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)
Compliance Specialist I
Department: Compliance
Employment Status: Full Time Hourly, Non-Exempt - Benefited
Location: Lodi (1)
Salary: $23.07 - $28.83 (Commensurate with experience and qualifications)
Supervises Others: No
Serving California for More Than 100 Years
Farmers & Merchants Bank of Central California (“F&M Bank”) has provided financial services to individuals, families and businesses in California since 1916. We are a community bank through and through -- the local business owners and individuals who are customers, are also our friends, neighbors, shareholders, and employees.
F&M Bank is financially strong, with over $5.2 billion in assets, and is consistently recognized as one of the nation's safest banks by national bank rating firms. As a full service community bank, we provide a complete range of products and services that help bring growth and prosperity to each of the communities we serve.
Locally owned and operated, F&M Bank is headquartered in Lodi, California and proudly serves more than 32 locations throughout the Central Valley and East Bay.
The Compliance Specialist I performs a variety of functions related to HMDA data information collection and reporting, as well as consumer loan monitoring activities. This role maintains regulatory Bank compliance training records, creates and maintains department files and reports, and assists the Compliance Department as needed.
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F&M Bank
We are an equal opportunity employer - This organization participates in E-Verify - Esta Organización Participa en E-Verify
Job Type: Full-time
Pay: $23.07 - $28.83 per hour
Expected hours: 40 per week
Benefits:
Experience level:
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Experience:
Work Location: In person
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0 Coding Compliance Specialist jobs found in Stockton, CA area