WESTMED Practice Partners is currently seeking a Coding Compliance Analyst to join our team. This individual will be a key member of the Coding Compliance team and will partner with other departments within WESTMED to ensure successful completion of position responsibilities.
A Coding Compliance Specialist is responsible for improving the overall accuracy, integrity, and quality of provider documentation. This person
Reviews claims rejections pertaining to coding and medical necessity issues dependent on insurance policies. Evaluates coding practices and recommends corrective action. Communicates with providers related to coding issues and educates on current coding rules and regulations. Conduct special audit projects. Review E/M code selection. Research and answers edits prior to claim submission. Special projects: HCC coding, presentations, focused audits.