Coding Compliance Specialist jobs in Pierre, SD

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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BSA/AMLA Compliance Officer
  • Grand River Casino & Resort
  • Mobridge, SD FULL_TIME
  • Starting Wage: DOE

    • Responsible for ensuring enterprise compliance with the Anti Money Laundering (AMLA) Program. Including, but not limited to:
    • OFAC Designations and Implementation (SDN List, PEPs, etc.)
    • FATF Recommendations and Compliance
    • USA Patriot Act Compliance and Ryder
    • Develops, implements, and maintains, with the input of the Operations Controller, all policies and procedures for BSA/AMLA and SAR activity; this includes maintenance of the AMLA Program and overseeing the processes of the BSA daily audit, CTR filings and SAR filings.
    • Conducts annual review of the AMLA program and the operation to determine the impact and effectiveness of internal controls, provides recommendations for enhancement, and/or evaluates proposed program changes.
    • Provides follow up with other departments to ensure compliance with the AMLA Program, applications and other BSA/AMLA related issues; interacts with various departments to answer BSA/AMLA related routine questions and concerns.
    • Ensures timely retrieval, review, completion, & filing of all Multiple Transaction Logs (MTL), Negotiable Instrument Logs (NIL), and Currency Transaction Reports (CTR).
    • Coordinates and leads the AMLA Committee (when applicable) for SAR investigation and submission.
    • Coordinates all internal and external audit reviews and documentation preparation with regard to BSA/AMLA.
    • Manages risks associated with BSA/AMLA including resolving compliance, internal and external audit findings and recommendations.
    • Responsible for maintaining a structured and secure record retention system for all previous BSA/AMLA related documentation, audit findings/responses and CTRC/SARC related documentation.
    • Develops updates and maintains the annual BSA/AMLA training program to ensure continual compliance with current regulations and that training material reflect current practices.
    • Coordinates annual BSA/AMLA training including contributing to new hire training with the Organizational Development Department to ensure all employees receive training within required deadlines.
    • Maintains appropriate documentation on incidents, findings, recommendations and requests for information as required by policies and procedures.
    • Prepares and presents reports on the status, activities, and plans for current and future operations to the Operations Controller.
    • Maintains effective working relationships between Compliance staff and TGRA management/administration, NIGC, FinCen (IRS) and other Compliance management staff.
    • Reports to the Operations Controller any failure by the Gaming Enterprise to comply with any of the provisions of the Tribal TICS, [STATE] Gaming Compact, Gaming Ordinance and any other applicable laws and regulations pertinent to BSA/AMLA.
    • Ensures strict confidentiality of all information pertaining to the Gaming Enterprise in accordance with FOIA.
    • Oversees BSA/AMLA program training-administration.

    PREREQUISITES:

    Must be 21 years of age or older. Must qualify for a Standing Rock Sioux Tribal Key license. Must have 20/20 corrected vision.

    EDUCATION: Must have a high school diploma or GED certificate.An Associate’s Degree in accounting or related field preferred.

    EXPERIENCE: 6 months experience in the accounting field or related position preferred. Must possess excellent communication skills. Must have knowledge of spread sheets, Excel preferred. One-year experience working with computers or formal training on computers preferred.

    Job Type: Full-time

    Pay: From $14.00 per hour

    Benefits:

    • 401(k)
    • Dental insurance
    • Employee discount
    • Health insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift

    Ability to Relocate:

    • Mobridge, SD: Relocate before starting work (Required)

    Work Location: In person

  • 26 Days Ago

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!!!!!!!Part-Time Compliance Inspector (Law Enforcement Officials Wanted!)!!!!!!
  • CES, LLC
  • Miller, SD PART_TIME
  • CES is looking for reliable, detail-oriented individuals to assist Underage Purchasers in performing non-confrontational compliance checks on local tobacco retailers to ensure the sale of tobacco prod...
  • 16 Days Ago

