Job Summary
A company is looking for a Medical Coding Specialist responsible for billing analysis and ensuring compliance with coding standards and regulations.
Key Responsibilities
- Review and analyze billing for medical appropriateness and compliance with coding standards
- Prepare documentation for audits and compliance reviews, including international standards
- Monitor coding practices and regulatory changes across multiple regions
Required Qualifications
- Minimum of a Bachelor's Degree in a healthcare-related field or equivalent coding certification
- Current nursing certification or coding certification (CCS, CCS-P, CPC, RHIA/RHIT)
- At least 2 years of experience in medical billing, coding, or auditing
- Knowledge of inpatient/outpatient hospital billing requirements and international coding systems
- Familiarity with payer reimbursement policies and global medical necessity criteria
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