Coding Compliance Specialist jobs in Columbia, SC

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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Remote Coding Specialist, Inpatient - Facility Coding
  • LexiCode
  • Columbia, SC FULL_TIME
  • Minimum Qualifications


    • Possession of one of the following AHIMA credentials: RHIA, RHIT, CCS, CCS-P; or one of the following AAPC credentials: CPC, COC, or CIC.
    • Minimum of 1 year of experience in facility inpatient coding.
    • Proficiency in ICD-10-CM and PCS coding systems, encompassing comprehensive knowledge of guidelines and conventions.
    • Competence in utilizing coding software and electronic health record (EHR) systems.
    • Strong analytical aptitude to interpret intricate medical documentation accurately.
    • Detail-oriented approach, ensuring precision and accuracy in all coding assignments.
    • Exceptional communication skills to facilitate effective collaboration with healthcare professionals.
    • Strong organizational and time management capabilities to meet coding deadlines.

    Essential Job Responsibilities


    • Thoroughly review and analyze facility inpatient medical records to identify pertinent diagnoses, procedures, and treatments.
    • Accurately assign ICD-10-CM and PCS codes to precisely reflect clinical documentation.
    • Ensure the integrity and precision of coded data, including meticulous DRG assignment verification.
    • Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research.
    • Collaborate closely with healthcare professionals, including physicians and nurses, to clarify documentation and gather supplementary information as required.
    • Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards.
    • Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks.
    • Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations.

    Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.


     

  • Just Posted

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Compliance Specialist
  • State of South Carolina
  • Richland, SC FULL_TIME
  • Careers at DHEC: Work that makes a difference!Pursuing Excellence, Inspiring Innovation, Promoting Teamwork, Embracing Service, and Advancing EquityThis position is responsible for maintaining accurat...
  • Just Posted

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Compliance Specialist
  • State of South Carolina
  • Columbia, SC FULL_TIME
  • Careers at DHEC: Work that makes a difference! Pursuing Excellence, Inspiring Innovation, Promoting Teamwork, Embracing Service, and Advancing Equity This position is responsible for maintaining accur...
  • 8 Days Ago

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Compliance Specialist
  • Palmetto State Armory L
  • West Columbia, SC FULL_TIME
  • JOB PURPOSE This position is responsible for assisting the Compliance Lead in making sure all serialized items are properly received and handled in inventory, building work orders, and acquisitions, t...
  • 12 Days Ago

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Remote Coding Specialist, Interventional Radiology
  • LexiCode
  • Columbia, SC FULL_TIME
  • QualificationsRequired:* One of these credentials from AHIMA: RHIA, RHIT, CCS, CCS-P; or from AAPC: CPC, COC, or CIC* At least 1 year coding experience in Interventional Radiology* Ability to work fro...
  • Just Posted

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PROGRAM COMPLIANCE SPECIALIST - COMMUNITY DEVELOPMENT
  • columbiasc
  • Columbia, SC FULL_TIME
  • JOB SUMMARYThis position performs extensive administrative work to ensure compliance with all laws, regulations and policies created for the U.S. Department of Housing and Urban Development (HUD), oth...
  • 1 Month Ago

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0 Coding Compliance Specialist jobs found in Columbia, SC area

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Compliance Specialist
  • State of South Carolina
  • Columbia, SC
  • Job Responsibilities Careers at DHEC: Work that makes a difference! Pursuing Excellence, Inspiring Innovation, Promoting...
  • 4/24/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Columbia, SC
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/24/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
  • Department Of The Treasury
  • Columbia, SC
  • 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 (Fed State Local Gvmt Spec - Examiner) 12 MONTH ROSTER AMENDED
  • Department Of The Treasury
  • Columbia, SC
  • Duties WHAT IS THE TAX EXEMPT & GOVERNMENT ENTITIES (TE/GE) DIVISION? A description of the business units can be found a...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Columbia, SC
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

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Senior Internal Revenue Agent-Senior Program Analyst (12 month roster) AMENDED
  • Department Of The Treasury
  • Columbia, SC
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION? A description of the business units can be found at: https:...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent Senior Revenue Agent (Examiner) (12 MONTH ROSTER)
  • Department Of The Treasury
  • Columbia, SC
  • Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL ACTIVITIESDIVISION? A description of the business units can be found...
  • 4/22/2024 12:00:00 AM

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Administrative Specialist II / Temp Compliance Specialist - 164049
  • State of South Carolina
  • Blythewood, SC
  • Salary: $14.25 Hourly Location : Richland County, SC Job Type: Temporary Grant - Full-Time Job Number: 164049 Agency: De...
  • 4/21/2024 12:00:00 AM

One of Columbia's more prominent geographical features is its fall line, the boundary between the upland Piedmont region and the Atlantic Coastal Plain, across which rivers drop as falls or rapids. Columbia grew up at the fall line of the Congaree River, which is formed by the convergence of the Broad River and the Saluda River. The Congaree was the farthest inland point of river navigation. The energy of falling water also powered Columbia's early mills. The city has capitalized on this location which includes three rivers by christening itself "The Columbia Riverbanks Region". Columbia is lo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,437 to $78,956
Columbia, South Carolina area prices
were up 1.5% 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