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)
Job Summary
The City of Fort Collins is seeking a Sr Specialist, Compliance to join our Transfort department. This is a full-time salaried position with the City with an anticipated hiring salary range of $66,000-$82,000 a year! The Sr Specialist, Compliance will perform work related to ensuring compliance with applicable Federal, State, and local laws, regulations, and standards as well as approved City plans, standards, and safety guidelines. They will collaborate closely with various departments and outside stakeholders to develop and implement effective compliance strategies and controls, as well as provide training and guidance to staff on compliance matters. Additionally, they conduct audits, inspections, and investigations to assess compliance levels and identify areas for improvement, while also serving as a subject matter expert to provide guidance and support to internal stakeholders. The ideal candidate will have 3-5 years of experience working with state and federal grants, or an equivalent combination of training and experience. We are looking for someone with a passion for compliance to bring their skills in communication and attention to detail to the City!
Essential Duties and Responsibilities
The following duties and responsibilities are illustrative of the primary functions of this position and are not intended to be all inclusive.
Management Responsibilities
Yes
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