Coding Compliance Specialist jobs in Reading, PA

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
  • First Children Services
  • Pottstown, PA FULL_TIME
  •  

    Job Title: Compliance Specialist

    Reports To: Director of Administration

    Status: Full-time, Exempt,  

    Location: Remote position considered, candidate should be willing to travel to sites within First Children Services locations as needed.

    Job Summary:

    Join our team as a Compliance Specialist at First Children Services! In this role, you will assist in ensuring our organization remains compliant with all relevant regulations and standards. Your responsibilities will include conducting internal audits, maintaining health and safety standards, assisting with external audits, and supporting the credentialing process for licensed/certified staff. 

    If you have a keen eye for detail, strong analytical skills, and a commitment to upholding compliance standards, we want to hear from you!

    Essential Duties and Responsibilities:

    • Conduct internal audits to ensure compliance with regulations such as DOE, DCF, PA IBHS, FERPA, and HIPAA.
    • Perform quarterly physical plant assessments to ensure health and safety standards are met.
    • Report audit and assessment findings professionally and constructively.
    • Assist in developing remediation plans as needed.
    • Support external audits as directed.
    • Facilitate the credentialing process for licensed/certified staff.
    • Attend compliance committee meetings and contribute as required.
    • Review and approve new hires' background checks and documents.
    • Assist with new hire orientation.
    • Maintain cooperative relationships with all departments and staff.
    • Stay updated on laws, regulations, and policies related to compliance.
    • Travel to FCS sites as necessary.
    • Adhere to company policies and procedures.

    Environments and Demands:

    • Work can be supported in a typical office setting, remote work considered with occasional travel to program locations.
    • Physical demands include standing, walking, lifting up to 25 lbs, and good hand-eye coordination.

    Education and Experience:

    • Bachelor's Degree in Health Care Related field, Business Administration, or relevant studies (Associate's Degree with 2-3 years additional related experience may be considered).
    • 1-3 years of compliance experience preferred, with exposure to operations or audit functions.
    • Experience within NJ DOE or general healthcare compliance strongly preferred.
    • Excellent people skills, conflict resolution experience, project management skills, and proficiency in Microsoft Office required.
    • Strong analytical and organizational skills with a high regard for accuracy and confidentiality

    Job Benefits:

    •       Exceptional Company Culture 

    •       Competitive Salary and current 10k sign-on bonus 

    •       University Partnership for free CEUs, certificates and reduced rates for degrees  

    •       Medical/Dental/Vision, 401K, and more 

    •       PTO and paid holidays

    •       Opportunities for Advancement 

     


    If you're ready to contribute to a culture of compliance excellence, apply now to join our team as a Compliance Specialist!


    First Children Services is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status 

     

  • 1 Month Ago

7
Compliance Inspector
  • 7G Environmental Compliance Management
  • Reading, PA FULL_TIME
  • Our CompanyAt 7G, we're the go-to partner for petroleum tank owners across the country. We tackle environmental challenges while consistently keeping things compliant. Our values are simple: excellenc...
  • 1 Month Ago

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Sr. Examiner/Sr. Risk Specialist Consumer Compliance - CRA
  • Eleos Incorporated
  • Reading, PA FULL_TIME
  • 09/07: IMP Notes: Reason Open: Replaced a person who are retired *CRA Program: Community Reinvestment Act (CRA), Report out to Bank of Director, Higher State Outreach, Analysis Reported, Compliance Ma...
  • 2 Days Ago

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Compliance Coordinator
  • Penske Truck Leasing and Logistics
  • Reading, PA FULL_TIME
  • Position Summary: Operating Tax Compliance Coordinator must have an understanding of personal property tax statute. They represent Penske as the leader in the truck industry and must maintain professi...
  • 1 Day Ago

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Compliance Coordinator
  • Penske
  • Reading, PA FULL_TIME
  • Position Summary: Operating Tax Compliance Coordinator must have an understanding of personal property tax statute. They represent Penske as the leader in the truck industry and must maintain professi...
  • 2 Days Ago

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Associate IT Compliance Analyst
  • Penske Truck Leasing and Logistics
  • Reading, PA FULL_TIME
  • Position Summary: The Associate IT Compliance Analyst is an entry level position to the Audit Compliance Team. This role will learn the Penske audit compliance responsibilities, including security con...
  • 15 Days Ago

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0 Coding Compliance Specialist jobs found in Reading, PA area

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Residential Counselor BK3
  • InVision Human Services
  • Womelsdorf, PA
  • Provides direct support to people served in a manner consistent with the InVision Customized Services' mission and philo...
  • 4/18/2024 12:00:00 AM

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6400 Licensing & Compliance Coordinator /Administrator
  • Parzival
  • Phoenixville, PA
  • Sign-on Bonus $500! The 6400 Licensing & Compliance Coordinator/Administrator is responsible for the Administration Syst...
  • 4/18/2024 12:00:00 AM

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Compliance Specialist II
  • Randstad Life Sciences
  • Marietta, PA
  • Job Description Job Description 6 Months (Possible extension to 9 Months) Marietta, PA 100% ON SITE RESPONSIBILITIES Thi...
  • 4/17/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,436 per week
  • Hiring Now!
  • Oxford, PA
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Oxford, Pennsylvania. Job Descrip...
  • 4/17/2024 12:00:00 AM

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Psychiatric Documentation Specialist - Behavioral Health
  • St. Luke's University Health Network
  • Bethlehem, PA
  • St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most ...
  • 4/17/2024 12:00:00 AM

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Residential Counselor BK2
  • InVision Human Services
  • Stevens, PA
  • Provides direct support to people served in a manner consistent with the InVision Customized Services' mission and philo...
  • 4/17/2024 12:00:00 AM

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Regulatory Compliance Specialist
  • Indotronix International Corporation
  • Allentown, PA
  • Job Description Candidates must be local to the Lehigh Valley area - must be able to work in the office and remote if ne...
  • 4/16/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,436 per week
  • Planet Healthcare
  • Oxford, PA
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Oxford, Pennsylvania. Job Descrip...
  • 4/14/2024 12:00:00 AM

Reading (/ˈrɛdɪŋ/ RED-ing; Pennsylvania German: Reddin) is a city in and the county seat of Berks County, Pennsylvania, United States. With a population of 87,575, it is the fifth-largest city in Pennsylvania. Located in the southeastern part of the state, it is the principal city of the Greater Reading Area, and is furthermore included in the Philadelphia-Reading-Camden PA-NJ-DE-MD Combined Statistical Area. The city, which is approximately halfway between the state's most populous city, Philadelphia, and the state capital, Harrisburg (as well as about halfway between Allentown and Lancaster)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$63,797 to $84,748
Reading, Pennsylvania area prices
were up 1.5% 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