| Medical Records Coding Policy Administrator Job Description |
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| The following is a full job description for Medical Records Coding Policy Administrator. Here are the requirements and responsibilities for Medical Records Coding Policy Administrator along with statistics. If after reading this page you determine that Medical Records Coding Policy Administrator is not the position you are looking for, you may want to try one of these similar titles: Medical Records Coding Manager, Medical Records Coding Compliance Specialist, Medical Records Coding Technician II, Medical Records Coding Technician I, Medical Records Coding Technician III, Medical Policy Specialist, Medical Records Senior Manager, Medical Records Manager, Medical Policy Manager |
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| Requirements and Responsibilities For Medical Records Coding Policy Administrator |
| Researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Has broad knowledge of medical coding systems. May require a bachelor's degree in healthcare administration, a related field, or equivalent. Typically requires AAPC Certified Professional Coder (CPC). Typically reports to a manager. Work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. Typically requires 4 -7 years of related experience. |
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| Also referred to as: Clinical Coding Policy Advisor |
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| Similar Jobs: Medical Records Coding Manager, Medical Records Coding Compliance Specialist, Medical Records Coding Technician II, Medical Records Coding Technician I, Medical Records Coding Technician III, Medical Policy Specialist, Medical Records Senior Manager, Medical Records Manager, Medical Policy Manager |
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| Level of Education: Medical Records Coding Policy Administrator Salaries with No Diploma, Medical Records Coding Policy Administrator Salaries with a High School Diploma or Technical Certificate, Medical Records Coding Policy Administrator Salaries with an Associate's Degree, Medical Records Coding Policy Administrator Salaries with a Bachelor's Degree, Medical Records Coding Policy Administrator Salaries with a Master's Degree or MBA, Medical Records Coding Policy Administrator Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
