Top 76 Compliance Jobs in Des Moines Ia

Coding Auditor
ClaimDOC —West Des Moines, IA
- Full-time
- Hybrid work
- Research
- Office
- Organizational skills
- Paid holidays
- Health insurance
Quick Apply
13d
Compliance Specialist - Affordable Housing
Indigo Living —West Des Moines, IA
- $19 - $24 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health savings account
- Paid holidays
Quick Apply
Insurance Premium Auditor
Information Providers, Inc —Des Moines, IA
- $42,000 - $55,000 a year
- Choose your own hours
- Mid-level
- Experience equivalent to degree accepted
- Associate's degree
- Health savings account
- Disability insurance
Quick Apply
Compliance & Privacy Analyst (Full-Time)
The Iowa Clinic —West Des Moines, IA
- Full-time
- HIPAA
- Mid-level
- Clinic
- Profit sharing
- Wellness program
Specialist, Risk and Compliance Services (Center of Excellence)
Deloitte —Des Moines, IA
- $63,000 - $116,000 a year
- Full-time
- Microsoft Outlook
- Research
- Mid-level
10d
Compliance Advisor
Principal Financial Group —Des Moines, IA
- $104,400 - $187,200 a year
- Full-time
- Remote
- 6 years
- Research
- Bachelor's degree
Director of Compliance (Full-Time)
ChildServe —Johnston, IA
- Full-time
- Management
- 5 years
- HIPAA
- 403(b) matching
- Health savings account
Quick Apply
11d
Specialist, Risk and Compliance Services (Personal Consultation)
Deloitte —Des Moines, IA
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Mid-level
- 3 years
Specialist, Risk and Compliance Services (PC)
Deloitte —Des Moines, IA
- $63,000 - $116,000 a year
- Full-time
- Microsoft Word
- Research
- Mid-level
Director of Compliance
State of Iowa —Des Moines, IA
- Weekends as needed
- Bachelor's degree
- US work authorization
- Organizational skills
- Paid holidays
- Health insurance
5d
Specialist Lead, Risk and Compliance Services
Deloitte —Des Moines, IA
- $80,400 - $148,000 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
Senior Compliance Analyst
Principal Financial Group —Des Moines, IA
- $84,600 - $152,400 a year
- Full-time
- Remote
- 6 years
- Office
- SQL
1d
Human Resources and Compliance Manager
EPATHUSA INC —Clive, IA
- $85,000 - $90,000 a year
- Full-time
- 7 years
- OSHA
- Bachelor's degree
Fraud Solutions Consultant
SHAZAM —Des Moines, IA
- $56,000 - $76,000 a year
- Full-time
- Hybrid work
- Mid-level
- US work authorization
- Organizational skills
- Paid parental leave
- Health savings account
Vendor Compliance Auditor
Capstone Logistics LLC —Ankeny, IA
- $600 - $740 a week
- Warehouse
- Warehouse experience
- Ability to lift 75 pounds
- Paid training
Quick Apply
Product Compliance Coordinator
Merchants Bonding Company —West Des Moines, IA
- Full-time
- Experience equivalent to degree accepted
- Business Administration
- 1 year
Quick Apply
Provider Compliance & Policy Manager
Wellmark, Inc. —Des Moines, IA
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
13d
COMPLIANCE ASSOCIATE
Financial Integrators —Des Moines, IA
- $27 - $35 an hour
- Mid-level
- Office
- Finance
- Opportunities for advancement
5d
BSA Analyst
Bank Iowa —West Des Moines, IA
- Full-time
- 5 years
- Research
- Mid-level
- Profit sharing
- Wellness program
Quick Apply
4d
Internal Auditor II
Bankers Trust Company —Des Moines, IA
- $66,000 - $78,000 a year
- Full-time
- Hybrid work
- CPA
- Writing skills
- Mid-level
- Paid parental leave
- Health insurance

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compliance jobs near des moines ia

Coding Auditor

ClaimDOC -
West Des Moines, IA

Quick Apply

Job Details

Full-time
13 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Professional development assistance
Life insurance

Qualifications

Medicare
Medical coding
AHIMA
Medicare regulations
Medical billing
AAPC Practicode

Full Job Description

Position: Coding Auditor

Location: West Des Moines, IA

Job Type: Full-time - Hybrid

ClaimDOC is hiring a Coding Auditor, which is a full-time hybrid position (2-3 days in office). ClaimDOC is a national medical claim auditing and member advocacy company driven to deliver a successful and sustainable health plan for employers and their employees. We are a rapidly growing company based in West Des Moines, Iowa, and we are seeking individuals who are innovative and motivated to join our team and mission.

Job Summary

The Coding Auditor will be responsible for reviewing, auditing and repricing medical facility and professional claims for accuracy and compliance with industry laws and contractual language on behalf of clients. Candidates must possess a strong understanding of Medicare pricing methodology as described below. The ideal candidate must display a high degree of independent judgment and professional discernment that enhances the work performed in order to achieve success in this position.

Please note: This position is hybrid — typically 2-3 days in the West Des Moines office and the other days working remotely.

Essential Duties and Responsibilities

Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).
Responsible for adjudicating claims to maintain/comply with client contracts and plan documentation.
Determine accurate payment criteria for clearing pending claims based on defined policies and procedures.
Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
Maintain quality standards and aging timeframes.
Contribute positively as a team player.
Comply with all departmental and company policies and procedures.
Research unclear and unusual claims.
Complete other tasks as assigned.

Qualifications

Current AAPC or AHIMA coding certification required or actively working toward certification.
5+ years’ experience, preferred, in an auditing, billing or coding role that requires vast knowledge of medical coding and/or Medicare pricing methodology in the inpatient, outpatient or provider setting.
Knowledge of health insurance, HMO and managed care principles, including provider reimbursement methodologies, such as case rates, global rates, per diems, percentage discounts, usual and customary fee schedules, RVU- and RBRVS-based fee schedules, and health plan-specific schedules.
Experience in health plan operations and an understanding of insurance claims processing desired.
Insurance claims or managed care environment preferred.
Ability to work independently and in a team environment.
Integrity and discretion to maintain confidentiality of members, employee and physician data.
Excellent interpersonal, oral and written communication skills.
Strong attention to detail and organization.
Strong analytic skills.
Flexibility and ability to multitask in a fast-paced environment.
Strong computer skills.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. ClaimDOC Is a drug- and tobacco-free workplace.

ClaimDOC offers competitive pay and rich benefits, including medical, dental, vision and life insurance, and sponsors a 401(k) and FSA. The candidate will also earn paid time off and paid holidays as a full-time employee.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Paid time off
Professional development assistance
Vision insurance

Ability to Commute:

West Des Moines, IA 50266 (Required)

Work Location: Hybrid remote in West Des Moines, IA 50266

Quick Apply

Refine Your Search

compliance jobs in des moines ia

Coding Auditor

Compliance Specialist - Affordable Housing

Insurance Premium Auditor

Compliance & Privacy Analyst (Full-Time)

Specialist, Risk and Compliance Services (Center of Excellence)

Compliance Advisor

Director of Compliance (Full-Time)

Specialist, Risk and Compliance Services (Personal Consultation)

Specialist, Risk and Compliance Services (PC)

Director of Compliance

Specialist Lead, Risk and Compliance Services

Senior Compliance Analyst

Human Resources and Compliance Manager

Fraud Solutions Consultant

Vendor Compliance Auditor

Product Compliance Coordinator

Provider Compliance & Policy Manager

COMPLIANCE ASSOCIATE

BSA Analyst

Internal Auditor II

I want to receive the latest job alert for compliance in des moines ia

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