Coding Compliance Specialist

Job Summary

A company is looking for a Coding Compliance Specialist who will support compliance through audits and investigations related to billing and coding.

Key Responsibilities

• Conduct audits and investigations related to billing, coding, documentation, and privacy concerns
• Develop and implement corrective action plans and provide education on compliance requirements
• Analyze data to identify trends and support compliance reporting and program metrics

Required Qualifications

• Bachelor's degree in healthcare, business, or related field preferred, or equivalent experience
• Minimum of 3-5 years of experience in coding, auditing, compliance, or related healthcare field
• Active coding certification from AAPC (e.g., CPC or equivalent) is required
• Preferred certification in Healthcare Compliance (CHC) or other HCCA-related certification
• Strong knowledge of CPT, ICD-10-CM, and HCPCS coding guidelines