Coding Compliance Specialist jobs in Brownsville, TX

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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Compliance Specialist
  • City of Brownsville, TX
  • Brownsville, TX FULL_TIME
  • Department: 611 - Community Development Admin
    Job Status: Full-Time
    Rate of Pay: $16.16 - Hourly
    Status: Open until filled




    Job Description

    JOB SUMMARY

    Our ideal candidate for Compliance Specialist aspires to be a model of innovation, inclusion and empowerment who enables bold people and ideas to thrive. The Compliance Specialist will be a participatory leader: a results-oriented, relationship-building, self-aware team player who also possesses high integrity, politeness, and fostering trust by building relationships with tolerance, patience, and support to provide the best value in service of the citizens of Brownsville.

    The Compliance Specialist is crucial to ensure adherence and compliance with federal, state, and local laws and regulations regarding the U. S Housing and Urban Development Programs; Community Development Block Grant (CDBG), HOME Investment Partnerships Program (HOME), Emergency Solutions Grant (ESG) and other federal and state assisted programs. Responsibilities include compliance monitoring, oversight, and project evaluation. The candidate will perform special projects and research related to the programs administered by the department. This position reports directly to the Compliance Manager.

    COMPETENCIES:

    Effective Communication

    Trust

    Time Management

    Ethical Practice

    Problem Solving skills

    Attention to detail

    Strong Analytical

    KEY FUNCTIONS/KNOWLEDGE/SKILLS:

    • Performs monitoring of CDBG, HOME and ESG programs and other grant program activities to ensure compliance with funding requirements which includes but are not limited to the following;
      • Evaluates existing policies and procedures, identifying gaps and areas that need improvement.
      • Conducting assessment and analysis of potential risks and developing risk management strategies.
      • Ensuring that internal audit procedures align with regulatory requirements and identifying areas that need improvement.
      • Reviews project performance related to achieving the national objective of benefiting low- and moderate-income households and sub-recipient performance.
    • Prepares and updates Environmental Review Records in conformance with National Environmental Policy Act (24 CFR 58) as required for various programs:
      • Researches and prepares assessments for approved activities which include issues such as alternate approaches, noise assessments, historic preservation, etc.
      • Prepares and submits notices and affidavits related to the environmental review process.
      • Responds to inquiries concerning the environmental review process.
      • Responds to citizen inquiries and provides interpretation of the department’s policies, procedures, and programs.
    • Provides technical assistance to staff to develop their capacity to implement a project and to report program accomplishments in compliance with applicable rules and regulations.
    • Monitors federal Davis Bacon labor standards activities, Section 3, Buy America Build America, and procurement procedures.
    • Assists with the planning and development of the Consolidated Plan, Consolidated Annual Performance Evaluation Report, and the Annual Action Plan.
    • Monitors the data within the Integrated Disbursement and Information System (IDIS).
    • Conducts research and compiles statistical data related to staffing, costs, procedures, and policies required to develop proposals for new and continuing federal and state grant programs.
    • Performs other related duties as assigned.

    Education and Experience

    Bachelor’s degree plus 6 months to a year of experience relatable (preferred), or associate’s degree plus 2 years of experience, or high school graduation or GED plus six years of experience.

    Special Certifications and License

    Valid Texas Driver’s License.

    Independence and Judgement

    Average judgment; must recognize and resolve problems such as bad grammar, type of procedure to apply, where to refer call or correspondence without specified destination, when to change or sharpen blade on mower, whether there is a problem/malfunction with a piece of equipment that needs attention, etc.; may involve freedom in selection of work methods among approved routines, setting of priorities, or sequencing of tasks within established schedules.

    Initiative and Ingenuity

    General guidelines: occasionally requires interpretation of available options to apply to non-standard situations; day-to-day work drives priorities.

    Supervisory and Responsibility

    Does not supervise.

    Financial Responsibility

    Does not deal with money.

    Level and frequency of Outside Contacts

    Frequent contact with the public or other organizations; interactions may require obtaining cooperation of people; courtesy and tact are required when dealing with moderately difficult or sensitive issues.

