Coding Compliance Specialist

Position located in Chicago, IL @ BCBS HQ

BASIC FUNCTION:

Under supervision, this position is responsible for researching and
analyzing the medical records when there is a discrepancy in coding; validating
the coding and supporting the department in the reporting of findings. This
position audits medical records to ensure compliance with the organizations
coding procedures and standards according to the CMS Coding Guidelines and
Official ICD9 / ICD10 Coding Guidelines. Reviews insurance payments and denials
and recommends coding corrections.



JOB REQUIREMENTS:

* High School Diploma or GED.

* CPC Coding Certification

* 2 years medical coding experience

* Experience with process management

* PC experience and skills to include Microsoft Office

* Verbal and written communication skills

* Analytical skills

* Ability to travel 60% to 80% of the time to physicians office / clinics.

PREFERRED
JOB REQUIREMENTS:

* Associate or Bachelor's degree

* Experience in health insurance or health care setting

* Previous experience working on Risk Adjustment coding for either Medicare
Advantage or Retail Exchange business