Coding Compliance Specialist jobs in Casper, WY

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
  • NOWCAP Services
  • Casper, WY FULL_TIME
  • General Description of Position: The primary function of this position is to assist the Community Services Department in scheduling medical appointments for participants, communicating with healthcare providers including ensuring consultation forms are completed as well as follow-up, overseeing Medication Administration Records (MARs) set up and changes as needed, and completing the medication check-in process at the time of the medication cycle and as needed.

    You must be able to pass a pre-employment drug screen and background check.

    Essential Duties of the Position:
    1. This position requires that the employee read, write, type, speak and comprehend the English language.

    2. This position requires that the employee report to work/training as scheduled, stay awake and alert during work/training, and follow company policy for arranging time away from work.

    3. This position requires that the employee follow all policies and procedures at all times and as written unless official accommodation or dispensation is given by the Executive Director.

    4. Employees in this position will interact with colleagues and participants professionally and in a manner consistent with policy.

    5. This position requires ensuring that security and confidentiality of all participant and employee records and/or information is maintained at all times.

    6. This position is required to be certified and able to perform CPR, First Aid.

    7. This position is required to operate a computer and required software effectively and efficiently including typing, navigation, and interpretation of electronic data.

    8. This position may require extended periods of sitting, standing or walking for the duration of a work assignment.

    9. This position will organize and maintain a file system which is easily used by others in their absence.

    10. This position requires the ability to complete and oversee organizational Medication Administration Records (MARs) for participants as assigned.

    11. This position requires the employee communicate with physicians; is the primary contact for medical issues and appointments, and ensures completion of consultation forms & follow up. All communication and information received and given will be documented.

    12. This position receives medication at the time of the medication cycle and more often as needed with medication changes, and completes the medication check-in process communicating with the pharmacy and/or physician regarding any questions and/or discrepancies.

    13. This position requires that the employee maintain a valid driver’s license, maintain an insurable driving record, and operate any vehicle (personal or company owned) on behalf of the organization.

    Other Expected Duties/Functions/Competencies/Results:
    1. This position requires that the employee comply with Department of Health rules, Medicaid rules and CARF standards.

    2. This position will complete an electronic time sheet for the assigned work time as per company policy.

    3. This position will interface with external agencies regarding all previously listed items in a professional and effective manner.

    4. This position requires the employee gather data in a timely & efficient manner to complete all required reports, analysis, trainings, etc.

    5. This position is required to oversee and respond as needed to all documentation requirements of the organization.

    6. This position may be required to attend and provide information during program participant meetings, i.e. participant IPC meetings (annual, six-month updates, supplemental, etc.), and other meetings as assigned by management.
    7. This position supports and assists the Community Services Department in achieving the mission of quality services and compliant documentation.

    8. This position will complete and oversee organizational Therap ISPs as well as the Therap IDF. This includes ensuring all Department of Health’s rules, Medicaid rules and CARF standards are being met.

    9. This position requires that the employee ensures billing codes are accurate and IPC billing modifications are completed in a timely manner.
    10. This position requires performing other duties in a manner which are generally expected and consistent with other similar positions.

    Equipment Used: The employee may be required to use any of the following company-owned equipment: office devices, computer, vehicle, keys, cell phone, etc. If the employee is required to use any specialty equipment they will be trained on its safe and appropriate use.

    Environment Typically Encountered: The environment this position typically encounters is that of an office and has a low noise level. Most environments will be climate controlled but could be exposed to slick or dry surfaces and hot or cold temperatures. Environments can also vary in level of stimulation and noise.

    Certificates/Licenses/Registration/Education/Experience Required:
    1. This position requires a valid driver’s license and employee must meet underwriting standards set by the company insurance carrier in order to operate any vehicle (personal or company owned) on behalf of the organization. Failure to maintain minimum driving tier (underwriting) requirement may result in adverse impact to the employee.

    2. The employee must present upon hire documentation to meet the requirements of the federal I-9 form.

    EEO Employer/AAP/Vets/Disabled encouraged to apply

    Substance Abuse Testing Required

    https://www.facebook.com/nowcapservices/

    Job Type: Full-time

    Pay: $15.00 - $16.50 per hour

    Expected hours: 40 per week

    Schedule:

    • Monday to Friday

    Work Location: In person

  • Just Posted

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Regulatory Compliance Specialist
  • HF Sinclair Corporation
  • Casper, WY FULL_TIME
  • Basic FunctionHF Sinclair Midstream is seeking a Regulatory Compliance Specialist. This position is open to location. The Regulatory Compliance Specialist conducts and supports compliance of DOT/PHMSA...
  • 1 Month Ago

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Future Opening: Experienced Top Hand
  • Larson Tower Specialist
  • Casper, WY FULL_TIME
  • Title: Telecommunications Tower Technician Level 3 (top hand)Location: Wyoming We are seeking an experienced and highly skilled Telecommunications Tower Technician to join our team as a Level 3 techni...
  • 7 Days Ago

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Future Opening: Experienced Top Hand
  • Larson Tower Specialist
  • Casper, WY FULL_TIME
  • Title: Telecommunications Tower Technician Level 3 (top hand)Location: Wyoming We are seeking an experienced and highly skilled Telecommunications Tower Technician to join our team as a Level 3 techni...
  • 7 Days Ago

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P/T Office Janitor: Mills, WY
  • Eco-Friendly Cleaning Specialist
  • Mills, WY PART_TIME,CONTRACTOR
  • DOT, PIV card holders, perfect part time job!Must have reliable transportation.*Must be willing to submit fingerprints and pass a federal background check*We are looking for a Janitor to carry out cle...
  • 1 Month Ago

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Clinical Compliance Manager
  • Hoskinson Biotechnology
  • Gillette, WY FULL_TIME
  • Job Summary:Hoskinson Health & Wellness Clinic is looking for a full-time Clinical Compliance Manager to join our team!The Clinical Compliance Manager oversees all compliance activities within the med...
  • 25 Days Ago

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0 Coding Compliance Specialist jobs found in Casper, WY area

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Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Casper, WY
  • 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 (Excise Tax Specialist - Examiner) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Casper, WY
  • 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 (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Casper, WY
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)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) - (Temp NTE 1 Year, MBE, MBMP) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Casper, WY
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)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 / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • Casper, WY
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 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
  • Casper, WY
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL ACTIVITIESDIVISION? A description of the business units can be found...
  • 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
  • Casper, WY
  • 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 (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Casper, WY
  • 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

Casper is a city in and the county seat of Natrona County, Wyoming, United States. Casper is the second largest city in the state, according to the 2010 census, with a population of 55,316. Only Cheyenne, the state capital, is larger. Casper is nicknamed "The Oil City" and has a long history of oil boomtown and cowboy culture, dating back to the development of the nearby Salt Creek Oil Field. In 2010, Casper was named the highest-ranked family-friendly small city in the West, and ranked eighth overall in the nation in Forbes magazine's list of "the best small cities to raise a family". Casper ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$61,488 to $81,682
Casper, Wyoming area prices
were up 2.9% from a year ago

Coding Compliance Specialist in Somerset, NJ
Make compliance and process related recommendations on medical coding issues.
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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.
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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.
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