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!!!!!!!Part-Time Compliance Inspector (Law Enforcement Officials Wanted!)!!!!!!
  • CES, LLC
  • Aberdeen, SD PART_TIME
  • CES is looking for reliable, detail-oriented individuals to assist Underage Purchasers in performing non-confrontational compliance checks on local tobacco retailers to ensure the sale of tobacco prod...
  • 1 Month Ago

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Wireless Specialist
  • Russell Cellular- Authorized Verizon Dealer
  • Fort Pierre, SD FULL_TIME
  • Why Russell Cellular? Starting pay is up to $18 hourly! Unlimited commissions based on performance and commission Health, dental, vision, and life insurance as well as paid sick days and company holid...
  • 22 Days Ago

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Parts specialist
  • O'Reilly Auto Parts
  • Valentine, NE FULL_TIME
  • The Parts Specialist will provide all retail and installer customers with a high level of service. This position will also support store management in the accomplishment of assigned tasks. ESSENTIAL J...
  • 1 Day Ago

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Merchandiser Specialist
  • Acosta Group
  • Ainsworth, NE FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** AINSWORTH, Nebraska, 69210 **Ref #:** 61201 **Function:** Merch...
  • 2 Days Ago

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0 Coding Compliance Specialist jobs found in Pierre, SD area

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Lead Installer Res Light Comm
  • Service Experts LLC
  • Pierre, SD
  • Why You Should Join the Service Experts Team? Our team consists of the very best; we believe in doing what is right for ...
  • 4/25/2024 12:00:00 AM

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Energy Proposal Manager
  • Cadmus
  • Pierre, SD
  • **Overview** **What Youll Be Doing** Cadmus is seeking an experienced proposal manager adept in technical sales writing,...
  • 4/25/2024 12:00:00 AM

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Enterprise Architect
  • Concentrix
  • Pierre, SD
  • Job Title: Enterprise Architect Job Description Principal Enterprise Architect **Location : Atlanta, GA or Dallas, TX** ...
  • 4/25/2024 12:00:00 AM

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HR Coordinator II, Leave of Absence- REMOTE
  • Ryder System Inc.
  • Pierre, SD
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 4/25/2024 12:00:00 AM

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Senior Manager - IT Service Delivery, Digital Systems
  • Marriott
  • Pierre, SD
  • Marriott Senior Manager - IT Service Delivery, Digital Systems Pierre , South Dakota Apply Now Schedule Full-TimeLocated...
  • 4/24/2024 12:00:00 AM

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Manager, Sales Training - Evoque
  • Edwards Lifesciences
  • Pierre, SD
  • Edwards Lifesciences Manager, Sales Training - Evoque Pierre , South Dakota Apply Now Make a meaningful difference to pa...
  • 4/24/2024 12:00:00 AM

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Dir- Marketing & Operations
  • Marriott
  • Pierre, SD
  • Marriott Dir- Marketing & Operations Pierre , South Dakota Apply Now Additional Information Director of Marketing and Op...
  • 4/23/2024 12:00:00 AM

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Senior Solutions Advisor - Db2 Tools and z/OS
  • Rocket Software
  • Pierre, SD
  • Rocket Software Senior Solutions Advisor - Db2 Tools and z/OS Pierre , South Dakota Apply Now It's fun to work in a comp...
  • 4/23/2024 12:00:00 AM

Pierre (/pɪər/; Lakota: čhúŋkaške, "fort") is the capital of the U.S. state of South Dakota and the seat of Hughes County. The population was 13,646 at the 2010 census, making it the second-least populous state capital in the United States, following only Montpelier, Vermont, and the eighth-most populous city in South Dakota. Founded in 1880 on the east bank of the Missouri River opposite Fort Pierre, Pierre has been the state capital since South Dakota gained statehood on November 2, 1889. It was challenged by Huron for the capital and won because of its location in the geographic center of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$53,987 to $71,717
Pierre, South Dakota area prices
were up 0.8% 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