Coding Compliance Specialist jobs in East Hartford, 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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COMPLIANCE SPECIALIST
  • Deringer Ney
  • Bloomfield, CT FULL_TIME
  • Title: Compliance Specialist

    Job Summary:

    Oversee compliance requests and requirements to ensure that statutory, regulatory, and customer specific requirements are met (i.e., Export Controls/ITAR, FARs, DFARs, REACH, RoHS, Conflict Minerals/CMRT, FDA, etc.). Support and/or drive overall implementation, maintenance, and continual improvement of Quality Management Systems (QMS) to achieve compliance.

    Supervisory Responsibilities: No

    Duties/Responsibilities:

    • Receive, review, and maintain applicable standards, statutory/regulatory requirements, and customer specific requirements in an electronic database, along with appropriate notes and exceptions.
    • Own process flows related to compliance programs. For instance:
      • Export Control compliance reviews;
      • ITAR protocols;
      • conflict mineral smelter qualification;
      • FARs and DFARs;
      • EAR, export licensing guidelines, and harmonized tariff codes;
      • restricted substance compliance analysis;
      • International Material Data System (IMDS) and full material disclosure reporting;
      • medical device history record compliance;
      • and/or other compliance procedures.
    • Provide excellent customer service by compiling and communicating compliance surveys and questionnaires to Deringer-Ney’s customers.
    • Support contract manufacturing opportunities through specification review, using the Engineering Change process as appropriate.
    • Capture findings and provide feedback on any gaps between current systems and practices and those required by standards and specifications, utilizing the Corrective Action/Preventative Action process when necessary.
    • Report to Senior Management regularly on the performance of the Quality Management System with respect to compliance and any need for improvements.
    • Develop metrics and methods of monitoring to ensure compliance health.


    ADDITIONAL RESPONSIBILITIES:
    • Work in conjunction with the Quality Assurance Manager to ensure Quality Management System is configured maintained in accordance with applicable standards and regulations.
    • Develop and maintain knowledge and expertise of applicable regulations and ISO Standards. The latter includes ISO 9001, ISO 13485 (medical), ISO 14000 (environmental), and IATF 16949 (automotive).
    • Develop and maintain knowledge of export control regulations through training such as BIS.
    • Support audits by internal auditors, registrars, customers, and/or audits on Deringer-Ney suppliers, as necessary.
    • Research, communicate, and address new statutory, and/or regulatory requirements throughout the organization when/where required.
    • Ensure DNI training materials pertaining to compliance are up-to-date and correct; assist in training when required.
    • Perform internal product and process audits in areas both related and unrelated to compliance.

    Required Skills/Abilities:

    • Strong communication skills. Must be able to present compliance risks, analysis results, and improvement opportunities effectively throughout the organization on a timely basis.
    • Organized. Will be expected to prioritize and execute several different tasks with various internal and external stakeholders.
    • Detail-oriented. Will have a natural ability to pay attention to fine detail during the review of specifications and documentation.
    • Computer skills required to navigate various software packages commonly used in compliance. This includes:
    • electronic quality databases (i.e., Unipoint),
    • enterprise resource planning systems (i.e., Made2Manage),
    • PDF processing tools (i.e., Adobe Acrobat),
    • word processing, and
    • presentation management software.


    Experience & Education Requirements:

    • Background in ISO 9001 system management and specification review is required for the position.
    • Bachelor’s Degree preferred, although certain vocational training (i.e., paralegal) and/or significant professional experience may be considered in lieu of certain educational requirements.
    • Auditing and training experience is preferred.
    • Background in an ISO 13485-certified and/or IATF 16949-certified quality system management is preferred.
    • FDA regulations (i.e., CFR), medical industry compliance requirements, and other international standards that regulate the medical device industry is preferred.
    • Knowledge of automotive industry customer-specific requirements, and relevant associated standards (i.e., CQI, etc.) is preferred.
    Physical Requirements:
    • Prolonged periods of sitting at a desk and working on a computer.
    • Must be able to lift 15 pounds at times.
    • Must be able to access and navigate each department at the organization’s facilities.
  • 1 Month Ago

