Coding Compliance Specialist jobs in Orange, CA

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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Compliance Specialist
  • Nuvision Federal Credit Union
  • Huntington, CA FULL_TIME
  • The overall purpose and role of the Compliance Specialist is to ensure that the Credit Union is in compliance with all state and federal regulations, as well as administering quality assurance checks that support compliance within the established guidelines.  Analyze new and pending laws and regulations that could affect the Credit Union practices and make recommendations to the Leadership Team. Assists vendor management in monitoring and performing regular due diligence to assist Relationship Owners with assessing and managing assumed risks. The position will also perform Quality Assurance reviews on Consumer Loans, Real Estate Loans and Pre-Funded Mortgage Loans, as well as assist with Branch quality Assurance Reviews. This role ensures that policies, procedures and regulations are followed in order to protect the integrity of the credit union.

    Responsibilities:

    • Compliance Development: Assumes responsibility for the Credit Union’s compliance with all applicable laws, rules, and policies. Assists in the management, implementation, and assurance of compliance with applicable financial laws and regulations. Assists and makes recommendations in response to regulatory changes. Compiles reference resources for the Credit Union’s daily use to ensure compliance with regulations. Assists Leadership Team, as needed, in developing policies and procedures that follow compliance guidelines. Periodically reviews existing policies to ensure accuracy, efficiency, and effectiveness. Ensures policies and procedures are updated and are in accordance with evolving regulations, legal requirements, and industry trends. Reads material from CUNA, CCUL, CFPB, Federal Reserve, NAFCU and NCUA; attends seminars, webinars, and training sessions to stay abreast of compliance changes and updates, maintains Compliance Commitment Report. Prepares compliance reports for Supervisory Committee meetings.
    • Marketing Compliance Review: Reviews all marketing and promotional material for Compliance with state and local laws.
    • Compliance and Quality Assurance Reviews: Assumes the responsibility of coordinating and completing various compliance and quality assurance reviews including those conducted by third parties. Utilize compliance and audit software to track findings through completion and provide reports to management as needed. Perform quality assurance reviews on Consumer, Business, Real Estate Loans and Pre-Funded Mortgage Loans as needed. Assist with branch quality assurance reviews as needed.
    • Forms Compliance: Works with forms vendors and credit union departments to ensure that CU forms are in compliance with state and federal rules and regulations.
    • NMLS Administrator: Ensures that MLO information (with regards to SAFE Act) is up to date on NMLS website. Keeps Nuvision’s list of MLO Unique Identifiers current and accessible to all staff. Monitors annual renewal, ensuring that the registration for all MLOs and applicable credit union staff is current.
    • Vendor Management Program: Assist in the oversight of the credit union’s vendor management program including contract and lease management; support Relationship Owners in completing risk assessments and due diligence. 
    • Supports and participates in continuous improvement activities. Represents the Credit Union in a positive and professional manner. Maintains member, team members and other sensitive information with confidentiality. Treats co-workers and members with respect.
    • Supports member relations and events that promotes member centric experiences.
    • Other related duties as assigned.

    Qualifications:

    • 3 to 5 years combined related experience in compliance and audit in the financial industry.  
    • Solid understanding of applicable state and federal laws and regulations. 
    • Knowledge of operational and lending processes related to the financial industry.
    • Microsoft Word, Excel, data mining skills. 
    • Must have a high aptitude for detailed work, research, and problem solving. 
    • Must be able to analyze data and recognize potential audit issues and regulatory violations. 
    • Excellent oral and written skills to effectively communicate audit and review reports to co-workers and management. 
    • Able to work in a fast-paced environment with multiple and /or constantly changing priorities. 
    • Time management and organizational skills required to coordinate multiple projects and to be ability to provide comprehensive reviews and reports to management.

    Education: Bachelor’s Degree in related field or equivalent work experience.

