Medical Coding Regulatory Specialist Full-time Job

The Medical Coding Regulatory Specialist ensures that coding practices comply with industry regulations and standards. This role involves staying updated on changes in coding guidelines, conducting regulatory audits, and providing guidance on compliance issues. The specialist prepares regulatory reports, develops compliance training programs, and collaborates with healthcare providers to address regulatory concerns. Key responsibilities include reviewing coded data for regulatory adherence, implementing compliance strategies, and communicating regulatory changes to coding staff. Strong knowledge of healthcare regulations, coding standards, and compliance principles is essential. A degree in health information management or a related field, along with coding certification (e.g., CPC, CCS), is required. Experience in regulatory compliance and medical coding is preferred.