Coding Compliance Specialist

Health Care Service Corporation; Helena (MT); Remote; USD 54,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented medical coder to join their remote team in Montana. This role involves researching and analyzing medical records, ensuring compliance with coding procedures, and validating coding accuracy. The ideal candidate will possess strong analytical and communication skills, along with relevant certifications. With a commitment to diversity and equal opportunity, this organization is dedicated to fostering an inclusive workplace. If you are passionate about healthcare and coding, this could be the perfect opportunity for you.

Qualifications

• 2+ years of medical coding experience with CPC certification.
• Strong analytical and communication skills required.

Responsibilities

• Research and analyze medical records for coding discrepancies.
• Audit medical records for compliance with coding standards.

Skills

Medical Coding

CPC Coding Certification

Microsoft Office

Analytical Skills

Communication Skills

Process Management

Education

High School Diploma or GED

Associate or Bachelor's degree

Job description

Job Summary

Under supervision, this position is responsible for researching and analyzing medical records when there is a discrepancy in coding. Validating the coding and supporting the department in reporting findings. This role audits medical records to ensure compliance with the organization's coding procedures and standards according to CMS coding guidelines and official ICD-9/ICD-10 coding guidelines. Reviews insurance payments and denials and recommends coding corrections. Ability to travel 20-30% of the time, in and out of state.

Job Requirements

• High School Diploma or GED
• CPC Coding Certification (CPC, CCS, CCSP)
• Minimum of 2 years medical coding experience
• Experience with process management
• Proficiency in Microsoft Office
• Strong verbal and written communication skills
• Analytical skills
• Ability to travel 20-30% of the time, in and out of state

Preferred Qualifications

• Associate or Bachelor's degree
• CRC certification
• Experience in health insurance or healthcare setting
• Previous experience with Risk Adjustment coding for Medicare Advantage or Retail Exchange

This role is remote in Montana.

Salary Expectation: $54,600+ depending on experience.

We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway — you might have qualifications we haven't considered.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Employment Statement

HCSC is committed to diversity and providing equal opportunity and affirmative action to all employees and applicants. We are an Equal Opportunity Employer / Affirmative Action employer dedicated to workforce diversity and maintaining a drug-free, smoke-free workplace. Drug screening and background checks are required, as allowed by law. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.