    Website: nuvisionfederal.com/careers

    Benefits:

    • Medical
    • Dental
    • Vision
    • Life Insurance
    • Flexible Spending Account
    • 401(k) Matching
    • Paid Time Off
    • Training Provided
    • Tuition Reimbursement

    Covid-19 Precaution(s):

    • Remote Interview Process (some positions vary)
    • Social Distancing and Mask Guidelines in place
  • 19 Days Ago

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Compliance Specialist
  • Solari Enterprises, Inc.
  • Orange, CA FULL_TIME
  • Position Overview: We currently have a Compliance Specialist position available in Orange, CA 92867. The position is an exempt level role that requires the use of independent judgment and decision-mak...
  • 24 Days Ago

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Regulatory Compliance Specialist
  • Irvine Ranch Water District
  • Irvine, CA FULL_TIME
  • Irvine Ranch Water District is currently accepting applications for a Regulatory Compliance Specialist in our Regulatory Compliance Department.The DistrictIrvine Ranch Water District (IRWD) is a progr...
  • 4 Days Ago

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Legal Compliance Specialist
  • Össur
  • Irvine, CA FULL_TIME
  • The Compliance Specialist is responsible for assisting the management of the compliance program for the Össur Americas Business Units. This role is responsible for management of compliance functions t...
  • 8 Days Ago

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Quality Compliance Specialist
  • Ultimate
  • Irvine, CA CONTRACTOR
  • Job Description Our client who is a medical technology company is currently seeking a remote Quality Compliance Specialist. Location: Irvine, CA 92614Pay Rate: $43.00-$47.24/hourREMOTEDuration: 9 mont...
  • 9 Days Ago

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Environmental Compliance Specialist
  • AECOM Corp. - Worldwide
  • Orange, CA FULL_TIME
  • Job DetailsCompany DescriptionWork with Us. Change the World.At AECOM, we're delivering a better world. Whether improving your commute, keeping the lights on, providing access to clean water, or trans...
  • 17 Days Ago

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0 Coding Compliance Specialist jobs found in Orange, CA area

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Compliance Specialist
  • Eliassen Group
  • Burbank, CA
  • ***W2 Only. Hybrid in one of the following cities: Burbank, NY, Orlando, Seattle*** Security & Compliance Specialist Req...
  • 5/6/2024 12:00:00 AM

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Quality Compliance Specialist
  • Ledgent Technology
  • Irvine, CA
  • Quality Compliance Specialist Duration - 1 Year, Contract, W-2 Location - Onsite in Irvine, CA Max Pay - $30 - $36 an ho...
  • 5/6/2024 12:00:00 AM

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Quality Compliance Specialist
  • Planet Pharma
  • Irvine, CA
  • 12 month contract, pay $34/hr Summary: The main function of a quality compliance specialist is to assess complaint infor...
  • 5/6/2024 12:00:00 AM

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Compliance Specialist
  • Nova Pointe
  • Colton, CA
  • Job Description Job Description Job Summary Under the supervision of the Community Manager, the Compliance Specialist is...
  • 5/5/2024 12:00:00 AM

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Compliance Specialist
  • Confie
  • Huntington Beach, CA
  • Our Perks: Generous PTO plans, sick pay and health benefits Annual bonus based on employment standing/ company performan...
  • 5/5/2024 12:00:00 AM

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Compliance Specialist
  • Össur
  • Irvine, CA
  • Basic Function: The Compliance Specialist is responsible for assisting the management of the compliance program for the ...
  • 5/4/2024 12:00:00 AM

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Compliance Specialist
  • Solari Enterprises Inc.
  • Orange, CA
  • Position Overview:We currently have a Compliance Specialist position available in Orange, CA 92867. The position is an e...
  • 5/4/2024 12:00:00 AM

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Compliance Specialist
  • Quality Management Group
  • Ontario, CA
  • We manage communities and living spaces that residents are proud to call home. We serve and respect all while preserving...
  • 5/3/2024 12:00:00 AM

Orange is a city located in Orange County, California. It is approximately 3 miles (4.8 kilometers) north of the county seat, Santa Ana. Orange is unusual in this region because many of the homes in its Old Town District were built before 1920. While many other cities in the region demolished such houses in the 1960s, Orange decided to preserve them. The small city of Villa Park is surrounded by the city of Orange. The population was 139,812 as of 2014. The city has a total area of 25.2 square miles (65 km2), 24.8 square miles (64 km2) of which is land and 0.4 square miles (1.0 km2) of which i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$71,090 to $94,438
Orange, California area prices
were up 3.0% 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.
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