Coding Compliance Specialist jobs in Asheville, NC
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)
Recently Added Coding Compliance Specialist jobs
- UNC Health
-
Hendersonville, NC
FULL_TIME
-
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
The Credentialed Coding Specialist codes all patient charts, in adherence to guidelines provided by AHIMA/AAPC/CMS and other governmental agencies.
Responsibilities:
- Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided. Communicates with physicians and other health care staff to obtain missing information or to clarify existing information.
- Assigns and/or audits International Classification of Diseases 10-CM (ICD-10) diagnostic and procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Groups codes and completed product into payment group. Analyzes information for optimal and proper reimbursement. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information.
- Performs daily and weekly account audits from claim edit WQs, entering ICD-10-CM, CPT or HCPCS codes as needed to complete accounts into billing status. Researches and resolves problems referred by coders.
- Provides training and serves as a general resource to assist other coders and members of department staff. Participates in continuing education opportunities to maintain credentials, as necessary. Provides information to physicians and other healthcare staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
- Utilizes a variety of software (e.g. WebCIS, MRE Optum, MS Office, etc.) to compile and validate medical information. Reviews updated Medicare, AHA coding clinics, CPT Assistants and ensures that all changes and/or updates are understood.
Other information:
JOB SPECIFICATIONS
Required
- Associate's Degree or a combination of experience and education.
- Must hold a current certification or registration in medical coding as issued by the American Health Information Management Association. Accepted credentials are: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS).
- One year of work experience performing medical coding
- Bachelor's Degree
Job DetailsLegal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Health Information ManagementWork Type: Part Time
Standard Hours Per Week: 20.00Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: PARDEEHOSP
Exempt From Overtime: Exempt: No
- 1 Month Ago
- YMCA of Western North Carolina
-
Asheville, NC
OTHER
- Job Details Level: Entry Job Location: Child Care Services - Asheville, NC Position Type: Full Time Hourly Salary Range: $18.25 - $22.81 Hourly Job Shift: Hours Vary Job Category: Administration Descr...
- 15 Days Ago
- RAUMEDIC Inc
-
Mills, NC
FULL_TIME
- RESPONSIBILITES: · Ensures site quality and compliance systems follow regulatory requirements are operational, support manufacturing, are communicated and understood across the organization. · Manage ...
- 27 Days Ago
- UNC Health Careers
-
Hendersonville, NC
FULL_TIME
- Description Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.Summary:The Compliance...
- 1 Month Ago
- YMCA of Western North Carolina
-
Asheville, NC
FULL_TIME
- POSITION SUMMARY The Compliance Coordinator facilitates training and education; monitoring, auditing, and improvement planning; and procurement and logistics management related to local, state, and fe...
- 1 Month Ago
- BrightFarms Inc
-
Hendersonville, NC
FULL_TIME
- BrightFarms is The Place to Grow! At BrightFarms, we’re on a mission to revolutionize the way leafy greens are grown. But we don’t just want to grow great tasting greens, we want them to do good as we...
- 27 Days Ago
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0 Coding Compliance Specialist jobs found in Asheville, NC area
- Hiring Now!
-
Asheville, NC
- Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Mission Hospital we ...
- 4/25/2024 12:00:00 AM
- Hiring Now!
-
Asheville, NC
- Description Introduction This position is eligible for a sign on bonus with a 2 year commitment to Mission Health. Ask R...
- 4/25/2024 12:00:00 AM
- Hiring Now!
-
Asheville, NC
- Description Introduction Do you have the career opportunities as a Clinical Nurse Coordinator you want with your current...
- 4/25/2024 12:00:00 AM
- Mission Hospital
-
Asheville, NC
- Description Introduction Are you looking for a place to deliver excellent care patients deserve? At Mission Hospital we ...
- 4/25/2024 12:00:00 AM
- MAHEC, Mountain Area Health Education Center
-
Asheville, NC
- JOB SUMMARY: Manage daily billing functions for assigned patient insurance companies. Coordinate the interaction between...
- 4/22/2024 12:00:00 AM
- Department Of The Treasury
-
Asheville, NC
- Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
- 4/22/2024 12:00:00 AM
- Department Of The Treasury
-
Asheville, NC
- Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
- 4/21/2024 12:00:00 AM
- Department Of The Treasury
-
Asheville, NC
- Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
- 4/21/2024 12:00:00 AM
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