Licensed Coding Validation Specialist
Job Summary
To support accurate billing for behavioral health and substance use disorder services, the remote Licensed Coding Validation Specialist will review medical records and claims, ensuring compliance with coding standards and regulatory requirements.
Key responsibilities
- Performs comprehensive analysis of claim information and medical records to validate accuracy of billed procedure and service codes
- Maintains expert knowledge of CPT and HCPCS Level II coding conventions specific to behavioral health and SUD services
- Analyzes and resolves coding issues related to reimbursement and compliance for behavioral health and SUD claims
Required qualifications
- High School Diploma or equivalent GED
- Active, unrestricted nursing license (RN or LPN/LVN) or national coding certification (RHIA, RHIT, CPC, or CCS)
- Minimum of three years of experience in coding or auditing behavioral health and/or SUD claims
- Working knowledge of DSM-5 diagnostic coding and behavioral health/SUD documentation requirements
- Comprehensive knowledge of the APC structure and regulatory requirements for behavioral health and SUD services
Complete Job Description
The complete job description is available to members. Premium membership includes:
Full access to 42,246 remote jobs from human-vetted companies, updated daily
Resume Builder - AI-powered tool to craft, enhance, and tailor your resume to a specific job
Twice-monthly live group coaching and the full Remote Career Center
20% member discount on Career Services
Backed by a 30-day money-back guarantee
Company Company Name
Headquarters Headquarters
Founded Founded
Website
The company description is available to members. Go Premium for full access to every job and company profile in our remote jobs database, backed by a 30-day money-back guarantee.
