Coding Compliance Specialist jobs in Springfield, MO

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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Inpatient Coding Specialist (Remote)
  • Mercy
  • Springfield, MO FULL_TIME
  • We’re a Little Different

     

    Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

    At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its “Top 100 Places to Work.”

     

    *This is a Remote Position*


    Overview:

     

    The Inpatient Coding Specialist is responsible for reviewing and analyzing documentation present in the medical record for inpatient, outpatient and/or professional services to assign diagnoses/procedure codes as described by the physician(s) of record. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.


    Qualifications:

    • Experience: Prior coding experience in ICD-10-CM diagnoses/procedure coding and HCPCS/CPT procedure coding in the acute care inpatient, outpatient hospital or professional services setting.
    • Education: High school diploma.
    • Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC).
    • Other: Working knowledge of ICD-10-CM and CPT/HCPCS coding classification systems in an acute care/hospital setting or professional services setting. The physical demands described here are the representative of the minimums that must be met by an employee to perform all essential functions of the job. Most physical demands are below, plus: Frequent: repetitive motion involves approximately 25% keyboard and 75% mouse use for data entry.

     

    We Offer Great Benefits:


    Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period!

     

    We’re bringing to life a healing ministry through compassionate care.


    At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We’re expanding to help our communities grow. Join us and be a part of it all.


    What Makes You a Good Match for Mercy?


    Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We’re also collaborative and unafraid to do a little extra to deliver excellent care – that’s just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

     

  • 1 Month Ago

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Compliance Specialist
  • Sustainable Management, Inc.
  • Springfield, MO FULL_TIME
  • Sustainable Management Inc is seeking a Compliance Coordinator for our property management company. Must have experience in LIHTC and Rural Development. Yardi experience is preferred. You must work ou...
  • 29 Days Ago

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Regulatory Compliance Specialist-Remote
  • Bass Pro Shops
  • Remote, MO FULL_TIME
  • POSITION SUMMARY:The Regulatory Specialist ensures that all products sold by Bass Pro Shops and our affiliates follow federal, state, and local laws and regulations, as well as assists the Director, R...
  • 3 Days Ago

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Compliance Claim Integrity Specialist
  • Preferred Family Healthcare
  • Springfield, MO FULL_TIME
  • We’re a Good Family to Know: Preferred Family Healthcare (PFH) is a community-based healthcare organization that offers a full array of integrated services, serving more than 100,000 individuals each ...
  • Just Posted

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Regulatory Compliance Specialist-Remote
  • Bass Pro Shops
  • Springfield, MO FULL_TIME
  • POSITION SUMMARY: The Regulatory Specialist ensures that all products sold by Bass Pro Shops and our affiliates follow federal, state, and local laws and regulations, as well as assists the Director, ...
  • 1 Day Ago

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Compliance CRA Specialist
  • Old Missouri Bank
  • Springfield, MO FULL_TIME
  • Job Summary The Compliance CRA Specialist will help ensure the bank complies with relevant laws, regulations, policies and procedures. Responsible for monitoring and documenting compliance activities,...
  • 27 Days Ago

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0 Coding Compliance Specialist jobs found in Springfield, MO area

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Compliance Specialist
  • Sustainable Management, Inc.
  • Springfield, MO
  • Job Description Job Description Sustainable Management Inc. is seeking a Compliance Coordinator for our property managem...
  • 5/13/2024 12:00:00 AM

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Part- Time Phlebotomist
  • American Oncology Management Company
  • Springfield, MO
  • Location: Springfield Office Pay Range: $15.46 - $24.44 Position Summary Responsible for phlebotomy, laboratory testing,...
  • 5/13/2024 12:00:00 AM

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Licensed Professional Counselor
  • Restored Counseling
  • Springfield, MO
  • Job Description Job Description About Restored Counseling: Restored Counseling is a compassionate and innovative mental ...
  • 5/13/2024 12:00:00 AM

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Coding Quality Team Lead
  • Coxhealth
  • Springfield, MO
  • SummaryBest in Class Work Environment 5x Modern Healthcare Best Places to workAmericas Greatest Workplaces 2023 Newsweek...
  • 5/11/2024 12:00:00 AM

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Director of Marketing, Communications and External Relations - Reynolds College of Arts, Social Sciences and Humanities
  • Missouri State University
  • Springfield, MO
  • Posting Details Position Information Position Title Director of Marketing, Communications and External Relations - Reyno...
  • 5/9/2024 12:00:00 AM

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ERP/HR Systems Integration BA Must Have K-12
  • iSphere
  • Springfield, MO
  • Job Description Job Description iSphere - Houston IT Consulting Company Job Description Position: HYBRID ERP/HR & System...
  • 5/9/2024 12:00:00 AM

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Local CDL A or CDL B Driver
  • Arrowhead Building Supply - Springfield
  • Springfield, MO
  • Local CDL A or CDL B Driver We are committed to the personal and professional growth of our team members and we show thi...
  • 4/27/2024 12:00:00 AM

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Local CDL A or CDL B Driver
  • Arrowhead Building Supply - Springfield
  • Springfield, MO
  • Local CDL A or CDL B Driver We are committed to the personal and professional growth of our team members and we show thi...
  • 4/23/2024 12:00:00 AM

Springfield is the third-largest city in the state of Missouri and the county seat of Greene County. As of the 2010 census, its population was 159,498. As of 2017, the Census Bureau estimated its population at 167,376. It is the principal city of the Springfield metropolitan area, which has a population of 462,369 and includes the counties of Christian, Dallas, Greene, Polk, Webster. Springfield's nickname is "Queen City of the Ozarks" and it is known as the "Birthplace of Route 66". It is home to three universities, Missouri State University, Drury University, and Evangel University. Springf...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$57,785 to $76,763
Springfield, Missouri 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