Coding Compliance Specialist jobs in Danbury, CT

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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Corporate Coding Trainer - Inpatient
  • Nuvance
  • Danbury, CT FULL_TIME
  • $5000 Sign On Bonus For External Hires!

    Remote Coder positions are available in FL, CT, NC, SC, NY, NH, TX, AZ, NJ, PA, ME, and MA!

    Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center, and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations.


    Summary:

    The Education Trainer is an important member of the Nuvance Health team. The Education Trainer is responsible for the design, development, and execution of the training curriculum to support our internal teams’ training needs in relation to the operation of the coding criteria, guidelines, and quality in order to create an internal pipeline for new talent for hard to fill coding positions.

    Responsibilities:

    • Conduct needs assessment and identify performance gaps and implement training best practices to ensure alignment with department needs.
    • Lead training sessions with Team Members to ensure accurate coding assignments.
    • Ensure compliance through education that is consistent with all applicable Federal, State, and/or County laws and regulations related to coding and documentation.
    • Expert knowledge of DRG, APC, NCCI, LCD, NCD reimbursement methodologies and expertise in the coding of diagnoses and procedures to accurately apply diagnosis and procedure codes.
    • Develop policies to reflect changes and guidelines from CMS, AMA, commercial payors, new and deleted codes, and communicate to staff and vendor partners.
    • Assist teams with focus reviews for ICD-10-CM and ICD-10 PCS and Evaluation and Management (E&M) and CPT®, code assignment.
    • Align conduct with AAPC and/or AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.

    Other information:

    • Experience in DRG Validation
    • Experience teaching/providing education in a healthcare setting desired
    • Minimum Experience Required: 5 years

    What We Offer:

    • Medical, Dental, Vision
    • Paid Time Off (PTO)
    • 401K
    • Life and Disability
    • Tuition Reimbursement
    • In addition, we provide a range of voluntary benefits!!


    Work Type: Full-Time

    Work Shift: Monday - Friday 7:30am - 4:00pm

    Salary Range: $31 - $45/hour (Pay depends on years of experience)

     

    EOE, including disability/vets.

    We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.

  • 19 Days Ago

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Compliance Officer
  • Savings Bank of Danbury
  • Danbury, CT FULL_TIME
  • Job Overview:The Compliance Officer is responsible for developing, implementing and administering all aspects of the Banks' Compliance Management Program. Key responsibilities include, acting as audit...
  • 21 Days Ago

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HR Manager – Benefit Analytics and Compliance
  • Linde Inc.
  • Danbury, CT FULL_TIME
  • Linde Inc. HR Manager – Benefit Analytics and Compliance Danbury, CT, United States | req14444 What you will enjoy doing* This position reports to the Director of Retirement / Health and Welfare Benef...
  • 1 Month Ago

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Behavior Specialist
  • New Fairfield Public Schools
  • Fairfield, CT FULL_TIME
  • JobID: 4119Position Type:Student Support Services/Behavior SpecialistDate Posted:11/2/2023Location:DistrictClosing Date:11/15/2023*VACANCY NOTICE*NEW FAIRFIELD* BOARD OF EDUCATION*POSITION: Behavior S...
  • 22 Days Ago

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ToGo Specialist
  • Applebee's
  • Brewster, NY FULL_TIME
  • *Pay reflects our current average pre-tax earning range (base wage plus tips) and is not a guarantee.Applebee's started with the same philosophy we follow today - focused on serving good food to good ...
  • 22 Days Ago

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Warehouse Specialist
  • ArmyRecruiting Albany
  • Brookfield, CT FULL_TIME
  • The unit supply specialist is primarily responsible for supervising or performing tasks involving the general upkeep and maintenance of all Army supplies and equipment.Basic Qualifications:Be under th...
  • Just Posted

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0 Coding Compliance Specialist jobs found in Danbury, CT area

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AVP, Accounting Policy
  • Lincoln Search Consultants
  • Stamford, CT
  • Company: Client is a Life & Annuity carrier, which is a mid-size, investment fund backed company that is fast-growing bu...
  • 4/25/2024 12:00:00 AM

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AVP, Deposits Risk
  • Synchrony Financial
  • Stamford, CT
  • Job Description: Reporting to the VP, Deposits Risk Leader, this role will contribute to consumer compliance and operati...
  • 4/24/2024 12:00:00 AM

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EHR & Compliance Specialist
  • Andrus Childrens Center
  • Yonkers, NY
  • Job Description Job Description Job Overview of EHR & Compliance Specialist The EHR & Compliance Specialist is responsib...
  • 4/23/2024 12:00:00 AM

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Internal Revenue Agent (Reviewer - Examiner) 12 MONTH ROSTER - AMENDED
  • Department Of The Treasury
  • Danbury, CT
  • Duties WHAT IS THE WHISTLEBLOWER OFFICE (WBO) DIVISION? A description of the business units can be found at: https://www...
  • 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
  • Danbury, CT
  • 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

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Travel Fetal Echocardiography - $2,940 per week
  • Hiring Now!
  • New Haven, CT
  • Planet Healthcare is seeking a travel Fetal Echocardiography for a travel job in New Haven, Connecticut. Job Description...
  • 4/22/2024 12:00:00 AM

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Travel Ultrasound Technologist - $2,940 per week
  • Hiring Now!
  • New Haven, CT
  • Planet Healthcare is seeking a travel Ultrasound Technologist for a travel job in New Haven, Connecticut. Job Descriptio...
  • 4/22/2024 12:00:00 AM

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Retail Operations Compliance Specialist
  • Design Within Reach
  • Stamford, CT
  • **Retail Operations Compliance Specialist** at Design Within Reach Stamford, CT Herman Miller Retail is looking for a Re...
  • 4/21/2024 12:00:00 AM

Danbury is a city in Fairfield County, Connecticut, United States, located approximately 50 miles (80 km) northeast of New York City making it part of the New York metropolitan area. Danbury's population at the 2010 census was 80,893. Danbury is the fourth most populous city in Fairfield County, and seventh among Connecticut cities. The city is within the New York combined statistical area and Bridgeport metropolitan area. The city is named for Danbury in Essex, England. It is nicknamed the "Hat City" because for a period in the nineteenth and early twentieth centuries it was the center of the...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$70,593 to $93,777
Danbury, Connecticut area prices
were up 1.7% 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