Coding Compliance Specialist jobs in New Haven, CT
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)
Recently Added Coding Compliance Specialist jobs
Medical Compliance Specialist
- Marrakech Inc.
-
West Haven, CT
FULL_TIME
- SUMMARY The Medical Compliance Specialist assist with ensuring that the clinical needs of individuals served are being met and maintained as per all state and federal regulations and in accordance with agency policy. This person will support new and existing Managers/Directors by completing regular audits of medical and other records to ensure compliance and assisting with the necessary follow up after an audit has been completed. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. AUDITING/MEDICAL RECORDS: Conduct pre-licensing inspection and routine audits to assure regulatory compliance. Report findings to the Program Manager and Program Director and provide assistance to correct areas identified as non-compliant. Audit the medical charts and Tracvia to assure that medical appointments occurred as prescribed by the MD. Audit the vital signs, BM, and other medical related tracking logs to ensure completion and accuracy. Assist the VP of Compliance and Safety with audits as needed. Audit the behavioral service department records as needed. Audit other records/areas as needed. Communicate compliance issues and corrective actions to management and staff. AUDITING/MEDICATION CABINET AND KARDEX: Audit the medication cabinet to assure that there are no expired medications. If the medication supply is low, contact the pharmacy and order medications. Audit the medication cabinet to assure that internal and external meds are stored on separate shelves. Audit the kardex and report any medication/charting errors discovered. Ensure staff and initial the back of the kardex. Assist with ensuring the buddy check is completed for medication pass and meals on a daily basis. Audit the controlled drug disposition record to ensure shift to shift count is being done and the controlled drug count is accurate. Contact nurse if there are discrepancies. Ensure PRN medications have a refer to MD orders label and effectiveness of medication is documented on the back of the kardex when a PRN medication is used. Administer medications as needed. MEDICAL APPOINTMENTS & FOLLOW-UP: Collaborate with nurses and other healthcare professionals to ensure individuals receive appropriate care. Coordinating care plans by liaising with all necessary care providers and medical professionals to ensure the individual’s needs are met Review open action item list and assist with scheduling routine and specialty appointments, obtain lab and other diagnostic reports, i.e., MRI, X-Ray, Mammogram, CT Scan, Bone Density, etc…File progress reports as needed. Ensure that follow-up is completed after a medical appointment. If there is a need, accompany the individual to routine and specialty medical appointments. Advise staff on best practices for meeting medical compliance requirements. Train staff on new and revised policies and procedures to ensure understanding and proper implementation of procedures and protocols related to medical appointments. DOCUMENTATION: As needed, prepare physician progress form for upcoming medical appointments (Ensure tops of the form is completed in its entirety). Assist with assuring that the information on file is accurate. Assist with obtaining reports from other disciplines and ensure recommendations are being followed/implemented. Ensure med cards, pour and passes, delegations, med awareness, med error retraining, and 255ms are completed and on file. Ensure hospital admissions tracking sheet is up to date and the necessary follow up occurred in a timely manner. Alert the Chief Compliance Officer when the ancillary service provider’s license and insurance is going to expire at least 30 days in advance. Ensure quarterly medication audits were complete and are on file. Assist with scheduling medication error retraining as needed. Audit to ensure 255m is completed and on file for medication errors. File all medical/clinical paperwork and reports as instructed by the program nurse. Prepare reports on compliance activities and findings for management and supervisor. GENERAL DUTIES Obtain and maintain medication certification as it is required for this position. Assist with N95 Mask Fit Testing of agency employees as needed. Reports unsafe situations in a timely manner, and follows up with appropriate corrective measure. Operates motor vehicles safely and in accordance with State Law (agency and personal automobiles) while on work related duties SALARY $41,412/yr increases to 42,365/yr after 6 month introductory period
- 16 Days Ago
CAPA Compliance Quality Specialist
- Collabera
-
North Haven, CT
FULL_TIME
- Company DescriptionAbout Collabera:Established in 1991, Collabera is one of the fastest growing end-to-end information technology services and solutions companies globally. As a half a billion dollar ...
