Coding Compliance Specialist jobs in Gary, 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
CODING SPECIALIST
- Methodist Hospitals
-
Merrillville, IN
FULL_TIME
-
Overview
Under supervision, to perform work involving the thorough examination and evaluation of medical record documentation to accurately assign ICD-10-CM, CPT 4, and HCPCS codes and to abstract relevant information from inpatient and outpatient records.Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions) - Coding Standards and Guidelines: Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Completes HealthStream coding compliance task.
- Coding: Applies the appropriate diagnostic and procedural codes to individual patient health information, for data retrieval, analysis, and claims processing utilizing computerized encoder and grouper.
- Accuracy Standards: 100-95 = Exceeds Standards (5); 94-90 = Above Standards (4); 89-85 = Meets Standards (3); 84-80 = Improvement Needed (2); 79 and under (1) - Most work onsite with supervisor, until successful completion of a quarterly review with accuracy level at "meets standards".
- Abstracting: Applies appropriate elements to record, including admitting provider, attending provider, other providers, point of origin, primary service, discharge destination, discharge disposition, present on admission.
- Accuracy Standards: 100-90 = Exceeds Standards (5); 89-80 = Above Standards (4); 79-70 = Meets Standards (3); 69-60 = Improvement Needed (2); 59 and below: (1) must work on site, with supervisor, until successful completion of a quarterly review, with accuracy level at �meets standards�.
- Coding Education Maintenance: Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department director for resolution, Completes educational credits according to applicable area.
- Learning opportunity standard: 8 or more completed = Exceeds standards (5); 7-6 completed = Above standards (4); 5-4 completed = Meets standards (3); 3-2 completed = Improvement needed (2); 1-0 completed = Not meeting expectations (1).
- Queries: Queries the appropriate discipline for additional or clarifying documentation to ensure the accuracy and completeness of coding and abstracting.
- Teamwork: Shows initiative by providing input to better the department and/or hospital. Reviews MCC and CC list to identify opportunities for queries or documentation improvement.
- Departmental Expectations: Attends departmental meetings (6 out of 12 monthly meetings minimum). Acknowledges minutes and handouts, when absent from meetings, by initialing e-mail within one week. Checks Methodist's internal e-mail when logging on for work, at mid-day, and before logging off.
- Considerable knowledge of ICD-10 and CPT coding systems.
- Ability to work independently, and as part of a team collaborating with colleagues.
- Enthusiastic, motivated and positive attitude.
- Successful completion of a coding certificate program, with American Health Information Management Association (AHIMA) approval status, as RHIA, RHIT, CCS or CCA is required.
- High School Diploma/GED Equivalent Required
- Certificate Required
- 5 Healthcare/Medical - Medical Coding Preferred
- 1 Month Ago
Qualifications
JOB SPECIFICATIONS(Minimum Requirements)-
KNOWLEDGE, SKILLS, AND ABILITIES
Compliance Inspector
- 7G Environmental Compliance Management
-
Toledo, OH
FULL_TIME
- Our CompanyAt 7G, we're the go-to partner for petroleum tank owners across the country. We tackle environmental challenges while consistently keeping things compliant. Our values are simple: excellenc...
- 13 Days Ago
Compliance Inspector
- 7G Environmental Compliance Management
-
Gary, IN
FULL_TIME
- Our Company7G Environmental Compliance Management (7G) is an environmental consulting firm headquartered in Tallahassee, Florida. Our goal is to simplify environmental compliance for our clients while...
- 1 Month Ago
Child Food Program Compliance Specialist
- The Mom Project
-
East Chicago, IN
FULL_TIME
- A Nonprofit that is focused on promoting healthy eating for children ages birth to 12 is excited to add a Compliance Specialist to their team! $25 / hr, direct hire Must have reliable transportation W...
- 23 Days Ago
Child Food Program Compliance Specialist
- The Mom Project
-
Gary, IN
FULL_TIME
- A Nonprofit that is focused on promoting healthy eating for children ages birth to 12 is excited to add a Compliance Specialist to their team! $25 / hr, direct hire Must have reliable transportation W...
- 25 Days Ago
Associate, Consulting Project Management - BlackRock Transformation Of
- Carosh Compliance Solutions
-
Crown Point, IN
FULL_TIME
- At BlackRock, we strive to empower our employees and actively engage you in our success. We have an extraordinary responsibility: our technology and services empower millions of investors to save for ...
- 9 Days Ago
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0 Coding Compliance Specialist jobs found in Gary, IN area
Compliance Specialist
- Alliance for Clinical Trials in Oncology
-
Chicago, IL
- The Alliance for Clinical Trials in Oncology Foundation (Foundation) is a foundation created to enhance and expand the a...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Rehabilitation - $2,117 per week
- Hiring Now!
-
East Chicago, IN
- Planet Healthcare is seeking a travel nurse RN Rehabilitation for a travel nursing job in East Chicago, Indiana. Job Des...
- 4/19/2024 12:00:00 AM
Travel Nurse RN - Telemetry - $2,218 per week
- Hiring Now!
-
East Chicago, IN
- Planet Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in East Chicago, Indiana. Job Descript...
- 4/19/2024 12:00:00 AM
Environmental Permitting & Compliance Specialist
- Amp Americas
-
Chicago, IL
- About Amp Americas Founded in 2011, Amp Americas builds, manages, operates and maintains RNG production facilities that ...
- 4/18/2024 12:00:00 AM
Food Safety and Compliance Specialist
- The Ruby Company
-
Chicago, IL
- Job Summary: The Food Safety Compliance Specialist will be responsible for maintaining the database for the vendor compl...
- 4/18/2024 12:00:00 AM
Travel Nurse RN - Cardiac Stepdown - $2,218 per week
- Hiring Now!
-
East Chicago, IN
- Planet Healthcare is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in East Chicago, Indiana. Job D...
- 4/18/2024 12:00:00 AM
Compliance Specialist
- LHH
-
South Holland, IL
- Packaging and Labeling Manager (Compliance Specialist) South Holland, IL (in office M-F) Competitive base salary, bonus ...
- 4/17/2024 12:00:00 AM
Food Safety and Compliance Specialist
- The Ruby Company
-
Chicago, IL
- Job Summary: The Food Safety Compliance Specialist will be responsible for maintaining the database for the vendor compl...
- 4/15/2024 12:00:00 AM
About Gary, Indiana
Gary is a city in Lake County, Indiana, United States, 25 miles (40 km) from downtown Chicago, Illinois. Gary is adjacent to the Indiana Dunes National Park and borders southern Lake Michigan. Gary was named after lawyer Elbert Henry Gary, who was the founding chairman of the United States Steel Corporation. The city is known for its large steel mills, and as the birthplace of the Jackson 5 music group.
The population of Gary was 80,294 at the 2010 census, making it the ninth-largest city in the state of Indiana. It was a prosperous city from the 1920s through the mid-1960s due to its booming ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$64,053 to $85,089
Gary, Indiana area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Coding Compliance Specialist do?
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