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Title

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Coding Compliance Analyst

Description

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We are looking for a detail-oriented Coding Compliance Analyst to join our team. The successful candidate will be responsible for reviewing and analyzing medical billing and coding for processing. They will ensure all codes are accurate and billed in a timely manner. The Coding Compliance Analyst will also be responsible for ensuring all coding is in compliance with regulations and guidelines. They will work closely with medical billing staff to ensure accuracy and efficiency in the billing process. The ideal candidate will have a strong understanding of medical terminology, coding, and billing procedures. They will also have excellent analytical skills and the ability to work in a fast-paced environment.

Responsibilities

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  • Review and analyze medical billing and coding for processing.
  • Ensure all codes are accurate and billed in a timely manner.
  • Ensure all coding is in compliance with regulations and guidelines.
  • Work closely with medical billing staff to ensure accuracy and efficiency in the billing process.
  • Maintain up-to-date knowledge of coding guidelines and regulations.
  • Provide training and support to medical billing staff on coding issues.
  • Perform regular audits to ensure coding compliance.
  • Identify and address any issues or discrepancies in the coding process.
  • Prepare and present reports on coding compliance and issues.
  • Stay current with changes in medical coding and billing practices.

Requirements

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  • Bachelor's degree in Health Information Management or related field.
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification.
  • Minimum of 3 years of experience in medical billing and coding.
  • Strong understanding of medical terminology, coding, and billing procedures.
  • Excellent analytical and problem-solving skills.
  • Ability to work in a fast-paced environment.
  • Strong attention to detail.
  • Excellent communication skills.
  • Proficiency in medical coding software.
  • Knowledge of healthcare compliance and privacy regulations.

Potential interview questions

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  • Can you describe your experience with medical coding?
  • How do you stay current with changes in medical coding and billing practices?
  • Can you describe a time when you identified and addressed a discrepancy in the coding process?
  • How do you ensure accuracy in your work?
  • Can you describe your experience with healthcare compliance and privacy regulations?