Coding Compliance Specialist jobs in Springfield, IL

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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Reimbursement Coding Specialist - Extra Help (Temporary)
  • SIU Medicine
  • Springfield, IL TEMPORARY
  • Description

    The incumbent would help process provider charges, work TES edits, denials, and other coding duties.
    Start Date: 01/19/2024
    End Date: 07/19/2024

    Qualifications

    1. High school diploma or equivalent.
    2. Current certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA), or current certification as a Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification).
    3. One (1) year/twelve (12) months of work experience comparable to that performed at the Reimbursement Coding Representative level of this series or in other positions of comparable responsibility.

    Supplemental Information

    If you require assistance, please contact the Office of Human Resources at or call 217-545-0223 Monday through Friday, 8:00am-4:30pm.

    The mission of Southern Illinois University School of Medicine is to optimize the health of the people of central and southern Illinois through education, patient care, research and service to the community.

    The SIU School of Medicine Annual Security Report is available online at . This report contains policy statements and crime statistics for Southern Illinois University School of Medicine in Springfield, IL. This report is published in compliance with Federal Law titled the
    "Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act."

    Southern Illinois University School of Medicine is an Affirmative Action/Equal Opportunity employer who provides equal employment and educational opportunities for all qualified persons without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, protected veteran status or marital status in accordance with local, state and federal law.

    Pre-employment background screenings required.


    Southern Illinois University School of Medicine is an Equal Opportunity Employer.

     

  • 15 Days Ago

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Reimbursement Coding Specialist - Extra Help (Temporary)
  • SIU Medicine
  • Springfield, IL TEMPORARY
  • Description The incumbent would help process provider charges, work TES edits, denials, and other coding duties.Start Date: 01/19/2024End Date: 07/19/2024 Qualifications 1. High school diploma or equi...
  • 15 Days Ago

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Reimbursement Coding Specialist (U) (Hybrid/PRN) (Decatur)
  • SIU Medicine
  • Decatur, IL FULL_TIME
  • Department: Family and Community Medicine/Decatur-SMS Division: NA Location: Decatur Job Category: Office Support Overview: The primary purpose of this position is to be respsonsible for ICD-10 and CP...
  • 10 Days Ago

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CSV Compliance Specialist
  • Katalyst Healthcares & Life Sciences
  • Decatur, IL FULL_TIME
  • Responsibilities: Qualifying/ re-qualifying cloud-based environment IaaS, SaaS, PaaS Review validation deliverables in project initiation phase - User Requirement Specifications (URS) and GxP Assessme...
  • Just Posted

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Regulatory Compliance Specialist
  • Adams Telephone Co-Operative
  • Golden, IL FULL_TIME
  • Adams Telephone Co-Operative is seeking to hire a full-time Regulatory Compliance Specialist. This individual will ensure that Adams Telephone Co-Operative is and remains in compliance with all applic...
  • Just Posted

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Regulatory Compliance Specialist
  • Adams Telephone Co-Operative
  • Quincy, IL FULL_TIME
  • Seeking to hire a full-time Regulatory Compliance Specialist. This individual will ensure that the organization is and remains in compliance with all applicable regulations and standards. Responsibili...
  • 1 Month Ago

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0 Coding Compliance Specialist jobs found in Springfield, IL area

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Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • Springfield, IL
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 4/23/2024 12:00:00 AM

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Patient Access Specialist -Summer Employment
  • Taylorville Memorial Hospital
  • Springfield, IL
  • Overview Assists in providing access to services provided at the hospital and/or other service area. Processes registrat...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • Springfield, IL
  • 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

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Internal Revenue Agent (Examiner) - Direct Hire, 12 Month Register AMENDED
  • Department Of The Treasury
  • Springfield, IL
  • 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

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Chief Medical Physicist
  • Taylorville Memorial Hospital
  • Springfield, IL
  • Overview As the Chief Medical Physicist you'll be responsible for planning, coordinating, directing and supervising the ...
  • 4/22/2024 12:00:00 AM

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MBH Patient Service Specialist
  • Taylorville Memorial Hospital
  • Springfield, IL
  • Overview Works as part of team to complete daily business office functions including billing, collecting, and interactin...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Decatur, IL
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 4/21/2024 12:00:00 AM

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CSV Compliance Specialist
  • LS Solutions
  • Decatur, IL
  • Job Title: CSV Compliance Specialist Location: Decatur, Illinois, United States Job Type : 6+ months Contract JOB DESCRI...
  • 4/20/2024 12:00:00 AM

Springfield is the capital of the U.S. state of Illinois and the county seat of Sangamon County. The city's population of 116,250 as of the 2010 U.S. Census makes it the state's sixth most populous city. It is the largest city in central Illinois. As of 2013, the city's population was estimated to have increased to 117,006, with just over 211,700 residents living in the Springfield Metropolitan Statistical Area, which includes Sangamon County and the adjacent Menard County. Present-day Springfield was settled by European Americans in the late 1810s, around the time Illinois became a state. The...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$62,194 to $82,619
Springfield, Illinois area prices
were up 1.3% 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