Coding Compliance Specialist jobs in Springfield, OH

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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CODING SPECIALIST-INPATIENT
  • Southwest General
  • Middleburg, OH FULL_TIME
  • Summary

    • POSITION INFORMATION
      • Position summary:
        • Responsible for assigning the correct ICD10CM and ICD10PCS codes to inpatient cases. Communicates with physicians, clinicians and other hospital staff regarding clinical documentation requirements for accurate MS-DRG, DRG and ICD10 code assignments. Initiates direct follow up with physicians on documentation in the medical record to clarify diagnoses. Participates in hospital committees, task groups, and projects to clarify the processes and guidelines pertaining to DRG and/or code assignments. Works directly with the CDI (Clinical Documentation Improvement) team regarding chart documentation and hospital initiatives. Responds to Payor DRG reassignments and coding audits by writing appeal letter(s) to support original code assignments. Knowledgeable of coding principles, hospital policies and regulatory changes related to coding. These codes and/or DRGs are used to bill the patient for services to ensure optimum reimbursement for services rendered.
    • MINIMUM QUALIFICATIONS
      • Education:
        • Registered Health Information Administrator, Registered Health Information Technician or a Certified Coding Specialist with at least an Associate Degree.
        • Extensive knowledge of MS-DRGs, DRG Assurance (Clinical Documentation) Programs, ICD-10, and modifier usage, as required.
        • Extensive knowledge of medical terminology, anatomy and physiology required.

      • Required length and type of experience:
        • A minimum of three years’ experience in hospital inpatient coding required.
        • Experience in hospital clinical documentation program required.
        • Excellent computer skills and experience with computerized coding software required.

      • Required licensure, certification or registry:
        • Registered Health Information Administrator or Registered Health Information Technician and Certified Coding Specialist (or within 1 year of date of hire).
        • Must maintain certification/registration status by completing continuing education units.
  • 13 Days Ago

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Director of Quality and Compliance
  • Ethan Crossing
  • Springfield, OH FULL_TIME
  • New Vista Health and Wellness is currently recruiting a Director of Quality and Compliance for Ethan Crossing of Springfield, a premier Substance Use Disorder treatment center located in Springfield, ...
  • 24 Days Ago

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Director of Quality and Compliance
  • NewVista Healthcare
  • Springfield, OH FULL_TIME
  • New Vista Health and Wellness is currently recruiting a Director of Quality and Compliance for Ethan Crossing of Springfield, a premier Substance Use Disorder treatment center located in Springfield, ...
  • 24 Days Ago

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UL Regulatory & Compliance Engineer
  • Rittal North America LLC
  • Urbana, OH FULL_TIME
  • Regulatory & Compliance Engineer (Hybrid)Rittal North America has built a strong tradition of innovation and takes pride in a progressive approach to engineering. We design and manufacture the world’s...
  • 24 Days Ago

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SAP Compliance Analyst
  • 7-ELEVEN
  • Enon, OH FULL_TIME
  • Work with auditors (internal and external), technical teams, business SMEs and internal compliance to provide supporting documentation for SOX, SOC and Archer controls for SAP.Keep SAP auditor complia...
  • 25 Days Ago

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Merchandiser Specialist
  • Acosta Group
  • Bellefontaine, OH FULL_TIME
  • **Start your career with Premium.** \#WeArePremium **Merchandiser Specialist** **General Information** **Company:** PRE-US **Location:** BELLEFONTAINE, Ohio, 43311 **Ref #:** 40014 **Function:** Merch...
  • 22 Days Ago

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0 Coding Compliance Specialist jobs found in Springfield, OH area

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Travel Nurse RN - PCU - Progressive Care Unit - $2,016 per week
  • TRS Healthcare
  • Springfield, OH
  • Planet Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Springfield, Ohio...
  • 3/28/2024 12:00:00 AM

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Travel Nurse RN - ICU - Intensive Care Unit - $2,142 per week
  • TRS Healthcare
  • Springfield, OH
  • Planet Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Springfield, Ohio. ...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Dayton, OH
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - (Temp NTE 1 Year, MBE, MBMP) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Dayton, OH
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SB/SE)DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED
  • Department Of The Treasury
  • Dayton, OH
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at: https...
  • 3/27/2024 12:00:00 AM

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Compliance Specialist - FT
  • Hollywood Casino at Columbus
  • Columbus, OH
  • WERE CHANGING ENTERTAINMENT. COME JOIN US.: Were always looking for talent that believes in having fun. At PENN Entertai...
  • 3/26/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,380 per week
  • TRS Healthcare
  • Dayton, OH
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Moraine, Ohio. Job Description & ...
  • 3/26/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER (AMENDED)
  • Department Of The Treasury
  • Dayton, OH
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
  • 3/25/2024 12:00:00 AM

Springfield is a city in the U.S. state of Ohio and the county seat of Clark County. The municipality is located in southwestern Ohio and is situated on the Mad River, Buck Creek and Beaver Creek, approximately 45 miles (72 km) west of Columbus and 25 miles (40 km) northeast of Dayton. Springfield is home to Wittenberg University, a liberal arts college. As of the 2010 census, the city had a total population of 60,608. The Springfield Metropolitan Statistical Area had a population of 138,333 residents. and the Dayton-Springfield-Greenville, OH Combined Statistical Area had 1,072,891 residents....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$60,827 to $80,806
Springfield, Ohio 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