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Title

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Compliance Analyst in Coding

Description

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We are looking for a Compliance Analyst in Coding to join our team to ensure that medical coding processes comply with applicable regulations and industry standards. The person in this role will be responsible for monitoring, analyzing, and implementing compliance policies, collaborating with medical and IT teams, and training staff on best coding practices. The ideal candidate has in-depth knowledge of medical coding systems, legal regulations, and strong analytical and problem-solving skills. Daily tasks include overseeing audit processes, identifying potential risks, and recommending corrective actions to ensure the highest quality of medical data and regulatory compliance. We offer a dynamic work environment, opportunities for professional growth, and collaboration with an experienced team of specialists.

Responsibilities

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  • Monitor compliance of coding processes with applicable regulations.
  • Analyze and interpret regulations related to medical coding.
  • Collaborate with medical and IT teams to ensure compliance.
  • Conduct internal audits and identify non-compliance issues.
  • Train staff on best coding practices.
  • Prepare reports and recommendations for process improvements.
  • Update compliance policies and procedures related to coding.
  • Support implementation of new coding systems and tools.
  • Identify and mitigate risks related to non-compliance.
  • Maintain contact with regulatory bodies and track regulatory changes.

Requirements

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  • Higher education, preferably in medical, IT, or legal fields.
  • Knowledge of medical coding systems (e.g., ICD, CPT).
  • Experience in a similar role.
  • Familiarity with laws on data protection and medical documentation.
  • Analytical thinking and problem-solving skills.
  • Good organization and ability to work under pressure.
  • Communication skills and teamwork ability.
  • English proficiency sufficient for reading documentation.
  • Experience in conducting audits and reporting.
  • Knowledge of IT tools supporting coding and compliance processes.

Potential interview questions

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  • What experience do you have with medical coding systems?
  • How do you monitor changes in coding regulations?
  • Describe a situation where you resolved a coding compliance issue.
  • What methods do you use to train teams on compliance?
  • How do you handle pressure during audits?
  • Do you have experience working with regulatory bodies?
  • What IT tools do you use in daily work?
  • What are your strengths as a compliance analyst?
  • Describe how you prepare compliance reports.
  • What actions do you take to minimize compliance risks?