California Licensed Coding Specialist

A company is looking for an APC Coding Validation Specialist.

Key Responsibilities

Perform comprehensive analysis and review of claim information and associated medical records for accuracy in coding and billing

Maintain expert knowledge of coding conventions and guidelines, ensuring compliance with regulatory requirements

Analyze and resolve coding issues related to reimbursement and client-specific policies

Required Qualifications

High School Diploma or Equivalent GED

National certification as RHIA, RHIT, CPC, and / or CCS

Minimum of five years of hospital outpatient coding experience or two years of APC validation experience

Comprehensive knowledge of APC structure and regulatory requirements

Ability to work independently and as part of a team in a production environment