Top 221190 Program 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
DHHS Child and Family Services Specialist: Relative/Kinship Care Support- $21 hr. & increases to $26
Nebraska Department of Health and Human Services —North Platte, NE
- $21.00 - $21.86 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Driver's License
- Health savings account
- Health insurance
Quick Apply
Recreation Therapist - CTRS
Brightwell Behavioral Health —Garden City, MI
- Full-time
- Computer literacy
- Writing skills
- Inpatient
Quick Apply
SAFETY AFFAIRS SPECIALIST
Moses Lake Industries —Moses Lake, WA
- $28.85 - $38.46 an hour
- Full-time
- English
- Mid-level
- Office
- Health savings account
- AD&D insurance
Mechanical Claims Adjuster
Buckeye Risk Services —Colorado
- From $60,000 a year
- Full-time
- Remote
- ASE Certification
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Recreational Therapist
Lifepoint Rehabilitation —Marquette, MI
- Full-time
- BLS Certification
- Inpatient
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Membership Specialist
Girl Scouts of MN and WI Lakes and Pines —Duluth, MN
- $39,516.05 a year
- Weekends as needed
- Background check
- Marketing
- Customer service
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Clinical Program Manager (LCSW)
The Reno Initiative for Shelter and Equality —Reno, NV
- $90,000 a year
- Weekends as needed
- Background check
- CPR Certification
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
4d
RSD Vehicle Specifications Specialist
ROSENBAUER SOUTH DAKOTA LLC —Lyons, SD
- Full-time
- Computer literacy
- Writing skills
- Basic math
- Health savings account
- Disability insurance
Quick Apply
BSA Officer
Woodlands National Bank —Onamia, MN
- $28 - $38 an hour
- Full-time
- Background check
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
3d
Clinical Supervisor
Murtis Taylor Human Services System —Cleveland, OH
- $58,000 - $65,000 a year
- Weekends as needed
- LMFT
- Nursing
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Temporary Work Control Specialist
The University of Texas at Austin Facilities Services —Austin, TX
- From $18 an hour
- Overtime
- Microsoft Word
- Background check
- Microsoft Excel
- Paid holidays
- Disability insurance
Quick Apply
2d
Intervention Specialist
ACCEL Schools —Cleveland, OH
- $44,500 - $55,000 a year
- Classroom
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
3d
Defense Fuels Program Manager
EX FIS US, INC —Durham, NH
- $40,000 - $50,000 a year
- Full-time
- Military
- Office
- Project management
Quick Apply
11d
Field Sales Representative
Monogram Health Inc —Columbus, GA
- BLS Certification
- Mid-level
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Therapist/Counselor
Harbor Hall, Inc. —Petoskey, MI
- $48,000 - $65,000 a year
- Full-time
- Background check
- LPC
- Mid-level
- Health insurance
- Paid time off
Quick Apply
School Psychologist, as needed evaluations
RCM Health Care Services —Guymon, OK
- $525 a week
- Temporary
- Doctoral degree
- Mid-level
- Psychology
- AD&D insurance
- Disability insurance
Quick Apply
10d
Intervention Specialist
ACCEL Schools —Cincinnati, OH
- $47,500 - $55,000 a year
- Classroom
- Microsoft Outlook
- Mid-level
- AD&D insurance
- Disability insurance
Quick Apply
14h
Maintenance Procedure Card (MPC) Specialist- Naval Ship HM&E
Pantheon Data —Baltimore, MD
- $75,000 - $90,000 a year
- Full-time
- Hybrid work
- Customer service
- Research
- Bachelor's degree
- Tuition reimbursement
Quick Apply
Child Protection Specialist*(219852)
State of Kansas - Dept for Children and Families —Pratt, KS
- $51,727.50 - $54,450.00 a year
- Full-time
- Background check
- LMFT
- LPC
- Health savings account
- Health insurance
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

program specialist jobs

Coding and Compliance Auditor

DHHS Child and Family Services Specialist: Relative/Kinship Care Support- $21 hr. & increases to $26

Recreation Therapist - CTRS

SAFETY AFFAIRS SPECIALIST

Mechanical Claims Adjuster

Recreational Therapist

Membership Specialist

Clinical Program Manager (LCSW)

RSD Vehicle Specifications Specialist

BSA Officer

Clinical Supervisor

Temporary Work Control Specialist

Intervention Specialist

Defense Fuels Program Manager

Field Sales Representative

Therapist/Counselor

School Psychologist, as needed evaluations

Intervention Specialist

Maintenance Procedure Card (MPC) Specialist- Naval Ship HM&E

Child Protection Specialist*(219852)

I want to receive the latest job alert for program specialist

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