Develops and maintains a knowledge base of CPT coding guidelines, ICD codes, healthcare common procedure coding system (HCPCS) codes, use of modifiers, documentation guidelines, CMS policy, Medicaid rules, and other reimbursement guidelines, to review claims for accuracy, compliance, proper billing and ensure adherence to insurance policies and regulations. Successful completion of the following courses per departmental procedures,within one year of hire required: current procedural terminology (CPT), current international classification of diseases (ICD), health care procedure coding system (HCPCS) and medical terminology.