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)
Compliance Specialist/Licensing
Holtec Decommissioning International (HDI) is currently seeking a Compliance Specialist/Licensing to join the Palisades Nuclear Power Plant team in Covert, MI.
We are proud of our reputation for professional and technical excellence, and we recognize that the key to upholding that reputation resides in the excellence of our employees. We are looking for talent who brings value to the organization and contribute in advancing our business and reputation.
JOB SUMMARY/PURPOSE
Responsible for the execution of the licensing processes and procedures at Palisades.
JOB DUTIES/RESPONSIBILITIES
MINIMUM REQUIREMENTS
Minimum education required of the position
B.S. Degree in Engineering or related technical degree may be credited for up to 4 years of experience or equivalent work experience.
Minimum experience required of the position
6 years commercial or military nuclear experience.
Minimum knowledge, skills, and abilities required of the position
Technical understanding of nuclear generation principles and operation.
Any certificates, licenses, etc., required for the position
None
ANSI Required: No
HDI offers its employees a robust rewards package which includes: a competitive salary; a broad benefits package including medical/RX, dental, vision, life, disability, hospitalization and other valuable voluntary options; time-off programs; 401(k) with employer match; professional and career development opportunities; and an unmatched culture focused on client-service, quality, and tireless pursuit of excellence in all we do. HDI is an equal opportunity, drug-free employer committed to diversity in the workplace. EOE/Minorities/Females/Vet/Disability.
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0 Coding Compliance Specialist jobs found in Benton Harbor, MI area