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)
Summary:
The Summer Meal Compliance Specialist will provide support to Grow Appalachia’s Berea Kids Eat program during the summer months at meal sites. The Compliance Specialist will help ensure full compliance and strategic operations of the program through proper meal documentation, meal and menu planning, monitoring of summer meal sites, and effective internal documentation and communication strategies. The Compliance Specialist will monitor and track forms and documentation for all summer meal sites within the Berea Kids Eat service area.
Minimum Education Required:
Founded in 1855, Berea College achieved national distinction as the first coeducational and interracial college in the South. Berea has a longstanding commitment to interracial education and is one of the most racially diverse private liberal arts colleges in the United States. With an emphasis on service to Appalachia and beyond, Berea enrolls 1,600 students from 43 states and U.S. territories and more than 70 countries. Berea College admits students who are unable to afford tuition and provides all of them a no-tuition promise, valued at more than $178,000. Berea’s students excel in the College’s supportive yet demanding academic environment, and many are the first in their families to attend college. As one of only nine federally recognized Work Colleges, all Berea students are expected to work 10-12 hours weekly in various positions across campus. Berea College was again named one of the nation’s “Best Institutions for Undergraduates to Earn their College Degree” in the 2022 edition of The Princeton Review’s book, The Best 387 Colleges. Berea also appeared on four other lists within the publication: Best Colleges in the Southeast; Best Value Colleges; Best Green Colleges; and Tuition Free Schools. Berea College is ranked #148 by The Princeton Review – the highest-ranked Kentucky college, and the #3 “Best Value College” in the nation. Berea is one of only two private institutions ranked in the Top 10 for Value in the Wall Street Journal/Times Higher Education (THE) 2022 College Rankings. The Washington Monthly ranks Berea College #13 among the nation’s liberal arts colleges, recognizing Berea for maintaining “consistently high rankings thanks to their economic diversity, relatively strong graduation rates, and commitment to meeting students’ financial need.” U.S. News and World Report Rankings lists Berea as #30 among National Liberal Arts Colleges, including ranking Berea #1 in Service Learning, #2 for Most Innovative Schools, #3 in Co-ops/Internships, #4 in First-year Experiences, and tied for #13 in Best Undergraduate Teaching.
Located where the Bluegrass Region meets the Cumberland Mountains, the town of Berea (pop. 16,000) lies forty miles south of Lexington and is approximately two hours from Cincinnati, Louisville, and Knoxville. More information about Berea College is available at www.berea.edu.
Berea College, in light of its mission in the tradition of impartial love and social equality, welcomes all people of the earth to learn and work here.
Berea College is always looking for talented, self-motivated individuals to join our team. If you think you are ready to be a part of an exciting team, then we encourage you to continue with this applicant friendly, online job application!
Berea College is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, age, national origin, ancestry, citizenship, disability, or veteran status.
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