This position is responsible for ensuring coding and payment accuracy for outpatient hospital services performed at St. Joseph’s/Candler Health System. Coding & Payment Compliance Specialist must be able to assign HCPCS, CPT codes and modifiers to outpatient encounters including emergency department visits, clinic visits, oncology treatment visits, recurring outpatient therapy and infusion center visits, diagnostic exams and testing, and laboratory reference accounts. The Coding & Payment Compliance Specialist serves as a liaison to clinical departments, Health Information Services (HIM), Physician Revenue Cycle and Pt Financial Services (PFS) to resolve claim edits and line item denials. The position is responsible for reviewing and resolving charge line item denials and identifying opportunities to prevent avoidable denials. Attention to detail is required for accurate capture of data elements, knowledge of coding and billing regulatory guidelines, and billing rules, commitment to ethical and compliant coding practices.