Coding Compliance Specialist jobs in Sioux Falls, 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)

V
Coding Specialist
  • VANCE THOMPSON VISION CLINIC PROF L
  • Sioux Falls, SD OTHER
  • Job Details

    Job Location:    MSO - Sioux Falls, SD
    Salary Range:    Undisclosed

    Description

    Why VTV:

    At Vance Thompson Vision, our vision is to create, protect, and maintain clear vision for a lifetime. As a global industry leader in vision surgery, the Vance Thompson Vision team has performed more than 100,000 procedures and participated in over 100 FDA-monitored clinical trials. If you enjoy a fast-paced, innovative, and fun working environment, apply with us today!

    Our core values that provide our foundation:

    • Caring - We are passionate, empathetic, and sensitive to the needs of our teammates, patients, and everyone we touch.
    • Fun - We choose a positive attitude every day. We use humor as a way to create a less formal, less stressful and more productive work environment.
    • Committed - We are accountable and 100% committed to the Success of VTV. We are boundaryless; we are willing to take initiative to delight our customers, motivate fellow teammates and improve financial results.
    • Egalitarian - We play on a team where everyone is equal, where no task is too small for any member to step up and own inside and outside their functional area.
    • Excellence - We are committed to doing the extra work to be outstanding in customer service, patient care and team happiness.

    Job Opportunity:

    We are growing and we are looking for a Coding Specialist to join our team!

    You Are:

    • Ready to live out our core values in patient and team member interactions
    • Detail-oriented
    • Able to learn quickly and build long-term relationships
    • Flexible and adaptable to change

    You Will Make an Impact By:

    • Reviewing coding from the electronic health record system for clinic and surgical claims to ensure accuracy, completeness and appropriateness of diagnosis and procedure codes.
    • Evaluating surgery schedules, coding them, and billing to appropriate insurance.
    • Reviewing different reports and completing monthly audits for all clinics.
    • Answering daily incoming patient/internal phone calls and emails coming to the business office.
    • Reviewing provider medical records to ensure compliance with established CMS/AMA documentation requirements for CPT and NCCI edits.
    • Review insurance denials for possible coding corrections and claims resubmissions.
    • Communicating coding and billing-specific deficiencies to various clinical staff.
    • Educating and guiding clinical staff on proper documentation and any trends that could cause delay of claim submission.

     

    You Have:

    • An associates degree in Health Information Management or a related field.
    • Minimum two years in medical coding or equivalent work.
    • Certified Professional Coder (CPC) certification preferred.

    Investments in YOU:

    Vance Thompson Vision offers a full benefits package and competitive compensation, including:

    • $150 shoe allowance for full time staff
    • 401k with company contributions
    • Education Allowance
    • Wellness Program paired with a Lifestyle Spending Account

    Vance Thompson Vision is an equal opportunity and affirmative action employer. We are committed to creating a diverse and inclusive culture for all employees.

    Qualifications


  • 1 Month Ago

7
Compliance Inspector
  • 7G Environmental Compliance Management
  • Sioux Falls, SD 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

S
Compliance Specialist - Sioux Falls
  • Sanford Health
  • Sioux Falls, SD FULL_TIME
  • Create Your Career With Us! Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportuni...
  • 22 Days Ago

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Entities & Compliance Specialist
  • IRA Financial
  • Sioux Falls, SD FULL_TIME
  • IRA Financial Trust Overview IRA Financial Trust is a leader in Self-Directed IRA's. We serve as a custodian for clients who wish to open or transfer a Self-Directed Individual Retirement Arrangement ...
  • 1 Month Ago

L
Case Aide, Housing/Compliance Specialist
  • Lutheran Social Service
  • Sioux Falls, SD FULL_TIME
  • Do you enjoy working in a fast paced, diverse environment and learning from new cultures each day? This position allows you to take a walk around the world every day. LSS Center for New Americans is s...
  • 2 Months Ago

A
Surveillance Investigator
  • Allied Universal® Compliance and Investigations
  • Sioux Falls, SD FULL_TIME
  • Surveillance Investigator Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides...
  • 13 Days Ago

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0 Coding Compliance Specialist jobs found in Sioux Falls, SD area

Sioux Falls (/ˌsuː ˈfɔːlz/) (Lakota: Íŋyaŋ Okábleča Otȟúŋwahe; "Stone Shatter City") is the most populous city in the U.S. state of South Dakota and the 143rd-most populous city in the United States. It is the county seat of Minnehaha County and also extends into Lincoln County to the south, proximate with the Minnesota state line. It is the 47th-fastest-growing city in the United States and the fastest-growing metro area in South Dakota, with a population increase of 22% between 2000 and 2010. As of 2019, Sioux Falls had an estimated population of 187,200. The metropolitan population of 259,0...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$58,218 to $77,338
Sioux Falls, 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