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)
Join our BSA Health System team as a Compliance Privacy Specialist!
BSA Health System (BSA) is the fourth largest employer in Amarillo, TX, with a medical staff of more than 450 physicians and about 3,400 employees. BSA is an extensive health system providing clinical excellence to the Texas Panhandle and the tri-state area. Acclaimed for its superior quality and customer service, BSA Health System is comprised of BSA Hospital, Physicians Surgical Hospitals, Harrington Cancer Center, BSA Physicians Group and specialty clinics. BSA Health System has 486 licensed beds.
Our health system is part of a larger organization, Nashville-based Ardent Health Services. Ardent Health Services includes 30 hospitals and more than 200 sites of care.
POSITION SUMMARY
The Compliance Privacy Specialist will serve as a resource to the BSA Health System and provide support for compliance policy and procedure development and implementation, auditing and monitoring, training and education, eligibility screening, compliance investigations, and report. This position will provide support for the facility's HIPAA Privacy program, development, implementation, maintenance, and compliance of it.
Education:
Preferred Education, Experience and Knowledge:
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0 Coding Compliance Specialist jobs found in Clovis, NM area