Coding Compliance Specialist jobs in Lake Charles, LA

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 Compliance/Quality Supervisor (Full Time)
  • Lake Charles Memorial Health System
  • Charles, LA FULL_TIME
  • The Coding Compliance/Quality Supervisor demonstrates the ability to achieve individual quality performance in daily duties is team oriented and seeks to produce timely and high quality results.

    Reports to the MMG Coding and Reimbursement Manager. This position is accountable reviewing and seeking patterns in claim denials. This position will enact a Coding Compliance Plan, which will include coding audits and conducting educational meetings with providers. Must keep an open line of communication with all staff required to fulfill your job duties.


    QUALIFICATIONS:

    • CPC required or three years’ experience in professional coding.
    • Extensive understanding of CPT professional coding, ICD-10-CM and HCPCS.

    EDUCATION:

    • High School Diploma or GED

    EXPERIENCE:

    • Three years experience in professional coding.
    • Computer literacy essential.
    • Experience in billing cycle, professional coding and compliance required.
    • Knowledge of working front end errors and denials.

    KNOWLEDGE AND SKILLS:

    • Has broad, fairly detailed level of knowledge of CPT professional coding, ICD-10-CM and HCPCS.
    • Gathers, organizes, verifies, composes, and/or analyzes data in the completion of several defined, multi-step procedures.
    • Produces final output within established standards.
    • Analyzes and interprets complicated information.
    • Determines a course of action based on insurance and coding regulations.
    • Proficient in Microsoft Office and Microsoft Excel.

    PRINCIPAL JOB ACCOUNTABILITIES:

    • Identify, compile and code patient data, using ICD-10-CM, CPT and other standard classification coding systems.
    • Responsible for communication between the Coding Department, Clinic Managers, and the CBO regarding denials and rejections that are related to coding errors.
    • Assessing, researching and correcting all coding errors or directing to the appropriate coder for that clinic/specialty.
    • Review records for completeness, accuracy and compliance with regulations.
    • Create and implement a Coding Compliance Plan.
    • Routinely audit office visits notes, operative reports, hospital documentation for each provider.
    • Maintains positive working relationships with staff, physicians and residents to achieve patient, staff and physician satisfaction and continuous group performance improvement.
    • Continuously encourages process improvement in all areas. Actively identifies opportunities for process improvement. Implements plan to improve and monitors processes to ensure results are achieved.
    • Communicates effectively and in a timely and professional manner with all internal and external employees.
    • Identifies and participates in quality improvement processes.
    • Demonstrates awareness of patient rights.
    • Demonstrates ability to prioritize responsibilities according to job duties and staffing demands.
    • Protect the security of medical records to ensure that confidentiality is maintained.

    JOB ACCOUNTABILITIES – Other:

    • Develops, communicates and implements appropriate departmental policies and procedures.
    • Collaborates with support departments to ensure accuracy.
    • Participates, when required, with site review by auditors, surveyors or managed care organizations.
    • Implements improvements and recommendations based on internal and external audits.
    • Works to achieve continuous quality improvement and performance in all areas of responsibility.
    • Maintains professional growth and development through seminars, workshops and professional affiliations. Takes responsibility to remain current with all required educational information, literature and memorandums.
    • Performs other duties as requested by management.
  • 25 Days Ago

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Human Resources Compliance Specialist (In House)
  • ReCon Management Services
  • Sulphur, LA FULL_TIME
  • DescriptionSummary of Description:The Human Resources Compliance Specialist is responsible for ensuring an organization’s compliance with relevant legislation. This role encompasses a wide range of ta...
  • Just Posted

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Airworthiness Compliance Specialist - Lake Charles, LA
  • Bristow Group, Inc.
  • Charles, LA FULL_TIME
  • The Airworthiness Compliance Specialist primary responsibility is to ensure that helicopters are airworthy and comply with all relevant aviation regulations, company policies and procedures. Complying...
  • 19 Days Ago

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Private Investigator
  • Allied Universal® Compliance and Investigations
  • Charles, LA FULL_TIME
  • Private Investigator Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewa...
  • 1 Month Ago

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Coding Tech II (Full Time)
  • Lake Charles Memorial Health System
  • Charles, LA FULL_TIME
  • The Coding Tech II demonstrates the ability to achieve individual quality performance in daily duties, is team oriented and seeks to produce timely and high quality results. Reports to the MMG Coding ...
  • 3 Days Ago

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Regulatory Compliance Officer
  • Caesars Entertainment
  • Westlake, LA FULL_TIME
  • ESSENTIAL JOB FUNCTIONS: · Serves as the property’s designated BSA Compliance Officer for regulatory purposes. · Safeguard property assets. · Compile and/or review CTRCs and SARs when necessary. · Des...
  • 21 Days Ago

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0 Coding Compliance Specialist jobs found in Lake Charles, LA area

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Lead Environmental Specialist
  • Bridgestone Americas, Inc.
  • Lake Charles, LA
  • Company Overview Firestone Polymers, LLC is headquartered in Lake Charles, LA and manufactures polymers and synthetic ru...
  • 3/28/2024 12:00:00 AM

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Tunnels Engineering Manager
  • Black & Veatch
  • Westlake, LA
  • **Tunnels Engineering Manager** Date: Mar 19, 2024 Location: US Company: Black & Veatch Family of Companies At Black & V...
  • 3/28/2024 12:00:00 AM

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Safety Technician
  • Indorama Ventures
  • Westlake, LA
  • Job Description: Indorama Ventures Olefins is currently looking for a dynamic individual to work as a Safety Technician ...
  • 3/28/2024 12:00:00 AM

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Sr. Safety Specialist
  • Indorama Ventures
  • Westlake, LA
  • Job Description: Indorama Integrated Oxides & Derivatives is currently looking for a dynamic individual to work as a Sen...
  • 3/28/2024 12:00:00 AM

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Structural Engineer 5- Substation- US Hybrid
  • Black & Veatch
  • Westlake, LA
  • **Structural Engineer 5- Substation- US Hybrid** Date: Mar 22, 2024 Location: US Company: Black & Veatch Family of Compa...
  • 3/25/2024 12:00:00 AM

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Structural Engineer 5- Transmission Line- US Hybrid
  • Black & Veatch
  • Westlake, LA
  • **Structural Engineer 5- Transmission Line- US Hybrid** Date: Mar 22, 2024 Location: US Company: Black & Veatch Family o...
  • 3/25/2024 12:00:00 AM

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Mechanical Integrity & Reliability Engineer
  • Manpower Engineering
  • Westlake, LA
  • Our client, a leading Chemical Manufacturer in Lake Charles, LA is seeking a Mechanical Integrity & Reliability Engineer...
  • 3/25/2024 12:00:00 AM

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Executive Director - Specialist
  • Careerbuilder
  • Lake Charles, LA
  • Brookdale Senior Living Executive Director - Specialist Lake Charles , Louisiana Apply Now Come join our team as our nex...
  • 3/25/2024 12:00:00 AM

Lake Charles (French: Lac Charles) is the fifth-largest incorporated city in the U.S. state of Louisiana, located on Lake Charles, Prien Lake, and the Calcasieu River. Founded in 1861 in Calcasieu Parish, it is a major industrial, cultural, and educational center in the southwest region of the state. As of the 2010 census, the population was 71,993. Lake Charles is the principal city of the Lake Charles Metropolitan Statistical Area, having a population of 202,040. It is the larger principal city of the Lake Charles-Jennings Combined Statistical Area, with a population of 225,235. The 2010 pop...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$58,058 to $77,127
Lake Charles, Louisiana area prices
were up 1.2% 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