Coding Compliance Specialist jobs in Salem, OR
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)
Recently Added Coding Compliance Specialist jobs
Medical Coding Specialist
- VALLEY CLINICS, PC
-
Corvallis, OR
PART_TIME
-
Valley Clinics is looking to hire another part-time Medical Coding/Billing Specialist! We are looking for someone who is:
- CPC Certified, preferably from AAPC.
- Familiar with CPT, HCPCS, and ICD-10 coding within a Primary Care Setting
- Comfortable with answering phone calls as well as making phone calls to patients and insurance companies.
- Familiar with payer policies regarding coding requirements.
- Team Player
Some of your responsibilities would include, but are not limited to the following:- Review progress notes and code according to various payer rules and services rendered
- Reviewing aging claims and reaching out to the payer to status of processing
- Reviewing and correcting denied claims
- Follow up with Clinicians on any documentation that is insufficient or unclear
- Work in partnership with our quality team to ensure quality metrics are captured at claim level
- Answer incoming calls from patients and insurance companies
- Cross train within department to provide coverage when necessary. Required Skills
- Prepare and submit accurate medical insurance claims to various insurance companies in a timely manner
- Verify patient insurance eligibility and benefits to ensure accurate billing
- Record and post payments received from patients and insurance companies
- Monitor unpaid claims and follow up with insurance companies for resolution
- Answer patient inquiries regarding billing and insurance claims
- Responsible for credentialing and re-credentialing files, including both Type I and Type II files
- Maintain working knowledge of and comply with partner specific credentialing and recredentialing guidelines, policies, and procedures
- Must be CPC certified, and able to provide documentation on certification
- Minimum 1 year of clinic coding experience
- CPT, ICD-10 and HCPCS Knowledge
- Billing knowledge with Medicare, Medicaid, and commercial carriers
- Health Insurance
- Dental Insurance
- Life Insurance
- Short & Long Term Disability
- Paid Time Off
- Paid Holidays
- 401K with employer match
- 18 Days Ago
Medical Coding Specialist
- Valley Clinics Internal Medicine
-
Corvallis, OR
FULL_TIME
- Valley Clinics is looking to hire another part-time Medical Coding/Billing Specialist! We are looking for someone who is: CPC Certified, preferably from AAPC. Familiar with CPT, HCPCS, and ICD-10 codi...
- 12 Days Ago
Medical Coding/Billing Specialist
- Valley Clinics Internal Medicine
-
Corvallis, OR
FULL_TIME
- Valley Clinics is looking to hire another full time, in office, Medical Coding/Billing Specialist! We are looking for someone who is: CPC Certified, preferably from AAPC. Familiar with CPT, HCPCS, and...
- 1 Month Ago
Grants Compliance Specialist I
- Innovative Emergency Mgmt
-
Salem, OR
FULL_TIME
- Position Summary: IEM is seeking a dedicated and detail-oriented, Full Time - Grants Compliance Specialist I (GCS I), to ensure the effective and compliant management of grants for IEM’s State Broadba...
- 18 Days Ago
Grants Compliance Specialist II
- Innovative Emergency Mgmt
-
Salem, OR
FULL_TIME
- Position Summary: IEM is seeking a dedicated and detail-oriented, Full Time - Grants Compliance Specialist II (GCS II), to ensure the effective and compliant management of grants for IEM’s State Broad...
- 18 Days Ago
Grants Compliance Specialist III
- Innovative Emergency Mgmt
-
Salem, OR
FULL_TIME
- Position Summary: IEM is seeking a dedicated and detail-oriented, Full Time - Grants Compliance Specialist III (GCS III), to ensure the effective and compliant management of grants for IEM’s State Bro...
- 18 Days Ago
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0 Coding Compliance Specialist jobs found in Salem, OR area
Trade Compliance Specialist
- Robert Half
-
Tualatin, OR
- A leading wholesaler in their industry is looking to add to their team! We have a full time, direct hire opportunity for...
- 4/25/2024 12:00:00 AM
Revenue Cycle/Revenue Mgmt Specialist
- Sigma Inc
-
Corvallis, OR
- 267260 - Revenue Cycle/Revenue Mgmt Specialist - Corvallis, OR- Full Time Direct Hire Sigma. Inc. is looking for an Reve...
- 4/24/2024 12:00:00 AM
Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
- Department Of The Treasury
-
Salem, OR
- Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Examiner) - Direct Hire - Incentive eligible-AMENDED
- Department Of The Treasury
-
Salem, OR
- Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
- Department Of The Treasury
-
Salem, OR
- Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
- Department Of The Treasury
-
Salem, OR
- Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent Senior Revenue Agent (Examiner) (12 MONTH ROSTER)
- Department Of The Treasury
-
Salem, OR
- Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL ACTIVITIESDIVISION? A description of the business units can be found...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Salem, OR
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
About Salem, Oregon
Salem /ˈseɪləm/ is the capital of the U.S. state of Oregon, and the county seat of Marion County. It is located in the center of the Willamette Valley alongside the Willamette River, which runs north through the city. The river forms the boundary between Marion and Polk counties, and the city neighborhood of West Salem is in Polk County. Salem was founded in 1842, became the capital of the Oregon Territory in 1851, and was incorporated in 1857.
Salem had a population of 169,798 in 2017, making it the second-largest city in the state after Portland. Salem is a little under an hour's driving dis...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$64,374 to $85,515
Salem, Oregon area prices
were up 3.9% from a year ago
were up 3.9% from a year ago
What does a Coding Compliance Specialist do?
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