- 1 Month Ago
Dental Assistant
- Dental Specialist
-
New Haven, CT
FULL_TIME
- specialty dental office in the Greater New Haven area is looking to hire an individual who aspired to join a great dental team caring for patients in an excellent and professional manner. This positio...
- 20 Days Ago
Trade Compliance Specialist, HTS Classification
- assaabloy
-
New Haven, CT
FULL_TIME
- ASSA ABLOY is seeking to hire a Trade Compliance Specialist with a focus in Classification. In this position you will have the opportunity to collaborate with various stakeholders across multiple manu...
- 1 Month Ago
Specialist, Clinical QC Compliance, Analytical Development and Clinical QC
- Alexion Pharmaceuticals,Inc.
-
New Haven, CT
OTHER
- Location: New Haven, United States Job reference: R-193633 Date posted: 03/01/2024 This is what you will do: Clinical QC Specialist will perform assigned tasks in support of maintaining overall GMP qu...
- 24 Days Ago
Compliance Analyst
- Boys and Girls Village INC
-
Milford, CT
FULL_TIME
- DescriptionI. PURPOSE/FUNCTION OF THE PROGRAMThe Quality and Compliance functions at BGV are integral to the agency successful implementation of its mission and vision. The overarching goals of the Qu...
- Just Posted
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0 Coding Compliance Specialist jobs found in New Haven, CT area
Real Estate Compliance Specialist - Remote
- PSG Global Solutions
-
Danbury, CT
- 11397 BR Real Estate Compliance Specialist - Remote Danbury Connecticut Job Description Primary Function: Audit real est...
- 4/18/2024 12:00:00 AM
Travel Ultrasound Technologist - $2,940 per week
- Hiring Now!
-
New Haven, CT
- Planet Healthcare is seeking a travel Ultrasound Technologist for a travel job in New Haven, Connecticut. Job Descriptio...
- 4/17/2024 12:00:00 AM
Travel Fetal Echocardiography - $2,940 per week
- Hiring Now!
-
New Haven, CT
- Planet Healthcare is seeking a travel Fetal Echocardiography for a travel job in New Haven, Connecticut. Job Description...
- 4/17/2024 12:00:00 AM
Compliance Specialist
- Deringer-ney Inc.
-
Hartford, CT
- Title: Compliance Specialist Job Summary: Oversee compliance requests and requirements to ensure that statutory, regulat...
- 4/16/2024 12:00:00 AM
Retail Operations Compliance Specialist
- Design Within Reach
-
Stamford, CT
- **Retail Operations Compliance Specialist** at Design Within Reach Stamford, CT Herman Miller Retail is looking for a Re...
- 4/16/2024 12:00:00 AM
Compliance Specialist
- Deringer-Ney Inc.
-
Hartford, CT
- Title: Compliance Specialist Job Summary: Oversee compliance requests and requirements to ensure that statutory, regulat...
- 4/15/2024 12:00:00 AM
Lab Compliance Specialist I
- Amneal Pharmaceuticals
-
Brookhaven, NY
- Description: The Specialist I, Lab Compliance - QC is responsible for developing, managing, and implementing the laborat...
- 4/15/2024 12:00:00 AM
Travel Nurse RN - Home Health - $2,436 per week
- Hiring Now!
-
Trumbull, CT
- Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Trumbull, Connecticut. Job Descri...
- 4/15/2024 12:00:00 AM
About New Haven, Connecticut
New Haven is a coastal city in the U.S. state of Connecticut. It is located on New Haven Harbor on the northern shore of Long Island Sound in New Haven County, Connecticut, and is part of the New York metropolitan area. With a population of 129,779 as determined by the 2010 United States Census, it is the second-largest city in Connecticut after Bridgeport. New Haven is the principal municipality of Greater New Haven, which had a total population of 862,477 in 2010.
New Haven was the first planned city in America. A year after its founding by English Puritans in 1638, eight streets were laid o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$69,182 to $91,903
New Haven, Connecticut area prices
were up 1.7% from a year ago
were up 1.7% from a year ago
What does a Coding Compliance Specialist do?
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