Coding Compliance Specialist jobs in Greenwich, 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
  • Protos Security, LLC
  • Norwalk, CT FULL_TIME
  • Protos Security is the largest technology-enabled security officer management company in the U.S. In addition to providing our clients with industry leading security management software, Protos offers security guarding services via a national network of 4,000 vetted and managed, local security vendors.

    We are currently looking to hire an entry-level Compliance Specialist to work full-time, Monday through Friday, in a remote capacity. As part of the existing Compliance team, you will execute daily activities which support, and ensure the ongoing participation of, members of our national network of security vendors. Through phone and electronic communication, you will ensure that each vendor maintains all insurance, licensing, tax, and contract documentation required for participation in our network – and that this information is current, verified, and maintained within internal databases. If you are a detail oriented and enthusiastic team player looking to grow your career in an expanding and industry-leading service organization working each day to keep people safe, read on!

    Essential Duties and Responsibilities May Include:

    • Ensure all security vendors are properly licensed and insured, via audit or monitoring business processes and databases
    • Communicate with vendors to obtain renewal documents as and when needed
    • Confirm documents received are accurate and meet requirements; work with vendors to resolve any issues identified
    • Validate that documents received are authentic by contacting insurance brokers or carriers, and licensing authorities
    • Ensure vendor network integrity by advising other Protos departments of a vendor’s non-compliance and move to restrict their access to future work orders
    • Manage documents across data repositories, including hard and digital copies as necessary
    • Work with internal partners as needed to provide support and/or resolve compliance-related issues
    • Review new vendor applications, determine their value to the network; participate in onboarding as required
    • Maintain vendor and contact profile data; document all communications in company systems, spreadsheets, or reports
    • Participate in weekly meetings to discuss business objectives, P&P adjustments, audit needs, areas of the country where additional vendors are needed, and provide feedback regarding internal IT-related process and workflow
    • Be a team player, sharing best practices and lessons learned with other members of the Compliance team to ensure a level of consistency across all vendor interactions
    • Maintain a positive and professional demeanor, representing Protos in full compliance with applicable laws, regulations, policies, and procedures
    • Perform additional functions, duties and specific tasks of a similar nature and scope as necessary to achieve assigned business objectives

    Qualifications:

    • High School Diploma/GED required; Undergraduate work preferred
    • Minimum of 2 years’ experience in a compliance role, or a position requiring a similar skill set
    • Highly organized and methodical, with a systematic approach to work
    • Process driven and detailed oriented, with excellent prioritization and time management skills
    • Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems quickly
    • Proficient in data validation and sorting
    • Strong communication, collaboration, and leadership skills
    • Demonstrated ability to work in a team-oriented environment
    • Microsoft Office (Excel, Word, Outlook) proficiency required; Excel knowledge preferred
    • Security industry experience helpful, but not required


    Additional Information:

    • Position: Full-time, exempt
    • Compensation: Base salary commensurate with experience, discretionary, performance based year-end bonus
    • Benefits: Health, Vision, Life and Dental Insurance; Paid Time Off; Retirement Plan 401(k); Flexible Spending Account; Health Savings Account; Parental Leave; Employee Assistance Program
    • Travel: Up to 10%

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.






    PI97185d599dd2-31181-33870064


    About the Company:
    Protos Security, LLC



  • 1 Month Ago

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Coding Teacher (Part Time)
  • Concorde Education
  • Stamford, CT PART_TIME
  • Job Title: Coding Teacher (Part Time) General Responsibilities: Under the supervision of the Director of Educational Development, plans and facilitates collaborative coding instructional sessions usin...
  • 18 Days Ago

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Unity Coding Teacher (Part Time)
  • Concorde Education
  • Stamford, CT PART_TIME
  • Job Title: Unity Coding Teacher (Part Time) General Responsibilities: Under the supervision of the Director of Educational Development, plans and facilitates collaborative Unity coding instructional s...
  • 18 Days Ago

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Compliance Associate
  • Portfolio Advisors
  • Darien, CT FULL_TIME
  • The Compliance team is looking to add an Associate to their team in Darien, CT. This role will be a hybrid role - 4 days in office/1 day remote. This is an exciting opportunity to work directly with t...
  • 23 Days Ago

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Teacher - Coding, STEM, Technology (2022-2023 SY)
  • Norwalk Public Schools
  • Norwalk, CT FULL_TIME
  • JobID: 7639 Position Type: Middle School Teaching/Computer Date Posted: 8/10/2022 Location: West Rocks Middle School (High-Needs School) Date Available: August/2022 2022 - 2023 SCHOOL YEAR TEACHER – C...
  • Just Posted

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SVP, Compliance Program and Initiatives
  • Synchrony Financial
  • Stamford, CT FULL_TIME
  • Job Description:Role Summary/Purpose:The Senior Vice President of Compliance Program and Initiatives plays a pivotal role in ensuring that our organization continues to enhance core compliance program...
  • 18 Days Ago

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0 Coding Compliance Specialist jobs found in Greenwich, CT area

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Compliance Specialist
  • WEST SIDE FEDERATION FOR SENIOR AND SUPPORTIVE HOUSING, INC.
  • New York, NY
  • Job Description Job Description Job Description Compliance Specialist Summary Description Reporting to the Assistant Dir...
  • 4/23/2024 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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Healthcare Compliance Specialist
  • Healthcare Enterprise
  • New York, NY
  • Job Description Job Description The Compliance Specialist oversees the Compliance Program for the Home Care agency, ensu...
  • 4/23/2024 12:00:00 AM

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HR Compliance Specialist
  • DHD Consulting
  • Englewood Cliffs, NJ
  • Job Description Job Description For the HR Compliance Specialist position, this role will require creating and maintaini...
  • 4/23/2024 12:00:00 AM

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Occupancy Compliance Specialist
  • HANAC, Inc.
  • Astoria, NY
  • Job Description Job Description HANAC, Inc. – originally founded by George Douris as the Hellenic American Neighborhood ...
  • 4/23/2024 12:00:00 AM

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Contract and Compliance Specialist
  • Upwardly Global
  • New York, NY
  • Job Description Job Description Title: Contract and Compliance Specialist Department: Finance Reports to: Director of Bu...
  • 4/23/2024 12:00:00 AM

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Accommodation and Compliance Specialist
  • Datadog
  • New York, NY
  • Datadog is the world-class monitoring and security platform for cloud applications. We're dedicated to creating, develop...
  • 4/21/2024 12:00:00 AM

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Compliance Specialist
  • Cresilon, Inc.
  • Brooklyn, NY
  • The Compliance Specialist provides guidance and ensures compliance with ISO13485 & 21 CFR Part 820 and applicable good m...
  • 4/20/2024 12:00:00 AM

Greenwich /ˈɡrɛnɪtʃ/ is a town in Fairfield County, Connecticut, United States. As of the 2010 census, the town had a total population of 61,171. It is the 10th largest municipality in Connecticut, and the largest that functions as a town (the remaining largest municipalities in the state function as cities). The largest town on Connecticut's Gold Coast, Greenwich is home to many hedge funds and other financial service firms. Greenwich is the southernmost and westernmost municipality in Connecticut as well as in the six-state region of New England. It is roughly 40 to 50 minutes by train from...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$73,606 to $97,780
Greenwich, 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