Coding Compliance Specialist jobs in Evansville, IN
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)
Recently Added Coding Compliance Specialist jobs
- Southwestern Healthcare, Inc.
-
Evansville, IN
FULL_TIME
-
Job Details
Job Location
Spear - Healthcare - Evansville, INSouthwestern Healthcare is currently seeking a full-time Compliance Billing/Coding Auditor to add to our team of professionals. This position is location on-site in Evansville, IN.
WHY WORK FOR SOUTHWESTERN?
- AFFORDABLE Health, Dental, Vision, and Voluntary Life Insurance that starts DAY ONE of employment!
- 401K Employer Contribution & Match
- Student Loan Assistance Program
- Physical & Financial Wellness Programs
- Generous Paid Time Off plan
- Competitive Total Compensation Program
- Individualized orientation and training program
- We are GROWING!!
The Compliance Billing/Coding Auditor must possess, or acquire, a comprehensive understanding of coding principles and documentation requirements of various payer sources so they can:
- Audit clinical documentation and billing of services performed by clinical staff.
- Prepare written reports of audit findings and consult with staff at all levels of the organization.
- Coordinate and/or provide training and consultation to improve billing and documentation processes.
- Run scheduled reports to identify areas of improvement with documentation and billing.
- Demonstrate diligence, independence and initiative and acts as a resource to all staff.
- Prioritize activities based on outstanding audit projects and other work demands and ensures timely completion of tasks.
- Coordinates monthly exclusion data base checks, review and report findings.
- Create corrective action plans with management, as needed.
- Maintain relevant documentation and data, as required.
OTHER EXPECTATIONS:
- Demonstrate flexibility and willingness to change.
- Demonstrate personal and professional integrity.
- Maintain confidentiality at all times.
- Provide excellent, timely customer service.
- Demonstrate collaborative and respectful behavior.
- Receptive to others’ ideas and opinions.
- Contribute to a positive work environment.
- Perform other projects or tasks as assigned by the Chief Compliance and Privacy Officer.
MINIMUM QUALIFICATIONS:
- Bachelor’s degree required, or the equivalent combination of education, professional training, and work experience.
- Minimum of 2 years of coding and/or medical record auditing experience.
- Healthcare billing/coding experience required.
- Behavioral Health experience preferred,
- Strong analytical and data presentation skills required.
- Ability to work independently and collaboratively in a team environment.
- Excellent interpersonal, verbal, and written communication skills required.
If you are interested in joining a fun, friendly, innovative team, apply today!
EOE/AA including Veterans and Disabled
If you are a person with a disability needing assistance with the application process, please call (812) 435-2057. - 18 Days Ago
- SOUTHWESTERN AND AFFILIATES
-
Evansville, IN
OTHER
- Job Details Job Location: Spear - Healthcare - Evansville, IN Salary Range: Undisclosed Southwestern Healthcare is currently seeking a full-time Compliance Billing/Coding Auditor to add to our team of...
- 18 Days Ago
- Ohio County Healthcare
-
Hartford, KY
FULL_TIME
- Department: HIM (2 positions) Status/Schedule: Full Time Shift: Days Location: Hartford, KY For more information contact: Angela Dowden, adowden@ochcares.com Qualifications: Education: High School Dip...
- 1 Month Ago
- Bally's
-
Evansville, IN
FULL_TIME
- · Knowledgeable in the Indiana Gaming regulations, the company Internal Controls, IRS Regulations for Title 31, Indiana Alcohol and Tobacco laws and Health Department requirements as well as the compa...
- 8 Days Ago
- Bally's
-
Evansville, IN
FULL_TIME
- · Knowledgeable in the Indiana Gaming regulations, the company Internal Controls, IRS Regulations for Title 31, Indiana Alcohol and Tobacco laws and Health Department requirements as well as the compa...
- 8 Days Ago
- Excis Compliance ltd
-
Mount Vernon, IN
FULL_TIME
- Consulting and business solutions organization that delivers real results to global business, ensuring a level of certainty no other firm can match. Excis offers a consulting-led, integrated portfolio...
- 6 Days Ago
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0 Coding Compliance Specialist jobs found in Evansville, IN area
- Manpower USA
-
Evansville, IN
- We are seeking a detail-oriented and organized individual to join our team as an Accounting Associate in Evansville, Ind...
- 4/26/2024 12:00:00 AM
- Sharecare
-
Evansville, IN
- [Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Specialist you'll: Access var...
- 4/25/2024 12:00:00 AM
- Department Of The Treasury
-
Evansville, IN
- Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
- 4/24/2024 12:00:00 AM
- Spero Health, Inc.
-
Henderson, KY
- Recovery Support Specialist Job Type Full-time Description **Spero Health is seeking a Recovery Support Specialist (Case...
- 4/24/2024 12:00:00 AM
- Parsons Corporation
-
Evansville, IN
- In a world of possibilities, pursue one with endless opportunities. Imagine Next! When it comes to what you want in your...
- 4/24/2024 12:00:00 AM
- ProMedica
-
Evansville, IN
- **Job Details** **Team Leader, Credentialing - (54689)** This details all the information about the job posting. Share t...
- 4/24/2024 12:00:00 AM
- Department Of The Treasury
-
Evansville, IN
- 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
- Ollie's Bargain Outlet, Inc.
-
Evansville, IN
- Join our team and live the Ollie-tude!: (Ollie's Core Values) BE A TEAM PLAYER- Associates are expected to be supportive...
- 4/22/2024 12:00:00 AM
About Evansville, Indiana
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