Coding Compliance Specialist jobs in Augusta, GA

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)

M
Billing and Coding Specialist
  • Medical Associates Plus
  • Augusta, GA FULL_TIME
  • JOB SUMMARY:

    The Medical Billing and Coding Specialist utilizes knowledge of insurance regulations, health insurance contracts, hospital medical coding, and bookkeeping to perform a variety of revenue cycle support activities. These include but are not limited to, medical coding, insurance verification, ensuring the accuracy of the information housed in the practice management system, preparing deposits, collecting, posting, and managing account payments, submitting accurate claims, and following up on accounts.


    III. QUALIFICATIONS


    Knowledge, Skills, and Abilities:

    • Knowledge of medical billing and collection practices.
    • Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information.
    • Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
    • Examines documents for missing information; corrects information as needed.
    • Performs patient chart audits and provides coding feedback and education to clinical team as needed.
    • Answers questions, advises, and trains providers and staff on medical coding.
    • Informs supervisor of issues with equipment and billing software and serves as point person for billing software issues and complications.
    • Ensures compliance with medical coding policies and guidelines; understands the application of each code set.
    • Maintains current knowledge regarding coding and diagnostic procedures.
    • Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested.
    • Demonstrable knowledge of computer programs relevant to position.
    • Knowledge of business office procedures.
    • Knowledge of basic medical coding and third-party operating procedures and practices.
    • Ability to operate a computer and basic office equipment.
    • Ability to operate a multi-line telephone system.
    • Skill in answering a telephone in a pleasant and helpful manner.
    • Ability to read, understand and follow oral and written instructions.
    • Ability to establish and maintain effective working relationships with patients, fellow employees and the public.
    • Must be well organized and detail oriented.


    EDUCATION:

    Coding Certification from APPC or AHIMA. High school graduate or equivalent required, technical training preferred.


    REQUIREMENTS:

    • 3 years coding experience
    • Certified Coder (CPC, CCS-P)
    • Ability to meet defined performance and production goals
    • Excellent verbal and written communication skills
    • Excellent organizational skills


    Physical Abilities:

    Able to perform all duties with reasonable accommodation. Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard.


    IV. WORKING CONDITIONS:


    The Medical Billing and Coding Specialist requires interaction with diverse groups, thus working conditions require significant tact and judgment daily. Nearly all work will be in the physician office environment.


    Medical Associates Plus reserves the right to direct its workforce this includes but is not limited to work location, work hours and job duties.


    The above is intended to describe the job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not to be construed as an exhaustive statement of supplemental duties, responsibilities, or non-essential requirements.

    • Knowledge of medical billing and collection practices.
    • Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information.
    • Assigns CPT, HCPCS, ICD-10-CM, and DRG codes
    • Examines documents for missing information; corrects information as needed.
    • Performs patient chart audits and provides coding feedback and education to clinical team as needed.
    • Answers questions, advises, and trains providers and staff on medical coding.
    • Informs supervisor of issues with equipment and billing software and serves as point person for billing software issues and complications.
    • Ensures compliance with medical coding policies and guidelines; understands the application of each code set.
    • Maintains current knowledge regarding coding and diagnostic procedures.
    • Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested.
    • Demonstrable knowledge of computer programs relevant to position.
    • Knowledge of business office procedures.
    • Knowledge of basic medical coding and third-party operating procedures and practices.
    • Ability to operate a computer and basic office equipment.
    • Ability to operate a multi-line telephone system.
    • Skill in answering a telephone in a pleasant and helpful manner.
    • Ability to read, understand and follow oral and written instructions.
    • Ability to establish and maintain effective working relationships with patients, fellow employees and the public.
    • Must be well organized and detail oriented.

    EDUCATION:

    Coding Certification from APPC or AHIMA. High school graduate or equivalent required, technical training preferred.

