Coding Compliance Specialist jobs in Lorain, OH

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 & Reimbursement Specialist I - Hrly PT, Days
  • Firelands Health
  • Sandusky, OH FULL_TIME
  • Position Highlights:

    • Award Winning: Named among the top 10% in the Nation for Patient Safety Excellence Award, America’s 100 Best Orthopedic Surgery, America’s 100 Best Spine Surgery.
    • Shift: Hourly full-time, Days.
    • Employee-centric: Competitive pay, excellent benefits, tuition assistance, retirement plan matching, recognition program, local discounts.
    • Stability: Serving Erie and surrounding counties since 1876.
    • Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.
    • Work/life: You will find support to help you manage your personal life while building a career.

    What You Will Do:

    • Under the general direction of the Manager of Coding, the Coding & Reimbursement Specialist-Level 1 codes outpatient encounters for billing purposes and data retrieval using ICD-10-CM, billing edits and CPT/HCPCS, and validates for medical necessity and contact providers for additional information.
    • Codes outpatient encounters for billing purposes and data retrieval using ICD-10-CM, billing edits and CPT/HCPCS, and validates for medical necessity and contact providers for additional information.
    • Utilizes software to identify and correct potential problems on bills prior to billing, ensuring accurate claim submission.
    • Follows up on deficient/delinquent accounts for prompt release of claims to billing.
    • Retrieves, searches data base for patient clinical information for patient accounts, physicians, etc.

    What You Will Need:


    • Two year Associate Degree preferred. RHIA, RHIT, CCS, CCA, CCP or eligible certification required. Credentials must be current with associated continuing education credits. Minimal (six months or less) experience in assignment of ICD-10-CM codes to medical diagnosis.
    • Proficient in use of coding encoder software, Electronic Medical Record software, Outlook, and Medical Necessity software as well as other computer software programs.
    • Ability to read and write small letters and numbers, and maintain orderly records anforms.
    • Successful completion of a ninety (90) day probationary period.


    Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

    The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

  • 17 Days Ago

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Coding & Reimbursement Specialist I - Hrly PT, Days
  • Firelands Health Careers
  • Sandusky, OH PART_TIME
  • Position Highlights: Shift: Hourly full-time, Days. Employee-centric: Competitive pay, excellent benefits, tuition assistance, retirement plan matching, recognition program, local discounts. Stability...
  • 16 Days Ago

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Coding & Reimbursement Specialist I - Hrly PT, Days
  • Firelands Health Careers
  • Sandusky, OH PART_TIME
  • Position Highlights: Shift: Hourly full-time, Days. Employee-centric: Competitive pay, excellent benefits, tuition assistance, retirement plan matching, recognition program, local discounts. Stability...
  • 16 Days Ago

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Coding & Reimbursement Specialist I - Hrly FT, Days
  • Firelands Health
  • Sandusky, OH FULL_TIME
  • Position Highlights: Award Winning: Named among the top 10% in the Nation for Patient Safety Excellence Award, America’s 100 Best Orthopedic Surgery, America’s 100 Best Spine Surgery. Shift: Hourly fu...
  • 28 Days Ago

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Coding & Reimbursement Specialist I - Hrly FT, Days
  • Firelands Health Careers
  • Sandusky, OH FULL_TIME
  • Position Highlights: Award Winning: Named among the top 10% in the Nation for Patient Safety Excellence Award, America’s 100 Best Orthopedic Surgery, America’s 100 Best Spine Surgery. Shift: Hourly fu...
  • 1 Month Ago

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CIP Compliance Analyst
  • Sutton Bank
  • Attica, OH FULL_TIME
  • Summary: Responsible for supporting the Compliance and Prepaid departments with CIP/KYC testing, quality control, due diligence and various activities relating to prepaid card program management. Qual...
  • 22 Days Ago

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0 Coding Compliance Specialist jobs found in Lorain, OH area

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Remote Technical Writer (IT Security)
  • Tentek, Inc.
  • Cleveland, OH
  • Remote Technical Writer (IT Security) Client location: Burbank, CA Work location: Remote Duration of Assignment: 5+ Mont...
  • 4/26/2024 12:00:00 AM

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Travel Nurse RN - ED - Emergency Department - $2,016 per week
  • Hiring Now!
  • Oberlin, OH
  • Planet Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Oberlin, Ohio. Job ...
  • 4/26/2024 12:00:00 AM

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100% Remote-GISTechnical Writer
  • Beacon Hill
  • Cleveland, OH
  • Note: This is a 100% Remote position. Selected Candidates will be working PST Hours. One of our clients in Los Angeles, ...
  • 4/26/2024 12:00:00 AM

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Senior Compliance Specialist
  • Larson Maddox
  • Cleveland, OH
  • A well established bank is looking to add on a Senior Compliance Specialist. Your responsibilities include providing ess...
  • 4/25/2024 12:00:00 AM

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DOT Fleet Compliance Specialist (Independence Excavating)
  • DiGeronimo Companies
  • Cleveland, OH
  • DOT/Fleet Compliance Specialist Independence Excavating (IX) is seeking a highly skilled DOT/Fleet Compliance Specialist...
  • 4/24/2024 12:00:00 AM

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Travel Registered Respiratory Therapist - $2,175 per week
  • Hiring Now!
  • Cleveland, OH
  • Planet Healthcare is seeking a travel Registered Respiratory Therapist for a travel job in Cleveland, Ohio. Job Descript...
  • 4/23/2024 12:00:00 AM

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GRC - Governance, Risk, and Compliance Specialist
  • System One Holdings, LLC
  • Cleveland, OH
  • Please send me your details (resume, work authorization status, current location, availability and compensation expectat...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
  • Department Of The Treasury
  • Cleveland, OH
  • Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
  • 4/22/2024 12:00:00 AM

Lorain /ləˈreɪn/ is a city in Lorain County, Ohio, United States. The municipality is located in northeastern Ohio on Lake Erie, at the mouth of the Black River, approximately 30 miles west of Cleveland. As of the 2010 census, the city had a total population of 64,097, making it Ohio's tenth largest city, the third largest in Greater Cleveland, and the largest in Lorain County by population. The city is notable for its deindustrialized economy, formerly being home to the American Ship Building Company Lorain Yard, Ford Motor Company Lorain Assembly Plant, and United States Steel Corporation's...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$62,386 to $82,874
Lorain, Ohio area prices
were up 1.3% 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.
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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