Top 4546 Coding compliance specialist Jobs

Coding and Compliance Auditor
South Shore Health —Weymouth, MA
- $73,000 - $104,400 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Acute care experience
Senior Medical Coding Specialist
Choices Women's Medical Center —Jamaica, NY
- From $85,000 a year
- Part-time
- Surgery
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Reimbursement Specialist
Specialty Care Rx —Orange, CA
- $26 - $30 an hour
- Full-time
- Medical office experience
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
Medical Billing & Coding Specialist
Western New York BloodCare —Buffalo, NY
- $24 - $27 an hour
- Part-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Coding Quality Specialist
St. Joseph's Health —New Jersey
- $28.55 - $44.25 an hour
- Full-time
- 5 years
- Mid-level
- Children
- 403(b) matching
- Paid holidays
Coding Specialist
Infinx —Remote
- $25 - $30 an hour
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Coding Specialist
Revenue Cycle Coding Strategies, LLC —Remote
- $23 - $25 an hour
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- Writing skills
Quick Apply
Coding Compliance Specialist
COMMUNITY HEALTH CARE —Tacoma, WA
- $26.85 - $38.35 an hour
- Full-time
- Mid-level
- 1 year
- Associate's degree
- Paid holidays
- Health insurance
Lead Clinical Documentation Specialist
Ascension —Remote
- $96,208.99 - $134,109.89 a year
- Full-time
- Remote
- High school diploma or GED
- Mentoring
- 1 year
- Disability insurance
- Health insurance
DR Coding Specialist
Radiology Partners Management —Remote
- $24 - $27 an hour
- Full-time
- Mid-level
- Radiology
- Paid holidays
- Health insurance
Quick Apply
Coding Quality Assurance Specialist
University of Colorado Medicine —Remote
- $28 - $32 an hour
- Full-time
- Remote
- Research
- Mid-level
- Continuous improvement
- Health insurance
Clinical Documentation Specialist
Managed Resources, Inc (MRI) —Remote
- $32 - $45 an hour
- Full-time
- Remote
- Anatomy knowledge
- RN License
- Mid-level
- Paid holidays
- Health insurance
8d
Hospital Coding Specialist
Infinx —Remote
- $35 - $40 an hour
- 8 hour shift
- Remote
- Nursing
- Surgery
- 5 years
- Paid holidays
- Health insurance
Quick Apply
7d
COMPLIANCE SPECIALIST-Inpatient
Duke Health —Durham, NC
- Full-time
- Remote
- HIPAA
- Mid-level
- Administrative experience
Risk Adjustment Compliance Coding Specialist, Consultant
Blue Shield of California —Oakland, CA
- $111,540 - $167,420 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- 7 years
- Work from home
Medical Coding Specialist - Profee Surgery Coder
MedHQ, LLC —Remote
- Full-time
- Surgery
- Mid-level
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years
Coding Specialist/ Billing Clerk
Evergreen Medical Center —Remote
- Part-time
- Medical office experience
- Mid-level
- Organizational skills
Quick Apply
4d
Accounts Payable Specialist
Dexter —Remote
- Full-time
- Remote
- Mid-level
- 2 years
- Communication skills
Quick Apply
Coding Specialist-Clinics
La Paz Regional Hospital & Clinics —Remote
- $19 - $26 an hour
- Full-time
- Anatomy knowledge
- Ability to walk for extended periods
- Computer literacy
Quick Apply

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Coding and Compliance Auditor

South Shore Health -
Weymouth, MA

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Job Details

Full-time
$73,000 - $104,400 a year

Qualifications

Medical coding experience in outpatient clinics
Medical coding for surgical records
Health information management
Acute care experience

Full Job Description

Job Description Summary

The Coding & Compliance Auditor evaluates medical record documentation and coding accuracy, identifies opportunities for improvement, and designs and delivers coding education and training programs for clinical staff, coders and other key stakeholders. The Coding & Compliance Auditor monitors external regulatory and internal process changes and provides support to colleagues in adhering to Federal, State and local requirements. This is a hybrid position: 2 days onsite; 3 days remote option.

