Medical Records Coding Policy Administrator

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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. Being a Medical Records Coding Policy Administrator 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. Additionally, Medical Records Coding Policy Administrator 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. The Medical Records Coding Policy Administrator work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Medical Records Coding Policy Administrator typically requires 4 -7 years of related experience.