Coding Compliance Specialist jobs in Canton, OH

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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Billing Representative / Coding Specialist
  • Atrium OBGYN
  • Canton, OH PART_TIME,FULL_TIME
  • Billing Representative / Coding Specialist

    Job Title: Billing Representative / Coding Specialist

    Department: Administrative

    Immediate Supervisor Title: Revenue Cycle Supervisor

    Job Supervisory Responsibilities: None

    General Summary: Responsible for timely and accurately coding office, radiology, procedure, delivery, obstetrics and surgical encounters.

    Essential Job Responsibilities:

    • Analyze chart for coding of patient encounters, including diagnostic and procedural information, significant reportable elements and complications.
    • Review and verify that documentation supports diagnoses, procedures and treatment
    • Assign CPT and ICD-10 codes for reimbursement
    • Analyze medical records and identify documentation deficiencies
    • Research, analyze, recommend and facilitates plan of action to correct discrepancies and prevent future coding errors.
    • Serves as a resource to providers and other billing staff
    • Maintain CPT certification
    • Maintain CEU’s set by the practice

    Education:

    • Certified Professional Coder

    Experience:

    • High school graduate or equivalent
    • Coding experience in OB/GYN preferred

    Performance Requirements:

    Knowledge:

    • Knowledge of CPT
    • Knowledge of ICD-10
    • Knowledge of payer policies
    • Knowledge of CCI edits
    • Knowledge of local and national coverage determination

    Skills:

    • Ability to manage time
    • Ability to sit for long periods of time
    • Ability to work in a team environment
    • Articulate communication skills both in person and in email
    • Excellent organizational skills

    Abilities:

    • Maintain quality and efficiency standards set by the practice

    HIPAA Compliance: In order to fulfill the responsibilities of this position, access to the following information is required:

    • Patient billing and health records

    Job Types: Full-time, Part-time

    Pay: $17.00 - $19.50 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Disability insurance
    • Employee discount
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Work setting:

    • Office
    • Private practice

    Work Location: In person

  • Just Posted

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Regional Airport Compliance Specialist
  • Breeze Airways™
  • Canton, OH FULL_TIME
  • Breeze is hiring- join us! The Regional Compliance Specialist is responsible for auditing Above and Below Wing Teams and Training Records to ensure regulatory compliance for a specified region of airp...
  • 20 Days Ago

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Internal Compliance Manager
  • Helping Hands Behavioral LLC
  • North Canton, OH FULL_TIME
  • We are developmental disability company that service special needs clients. This position is responsible for maintaining the company records in the payroll and billing system. Also deals with clients ...
  • 19 Days Ago

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Director of Quality and Compliance
  • NewVista Healthcare
  • Canton, OH FULL_TIME
  • New Vista Health and Wellness is currently recruiting a Director of Quality and Compliance for Sunrise Vista, a premier Behavioral Health Hospital.Pay Rate: $65k-85k/annuallTHE ROLEThe Director of Qua...
  • 21 Days Ago

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Senior Analyst, Trade Compliance
  • The J.M. Smucker Company
  • Orrville, OH FULL_TIME
  • Your Opportunity as the Senior Analyst, Trade Compliance The Senior Analyst, Trade Compliance will ensure compliance with all legal requirements associated with cross border trade of goods and raw mat...
  • 24 Days Ago

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Area Compliance Manager
  • Alliance Technical Group
  • Canton, OH FULL_TIME
  • DescriptionAlliance is the largest exclusive air emissions stack testing services company in the United States. Alliance Emissions Monitoring (AEM) is our Leak Detection and Repair (LDAR) division. Al...
  • 3 Days Ago

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0 Coding Compliance Specialist jobs found in Canton, OH area

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Engagement Center Specialist I
  • First Commonwealth Bank
  • Canton, OH
  • Handles incoming service calls from clients, or potential clients, having questions regarding their current account rela...
  • 3/28/2024 12:00:00 AM

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Trauma Registrar
  • Summa Health
  • Akron, OH
  • TRAUMA REGISTAR, FULL-TIME DAYS TRAUMA REGISTRY Summa Health System is recognized as one of the region's top employers b...
  • 3/28/2024 12:00:00 AM

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Early Childhood Behavioral Health Specialist
  • OhioGuidestone
  • Akron, OH
  • Where New Paths Begin OhioGuidestone is the state's leader in community behavioral health care, serving around 26,000 Oh...
  • 3/28/2024 12:00:00 AM

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Senior Information Technology Auditor
  • Storm Search
  • Akron, OH
  • Storm Search is seeking a Sr IT Auditor in the Seville, OH area for an Industry Leader. This is a Direct Hire job opport...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Youngstown, OH
  • 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

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Software Developer II (Remote)
  • Emerald Resource Group
  • North Canton, OH
  • FULL JOB DESCRIPTION We are seeking an experienced Software Developer to join our client's Application Services team for...
  • 3/27/2024 12:00:00 AM

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Logistics Coordinator
  • Kenan Advantage Group, Inc.
  • North Canton, OH
  • KAG is North America's largest tank truck transporter and logistics provider, delivering energy commodities, specialty p...
  • 3/27/2024 12:00:00 AM

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Local CDL A or CDL B Driver
  • Willoughby Supply - Canton
  • Canton, OH
  • Local CDL A or CDL B Driver We are committed to the personal and professional growth of our team members and we show thi...
  • 3/11/2024 12:00:00 AM

Canton (/ˈkæntən/) is a city in and the county seat of Stark County, Ohio, United States. Canton is located approximately 60 miles (97 km) south of Cleveland and 20 miles (32 km) south of Akron in Northeast Ohio. The city lies on the edge of Ohio's extensive Amish country, particularly in Holmes and Wayne counties to the city's west and southwest. Canton is the largest municipality in the Canton-Massillon, OH Metropolitan Statistical Area, which includes all of Stark and Carroll counties. As of the 2010 Census, the population was 73,007, making Canton eighth among Ohio cities in population. F...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$60,255 to $80,045
Canton, Ohio area prices
were up 1.3% 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