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Title
Text copied to clipboard!Coding Compliance Analyst
Description
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We are looking for a meticulous and detail-oriented Coding Compliance Analyst to join our team. In this role, you will be responsible for ensuring that all medical coding practices adhere to established standards, regulations, and guidelines. You will play a critical role in maintaining the integrity of our coding processes, ensuring compliance with healthcare laws, and minimizing risks associated with coding errors. Your expertise will help our organization maintain accurate billing, reduce claim denials, and uphold the highest standards of patient care.
As a Coding Compliance Analyst, you will conduct regular audits of medical records and coding practices to identify discrepancies and areas for improvement. You will collaborate with healthcare providers, coders, and administrative staff to provide training and guidance on coding standards and regulatory updates. Your ability to stay current with changes in coding regulations, such as ICD-10, CPT, and HCPCS, will be essential in ensuring our organization remains compliant and efficient.
The ideal candidate will have a strong background in medical coding, a thorough understanding of healthcare compliance regulations, and excellent analytical skills. You should be comfortable working in a fast-paced environment and possess the ability to communicate complex information clearly and effectively. If you are passionate about accuracy, compliance, and contributing to the success of a healthcare organization, we encourage you to apply for this position.
Responsibilities
Text copied to clipboard!- Conduct regular audits of medical records and coding practices to ensure compliance.
- Identify and address discrepancies in coding and documentation.
- Provide training and guidance to staff on coding standards and regulatory updates.
- Stay updated on changes in coding regulations, including ICD-10, CPT, and HCPCS.
- Collaborate with healthcare providers to ensure accurate and compliant coding.
- Prepare detailed reports on audit findings and recommend corrective actions.
- Assist in the development and implementation of coding compliance policies.
- Monitor and analyze trends in coding errors and provide solutions to mitigate risks.
Requirements
Text copied to clipboard!- Certification in medical coding (e.g., CPC, CCS, or equivalent).
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
- Familiarity with healthcare compliance regulations and standards.
- Excellent analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Effective communication and interpersonal skills.
- Proficiency in medical coding software and tools.
- Experience in a healthcare or medical billing environment is preferred.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical coding and compliance?
- How do you stay updated on changes in coding regulations?
- What steps do you take to ensure accuracy in coding audits?
- Can you provide an example of a time you identified and resolved a coding discrepancy?
- How do you approach training staff on coding standards and compliance?
- What tools or software have you used for medical coding and auditing?
- How do you handle situations where a provider disagrees with your audit findings?
- What strategies do you use to minimize coding errors and claim denials?
