California Licensed APC Coding Specialist

Job Summary

A company is looking for an APC Coding Validation Specialist.

Key Responsibilities

• Review provider medical records to validate the accuracy of billed Ambulatory Payment Classification (APC) and Enhanced Ambulatory Patient Group (EAPG) codes
• Maintain expert knowledge of coding conventions and guidelines, ensuring compliance with regulatory and client requirements
• Analyze and resolve coding issues related to reimbursement and documentation standards

Required Qualifications

• High School Diploma or Equivalent GED
• National certification as RHIA, RHIT, CPC, and/or CCS
• Minimum of five years of hospital outpatient coding experience or at least two years of APC validation experience
• Comprehensive knowledge of APC structure and regulatory requirements
• Ability to work independently and as part of a team in a production environment