability to travel 20% - 30% of the time in and out of state PREFERRED JOB REQUIREMENTS: * Associate or Bachelor's degree * CRC * Experience in health insurance or health care setting * Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business This role is remote in Montana Salary Expectation: $54,600+ depending on experience We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet. We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet. Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.