    Physical Demands

    Office job with little or occasional light physical effort.

    Responsibility for Equipment and Property

    Responsible for use of equipment/property such as office equipment, supplies, etc., which are used in office.

    Working Conditions

    Office job, no adverse conditions.

    Other Requirements

    The City of Brownsville requires all employees to successfully pass a Drug & Alcohol examination and a Background Check.

    ADA Requirements

    The City of Brownsville is an Equal Opportunity Employer. ADA requires the City to provide reasonable accommodations to qualified individuals with disabilities. Prospective and current employees are invited to discuss accommodations.

    Benefits

    The City of Brownsville participates in a generous retirement plan with retirement opportunities available at 5 or 20 years of continuous service. The City has an exceptional employee and family medical and dental insurance plan. Employees may also contribute to deferred compensation plans or supplemental insurance plans. Full time employees have the opportunity to accumulate 10 sick days, 10 annual days and 2 floating holidays per year. Additionally, the City of Brownsville observes 12 holidays annually.

    EEOC Statements

    The City of Brownsville does not discriminate on the basis of race, color, religion, sex (including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors.

  • 25 Days Ago

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611 - Compliance Specialist (Open Positions: 1)
  • City of Brownsville, TX
  • Brownsville, TX FULL_TIME
  • JOB SUMMARY Our ideal candidate for Compliance Specialist aspires to be a model of innovation, inclusion and empowerment who enables bold people and ideas to thrive. The Compliance Specialist will be ...
  • 25 Days Ago

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PSA Compliance Manager
  • Southwest Key Programs
  • Brownsville, TX PART_TIME
  • Job Summary: The Prevention of Sexual Abuse (PSA) Compliance Manager is responsible for the preventative education, detection, management, reporting, implementation, and compliance with the HHS Interi...
  • 1 Month Ago

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IT Specialist
  • cdcb come dream. come build.
  • Brownsville, TX FULL_TIME
  • SUPERVISOR: Director of Policy, Impact, and Innovation STATUS: Exempt About Us: Founded in 1974, cdcb | come dream. come build provides safe, sanitary affordable housing to the citizens of South Texas...
  • 14 Days Ago

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Inventory Specialist
  • ResourceMFG
  • BROWNSVILLE, TX FULL_TIME,TEMPORARY
  • We are seeking a motivated individual to join our team as an Bilingual Inventory Specialist in Brownsville TX! The ideal candidate will ensure all inventory-related duties are completed accurately and...
  • 19 Days Ago

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Outreach Specialist
  • cdcb come dream. come build.
  • Brownsville, TX FULL_TIME
  • SUPERVISOR: Director of Marketing, Communications and PR STATUS: Non-Exempt About Us Founded in 1974, cdcb | come dream. come build provides safe, sanitary affordable housing to the citizens of South ...
  • 20 Days Ago

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0 Coding Compliance Specialist jobs found in Brownsville, TX area

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Brownsville, TX
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 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
  • Brownsville, TX
  • 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 (Reviewer - Examiner) Temp NTE 1 Yr., MBE, MBMP 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Harlingen, TX
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) 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 (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Harlingen, TX
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

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Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
  • Department Of The Treasury
  • Harlingen, TX
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - Direct Hire, 12 Month Register AMENDED
  • Department Of The Treasury
  • Harlingen, TX
  • 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

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Harlingen, TX
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 4/21/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Harlingen, TX
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/21/2024 12:00:00 AM

Brownsville is one of the southernmost cities in the contiguous United States; only a handful of municipalities in Florida's Miami-Dade and Monroe counties (plus Everglades City in Collier County) are located farther south than Brownsville. The city has a total area of 84.867 square miles (219.805 km2), of which 81.528 square miles (211.157 km2) of it is land and 3.339 square miles (8.648 km2) is water, according to the United States Census Bureau of 2017. The city is situated at the intersection of different climates (subtropical, Chihuahuan Desert, Gulf Coast plain, and Great Plains); this p...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$55,269 to $73,420
Brownsville, Texas area prices
were up 1.2% from a year ago

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