Job Description

Job Responsibilities:

Establishes, implements, and maintains a formalized review process for coding compliance, including a formal review (audit) process.

Responsible for conducting both routine and targeted audits to ensure clinical documentation supports accurate CPT, HCPC’s, PCS and ICD-10-CM codes.
Perform prospective and retrospective audits to validate medical necessity and documentation supportive of code selection.
Analyzes data to identify deficiencies, prepare reports to deliver provider education specific to training needs identified during audit.
Develop and monitor follow-up audits and education as determined necessary to improve documentation quality.

Support all departments of the Health System with coding guidance:

Pertaining to compliance training / education as requested from providers and/or staff related to coding, billing and documentation in the inpatient, outpatient, professional, surgical and Home Health divisions of the Health System to ensure accuracy and support program objectives.
Designs training programs around compliant coding and billing from a regulatory standpoint for any new initiatives or programs affecting the Health System.
Evaluates vendor-training materials for its application or recommendation for use in educational programs.

Maintains:

Knowledge of all State and Federal regulatory changes that impact the Health System
Revises/modifies any instructional tools as necessary based on any changes to State and Federal regulatory changes to ensure guidance and training are accurate.
Assists in the development of follow-up mechanisms to ensure that knowledge and/or skills learned in the training are being applied on the job and have an impact on staff performance in meeting organizational goals.
Reports on program effectiveness and documents necessary changes.

Self Development:

Participates in professional societies or organizations relevant to ICD-9-CM, ICD-10-CM, PCS and CPT.
Maintains necessary licensure required for employment.

Administrative Duties:

Assists with administering programs as assigned.
Attends and participates in organization-wide committees as assigned.
Performs additional related duties as required.
Designs, develops and delivers education and training programs that meet the staff’s needs for compliant coding and billing.
Plans and develops curriculum in accordance with the organization’s strategic goals, mission and business strategies to improve employee performance leading to quality data and accuracy.

JOB REQUIREMENTS

Minimum Education - Preferred

Associates or Bachelor’s degree in Health Information Management.

Minimum Work Experience

Minimum 5 years acute care coding with demonstrated expertise in ICD-9-CM, ICD-10-CM, PCS and CPT coding.
Experience, preferred, in adult and continuing education, organizational development and training.

Required Certifications

CCA - Certified Coding Associate (AHIMA-American Health Information Management Assoc) or

CCS - Certified Coding Specialist (AHIMA-American Health Information Management Assoc) or

CCS-P - Certified Coding Specialist-Physican Based (AHIMA-American Health Information Management Assoc) or

CPC - Certified Professional Coder (AAPC-American Academy of Professional Coders) or

CPMA -Certified Professional Medical Auditor (AAPC-Academy of Professional Coders) or

RHIA - Registered Health Information Administrator (AHIMA-American Health Information Management Association)

Required additional Knowledge and Abilities:

Interact with constituents who have competing priorities and effectively communicate the importance of compliance in a respectful yet authoritative manner.

Apply Now

Refine Your Search

coding compliance specialist jobs

Coding and Compliance Auditor

Senior Medical Coding Specialist

Reimbursement Specialist

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Coding Quality Specialist

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Coding Compliance Specialist

Lead Clinical Documentation Specialist

DR Coding Specialist

Coding Quality Assurance Specialist

Clinical Documentation Specialist

Hospital Coding Specialist

COMPLIANCE SPECIALIST-Inpatient

Risk Adjustment Compliance Coding Specialist, Consultant

Medical Coding Specialist - Profee Surgery Coder

Inpatient Coding Compliance Auditor (Remote)

Coding Specialist/ Billing Clerk

Accounts Payable Specialist

Coding Specialist-Clinics

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