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)
About UFW Foundation: For nearly 18 years, the UFW Foundation has mobilized farm workers and their organizations across the country to advocate for more equitable policies, such as immigration reform, pesticide protections, heat standards, hazard pay and other worker protections. We engage constituents in systemic change to break the cycle of poverty while also providing critical services. In fact, the UFW Foundation is the largest federally accredited immigration legal service provider in the state of California. The organization has staff in California, Arizona, Georgia, Illinois, Michigan, and New York.
SUMMARY: The Risk & Compliance Coordinator plans, directs, and or coordinates activities for the UFW Foundation to ensure compliance with ethical and regulatory standards. The Risk & Compliance Coordinator ensures UFW Foundation policies are accurate, current, and in compliance with local, state, and federal regulations. The Risk & Compliance Coordinator (1) maintains documentation of compliance activities; (2) identifies and addresses compliance issues that require follow-up or investigation; and (3) manages an organization’s overall insurance programs, as well as entity registrations. The Risk & Compliance Coordinator provides these services to both the UFW Foundation (a 501(c)3), as well as its sister organization the Civic Empowerment Coalition (a 501(c)4). The Risk & Compliance Coordinator reports to the Chief Operating Officer (COO)
ESSENTIAL DUTIES AND RESPONSIBILTIES: (This is not an exhaustive list)
The ideal candidate for this position must have a high level of professionalism and organization. The candidate must demonstrate competency in the following areas:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
Bachelor’s degree in risk management, human resources, business administration or related field and three (3) to five (5) years or more in risk management, compliance, or related field experience and/or training; or equivalent combination of education and experience. Current California driver’s license and insurance.
COMPENSATION:
The annual salary pay range for this position is $66,560.00 to $68,000.00, and benefits include:
PHYSICAL AND SENSORY DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is largely a sedentary role—the individual will spend several hours each day on a computer working with Word documents, spreadsheets, and screens full of data (ADP). Clarity of vision at 20 inches or less is necessary. In rare instances the employee may be required to move files, open filing cabinets and bend or stand as necessary. Similarly, in rare instances the employee may be asked to lift, move, carry, push, or pull up to 10 pounds and occasionally lift, move, carry, push, or pull up to 25 pounds.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and reach with hands and arms. The employee may be required to stand, walk, sit, and talk or hear.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. This job operates in a professional office environment, typically remote. This role routinely uses and operates standard office equipment such as computers, phones, calculators, and occasionally photocopiers/printers, filing cabinets, and on occasion fax machines. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
The UFW Foundation is an Equal Opportunity Employer. We believe a strong commitment to equal employment opportunity is more than a legal and moral obligation – it is also a sound business practice to realize the potential of every individual. We celebrate diversity and are committed to creating an inclusive work environment for all! In order to provide equal employment and advancement opportunity to all individuals, employment decisions at the UFW Foundation will be based on merit, qualifications, and abilities. Except where required or permitted by law, employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex/gender, gender identity, gender expression, sexual orientation, marital status, medical condition, military or veteran status, national origin, ancestry, disability, genetic information, age, or any characteristic protected by law.
We encourage all qualified applicants to apply for a position fighting for farm worker and immigrant communities! The UFW Foundation believes in second chances. As an organization, we will rely on individualized assessments in the hiring of those with past criminal convictions. The UFW Foundation will make reasonable accommodations for qualified individuals with qualified disabilities under the Americans with Disabilities Act unless doing so would result in an undue hardship. Persons of color, gay, lesbian, bisexual and transgender people, persons with disabilities, persons who have lived in poverty, formerly incarcerated, persons 40 years old or older, and people fluent in more than one language are strongly encouraged to apply for open positions with the UFW Foundation.
This policy governs all aspects of employment, including selection, job assignment, compensation, counseling, discipline, termination, access to benefits and training. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee, including supervisors and co-workers.
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