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)
Under the direction of the Director of Finance and Administration, the Grants/Compliance Specialist is responsible for providing administrative support to the grants and compliance functions of Santa Barbara MTD. The Grants/Compliance Specialist tracks applications and reporting dates, organizes reports for submission, writes and performs research, maintains grant records and project budgets, sets meetings with agendas, records minutes/notes, coordinates procurement documentation, and manages insurance certificates. Duties may include, but are not limited to the following:
To successfully perform the duties and responsibilities of this position, the ideal candidate must have the following:
Knowledge of
Ability To
Experience & Education
Certificates & Licenses
Environment: Primary work location is in a general office environment. Job is not subject to significant occupational or environmental hazards; may drive district vehicle while conducting district business.
Physical: Hearing and speaking sufficient to articulate information in person, and by telephone. Vision within normal range with or without correction; sitting or standing for extended periods of time; walking on uneven surfaces; use of hands to handle, feel and operate standard office equipment including work assigned computer; mental capability to use or apply analytical reasoning and concepts, read and interpret documents, observe and interpret people and situations. Ability to move/lift 25 pounds.
Hazards – Exposure to traffic, fumes, dust, dirt, and computer screens.
Position overview is not construed to be an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions as requested by their supervisor, department head or general manager.
All applications will be evaluated on their related work experience and education qualifications. MTD will invite the most qualified candidates to participate in an oral interview. MTD application MUST be fully completed and must clearly show that the minimum requirements are met. Any questions on application that are unanswered may cause you to be excluded from the selection process. All statements made on an application are subject to investigation and verification. Any invalid applications are subject to disqualification.
The process includes a job specific pre-employment physical and drug screening to be completed by an industrial health clinic of MTD’s choice; criminal background and references will also be performed. All offers of employment are conditional upon successful completion of the pre-employment process.
IMMIGRATION AND CONTROL ACT OF 1986
In order to comply with the provision of this law, all applicants prior to placement, must provide proof of work eligibility and attest that they are a citizen, permanent resident alien, or otherwise authorized to be employed.
EQUAL OPPORTUNITY EMPLOYER
In order to comply with the provision of this law, all applicants prior to placement, must provide proof of work eligibility and attest that they are a citizen, permanent resident alien, or otherwise authorized to be employed.
Santa Barbara Metropolitan Transit District
550 Olive Street
Santa Barbara, CA 93101
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