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Environmental Compliance Specialist (Onsite)
  • Pratt & Whitney
  • East Hartford, CT FULL_TIME
  • Date Posted: 2024-02-08 Country: United States of America Location: PW100: East Hartford 400 Main Street, East Hartford, CT, 06118 USA Position Role Type: Unspecified Pratt & Whitney is working to onc...
  • 10 Days Ago

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Senior Compliance Specialist
  • COLTS MANUFACTURING COMPANY LLC
  • West Hartford, CT OTHER
  • Job Details Job Location: W Hartford - West Hartford, CT Position Type: Full Time Education Level: High School Salary Range: $62,000.00 - $72,000.00 Salary/year Travel Percentage: None Job Shift: Day ...
  • 1 Day Ago

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Senior Compliance Specialist
  • COLTS MANUFACTURING COMPANY LLC
  • West Hartford, CT OTHER
  • Job Details Job Location: W Hartford - West Hartford, CT Position Type: Full Time Education Level: High School Salary Range: $62,000.00 - $72,000.00 Salary/year Travel Percentage: None Job Shift: Day ...
  • 1 Day Ago

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Assistant Compliance Specialist
  • Optimum Affordable Management Company LLC
  • Hartford, CT FULL_TIME
  • Purpose of Position: Responsible for reviewing and approving resident certifications for affordable housing programs and assisting the Compliance Director with compliance related duties. Essential Dut...
  • 5 Days Ago

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Human Resources Benefits and Compliance Specialist
  • The Village For Families & Children
  • Hartford, CT FULL_TIME
  • Job Description: Starting annual salary $65,000 and commensurate with experience. JOB SUMMARY The Benefits and Compliance Specialist (BCS) is responsible for the coordination of all insurance and well...
  • 1 Month Ago

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0 Coding Compliance Specialist jobs found in East Hartford, CT area

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Registered Nurse (RN) - Extended School Year (ESY) - Connecticut
  • CareStaff Partners
  • Stafford Springs, CT
  • CareStaff Partners is partnering with a well-respected School District in Stafford Springs, CT that is looking for a hig...
  • 4/19/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Hartford, CT
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 4/19/2024 12:00:00 AM

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Contract Financial Management Analyst
  • Cayuse Holdings
  • Hartford, CT
  • **Overview** The Contract Financial Management Analyst role will support our project delivery team by managing the finan...
  • 4/19/2024 12:00:00 AM

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Perfusion Territory Manager - Connecticut
  • Getinge Group
  • Hartford, CT
  • At Getinge we have the passion to perform Join our diverse teams of passionate people and a career that allows you to de...
  • 4/17/2024 12:00:00 AM

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Travel Cardiac Sonographer - $2,940 per week
  • Hiring Now!
  • New London, CT
  • Planet Healthcare is seeking a travel Cardiac Sonographer for a travel job in New London, Connecticut. Job Description &...
  • 4/17/2024 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...
  • 4/17/2024 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...
  • 4/17/2024 12:00:00 AM

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Compliance Specialist
  • Deringer-Ney Inc.
  • Hartford, CT
  • Title: Compliance Specialist Job Summary: Oversee compliance requests and requirements to ensure that statutory, regulat...
  • 4/15/2024 12:00:00 AM

East Hartford is a town in Hartford County, Connecticut, United States. The population was 51,252 at the 2010 census. The town is located on the east bank of the Connecticut River, directly across from Hartford, Connecticut. The town includes the neighborhoods of Burnside and Hockanum. According to the United States Census Bureau, the town has a total area of 18.7 square miles (48.5 km2), of which 18.0 square miles (46.6 km2) is land and 0.73 square miles (1.9 km2), or 3.93%, is water....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$68,926 to $91,562
East Hartford, 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