Coding Compliance Specialist jobs in Hilton Head Island, 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)
Recently Added Coding Compliance Specialist jobs
Clinical Coding Specialist
- St. Joseph's/Candler
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Savannah, GA
FULL_TIME
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Position Summary
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This position is responsible for final coding of outpatient account types. Clinical Coding Specialist must be able to assign ICD-10-CM and CPT codes to outpatient encounters including emergency department visits, clinic visits, oncology treatment visits, recurring outpatient therapy and infusion center visits, diagnostic exams and testing, and laboratory reference accounts. Attention to detail is required for accurate capture of data elements, knowledge of coding and regulatory guidelines, and billing rules, commitment to ethical and compliant coding practices.
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Education
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Associates of Health Information Administration - Required
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Experience
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1 Year outpatient coding experience - Preferred (applies to certified applicants)
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5-7 Years of comparable experience - Required (applies to non-certified applicants)
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License & Certification
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Certification by American Health Information Management Association (AHIMA) CCA, RHIT, RHIA, CCS; or certification by the American Academy of Professional Coders (AAPC) CPC or COC - Preferred
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Core Job Functions
- Accurately reviews medical records and assigns diagnosis and procedure codes utilizing the computerized encoding software system; resolves all national correct coding and outpatient code edits; and appends appropriate modifiers to CPT and HCPCS codes. Abstracts required information as needed. Validates admission and discharge data; reviews account for any aberrant charges.
- Follows the standards of professionalism set forth by AHIMA and AAPC. Ethically and accurately assigns diagnosis codes in compliance with the ICD-10-CM Official Coding Guidelines, Coding Clinic, and CPT procedure codes in accordance with the CPT guidelines and CPT Assistant guidance.
- Reviews record for missing documentation that prevents final coding and places the account on hold. Monitors accounts on hold.
- Maintains certification and engages in continuing education activities. Stays up-to-date on regulations including national and local policies. Shares knowledge with the rest of the team.
- Able to work independently and maintain quality and productivity standards in a remote, HIPAA compliant home environment to ensure goals are met. Identifies and escalates any obstacles to fulfilling job responsibilities. Takes initiative to resolve technical issues and maintains strong communication with coding management.
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- 22 Days Ago
Medical Billing and Coding Specialist
- Bone & Joint Institute
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Jesup, GA
OTHER
- MEDICAL BILLING-CODING SPECIALIST Bone & Joint Institute of South Georgia (BJISG) is a well-established, busy orthopaedic practice serving over 18 counties in Southeast Georgia. With four locations, e...
- 1 Month Ago
Laboratory Compliance and Billing Specialist
- Clinical Management Consultants
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Savannah, GA
FULL_TIME
- Are you looking for an exciting opportunity in the healthcare industry? A prestigious award-winning hospital in the vibrant city of Savannah, GA, is seeking a talented and experienced Laboratory Compl...
- 1 Month Ago
Trade Compliance/FTZ Specialist (Hybrid)
- Pacific Cycle
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Savannah, GA
FULL_TIME
- Join our team as a Trade Compliance/FTZ Specialist. This team ensures the accuracy of import data, physical inventory, and customs records. The Trade Compliance/FTZ Specialist is responsible for the d...
- Just Posted
Trade Compliance/FTZ Specialist (Hybrid)
- PonBike Operations
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Savannah, GA
FULL_TIME
- Join our team as a Trade Compliance/FTZ Specialist. This team ensures the accuracy of import data, physical inventory, and customs records. The Trade Compliance/FTZ Specialist is responsible for the d...
- 8 Days Ago
Experienced Residential HVAC Service Technician
- Georgia Air Specialist
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Richmond, GA
FULL_TIME
- Georgia Air loves serving families across a large span of Bryan, Chatham, Effingham, and Liberty counties. We value the trust and confidence of every family we serve, continuously striving to uphold o...
- 4 Days Ago
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0 Coding Compliance Specialist jobs found in Hilton Head Island, SC area
Internal Revenue Agent (Examiner) - DIRECT HIRE (12 Month Register) AMENDED
- Department Of The Treasury
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Savannah, GA
- 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
Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Financial Aid Technical Specialist (Savannah Campus)
- Georgia CEO
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Savannah, GA
- Under general to limited supervision of the Director of Financial Aid, the Financial Aid Specialist is responsible for: ...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
- 4/21/2024 12:00:00 AM
Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (12 Month Roster)- Amended
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONAL (LBI) DIVISION? A description of the business units can be found at:...
- 4/21/2024 12:00:00 AM
Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
- Department Of The Treasury
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Savannah, GA
- Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
- 4/19/2024 12:00:00 AM
About Hilton Head Island, South Carolina
Hilton Head Island, sometimes referred to as simply Hilton Head, is a Lowcountry resort town and barrier island in Beaufort County, South Carolina, United States. It is 20 miles (32 km) northeast of Savannah, Georgia, and 95 miles (153 km) southwest of Charleston. The island is named after Captain William Hilton, who in 1663 identified a headland near the entrance to Port Royal Sound, which mapmakers named "Hilton's Headland." The island features 12 miles (19 km) of beachfront on the Atlantic Ocean and is a popular vacation destination. In 2004, an estimated 2.25 million visitors pumped more t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,565 to $79,127
Hilton Head Island, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Coding Compliance Specialist do?
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