  • 19 Days Ago

F
Leasing Compliance Specialist - 100% Travel
  • Fairway Management, Inc.
  • Aiken, SC FULL_TIME
  • Company - Fairway Management Inc, a subsidiary of JES Holdings, LLC Title - Travel Leasing Compliance Specialist - 100% Overnight Travel throughout the year Location - Georgia region (GA, SC, FL) Fair...
  • 23 Days Ago

F
Leasing Compliance Specialist - 100% Travel
  • Fairway Management, Inc.
  • Washington, GA FULL_TIME
  • Company - Fairway Management Inc, a subsidiary of JES Holdings, LLC Title - Travel Leasing Compliance Specialist - 100% Overnight Travel throughout the year Location - Georgia region (GA, SC, FL) Fair...
  • 23 Days Ago

F
Leasing Compliance Specialist - 100% Travel
  • Fairway Management, Inc.
  • Davisboro, GA FULL_TIME
  • Company - Fairway Management Inc, a subsidiary of JES Holdings, LLC Title - Travel Leasing Compliance Specialist - 100% Overnight Travel throughout the year Location - Georgia region (GA, SC, FL) Fair...
  • 24 Days Ago

F
Leasing Compliance Specialist - 100% Travel
  • Fairway Management, Inc.
  • Waynesboro, GA FULL_TIME
  • Company - Fairway Management Inc, a subsidiary of JES Holdings, LLC Title - Travel Leasing Compliance Specialist - 100% Overnight Travel throughout the year Location - Georgia region (GA, SC, FL) Fair...
  • 24 Days Ago

C
Coding Support
  • Coronis Health
  • North Augusta, SC FULL_TIME
  • Coding Support FLSA: Non-Exempt This position reports to the Director of Coding Salary range: $18-$23 per hourStarting pay varies based on location and experience, in compliance with specific state wa...
  • 1 Month Ago

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0 Coding Compliance Specialist jobs found in Augusta, GA area

S
Financial Aid Specialist (4EM23)
  • State of South Carolina
  • Aiken, SC
  • Salary: $31,561.00 - $44,977.00 Annually Location : Aiken County, SC Job Type: FTE - Full-Time Job Number: 158555 Agency...
  • 3/29/2024 12:00:00 AM

D
Inpatient Rehab Clinical Nurse Coordinator
  • Doctors Hospital Of Augusta
  • Augusta, GA
  • DescriptionIntroduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empa...
  • 3/29/2024 12:00:00 AM

D
Inpatient Rehab Clinical Nurse Coordinator
  • Doctors Hospital of Augusta
  • Augusta, GA
  • Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, emp...
  • 3/28/2024 12:00:00 AM

D
Inpatient Rehab Clinical Nurse Coordinator
  • Doctors Hospital of Augusta
  • Augusta, GA
  • Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, emp...
  • 3/28/2024 12:00:00 AM

D
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Augusta, GA
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 3/27/2024 12:00:00 AM

D
WMS Analyst I
  • DHL Supply Chain
  • Beech Island, SC
  • WMS Analyst I Are you a tech-savvy problem solver with a passion for optimizing warehouse management systems? Do you lov...
  • 3/27/2024 12:00:00 AM

C
Health Information Specialist I
  • Ciox Health
  • Augusta, GA
  • Overview: Who we are... Datavant protects, connects, and delivers the worlds health data to power better decisions and a...
  • 3/26/2024 12:00:00 AM

R
Consumer Loan Specialist - Sales Customer Service
  • Republic Finance
  • North Augusta, SC
  • Overview and Responsibilities: Are you looking for a long-term opportunity with a growing financial services company tha...
  • 3/25/2024 12:00:00 AM

Augusta is located on the Georgia/South Carolina border, about 150 miles (240 km) east of Atlanta and 70 miles (110 km) west of Columbia. The city is located at 33°28′12″N 81°58′30″W / 33.47000°N 81.97500°W / 33.47000; -81.97500 (33.470, −81.975). According to the United States Census Bureau, the Augusta–Richmond County balance has a total area of 306.5 square miles (793.8 km2), of which 302.1 square miles (782.4 km2) is land and 4.3 square miles (11.1 km2) (1.42%) is water. Augusta is located about halfway up the Savannah River on the fall line, which creates a number of small falls on the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,956 to $79,648
Augusta, Georgia 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