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)
Space Coast Credit Union (SCCU), the 3rd largest credit union in Florida, is looking for a Full Time Compliance Specialist II to join our ONESCCU team in either our Baytree Headquarters or Miramar Operations Center! SCCU has been in business for over 70 years, has over 8 billion dollars in assets and WE ARE GROWING!
Our Members are our top priority and we stand behind our Brand Promise: Honest People, Trusted Products, Time Valued. We offer a rich benefits package and career advancement opportunities.
SCCU Team Member Benefits:
SCCU Team Member financial discounts & perks (save money every month!):
Compliance Specialist Salary Range:
$26.57 to $28.30 per hour
Short Description
The Compliance Specialist II will be responsible for implementing the Credit Union’s Compliance Risk Management Program. The Compliance Specialist will serve as a liaison to business units across the three lines of defense to identify and mitigate compliance risk.
Responsibilities:
Requirements:
Schedule:
Full Time during department hours of operation.
Monday - Friday 8:00am – 5:00pm.
Flex Scheduling and Work From Home Hybrid options available; must be in office 2 days a week.
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0 Coding Compliance Specialist jobs found in Melbourne, FL area