Certified Coding Compliance Specialist

A company is looking for a Coding Compliance Audit & Education Specialist. Key Responsibilities Conduct audits comparing medical record documentation to reported codes and ensure compliance with regulations Research and communicate federal and state laws and guidelines related to CMS and Medicare Provide education and training to providers on coding principles and documentation guidelines Required Qualifications 5+ years of audit and provider education experience preferred Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required Experience with MDAudit and Athena is a plus Must comply with all HIPAA rules and regulations

Apr 10, 2025 - 10:24

A company is looking for a Coding Compliance Audit & Education Specialist. Key Responsibilities Conduct audits comparing medical record documentation to reported codes and ensure compliance with regulations Research and communicate federal and state laws and guidelines related to CMS and Medicare Provide education and training to providers on coding principles and documentation guidelines Required Qualifications 5+ years of audit and provider education experience preferred Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines Certified Professional Coder (CPC) and Certified Professional Medical Auditor (CPMA) required Experience with MDAudit and Athena is a plus Must comply with all HIPAA rules and regulations