Coding and Compliance Specialist
4 days ago
Iks health is a leading provider of healthcare services, dedicated to delivering high-quality patient care and expertise.
Job SummaryWe are seeking an experienced Coding and Compliance Specialist to join our team. In this role, you will be responsible for ensuring the accuracy and compliance of medical coding practices in accordance with industry guidelines.
Key Responsibilities:- Coding Charts: Responsible for coding charts per CMS guidelines, including CPT, ICD, HCPCS, Modifiers, and submitting them to clients as required.
- Patient Data Analysis: Analyze and interpret patient medical records and demographic information to identify and determine the amount and nature of billable services as per third-party payer requirements.
- Client Support: Respond to client inquiries and resolve any issues related to code usage.
- Process Improvement: Partner with leaders to identify and implement continuous process improvement opportunities, focusing on quality and productivity enhancement.
- Training and Development: Provide insights to the training team to plan effective training programs for coders and support innovation and automation initiatives.
- Education: BPT, BSC Nursing, MSC Nursing, B Pharm, M Pharm, BOT, or Life Science degree preferred.
- Certification: CCS/CPC/COC certification is mandatory.
- Experience: A minimum of 1 year of experience in the coding domain, including multispecialty settings, is required.
- Skills: Strong knowledge of NCCI edits, local, and national policies (CMS guidelines), good comprehension skills, detail orientation, coaching, and feedback skills, and typing speed of at least 60 words per minute.
- Competitive Salary: $85,000 - $110,000 per annum based on location and experience.
- Ongoing Training and Development Opportunities.
- Rotational Shift Work Arrangement.
- Achievement Orientation.
- Strong Teamwork Skills.
- Excellent Communication and Analytical Skills.
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