Coding Compliance Specialist jobs in Jamestown, NY

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)

C
Coding specialist
  • Coordinated Care Services, Inc. (CCSI)
  • Chautauqua, NY FULL_TIME
  • Job Type Full-time Description

    Certified Coding Specialist

    Chautauqua County Department of Mental Hygiene

    Mayville, NY - On-Site

    FULL-TIME Nonexempt : 35 hours / week

    seeks a talented Certified Coding Specialist to contribute their expertise in providing essential business services to our provider organizations and customers.

    The Certified Coding Specialist is assigned to work on behalf of CCSI’s customer and will support the medical billing of the Mental Hygiene Department with specific efforts towards the sustainability of the Certified Community Behavioral Health Clinic (CCBHC).

    CCSI is partnering with Chautauqua County Department of Mental Hygiene to hire a Certified Coding Specialist. This position is employed by CCSI and working on behalf of Chautauqua County Department of Mental Hygiene .

    In this role, you will

    • Comply with all legal requirements regarding coding procedures and practices
    • Conduct audits and coding reviews to ensure all services meet regulation coding requirements
    • Collaborate with billing department to ensure all services meet regulation coding requirements
    • Communicate with insurance companies about coding errors and disputes
    • Serve as resource and subject matter expert to billing department
    • Determine correct codes for client electronic health records
    • Review services to ensure coding is accurate
    • Be a coding resource (in-person, email, phone) to clinical staff
    • Meet appropriate coding standards with the time frame established by management itself
    • Provide training on code selection and documentation for new & existing staff
    • Establish process to monitor coding for new services & staff
    • Collaborate with billers on denials to determine relation to code selection
    • Other duties as assigned.

    Requirements

    • High School Diploma or GED Equivalent and 3 years of total experience work experience or equivalent education and work experience ()
    • Certified Coding Specialist (CCS) or Certified Professional Coder
    • Commitment to high level of customer service
    • Familiarity with ICD-9, ICD-10, DSM 5, and SNOW MED codes
    • Mental / Behavioral Health coding background preferred but not required
    • Strong interpersonal, verbal and written communication skills

    Additional Requirements

    • Satisfactory completion of all required background screenings.
    • Respect the confidential nature of all CCSI and CCSI customer information you are exposed to in the course of your work performance.

    Staff working directly with protected health information / electronically stored protected health information, personally identifiable information, and other patient / consumer / customer data, will abide by the specific procedures and policies outlined by CCSI’s Code of Conduct and CCSI’s Privacy and Security Policies, New York State regulations and Federal regulations.

    We Are

    CCSI employs more than talented, dedicated professionals who provide program management services, consulting, and operational support needed by local departments of mental health and social services, state agencies, community-based organizations, and school districts across New York State and beyond! Our mission, simply put, we help people and communities.

    CCSI’s vision is to be an exceptional place for individuals to grow and build a career, while expanding our capacity to invest in communities.

    We do this by prioritizing employee voice and equity to ensure we protect employees from harm; provide connection and community;

    enable work-life harmony; foster mattering at work; and creating opportunities for growth and development.

    • Market competitive compensation.
    • An award-winning and employee benefits program.
    • An organization that is committed to .
    • Continuous opportunities.
    • in shaping CCSI’s ever-evolving diverse company culture.
    • Last updated : 2024-04-02

  • 20 Days Ago

C
Certified Coding Specialist
  • Coordinated Care Services, Inc. (CCSI)
  • Mayville, NY FULL_TIME
  • DescriptionCertified Coding SpecialistChautauqua County Department of Mental Hygiene Mayville, NY - On-SiteFULL-TIME Nonexempt : 35 hours/week Coordinated Care Services Inc (CCSI) seeks a talented Cer...
  • 5 Days Ago

A
Quality & Compliance Specialist
  • Abraxas Youth & Family Services
  • Marienville, PA FULL_TIME
  • Now hiring a QUALITY & COMPLIANCE SPECIALIST | LICENSING & ACCREDITATION SPECIALIST to join our team at Abraxas I in Marienville, PA. As a LICENSING & ACCREDITATION SPECIALIST, you will oversee licens...
  • 1 Month Ago

C
Compliance Inspector
  • CES, LLC
  • Jamestown, NY PART_TIME,CONTRACTOR
  • CES is looking for reliable, detail-oriented individuals to assist Underage Purchasers in performing non-confrontational compliance checks on local tobacco retailers to ensure the sale of tobacco prod...
  • Just Posted

C
Compliance Inspector
  • CES, LLC
  • Olean, NY PART_TIME,CONTRACTOR
  • CES is looking for reliable, detail-oriented individuals to assist Underage Purchasers in performing non-confrontational compliance checks on local tobacco retailers to ensure the sale of tobacco prod...
  • 30 Days Ago

C
Compliance/Privacy Officer
  • Chautauqua County Government
  • Mayville, NY FULL_TIME
  • Compliance/Privacy Officer - Chautauqua County Government Chautauqua County Government is seeking applications to fill one (1) Full-Time (35 hours per week) Compliance/Privacy Officer to work out of t...
  • 1 Month Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Coding Compliance Specialist jobs found in Jamestown, NY area

S
FT Data Entry Specialist - Work From Home>
  • Sharecare
  • Jamestown, NY
  • [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

C
Product Owner
  • Community Bank N.a.
  • Dewittville, NY
  • OverviewAt Community Bank System, Inc. (CBSI), we are dedicated to providing our customers with friendly, personalized, ...
  • 4/24/2024 12:00:00 AM

P
Cement Pump Operator
  • PLANTS AND GOODWIN, INC.
  • Bradford, PA
  • Company Description Plants & Goodwin, Inc. is the industry expert in plugging and abandonment operations in the Appalach...
  • 4/23/2024 12:00:00 AM

L
Customer Service Specialist
  • Lake Shore Savings Bank
  • Dunkirk, NY
  • Job Description Job Description Summary of Job Description: Under general supervision, and in conformance with establish...
  • 4/21/2024 12:00:00 AM

B
Retail Merchandising Specialist
  • BDS Connected Solutions, LLC.
  • Jamestown, NY
  • At a Glance: $$$ Earn weekly pay at BDS! $$$ If you enjoy completing independent projects, are interested in collaborati...
  • 4/21/2024 12:00:00 AM

Jamestown is a city in southern Chautauqua County, New York, United States. The population was 31,146 at the 2010 census and was estimated at 29,591 in 2017. Situated between Lake Erie to the northwest and the Allegheny National Forest to the south, Jamestown is the largest population center in the county. Nearby Chautauqua Lake is a freshwater resource used by fishermen, boaters and naturalists. Notable people from Jamestown include comedian Lucille Ball, U.S. Supreme Court justice and Nuremberg chief prosecutor Robert H. Jackson, naturalist Roger Tory Peterson, singer Natalie Merchant, and N...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$60,719 to $80,660
Jamestown, New York 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