Coding Compliance Specialist jobs in Altoona, PA

Coding Compliance Specialist researches and develops the pre-certification insurance policy standards and criteria used by case management and utilization reviewers that will ensure that requested medical services are appropriate and medically necessary. Collaborates with medical professionals to resolve questions about policy development and standards. Being a Coding Compliance Specialist assigns correct ICD, CPT, or other coding assignments for medical procedures that support policy standards in claims systems. Provides expertise and solutions to users regarding the appropriate coding for claims. Additionally, Coding Compliance Specialist has broad knowledge of medical coding systems. May require an associate degree in healthcare administration, a related field, or equivalent. Requires AAPC Certified Professional Coder (CPC). May alternatively require Certified Coding Specialist (CCS) certification. Typically reports to a manager. The Coding Compliance Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Coding Compliance Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Coding Specialist MNPG
  • Mount Nittany Health
  • Bellefonte, PA OTHER
  • Why Mount Nittany Health?

    At Mount Nittany Health, we provide high-quality patient care with a unique combination of the latest in clinical technology and compassionate medical professionals. We are committed to improving both the quality and availability of healthcare in our region and seek to hire only the best to support the communities we serve.

    Overview

    Determine and apply appropriate Current Procedural Terminology (CPT) and International Classification of Diseases (ICD 10) code(s) to services for billing. With quality and reimbursement contingent upon coding, it is the responsibility of the Physician Group Coding Specialist to have proper training in ICD-10, CPT-4, HCPCS and AAPC coding rules and principles. Coder has frequent interactions with internal and external clients. Coder focuses their work on detailed documentation abstraction from the EHR or other document and selection of CPT and DX coding based on this review. Serves as the liaison for immediate and ongoing documentation and improvement for physician coding practices, compliance and revenue optimization for all practices.

     

    Qualifications

    Education:

     

    1) Associates Degree from an approved Health Management Technology program or relevant Technical Certification preferred. May have an equivalent combination of education and/or experience in lieu of specific education.

     

    Experience:

     

    1) Two (2) years of previous experience in diagnosis, E/M, and procedure coding preferred.

     

    Knowledge, Skills, Abilities:

     

    1) Demonstrates knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology).2) Self-motivated individual with personal integrity to organize work and work independently.3) Possesses typing skills with basic knowledge of computer operations.4) Demonstrates communication skills necessary to communicate to the clinical staff, physicians, managers, etc. for any clarifications regarding record questions or problems utilizing coding rules and principles.

    License/Certification/Registration:

     

    1) Certified Professional Coder (CPC) credential or CPC eligible required. CPC certification will be obtained within one (1) year of date of hire or transfer into Coding position.2) Once credentialed, must maintain Certified Professional Coder (CPC) or other relevant credential by completing continuing education requirements.3) Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or other relevant credential, relevant experience, preferred.

     

  • 4 Days Ago

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Academic Compliance Specialist
  • Saint Francis University
  • Loretto, PA FULL_TIME
  • Search Status: Applications received by July 28,2023 will receive primary consideration.Saint Francis University invites applications for a full time position of Academic Compliance Specialist in the ...
  • 3 Days Ago

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Surveillance Investigator - Part-Time
  • Allied Universal® Compliance and Investigations
  • Altoona, PA PART_TIME
  • Surveillance Investigator - Part-Time Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance compa...
  • 10 Days Ago

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Quality Improvement/Compliance Specialist in Human Services Industry
  • Skills of Central PA
  • State College, PA FULL_TIME
  • DescriptionSkills of Central PA is seeking for a Full-Time Quality Improvement/Compliance Specialist. This position will be based at the Corporate Office in State College, PA. The schedule for this po...
  • Just Posted

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Office Specialist
  • TruGreen - Lawn Specialist - Mill Hall, PA
  • Lamar, PA FULL_TIME
  • Immediate Openings in Mill Hall, PA At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. Start at $16 per hour Average income is $850 - $1,200 per week*...
  • 1 Day Ago

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Lawn Specialist
  • TruGreen - Lawn Specialist - Mill Hall, PA
  • Clarence, PA FULL_TIME
  • TruGreen is Hiring Residential Lawn Specialists Immediate Openings in Mill Hall, PA At TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A career with T...
  • 1 Day Ago

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0 Coding Compliance Specialist jobs found in Altoona, PA area

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Respiratory Sales Specialist, Altoona, PA (Harrisburg, PA/York, PA)
  • Verona Pharma
  • Altoona, PA
  • Respiratory Sales Specialist, Altoona, PA (Harrisburg, PA/York, PA) The Company: Our mission is to improve the health an...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Altoona, PA
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Johnstown, PA
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Human Resources Specialist (Recruitment & Placement) - 12 Month Roster
  • Department Of The Treasury
  • Altoona, PA
  • Duties WHAT IS THE HCO - HUMAN CAPITAL OFFICE DIVISION? A description of the business units can be found at: https://www...
  • 4/22/2024 12:00:00 AM

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Pharmacist (Pharmacy Manager)
  • Rite Aid Corp.
  • Altoona, PA
  • Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates...
  • 4/22/2024 12:00:00 AM

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Intellectual Disability- Advanced Program Specialist
  • Keystone Human Services
  • Duncansville, PA
  • Keystone Human Services is currently seeking an Advanced Clinical Specialist to join our team of professionals in making...
  • 4/22/2024 12:00:00 AM

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Inventory Manager
  • Vireo Health LLC
  • Johnstown, PA
  • ** Vireo Health Inc.** ** Inventory Manager** Johnstown, NY 12095 ***Who we are*** Here at Vireo Health, Inc. (Vireo) ou...
  • 4/22/2024 12:00:00 AM

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Information Technology Specialist (On-Site)
  • Reliance Bank
  • Altoona, PA
  • Find the workplace you've been looking for... join our Reliance Bank team! We are currently seeking a full-time Informat...
  • 4/21/2024 12:00:00 AM

Altoona is a city in Blair County, Pennsylvania, United States. It is the principal city of the Altoona Metropolitan Statistical Area (MSA). The population was 46,320 at the time of the 2010 Census, making it the eleventh most populous city in Pennsylvania. The Altoona MSA includes all of Blair County and was recorded as having a population of 127,089 at the 2010 Census, around 100,000 of whom live within a 5-mile (8.0 km) radius of the Altoona city center according to U.S. Census ZIP Code population data. This includes the adjacent boroughs of Hollidaysburg and Duncansville, adjacent township...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$58,924 to $78,275
Altoona, Pennsylvania area prices
were up 1.5% from a year ago

Coding Compliance Specialist in Somerset, NJ
Make compliance and process related recommendations on medical coding issues.
February 19, 2020
Coding Compliance Specialist in Jacksonville, FL
·        Perform specialized audits of patient medical records to ensure compliance with organization’s coding procedures and standards and provide feedback to analyst/educator and management.
February 04, 2020
Coding Compliance Specialist in Lebanon, PA
Provide monitoring and auditing functions as determined by the Regional Director of HIM Services, the HIM Coding Compliance Committee, TH Of NE Compliance Audit Plan, and as otherwise directed.
January 19, 2020