Coding Compliance Specialist jobs in Longview, TX

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)

T
Medical Billing and Coding Specialist
  • Texas Modern Gastroenterology
  • Sulphur, TX FULL_TIME
  • About us

    Texas Modern Gastroenterology is a rapidly growing Gastroenterology practice looking for a Medical Billing and Coding Specialist in Sulphur Springs, TX. We are professional, agile and fast-paced.

    Our work environment includes:

    • Modern office setting
    • On-the-job training
    • Lively atmosphere
    • Safe work environment

    Responsibilities:
    - Responsiblle for interpreting and coding Gastroenterology services provided utilizing standardized medical coding practices ensuring that all claims are billed and collections meet all government or payer mandated procedures for accuracy, integrity, and compliance

    -Review and analyze medical records to ensure accurate coding and billing
    - Assign appropriate ICD-10, DRG, and CPT codes to medical procedures and diagnoses
    - Verify patient insurance coverage and process claims for reimbursement
    - Communicate with healthcare providers to obtain missing or incomplete documentation
    - Follow up on denied or rejected claims and resolve billing discrepancies
    - Maintain patient confidentiality and adhere to HIPAA regulations
    - Stay updated on changes in coding guidelines and regulations

    Requirements:
    - Proven experience as a Medical Biller or in a similar role (2-3years required)
    - Proficient in ICD-10 coding and DRG classification systems
    - Familiarity with ICD-9 codes is a plus

    - Experience in Gastroenterology medical billing and coding (preferred)
    - Knowledge of medical terminology, anatomy, and physiology
    - Strong attention to detail and accuracy in coding and billing processes
    - Excellent communication skills to interact with healthcare providers, insurance companies, and patients
    - Ability to work independently and meet deadlines in a fast-paced environment
    - Knowledge of insurance claim submission procedures and reimbursement processes

    Note: Certification in medical billing or coding is preferred but not required.

    Job Type: Full-time

    Pay: From $16.50 per hour

    Expected hours: 36 per week

    Benefits:

    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday

    Work setting:

    • Private practice

    Education:

    • High school or equivalent (Preferred)

    Experience:

    • ICD-10: 2 years (Required)

    License/Certification:

    • Medical Billing Certification (Preferred)

    Work Location: In person

  • 1 Day Ago

S
Compliance Specialist
  • SIGNATURE SOLAR LLC
  • Sulphur, TX FULL_TIME
  • Compliance Specialist We are seeking a highly motivated and detail-oriented Compliance Specialist to join our team in the solar system market. In this role, you will be responsible for ensuring that o...
  • 4 Days Ago

D
HR Generalist & Benefit Administration
  • Drug & Alcohol Testing Compliance Services
  • Longview, TX FULL_TIME
  • Job Summary Recruit, screen, interview and places employees in positions, benefit administration and performs other duties as directed. General Accountabilities Prepares or updates employment records ...
  • 1 Month Ago

T
Material Compliance Specialist (Pipe Fabrication Shop - Paris, TX)
  • Turner Industries
  • Paris, TX FULL_TIME
  • This listing is for a Material Compliance Specialist position at our Fabrication Shop in Paris, TX. Job does not pay per diem Please apply in person at any Texas Workforce Solutions location near you ...
  • 27 Days Ago

C
Lead Coding Instructor (Sensei)
  • Code Ninjas of Houston, TX
  • Tyler, TX PART_TIME
  • Who are we? Code Ninjas is changing the world one child at a time. In our center, kids ages 7-14 learn to code in a fun, non-intimidating way – by playing and building video games that they love. Kids...
  • 1 Month Ago

G
Billing/Coding Manager
  • Genesis Prime Care
  • Marshall, TX FULL_TIME
  • Schedule: Monday - Friday 8am - 5pmLocation- Marshall, Tx (In Person) Summary: Responsible for managing the billing/coding function across the organization. Oversees and performs billing/coding duties...
  • 1 Month Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Coding Compliance Specialist jobs found in Longview, TX area

D
Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Tyler, TX
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/24/2024 12:00:00 AM

C
Senior Manager, Information Security Office (ISO) Consultant
  • Capital One
  • Longview, TX
  • Center 3 (19075), United States of America, McLean, Virginia Senior Manager, Information Security Office (ISO) Consultan...
  • 4/24/2024 12:00:00 AM

C
Principal Associate, Business Risk
  • Capital One
  • Longview, TX
  • Center 3 (19075), United States of America, McLean, Virginia Principal Associate, Business Risk Security is essential to...
  • 4/24/2024 12:00:00 AM

W
Medical Billing Specialist
  • Wellness Pointe
  • Longview, TX
  • Company Description At Wellness Pointe, everyone will receive an exceptional quality of care. The center has expanded in...
  • 4/23/2024 12:00:00 AM

D
Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • Tyler, TX
  • Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
  • 4/22/2024 12:00:00 AM

D
Internal Revenue Agent Senior Revenue Agent (Examiner) (12 MONTH ROSTER)
  • Department Of The Treasury
  • Tyler, TX
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL ACTIVITIESDIVISION? A description of the business units can be found...
  • 4/22/2024 12:00:00 AM

A
Quality and Compliance Training Supervisor
  • Arrow Child and Family Ministries
  • Tyler, TX
  • Overview: The Quality and Compliance Training Supervisor manages a team who is responsible for professional development,...
  • 4/21/2024 12:00:00 AM

D
Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Tyler, TX
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 4/21/2024 12:00:00 AM

Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$58,539 to $77,764
Longview, Texas 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