Coding Compliance Specialist jobs in Gastonia, NC

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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Coding Specialist I
  • CaroMont Health
  • Gastonia, NC FULL_TIME
  • Job Summary:  To perform diversified coding of clinic encounters to accurately reflect the services provided in the clinic setting, using ICD-10-CM and CPT coding conventions including application of Evaluation & Management guidelines, and appropriate modifier usage. Performs abstract coding functions for each encounter coded by reviewing to validate the documentation supports the codes submitted on claims. Maintain  a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/CPT coding guidelines to professional fee billed encounters.  

    Qualifications:  Education and formal training:  High school graduate/diploma required.  Training in ICD-10 and CPT coding conventions.  Applicants must be eligible for a qualifying certification but has not taken an exam, or has taken and passed an exam but has less than 2 years of experience.  Qualifying certifications for this position include those offered by AAPC or AHIMA including CPC, RHIA, RHIT, CCS, CCS-P or CPC-A.  Individuals hired in this position will be moved to a Coding Specialist II position after obtaining 2 years’ experience.  Excellent verbal and written communication skills.  Must be able to maintain the highest level of confidentiality of sensitive information. Must have knowledge of Medicare, Medicaid and other payer requirements related to coding and billing claims for services rendered.  Excellent verbal and written communication skills. Must be able to maintain the highest level of confidentiality of sensitive information. Familiar with coding software preferred.

     EOE A M/F/VET/DSABILITY
     
  • 28 Days Ago

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PP Coding Educator and Audit Specialist
  • UNC Health Blue Ridge
  • Morganton, NC FULL_TIME
  • JOB SUMMARY: The Coding Educator & Audit Specialist will establish and implement policies and procedures to improve coding and documentation within Blue Ridge Medical Group. They will educate provider...
  • 25 Days Ago

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Ambulatory HCC Coding Educator & Regulatory Research Specialist
  • CaroMont Health
  • Gastonia, NC FULL_TIME
  • Job Summary: To identify needs for (through auditing or other methods)and provide coding education related to HCC (Hierarchical Category Coding). Serve as a liaison to ambulatory Clinical Documentatio...
  • 11 Days Ago

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HR Scheduling Compliance Specialist
  • ALG Senior
  • Hickory, NC FULL_TIME
  • Overview: As a Human Resource Schedule Compliance Specialist, you will be responsible for ensuring adherence to company policies and regulatory requirements related to employee scheduling and work hou...
  • 1 Month Ago

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Energy Services Compliance Specialist
  • City of Kings Mountain
  • Kings Mountain, NC FULL_TIME
  • ENERGY SERVICES COMPLIANCE SPECIALIST Under the supervision of the Energy Services Director, the Energy Services Compliance Specialist (ESCS) will support the development and implementation of complia...
  • 1 Month Ago

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HR Scheduling Compliance Specialist
  • Senior Living
  • Hickory, NC FULL_TIME
  • Overview: As a Human Resource Schedule Compliance Specialist, you will be responsible for ensuring adherence to company policies and regulatory requirements related to employee scheduling and work hou...
  • 1 Month Ago

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0 Coding Compliance Specialist jobs found in Gastonia, NC area

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Treasury Manager
  • CAROLINA PRG
  • Charlotte, NC
  • Carolina PRG has partnered with a dynamic, game-changing, corporate headquarters that is in the greater Charlotte Metro ...
  • 4/25/2024 12:00:00 AM

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Regulatory Compliance Specialist
  • Mindlance
  • Charlotte, NC
  • Title: Regulatory Compliance Specialist / Business Execution Consultant Location: Charlotte, NC / New York, NY Term: 09+...
  • 4/24/2024 12:00:00 AM

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Compliance Specialist
  • Eliassen Group
  • Charlotte, NC
  • **This is a hybrid position, requiring 2-3 days in-office presence.** A leading American electric power and natural gas ...
  • 4/23/2024 12:00:00 AM

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Perfusion Territory Manager - Charlotte, North Carolina
  • Getinge Group
  • Charlotte, NC
  • At Getinge we have the passion to perform Join our diverse teams of passionate people and a career that allows you to de...
  • 4/23/2024 12:00:00 AM

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IT Compliance Specialist
  • Octapharma Plasma
  • Charlotte, NC
  • How to Maximize your opportunity to do rewarding work, your future leadership potential, and your career growth? Join an...
  • 4/22/2024 12:00:00 AM

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IT Compliance Specialist
  • Octapharma
  • Charlotte, NC
  • How to Maximize your opportunity to do rewarding work, your future leadership potential, and your career growth? Join an...
  • 4/22/2024 12:00:00 AM

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Compliance Specialist
  • Eliassen Group
  • Charlotte, NC
  • This is a hybrid position, requiring 2-3 days in-office presence. A leading American electric power and natural gas hold...
  • 4/21/2024 12:00:00 AM

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Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
  • Avantax Planning Partners
  • Charlotte, NC
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 4/21/2024 12:00:00 AM

Gastonia is the largest city in and county seat of Gaston County, North Carolina, United States. It is also the second largest satellite city of the Charlotte area, behind Concord. The population was 71,741 at the 2010 Census. In 2016, the population had increased to 75,536. Gastonia is the 13th largest city in North Carolina. It is part of the Charlotte metropolitan area, officially designated the Charlotte Metropolitan Statistical Area (MSA). Gastonia has experienced steady growth, with a population increase between 2000 and 2010 of nearly 8.2%, according to the U.S. Census Bureau. According...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$62,129 to $82,534
Gastonia, North Carolina area prices
were up 1.5% 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