Coding Compliance Specialist jobs in Sioux City, IA
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
- SIOUX VALLEY MEMORIAL HOSPITAL ASSOCIATION
-
Cherokee, IA
FULL_TIME
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Hospital CPT & Clinic Coding Specialist
Full Time - Open to In-Person, Hybrid or Remote
Reports to Business Office Manager and Manager of Medical Records
POSITION SUMMARY: Performs medical coding and billing functions of the physician clinic to help ensure accurate documentation and billing practices resulting in accurate and timely reimbursement for services provided. Also performs outpatient hospital coding services.
ANTICIPATED SCHEDULE: Monday - Friday 8am to 4:30pm. More flexibility for Hybrid/Remote.
ESSENTIAL FUNCTIONS:
- Reviews documentation for accuracy and completeness
- Compares submitted charges against documentation
- Analyzes visits to ensure labs performed are billed appropriately
- Tracks and charges provider services provided in the hospital and nursing homes
- Reviews & completes diagnosis coding of hospital outpatient visits
- Ensure appropriateness of charges for hospital outpatient visits
- Resolves coding edits as they present during coding process or in the case of denials
- Follows insurance billing rules
Competitive wage and benefits offered include: paid time off, health, dental and vision insurance, life insurance, short term and long term disability, retirement program, tuition assistance, funeral leave, jury duty, flex spending, EAP, health and wellness program.
- 1 Month Ago
- Aventure Staffing
-
North Sioux, SD
FULL_TIME
- QA Compliance Specialist Mon - Fri, 7:30 AM - 4:30 PM with occasional overtime as needed Come work for an employer that is committed to providing the highest quality products and services to their cus...
- 11 Days Ago
- Winnebago Tribe of Nebraska
-
Winnebago, NE
FULL_TIME
- Benefits: 401(k) Competitive salary Paid time off Closes: 5/1/2024 Compliance Officer Reports to: Gaming Commission Salary (Grade): $16.83/hr Status: Reg., FT (Non-exempt) Location: WinnaVegas Casino ...
- 5 Days Ago
- Well Enterprises - Career Site
-
Le Mars, IA
FULL_TIME
- Designs and implements programs, policies and practices to ensure compliance with federal, state and local regulatory requirements. Tracks laws and regulations that might affect the organization’s pol...
- 16 Days Ago
- Sterling Computers Corporation
-
North Sioux, SD
PART_TIME
- Title: Compliance Manager - Part Time Reports to: Vice President of Legal and ComplianceLocation: North Sioux City, SD Required Education/Experience: The Compliance Manager must have proficient unders...
- 14 Days Ago
- The Salvation Army USA Central Territory
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South Sioux, NE
FULL_TIME
- The starting salary for this position is $48,000 The Salvation Army Mission: The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is bas...
- 1 Month Ago
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0 Coding Compliance Specialist jobs found in Sioux City, IA area
- Sharecare
-
Sioux City, IA
- [Administrative Assistant / Remote] - Anywhere in U.S. / Competitive pay - As a Data Entry Specialist you'll: Access var...
- 4/25/2024 12:00:00 AM
- Hiring Now!
-
Sioux City, IA
- Malone Healthcare - Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Sioux City, Io...
- 4/25/2024 12:00:00 AM
- Tinkbird Healthcare Staffing, LLC.
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Sioux City, IA
- TinkBird Healthcare Staffing is a comprehensive healthcare recruiting and job placement firm for travel nursing and alli...
- 4/24/2024 12:00:00 AM
- Woodbury County, IA
-
Sioux City, IA
- Salary: $23.20 Hourly Location : Sioux City, IA Job Type: PT Job Number: 2023-00033 Department: Emergency Services Openi...
- 4/23/2024 12:00:00 AM
- Triage Staffing
-
Sioux City, IA
- Triage Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Sioux City, Iowa. Job Description & Re...
- 4/23/2024 12:00:00 AM
- Department Of The Treasury
-
Sioux City, IA
- 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
- Blue Signal Search
-
Sioux City, IA
- Journeyman Foreman Our client, a prominent player in the utilities sector specializing in the construction, maintenance,...
- 4/22/2024 12:00:00 AM
- Thompson Solutions Group
-
Sioux City, IA
- POSITION OVERVIEW Thompson Solutions Group is an industry-leading electrical and mechanical contractor and technology in...
- 4/22/2024 12:00:00 AM
About Sioux City, Iowa
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