Coding Compliance Specialist jobs in Peoria, IL

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
  • Western Illinois University
  • Macomb, IL FULL_TIME
  • Compliance Specialist

    Category: Administrative, Professional & Staff Positions
    Department: SPONSORED PROJECTS
    Locations: Macomb, IL
    Posted: Sep 18, 2023
    Closes: Open Until Filled
    Type: FT - Continuous

    About Western Illinois University:

    Recognized as a "Best Midwestern College" by the Princeton Review. Western Illinois University, accredited by the Higher Learning Commission, serves nearly 7,500 students at its traditional, residential campus in Macomb, IL and its metropolitan, non-residential branch campus in Moline, IL.

    Job Description:

    APPOINTMENT: October 2023

    RESPONSIBILITIES: Broadly, this position ensures compliance with federal regulations regarding human research subjects (IRB), animal research subjects (IACUC), biosafety, export control, intellectual property and responsible conduct of research and provides training to faculty and staff in these areas.

    The Compliance Specialist will monitor, review and approve research activity that involves human and animal subjects and ensure compliance with federally mandated regulations regarding human subjects, animal care and use, biosafety, export control and research integrity. They administer the Institutional Review Board (IRB) and Institutional Animal Care and Use Committee (IACUC). Duties also include administration of the Intellectual Property Oversight Committee (IPOC) and working with faculty, staff, students and external consultants on intellectual property and technology transfer matters. The Compliance Specialist will coordinate RCR training and review programs as well as manage federal Conflict of Interest (COI) policies.

    Requirements:

    REQUIRED QUALIFICATIONS:
    • Bachelor's Degree from a regionally accredited institution
    • Research training and/or experience, including in-depth knowledge and application of Federal regulation 45CFR Part 46"The Common Rule"
    • Excellent interpersonal skills
    • Excellent organizational skills
    • Must be able and willing to travel in order to conduct and/or receive training
    • Working knowledge of Microsoft products (Word, Excel, Access, PowerPoint)
    • Ability to research topics on the web and work with software vendor programs (currently CITI Training)

    PREFERRED QUALIFICATIONS:

    • Master's Degree from a regionally accredited institution



    For a degree to be considered, it must be conferred from a regionally accredited degree-granting institution of higher education (or equivalent from an international accrediting body). Unless otherwise stated, the degree must be "in hand" at the time of appointment.

    Additional Information:

    THE DEPARTMENT: The Office of Sponsored Projects provides comprehensive support services to the University community for the successful administration of externally funded sponsored projects as well as compliance with all human and animal subject research. The office has 6 FTE plus student workers. OSP reports directly to the Provost and Academic Vice President.

    THE UNIVERSITY:

    About WIU:

    Since 1899, Western Illinois University has provided outstanding educational opportunities to individuals in west central Illinois and well beyond our region and state. WIU's traditional residential campus in Macomb, Illinois, is the educational, cultural and athletic center of the region, while the WIU-Quad Cities non-residential branch campus in Moline, Illinois, is the only public university in the immediate Quad Cities region.

    WIU-Macomb, IL: Western's traditional, residential main campus offers a comprehensive slate of undergraduate and graduate programs, including a doctorate in education, and post-baccalaureate certificates. A diverse community in west central Illinois, Macomb features a unique blend of agriculture, industry, service, retail, education, and culture. Macomb serves as the county seat, with connections across the state with Amtrak providing twice-daily service from Macomb to Chicago (and point in between). Macomb is located approximately 75 miles from the Quad Cities International Airport (Moline, IL) and 70 miles from the Greater Peoria Regional Airport (Peoria, IL).

    WIU-Quad Cities: Located on the banks of the Mississippi River in Moline, Illinois, the WIU-Quad Cities campus is the only public four-year regional university that serves the Quad Cities region. Designed as a metropolitan commuter campus, WIU-Quad Cities offers select undergraduate, graduate, and doctoral programs. Moline is located just 80 miles north of the Macomb campus and is centered within a diverse, bi-state community of 383,000 that offers a broad range of cultural, social, and entertainment amenities and experiences, as well as varied businesses and industries.

