Remote Coding Compliance Specialist

Job Summary

To support revenue cycle goals, the full-time Remote Coding Compliance Specialist will manage claim edits, denials, and rejections while ensuring accurate coding using ICD-10-CM, HCPCS, and CPT guidelines.

Key responsibilities

• Collaborate with various departments to identify and resolve coding, CDM, and compliance issues affecting reimbursement
• Utilize coding references to ensure timely and accurate billing for claims
• Address coding edits such as NCCI, OCE, and LCD as applicable

Required qualifications

• 3-5 years of relevant experience in coding compliance
• High School Diploma or GED
• Certification in one or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, or other AAPC/AHIMA credentials