Coding Compliance Specialist jobs in Wilmington, DE

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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Manager of Coding and Compliance
  • ChristianaCare
  • Wilmington, DE FULL_TIME
  • ChristianaCare, the largest healthcare system in Delaware is searching for a dynamic Manager of Coding Compliance for our Medical Group Physician Optimization team. This highly experienced Manager will report to the Director of Coding and Compliance and work to develop a team of coders to support their service line. This will be a great opportunity to support the ChristianaCare Medical Group and build a team from the ground up.

    Delivering health, not just health care is our promise to our community. Be a part of an organization that makes a difference and impacts the lives of each other and the communities we serve through our commitment of being excellent today and even better tomorrow.

    Work Schedule
    • Monday - Friday: This is a hybrid role which requires being on-site at least once or twice a week.
    • No weekends/holidays
    • Opportunities for work-life balance!

    Benefits and Incentives
    • Full Medical, Dental, Vision, Life Insurance, etc.
    • Two retirement planning offerings, including 403(b) with company contributions.
    • Opportunity for great work-life balance.
    • Generous paid time off with annual roll-over and opportunities to cash out.
    • 12 week paid parental leave.
    • Tuition assistance
    • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more!

    ***Remote Work Opportunities:  Whether a position can be supported for remote work will be assessed based on whether ChristianaCare is able to meet the business requirements of the proposed remote location.*** 

    Key Responsibilities
    • Manages billing compliance education and auditing activities, providing guidance and training as needed to the Service Line providers and staff ensuring all coding/billing follow rules, regulations, and standards both on State and/or Federal levels. Individually and in group settings.
    • Manage staff, providing guidance, motivation, and training to improve departmental productivity.
    • Determine work priorities, provides direct supervision, giving clear and concise directives to maintain efficient coding operations.
    • Provide education to new providers as part of onboarding and new provider follow-up audits.
    • Develop clinical documentation content that is specialty specific, using clinical scenarios and examples.
    • Establishes and maintains resource and coding reference materials and systems to aid the coding of diagnoses and procedures (ICD-10/ CPT, HCC, HPCS).
    • Reviews and analyze data to optimize billing and coding opportunities.
    • Remains current on all CMS and regulatory changes, updates, coding, and documentation requirements.
    • Works with the Director to develop, implement, and maintain policies and procedures for coding operations for The Medical Group.
    • Works with the Director to provide reports and recommendations to the Vice President of Finance regarding provider performance metrics.
    • Evaluates departmental coders on a regular basis to maintain coding accuracy rates.
    • Performs related duties as required.

    Position Qualifications
    • High School diploma or equivalent required.
    • At least 5 years of professional fee coding experience required.
    • 3 years of management experience preferred.
    • College Degree preferred.

    Special Requirements
    • Certified Professional Coder (CPC) completed through American Academy of Professional Coder preferred.
    • Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.

    Why ChristianaCare
    ChristianaCare is rated by Forbes as the 2nd best health system for diversity and inclusion, and the 29th best health system to work for in the United States, and by IDG Computerworld as one of the nation's Best Places to Work in IT. ChristianaCare is rated by Healthgrades as one of America's 50 Best Hospitals and continually ranked among the nation's best by U.S. News & World Report, Newsweek and other national quality ratings.

    EEO Statement: Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.
  • 24 Days Ago

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Manager Coding and Compliance, Avenue North- Hybrid
  • Christiana Care Health System
  • Wilmington, DE FULL_TIME
  • ChristianaCare, the largest healthcare system in Delaware is searching for a dynamic Manager of Coding Compliance for our Medical Group Physician Optimization team. This highly experienced Manager wil...
  • 1 Month Ago

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Compliance specialist
  • Delaware Schools Consortium
  • Wilmington, DE FULL_TIME
  • Position Type : Secretarial / Clerical / Secretary Date Posted : 2 / 28 / 2024 2 / 28 / 2024 Location : Odyssey Charter School Date Available : ASAP ASAP District : Odyssey Charter School Position : F...
  • 13 Days Ago

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Educational Training Specialist: Medical Coding Specialist
  • Delaware Technical Community College
  • Georgetown, DE FULL_TIME
  • Position Details Position Information Position Title Educational Training Specialist: Medical Coding Specialist Position Number TBD Position Type Temporary Part-Time Hiring Location Owens Campus-Georg...
  • 12 Days Ago

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LIHTC Compliance Specialist
  • Cornell Property Management Corp.
  • Dover, DE FULL_TIME
  • Cornell Property Management Corp. is seeking a Low Income Housing Tax Credit (LIHTC) Compliance Specialist to join our growing team. The LIHTC Compliance Specialist will report to the Executive Team. ...
  • 9 Days Ago

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Food Services Compliance Specialist
  • Odyssey Charter School
  • Wilmington, DE FULL_TIME
  • Position: Food Services Compliance Specialist Terms of Employment: 10-month, Full-time EmployeeReports to: Food Service Manager About Us: The future is brighter than ever for Odyssey Charter School, a...
  • 15 Days Ago

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0 Coding Compliance Specialist jobs found in Wilmington, DE area

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Compliance Specialist
  • The Harrison Group, Inc.
  • Havertown, PA
  • Job Description Job Description JOB DESCRIPTION: COMPLIANCE SPECIALIST The Compliance Specialist will work closely with ...
  • 3/18/2024 12:00:00 AM

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Clinical Trials, Billing, Budget and Compliance Specialist
  • University of Pennsylvania
  • Philadelphia, PA
  • University Overview The University of Pennsylvania, the largest private employer in Philadelphia, is a world-renowned le...
  • 3/18/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,436 per week
  • TRS Healthcare
  • Oxford, PA
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Oxford, Pennsylvania. Job Descrip...
  • 3/18/2024 12:00:00 AM

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Travel MRI Technologist - $2,800 per week
  • Stability Healthcare
  • Abington, PA
  • Planet Healthcare is seeking a travel MRI Technologist for a travel job in Abington, Pennsylvania. Job Description & Req...
  • 3/18/2024 12:00:00 AM

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Trade Compliance Specialist *Onsite Only*
  • Soho Studio/TileBar
  • Riverside, NJ
  • Soho Studio/ TileBar is a direct importer and retailer of mosaics, natural stone, and porcelain tile. We are driven by c...
  • 3/17/2024 12:00:00 AM

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Travel Nurse RN - PCU - Progressive Care Unit - $2,621 per week
  • TRS Healthcare
  • Philadelphia, PA
  • Planet Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Philadelphia, Pen...
  • 3/15/2024 12:00:00 AM

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Compliance Specialist
  • Synergy Orthopedics
  • Plymouth Meeting, PA
  • Job Description Job Description Skills and Qualifications: Experience working with a healthcare organization preferred A...
  • 3/14/2024 12:00:00 AM

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Travel Radiology Technician - $2,380 per week
  • Stability Healthcare
  • Norristown, PA
  • Planet Healthcare is seeking a travel Radiology Technician for a travel job in Norristown, Pennsylvania. Job Description...
  • 3/14/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 17.0 square miles (44 km2). Of that, 10.9 square miles (28 km2) is land and 6.2 square miles (16 km2) is water. The total area is 36.25% water. The city sits at the confluence of the Christina River and the Delaware River, about 33 miles (53 km) southwest of Philadelphia. Wilmington Train Station, one of the southernmost stops on Philadelphia's SEPTA rail transportation system, is also served by Northeast Corridor Amtrak passenger trains. Wilmington is served by I-95 and I-495 within city limits. In addition, the twin-s...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$67,273 to $89,368
Wilmington, Delaware area prices
were up 1.0% 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