    WIU Commitment to Diversity, Equity, Inclusion and Anti-Racism

    Western Illinois University fosters respect, equity, and inclusion for all students, faculty, and staff. WIU is committed to anti-racism, anti-oppression, equity, social justice, and diversity. We value inclusion as a core value and as an essential element of Western's public service mission. WIU embraces individual uniqueness and a culture of inclusion that supports broad and specific diversity initiatives. Western believes in the educational and institutional benefits of diversity in society as integral to the success of all individuals.

    At WIU, we will:
    • Maintain a safe and secure environment for all members of our University communities. Educate and empower students, staff, and faculty to be social justice advocates.
    • Provide curricula, programs, training, resources, and environments that reflect and strengthen the diversity of our communities, and to elevate cultural awareness and understanding.
    • Ensure fair, equitable, and inclusive access to University facilities, programs, resources, and services.
    • Create inclusive and equitable policies and practices.
    • Diversify the University's workforce by assessing hiring practices to attract, retain, and develop talented staff and faculty from diverse backgrounds.
    • Address inter-group disparities through areas as representation, retention, learning outcomes, and graduation rates.
    • Create a University-wide diversity plan to ensure a continued commitment to anti-racism, anti-oppression, equity, social justice, and diversity.

    Academics

    More than 61 undergraduate degree programs, 41 graduate programs, two doctoral programs and 16 post-baccalaureate certificate programs prepare students for a successful career after graduation.

    Student Resources

    More than 200 student organizations at Western provide social, academic, recreation, athletics, service, academic, and many other opportunities for students to grow and learn, develop leadership skills, and much more.

    Numerous concerts, lectures, films, dance performances, cultural events and more are presented and performed each year, along with numerous major theatrical and dance productions and studio shows, and a variety of service-oriented projects and activities, all in a diverse and inclusive campus environment.

    The Multicultural Center is home to four cultural and resource centers: The Gwendolyn Brooks, Casa Latina, the Women's Center, and the LGBT*QA Resource Center. These cultural and resource centers promote WIU's goal of enhancing justice, diversity, equity, and inclusion through educational programming and advocacy.

    WIU Intercollegiate Athletics

    The University's athletics program, based on the Macomb campus, sponsors 17 NCAA Division I intercollegiate men's and women's varsity sports. Football competes in the NCAA Division I Football Championship Subdivision through the Missouri Valley Football Conference; all other varsity sports compete at the Division I level through The Summit League

    Application Instructions:

    APPLICATION: Complete applications include:

    1) a letter of application

    2) current curriculum vita or resume

    3) the names, telephone numbers, and e-mail addresses of three current professional references

    4) a separate statement regarding your commitment to diversity, equity and inclusion

    Please upload the requested documents by clicking APPLY NOW or by navigating to the WIU Employment page at the following URL http://www.wiu.edu/employment/

    **Note** In order to upload Individual documents must be under 2 MB in size.

    Screening will begin on October 2, 2023 and continue until position is filled.

    Western Illinois University endeavors to provide a safe environment for its employees and students and requires candidates to submit to a background investigation upon offer of employment. Employment is contingent upon compliance with University policies and procedures relating to the receipt and evaluation of information contained in the background investigation.

    Questions regarding the search may be directed to: Shannon Sutton at sm-sutton@wiu.edu.

    For assistance with the online application system contact the Office of Human Resources at (309) 298-1971 or via email at hr-recruitment@wiu.edu.

    Western Illinois University is an Affirmative Action and Equal Opportunity employer with a strong commitment to diversity. In that spirit, we are particularly interested in receiving applications from a broad spectrum of people, including, but not limited to, minorities, veterans, women and individuals with disabilities. WIU has a non-discrimination policy that includes discrimination based on an individual's membership in the following classes: sex, race, color, sexual orientation, gender identity, gender expression, religion, age, marital status, national origin, disability, genetic information, veteran status, and any other classes protected by state or federal law.

