Coding Compliance Specialist jobs in Arizona

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
  • Revo Health
  • Phoenix, AZ FULL_TIME
  • Description

    The Coding Specialist I will assure consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and department requirements.

    This is a full-time remote position working Monday through Friday; 8am to 5pm.

    We can accept applicants in the following states :

    • Minnesota
    • Wisconsin
    • Texas
    • South Dakota
    • North Dakota
    • Tennessee
    • Ohio
    • Georgia
    • Florida
    • Iowa
    • Arizona
    • Kansas
    • Illinois

    Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care.

    This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

    We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.

    About this position :

    • Assign appropriate ICD-10-CM codes, per provider documentation using the most current diagnosis set
    • Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures
    • Review operative reports to assign appropriate CPT surgical codes
    • Investigate discrepancies in documentation
    • Follow coding policies and guidelines to determine appropriate coding
    • Provide education and feedback to providers regarding documentation and billing processes
    • Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads
    • Review denied claims to determine appropriate action for appeals
    • Respond to pre-certification requests and estimate requests
    • Monitor all "unkeyed" encounters to ensure that all billable services have been captured
    • Any and all other duties as assigned

    Education and Experience Requirements :

    • High School diploma / GED or equivalent
    • Coding Certification (CPC, CCS-P, RHIT or RHIA) and / or minimum of (5) years' experience in related field preferred
    • Experience in Coding Orthopedics preferred, but not required
    • Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines
    • Intermediate understanding of medical terminology, body system / anatomy, physiology and concepts of disease processes

    Notes :

    • Revo Health is an Equal Opportunity / Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
    • This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.
    • Last updated : 2024-03-02

  • 24 Days Ago

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Medical coding specialist
  • Quadris Team LLC
  • Queen Creek, AZ FULL_TIME
  • Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled and growing Medical Coding Team to fill the role of Profee Coding...
  • 19 Days Ago

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Coding and Oasis Specialist
  • Canyon Home Care & Hospice LLC
  • Glendale, AZ FULL_TIME
  • This position is responsible for the review of clinical documents, submission and validation of Oasis. Analyzing data integrity and consistency of OASIS documentation and assessment processes. Consult...
  • 8 Days Ago

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Coding and Oasis Specialist
  • HOME CAREGIVERS PARTNERSHIP LLC
  • Glendale, AZ OTHER
  • Job Details Job Location: Canyon Arizona Home Care and Hospice - Glendale - Glendale, AZ Position Type: Full Time Salary Range: Undisclosed DescriptionThis position is responsible for the review of cl...
  • 17 Days Ago

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Medical coding specialist
  • Quadris Team LLC
  • Arizona, AZ FULL_TIME
  • Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled and growing Medical Coding Team to fill the role of Profee Coding...
  • 1 Month Ago

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Medical Records Coding Specialist
  • Southwest Medical Imaging
  • Scottsdale, AZ FULL_TIME
  • Since 1980, SMIL has evolved into the premier imaging provider in the southwestern United States. SMIL won the 2016 Southwest Alliance for Excellence award for customer and employee satisfaction, soun...
  • 1 Month Ago

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Material Compliance Specialist
  • MacLean-Fogg
  • Mundelein, IL
  • Material Compliance Specialist Mundelein, IL, 1000 Allanson Road, Mundelein, Illinois, United States of America Req #337...
  • 3/29/2024 12:00:00 AM

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Safety and Compliance Specialist
  • R & B Wagner, Inc.
  • Milwaukee, WI
  • The Safety and Compliance Specialist will lead efforts to protect Wagners shareholders, customers, and the environment f...
  • 3/29/2024 12:00:00 AM

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Compliance Specialist
  • Lucas James Talent Partners
  • Eagan, MN
  • At TempWorks, the Compliance Specialist is responsible for reviewing customer contracts and translating them for interna...
  • 3/29/2024 12:00:00 AM

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Compliance Specialist
  • JEVS Human Services
  • Philadelphia, PA
  • Currently we have an exciting opportunity with our Work Ready program as a Compliance Specialist. Work Ready provides se...
  • 3/29/2024 12:00:00 AM

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HIPAA Compliance Expert
  • Eagle Consulting Partners, Inc.
  • Cleveland, OH
  • At Eagle Consulting Partners, we provide cybersecurity, compliance, and IT risk management consulting to Small and Mediu...
  • 3/28/2024 12:00:00 AM

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Financial Compliance Specialist
  • Virginia Tech University
  • Blacksburg, VA
  • The Office of Sponsored Programs at Virginia Tech, a central university department under the Office of Research and Inno...
  • 3/28/2024 12:00:00 AM

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Personal and Work Life Core Compliance Expert
  • Ladgov Corporation
  • Montgomery, AL
  • Major Duties and Responsibilities Provide family-focused education and support services. Conduct initial and crisis asse...
  • 3/28/2024 12:00:00 AM

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EMEA Trade Compliance Specialist
  • Arrow Electronics, Inc.
  • Sevenum, Limburg
  • Position: EMEA Trade Compliance Specialist Job Description: As Arrow Global Components (AGC), a part of Arrow Electronic...
  • 3/11/2024 12:00:00 AM

Arizona (/ˌærɪˈzoʊnə/ (listen); Navajo: Hoozdo Hahoodzo Navajo pronunciation: [xòːztò xɑ̀xòːtsò]; O'odham: Alĭ ṣonak Uto-Aztecan pronunciation: [ˡaɺi ˡʂonak]) is a state in the southwestern region of the United States. It is also part of the Western and the Mountain states. It is the sixth largest and the 14th most populous of the 50 states. Its capital and largest city is Phoenix. Arizona shares the Four Corners region with Utah, Colorado, and New Mexico; its other neighboring states are Nevada and California to the west and the Mexican states of Sonora and Baja California to the south and so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$62,749 to $83,359

Coding Compliance Specialist in Altus, OK
With little or no supervision, plans, conducts and coordinates the daily operations of one of the Coding and Documentation Quality Assurance (CDQA) sub-teams.
December 14, 2019
Coding Compliance Specialist in Terre Haute, IN
Leads the initiatives and responsibilities of the Enterprise-Wide Coding implementation work groups applicable to their sub-team.
December 16, 2019
Coding Compliance Specialist in Portland, OR
This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding Guidelines and Official ICD9 / ICD10 Coding Guidelines.
December 23, 2019