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Title
Text copied to clipboard!Compliance Coding Analyst
Description
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We are looking for a dedicated Compliance Coding Analyst to join our healthcare team. In this role, you will be responsible for reviewing, analyzing, and ensuring adherence to legal and internal coding guidelines. You will work closely with medical professionals, billing departments, and compliance teams to ensure that all medical services are accurately coded and documented.
Your main tasks will include conducting regular audits of medical coding to identify potential errors or inconsistencies. You will analyze coding data, generate reports, and provide recommendations to improve coding practices. Additionally, you will assist in developing and implementing training programs for medical staff to promote compliance with coding standards.
A deep understanding of ICD, CPT, and DRG coding systems is essential, as well as knowledge of current healthcare regulations. You should be able to interpret complex medical documentation and apply accurate coding. Experience with electronic health records (EHR) and billing systems is a plus.
This position requires a high level of accuracy, analytical thinking, and integrity. You should be able to work independently but also communicate effectively with various departments. A strong understanding of data privacy and confidentiality when handling patient information is crucial.
If you are passionate about accuracy, compliance, and healthcare, we look forward to your application.
Responsibilities
Text copied to clipboard!- Conduct coding audits to ensure compliance
- Analyze medical documentation for coding accuracy
- Generate reports and recommendations for coding improvements
- Collaborate with medical staff and billing departments
- Train staff on coding guidelines
- Monitor legal changes in the coding field
- Ensure adherence to data privacy policies
- Support internal and external audits
- Identify and correct coding errors
- Maintain and update coding policies
Requirements
Text copied to clipboard!- Degree in Health Management, Medical Documentation, or related field
- Certification as a medical coder (e.g., ICD, DRG, CPT)
- At least 2 years of experience in medical coding
- Knowledge of EHR and billing systems
- Understanding of healthcare regulations
- Analytical thinking and attention to detail
- Strong communication skills
- Confidentiality in handling patient data
- Ability to work independently
- Teamwork and sense of responsibility
Potential interview questions
Text copied to clipboard!- Which coding systems are you proficient in?
- Do you have experience with coding audits?
- How do you stay informed about legal changes?
- How do you handle coding errors?
- Which EHR systems have you used?
- How do you train medical staff on coding?
- How do you ensure data privacy compliance?
- How do you prioritize tasks under pressure?
- What experience do you have with cross-functional collaboration?
- How do you handle sensitive patient data?