    To apply, visit https://wiu.interviewexchange.com/jobofferdetails.jsp?JOBID=167612&CNTRNO=0&TSTMP=0

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  • 1 Day Ago

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Reimbursement Coding Specialist (UICOMP Pediatrics)
  • University of Illinois
  • Peoria, IL FULL_TIME
  • Reimbursement Coding Specialist (UICOMP Pediatrics) Hiring Department: Pediatrics Location: Peoria, IL USA Requisition ID: 1014607 Posting Close Date: 10/21/22 About the University of Illinois Chicago...
  • 15 Days Ago

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LANDFILL GAS TECHNICIAN
  • Monitoring, Control and Compliance Inc.
  • Bloomington, IL FULL_TIME
  • FULL-TIME BEENFITS Paid time off Health Insurance Health Saving Account Dental Insurance Vision Insurance Life Insurance 401(k) matching Parental Leave Rate of Pay: $20.00/hr - $26.00/hr. (commensurat...
  • 10 Days Ago

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Field Technician
  • Monitoring, Control and Compliance Inc.
  • La Salle, IL FULL_TIME
  • FULL-TIME BEENFITS Paid time off Health Insurance Health Saving Account Dental Insurance Vision Insurance Life Insurance 401(k) matching Parental Leave Rate of Pay: $20.00/hr - $26.00/hr. (commensurat...
  • 1 Month Ago

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Medical Records Specialist - Compliance - Full-time
  • McLean County Center for Human Services
  • Bloomington, IL FULL_TIME
  • Located in Bloomington IL our agency delivers Psychiatric, Recovery, and Emergency Crisis Intervention services in addition to the Counseling Program. The Bloomington-Normal area offers a thriving com...
  • 1 Month Ago

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Compliance Auditor
  • OSF HealthCare
  • Peoria, IL FULL_TIME
  • OverviewExpected pay for this position is $32.87 - $38.66/hour. Actual pay will be determined by experience, skills and internal equity. POSITION SUMMARY: The Compliance Auditor responds to suspected,...
  • 15 Days Ago

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Individual Taxpayer Advisory Specialist - Area 3 (12 Month Roster)(Amended)
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE WAGE AND INVESTMENT DIVISION? A description of the business units can be found at: https://www.jobs.i...
  • 4/19/2024 12:00:00 AM

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LPN- Primary Care Clinic
  • Carle Foundation Hospital
  • Peoria, IL
  • * Clinical Excellence/Patient Care* Assist provider and other clinical staff with obtaining basic vital information prep...
  • 4/19/2024 12:00:00 AM

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Inventory Specialist
  • WALGREENS
  • Peoria, IL
  • Responsible for executing, monitoring, and training inventory best practices and standard operating procedures for the e...
  • 4/19/2024 12:00:00 AM

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LPN- Internal Medicine Clinic
  • CARLE
  • Peoria, IL
  • Under the direction of a health care provider, Clinical Nurse LPN, is responsible for the delivery of patient care that ...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Telemetry - $2,212 per week
  • Triage Staffing
  • Peoria, IL
  • Triage Staffing is seeking a travel nurse RN Telemetry for a travel nursing job in Peoria, Illinois.Job Description & Re...
  • 4/19/2024 12:00:00 AM

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RN- Neurology Clinic
  • Carle Foundation Hospital
  • Peoria, IL
  • * Clinical Excellence/Patient CareAssist provider and other clinical staff with obtaining basic vital information prepar...
  • 4/18/2024 12:00:00 AM

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CMA- Methodist Hospital- Neuro 8C
  • Carle Health
  • Peoria, IL
  • Position Summary: Assist provider and other clinical staff with obtaining basic vital information preparing patient for ...
  • 4/18/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Peoria, IL
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 4/16/2024 12:00:00 AM

Peoria (/piˈɔːriə/ pee-OR-ee-ə) is the county seat of Peoria County, Illinois, and the largest city on the Illinois River. Established in 1691 by the French explorer Henri de Tonti, Peoria is the oldest European settlement in Illinois, and is named after the Peoria tribe. As of the 2010 census, the city was the seventh-most populated in Illinois (and the third largest outside the Chicago metropolitan area), with a population of 115,007. The Peoria Metropolitan Statistical Area had a population of 373,590 in 2011. Until 2018, Peoria was the global and national headquarters for Caterpillar Inc.,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$61,681 to $81,937
Peoria, Illinois area prices
were up 1.3% 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