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Medical Coding Compliance Manager

Job Type : Direct
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services

Job Description :
Medical Coding Compliance Manager


Large, multi-specialty medical group is looking to add a Medical Coding Compliance Manager to their team.  As the compliance lead, this person will work to promote corporate compliance with all applicable laws, regulations, rules and policies of governmental authorities and payers.


Responsibilities include:

Performing medical record review and compliance audits.

Training and educating physicians and healthcare professionals on billing, coding and areas related to the compliance plan based upon audit results.


Required Qualifications :
Medical Coding Compliance Manager

Minimum Qualifications:

  • Bachelor's Degree in healthcare related field.

  • Certified Professional Coder (CPC) and/or Certified Coding Specialist - Physician-based (CCS-P)

  • Minimum of 5 years experience in ICD-9 & -10, CPT-4 and HCC coding and billing.

  • Knowledge of Medicaid, Medicare and third party payers required.

  • Experience in education and training of healthcare professionals required.

  • Ability to pass a criminal background check and drug screen.

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