Coding Compliance Specialist jobs in Phoenix, AZ

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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Coding specialist
  • Revo Health
  • Phoenix, AZ FULL_TIME
  • Description

    The Coding Specialist I will assure consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and department requirements.

    This is a full-time remote position working Monday through Friday; 8am to 5pm.

    We can accept applicants in the following states :

    • Minnesota
    • Wisconsin
    • Texas
    • South Dakota
    • North Dakota
    • Tennessee
    • Ohio
    • Georgia
    • Florida
    • Iowa
    • Arizona
    • Kansas
    • Illinois

    Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care.

    This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

    We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.

    About this position :

    • Assign appropriate ICD-10-CM codes, per provider documentation using the most current diagnosis set
    • Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures
    • Review operative reports to assign appropriate CPT surgical codes
    • Investigate discrepancies in documentation
    • Follow coding policies and guidelines to determine appropriate coding
    • Provide education and feedback to providers regarding documentation and billing processes
    • Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads
    • Review denied claims to determine appropriate action for appeals
    • Respond to pre-certification requests and estimate requests
    • Monitor all "unkeyed" encounters to ensure that all billable services have been captured
    • Any and all other duties as assigned

    Education and Experience Requirements :

    • High School diploma / GED or equivalent
    • Coding Certification (CPC, CCS-P, RHIT or RHIA) and / or minimum of (5) years' experience in related field preferred
    • Experience in Coding Orthopedics preferred, but not required
    • Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines
    • Intermediate understanding of medical terminology, body system / anatomy, physiology and concepts of disease processes

    Notes :

    • Revo Health is an Equal Opportunity / Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
    • This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.
    • Last updated : 2024-03-02

  • 24 Days Ago

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Medical coding specialist
  • Quadris Team LLC
  • Queen Creek, AZ FULL_TIME
  • Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled and growing Medical Coding Team to fill the role of Profee Coding...
  • 19 Days Ago

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Coding and Oasis Specialist
  • Canyon Home Care & Hospice LLC
  • Glendale, AZ FULL_TIME
  • This position is responsible for the review of clinical documents, submission and validation of Oasis. Analyzing data integrity and consistency of OASIS documentation and assessment processes. Consult...
  • 8 Days Ago

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Coding and Oasis Specialist
  • HOME CAREGIVERS PARTNERSHIP LLC
  • Glendale, AZ OTHER
  • Job Details Job Location: Canyon Arizona Home Care and Hospice - Glendale - Glendale, AZ Position Type: Full Time Salary Range: Undisclosed DescriptionThis position is responsible for the review of cl...
  • 17 Days Ago

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Compliance Specialist
  • Copper State Credit Union
  • Phoenix, AZ FULL_TIME
  • Are you looking for an opportunity to let your skills shine? Come join the team at the credit union! We aren't so small that growth opportunities are scarce and we aren't so big that you'll get lost i...
  • 1 Month Ago

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Retro-Coding - Coder Quality Specialist
  • Centauri Health Solutions
  • Phoenix, AZ FULL_TIME
  • Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partners...
  • 1 Day Ago

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0 Coding Compliance Specialist jobs found in Phoenix, AZ area

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LIHTC Compliance Specialist
  • Kay-Kay Realty Corp
  • Scottsdale, AZ
  • Job Description Job Description The Senior LIHTC Compliance Specialist will be responsible for an assigned portfolio of ...
  • 3/28/2024 12:00:00 AM

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Compliance Specialist
  • Motion Recruitment
  • Phoenix, AZ
  • Our Client, a Worldwide Financial Services Company, is looking for a Compliance Specialist to join their team in Phoenix...
  • 3/28/2024 12:00:00 AM

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Assistant Community Director
  • FPI Management, Inc.
  • Phoenix, AZ
  • Company Description Multifamily Property Management Job Description The Assistant Community Director is fully accountabl...
  • 3/28/2024 12:00:00 AM

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Data Engineer
  • Valoremvp
  • Tempe, AZ
  • Project Duration: This is a 1-year contract opportunity. Summary: Proficiency and experience with developing, troublesho...
  • 3/28/2024 12:00:00 AM

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Compliance Specialist
  • IMS People
  • Phoenix, AZ
  • Job Description Job Description Title: Compliance Specialist Location: Pheonix, AZ (100% Onsite) Duration: 8+ Months (Op...
  • 3/27/2024 12:00:00 AM

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Compliance Specialist
  • Vensure Employer Services
  • Chandler, AZ
  • Job Description Job Description About Us Vensure Employer Solutions is the largest privately held organization in the HR...
  • 3/27/2024 12:00:00 AM

A
Operations Specialist- Compliance
  • Aveanna Healthcare
  • Phoenix, AZ
  • Job Description Job Description Position Overview The Operations Specialist is responsible for providing top level custo...
  • 3/26/2024 12:00:00 AM

V
Data Engineer
  • ValoreMVP
  • Tempe, AZ
  • Project Duration: This is a 1-year contract opportunity. Summary: Proficiency and experience with developing, troublesho...
  • 3/25/2024 12:00:00 AM

Phoenix is in the southwestern United States, in the south-central portion of Arizona; about halfway between Tucson to the southeast and Flagstaff to the north. By car, the city is approximately 150 miles (240 kilometers) north of the US-Mexico border at Sonoyta and 180 mi (290 km) north of the border at Nogales. The metropolitan area is known as the "Valley of the Sun" due to its location in the Salt River Valley. It lies at a mean elevation of 1,086 feet (331 m), in the northern reaches of the Sonoran Desert. Other than the mountains in and around the city, the topography of Phoenix is gener...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$63,291 to $84,078
Phoenix, Arizona area prices
were up 2.2% 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