Coding Compliance Specialist jobs in Boise, ID

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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Certified Billing and Coding Specialist
  • Align Business Solutions
  • Eagle, ID FULL_TIME
  • Experienced Certified Medicare Part A & B Biller (MUST LIVE IN TREASURE VALLEY)

    Align Business Solutions is seeking a highly motivated and detail-oriented Certified Biller to join our growing team. The ideal candidate will have extensive experience in medical billing and coding, with a strong focus on Medicare Part A and Part B regulations and procedures.

    Responsibilities:

    Accurately and efficiently prepare and submit claims for all Medicare Part A and Part B patients.

    Analyze and resolve claim denials and rejections.

    Maintain accurate and up-to-date patient billing records.

    Perform Medicare Part A and Part B audits.

    Stay current on all Medicare regulations and coding updates.

    Communicate effectively and professionally with clients, patients, insurance companies, and other healthcare providers.

    Contribute to the continuous improvement of our billing and coding processes.

    Qualifications:

    Certified Medical Biller (CMB) or Certified Professional Coder (CPC) certification.

    3 years of experience in medical billing and coding, with a focus on Medicare Part A and Part B.

    Trained and experienced in relevant clearinghouses.

    Proficiency in ICD-10-CM and CPT, as well as HCPCS coding systems.

    Excellent understanding of Medicare billing guidelines, compliance, regulations and reimbursement.

    Proficient in electronic health records (EHR) systems.

    Exceptional organizational and time management skills.

    Ability to work independently and as part of a team.

    Capable of being flexible and adaptable to changing environment and client dynamics.

    Strong communication and interpersonal and problem solving skills.

    Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Life insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Application Question(s):

    • Do you currently live in the Treasure Valley? If not, are you planning to relocate?

    Experience:

    • Medicare Part B: 1 year (Preferred)
    • Medicare Part A: 1 year (Required)

    License/Certification:

    • Medical Billing Certification (Required)

    Ability to Relocate:

    • Eagle, ID 83616: Relocate before starting work (Required)

    Work Location: In person

  • 8 Days Ago

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Hospital Coding Specialist REMOTE
  • Clinical Management Consultants
  • Payette, ID FULL_TIME
  • A renowned community hospital is seeking a skilled and knowledgeable Hospital Coding Specialist to join their team and this has the possibility of being a remote position! The Hospital Coding Speciali...
  • 28 Days Ago

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Environmental Compliance Specialist
  • Stantec
  • Boise, ID FULL_TIME
  • Environmental Compliance Specialist - ( 230002YJ ) Description Grounded in safety, quality, and ethics, our experts lead their fields and guide our work with rigor, a creative spirit, and vision for g...
  • 4 Days Ago

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Global Trade Compliance Specialist 5
  • Micron Technology
  • Boise, ID FULL_TIME
  • Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of i...
  • Just Posted

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Global Trade Compliance Specialist 5
  • Micron
  • Boise, ID FULL_TIME
  • Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of i...
  • 1 Day Ago

M
Global Trade Compliance Specialist 5
  • Micron
  • Boise, ID FULL_TIME
  • Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of i...
  • 1 Day Ago

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0 Coding Compliance Specialist jobs found in Boise, ID area

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Provider Financial Analyst II Full-Time Days
  • Trinity Health
  • Boise, ID
  • Employment Type: Full timeShift: Day Shift Description: At Saint Alphonsus Health System, we are looking for people who ...
  • 4/20/2024 12:00:00 AM

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Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, W
  • Avantax Planning Partners
  • Boise, ID
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 4/20/2024 12:00:00 AM

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Boise, ID
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 4/17/2024 12:00:00 AM

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Assistant Branch Manager (Sales & Service Lead) - 40 hours Boise ID Emerald branch
  • BNP Paribas Bank NV
  • Boise, ID
  • We are looking for **Assistant Branch Manager (Sales & Service Lead) - 40 hours Boise ID Emerald branch** **Location** A...
  • 4/17/2024 12:00:00 AM

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Assistant Branch Manager (Sales & Service Lead) - 40 hours Meridian ID
  • BNP Paribas Bank NV
  • Meridian, ID
  • We are looking for **Assistant Branch Manager (Sales & Service Lead) - 40 hours Meridian ID** **Location** At Bank of th...
  • 4/17/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 4/16/2024 12:00:00 AM

D
Internal Revenue Agent (Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 4/16/2024 12:00:00 AM

A
Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
  • Avantax Planning Partners
  • Boise, ID
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 4/16/2024 12:00:00 AM

Boise (/ˈbɔɪsi/ (listen)) is the capital and most populous city of the U.S. state of Idaho, and is the county seat of Ada County. Located on the Boise River in southwestern Idaho, the population of Boise at the 2010 Census was 205,671, the 99th largest in the United States. Its estimated population in 2016 was 223,154. Boise is in southwestern Idaho, about 41 miles (66 km) east of the Oregon border, and 110 miles (177 km) north of the Nevada border. The downtown area's elevation is 2,704 feet (824 m) above sea level. Most of the metropolitan area lies on a broad, flat plain, descending to the ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,629 to $79,212
Boise, Idaho area prices
were up 2.5% 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