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)
GZA GeoEnvironmental, Inc. (GZA) is currently seeking a Senior Level EHS Regulatory Compliance Specialist/Project Manager to join our Bedford, NH team. The ideal candidate must be a highly motivated independent self-starter with a client-oriented focus. The position will include performing various technical tasks at client facilities, conducting complex technical analyses and calculations, and preparing various types of reports and documents including regulatory programs, audit reports, permit applications, and environmental management-system-related documentation. Some travel and overnight stays may be required at times. This position may also involve being outsourced to client facilities.
Primary responsibilities involve:
Qualifications:
About GZA:
GZA GeoEnvironmental (GZA) is an employee-owned multidisciplinary geotechnical, geo-civil, environmental consulting, engineering, construction management and environmental remediation firm. GZA employs approximately 700 engineers, scientists, and technical support staff in 30 offices in the United States. We provide a range of inter-related services focused on geotechnical engineering and the earth sciences, water resources/management, waste minimization/handling, strategic health/safety management and regulatory compliance.
GZA values diversity and is committed to providing an accepting and inclusive work environment for all employees. We are proud to be an equal opportunity employer and we welcome applicants from all backgrounds. GZA does not discriminate on the basis of race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, physical or mental disability, citizenship status, marital or veteran status, age or other protected status.
Clear All
0 Coding Compliance Specialist jobs found in Manchester, NH area