Demo

Coding and Compliance Specialist

Concentra Career Choice
Addison, TX Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 3/3/2026

Overview

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.

JOB SUMMARY:

The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding.

Responsibilities

MAJOR DUTIES AND RESPONSIBILITIES:

PrimaryFunctions:                                                                                                                             

  • Provider/Coder support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
  • Perform compliance audits for designated provider/coder centers consistent with established audit protocol.
  • Coordinate with Zone Medical Leadership in development of provider/coder training plans and for active support in the training process.
  • Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management.
  • Monitor Coding and State Workers’ Compensation changes to ensure that most current information is available.
  • Provide coding support to CBO as requested.
  • Other duties as may be assigned.
  •  

     

    Qualifications

    EDUCATION/CREDENTIALS:

    High School

    Associates degree or Bachelor’s degree or equivalent experience

    CPC or CCS-P coding certification Required

     

    JOB RELAVENT EXPERIENCE:

    Five years progressive healthcare billing, coding and auditing experience including provider training and presentation.

     

     

    JOB-RELATED SKILLS/COMPETENCIES:

    Auditing

    Basic computer skills – PowerPoint, Excel, Word

    Strong process management skills

    Familiarity with state specific workers’ compensation regulations

    Training and presentation skills

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