Coding Compliance Specialist jobs in Illinois

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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Coding Compliance Specialist (Medical Coding/CPC)
  • Health Care Service Corp.
  • Illinois, IL OTHER
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career. Come join us and be part of a purpose driven company who is invested in your future! Job Summary ***This position is telecommute, but with local travel requirements.*** **Must be located within Illinois, New Mexico, or Texas to qualify for this role.** Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding. Validating the coding and supporting the department in the reporting of finding. This position audits medical records to ensure compliance with the organization coding procedures and standards according to the CMS Coding Guidelines and Official ICD9 / ICD10 Coding Guidelines. Ability to travel 20% - 30% of the time in state and as close to home as possible. *No out-of-state applicants will be considered.* JOB REQUIREMENTS: High School Diploma or GED (REQUIRED) CPC Coding Certification/CPC, CCS, CCSP (REQUIRED) 2 years medical coding experience (REQUIRED) Experience with process management PC experience and skills to include Microsoft Office Verbal and written communication skills Analytical skills Ability to travel 20% - 30% of the time in and out of state PREFERRED JOB REQUIREMENTS: At least 6 months Risk Adjustment Coding Experience (highly preferred) CRC Experience in health insurance or health care setting We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet. *Sponsorship will not be provided for this role.* Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process! HCSC Employment Statement: HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions. Legal and Privacy Health Care Service Corporation is an Equal Opportunity Employment / Affirmative Action employer Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2022 Health Care Service Corporation. All Rights Reserved.
  • 17 Days Ago

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Supervisor, Coding and Compliance
  • SwedishAmerican / A Division of UW Health
  • Rockford, IL FULL_TIME
  • Supervisory/Management SwedishAmerican / A Division of UW Health MSO PB CODING Full Time · Day Shift · 8:00-4:30pm CT POSITION SUMMARY: Under the direction of the Coding Manager, the Coding Supervisor...
  • 8 Days Ago

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Supervisor, Coding and Compliance (Remote)
  • UW Health in Northern Illinois
  • Rockford, IL FULL_TIME
  • POSITION SUMMARY: Under the direction of the Coding Manager, the Coding Supervisor is responsible for providing first-line supervision for Medical Coding staff. This may include Coding Assistants, Med...
  • 10 Days Ago

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Coding and Compliance Analyst Senior
  • 1100 NorthShore University HealthSystem
  • Skokie, IL FULL_TIME
  • Position Highlights: Position: Sr Analyst, Coding Compliance Location: Skokie, IL Full Time/Part Time: Full time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early ...
  • 17 Days Ago

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Coding specialist
  • Revo Health
  • Lansing, IL FULL_TIME
  • Description The Coding Specialist I will assure consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and depar...
  • 25 Days Ago

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Coding Specialist - Full Time
  • Fairfield Memorial Hospital
  • Fairfield, IL FULL_TIME
  • STATUS: Non- Exempt; Full Time Days Fairfield Memorial Hospital’s mission is to positively influence the health of those we serve. Our team is committed to providing the best possible patient experien...
  • 20 Days Ago

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Material Compliance Specialist
  • MacLean-Fogg
  • Mundelein, IL
  • Material Compliance Specialist Mundelein, IL, 1000 Allanson Road, Mundelein, Illinois, United States of America Req #337...
  • 3/29/2024 12:00:00 AM

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Safety and Compliance Specialist
  • R & B Wagner, Inc.
  • Milwaukee, WI
  • The Safety and Compliance Specialist will lead efforts to protect Wagners shareholders, customers, and the environment f...
  • 3/29/2024 12:00:00 AM

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Compliance Specialist
  • Lucas James Talent Partners
  • Eagan, MN
  • At TempWorks, the Compliance Specialist is responsible for reviewing customer contracts and translating them for interna...
  • 3/29/2024 12:00:00 AM

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Compliance Specialist
  • JEVS Human Services
  • Philadelphia, PA
  • Currently we have an exciting opportunity with our Work Ready program as a Compliance Specialist. Work Ready provides se...
  • 3/29/2024 12:00:00 AM

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HIPAA Compliance Expert
  • Eagle Consulting Partners, Inc.
  • Cleveland, OH
  • At Eagle Consulting Partners, we provide cybersecurity, compliance, and IT risk management consulting to Small and Mediu...
  • 3/28/2024 12:00:00 AM

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Financial Compliance Specialist
  • Virginia Tech University
  • Blacksburg, VA
  • The Office of Sponsored Programs at Virginia Tech, a central university department under the Office of Research and Inno...
  • 3/28/2024 12:00:00 AM

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Personal and Work Life Core Compliance Expert
  • Ladgov Corporation
  • Montgomery, AL
  • Major Duties and Responsibilities Provide family-focused education and support services. Conduct initial and crisis asse...
  • 3/28/2024 12:00:00 AM

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EMEA Trade Compliance Specialist
  • Arrow Electronics, Inc.
  • Sevenum, Limburg
  • Position: EMEA Trade Compliance Specialist Job Description: As Arrow Global Components (AGC), a part of Arrow Electronic...
  • 3/11/2024 12:00:00 AM

Illinois (/ˌɪlɪˈnɔɪ/ (listen) IL-ih-NOY) is a state in the Midwestern and Great Lakes region of the United States. It has the fifth largest gross domestic product (GDP), the sixth largest population, and the 25th largest land area of all U.S. states. Illinois is often noted as a microcosm of the entire United States. With Chicago in northeastern Illinois, small industrial cities and immense agricultural productivity in the north and center of the state, and natural resources such as coal, timber, and petroleum in the south, Illinois has a diverse economic base, and is a major transportation hu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$65,831 to $87,453

Coding Compliance Specialist in Altus, OK
With little or no supervision, plans, conducts and coordinates the daily operations of one of the Coding and Documentation Quality Assurance (CDQA) sub-teams.
December 14, 2019
Coding Compliance Specialist in Terre Haute, IN
Leads the initiatives and responsibilities of the Enterprise-Wide Coding implementation work groups applicable to their sub-team.
December 16, 2019
Coding Compliance Specialist in Portland, OR
This position audits medical records to ensure compliance with the organizations coding procedures and standards according to the CMS Coding Guidelines and Official ICD9 / ICD10 Coding Guidelines.
December 23, 2019