Coding Compliance Specialist jobs in Louisiana

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
  • Tulane University
  • Orleans, LA FULL_TIME
  • This position is responsible for the timely auditing and coding of professional services based on provider documentation, ensuring that all services are in compliance with the Tulane University Medical Group (TUMG) Guidelines. Responsibilities also include maintaining knowledge base relative to billing functions, internal and external regulations and documentation issues. This individual is required to maintain current knowledge of CMS and Louisiana guidelines that govern reimbursement for professional services. This person must be able to work independently and process large quantities of data. The ability to communicate clearly and professionally with providers, department administrators, and the TUMG staff and respond timely and accurately to inquiries are key elements required of the individual in this position.

    Required Knowledge, Skills, and Abilities
    • Proficient computer skills and a working knowledge of Microsoft Office software applications, including Word and Excel

    • Excellent written and verbal communication skills

    • Ability to prepare and present educational material to physicians

    • Ability to work independently and demonstrate initiative

    • Good organizational skills

    • Ability to be flexible and proactive in a changing environment

    • Tactful and professional interpersonal relationships with others

    Required Education and/or Experience
    • High School Diploma or equivalent

    • 5 years' multi-specialty physician services coding or auditing experience

    Preferred Qualifications
    • High School Diploma or equivalent plus certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or Certified in Healthcare Compliance (CHC)

    • Accurate keyboarding skills

    • Working knowledge of revenue cycle

    • One year IDX Meditech and EMR experience such as EPIC and eClinical works (eCw)

  • 4 Days Ago

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Coding Specialist
  • Acadian Ambulance
  • Lafayette, LA FULL_TIME
  • The Coding and Documentation Center is seeking qualified candidates for the position of Coding Specialist at our Kaliste Saloom location in Lafayette, LA. This position is an in-office position during...
  • 11 Days Ago

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Coding Specialist
  • acadianambulance
  • Lafayette, LA FULL_TIME
  • The Coding and Documentation Center is seeking qualified candidates for the position of Coding Specialist at our Kaliste Saloom location in Lafayette, LA. This position is an in-office position during...
  • 14 Days Ago

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CODING SPECIALIST
  • SURGICAL SPECIALTY CENTER OF BATON ROUGE LLC
  • Baton Rouge, LA OTHER
  • Job Details Job Location: Surgical Specialty Center of Baton Rouge - Baton Rouge, LA Education Level: High School Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job Category: Adminis...
  • 2 Months Ago

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Drug Testing Specialist
  • Drug & Alcohol Testing Compliance Services
  • Shreveport, LA FULL_TIME
  • About Us: DATCS is a certified woman-owned company with over 34 years of experience in DOT compliance and workplace drug testing across the United States. We are dedicated to ensuring the safety and w...
  • 1 Month Ago

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Coding Compliance/Quality Supervisor (Full Time)
  • Lake Charles Memorial Health System
  • Charles, LA FULL_TIME
  • The Coding Compliance/Quality Supervisor demonstrates the ability to achieve individual quality performance in daily duties is team oriented and seeks to produce timely and high quality results. Repor...
  • 1 Month Ago

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Compliance Specialist / Adv Compliance Specialist
  • Marathon Petroleum
  • Canonsburg, PA
  • An exciting career awaits you At MPC, we’re committed to being a great place to work – one that welcomes new ideas, enco...
  • 4/19/2024 12:00:00 AM

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Code Compliance Specialist 1 (NY HELPS)
  • StateJobsNY
  • Buffalo, NY
  • Current New York State employee with one year or more of qualifying permanent service as a Senior Safety and Health Insp...
  • 4/19/2024 12:00:00 AM

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Customs Compliance Specialist
  • Clean Harbors
  • Norwell, MA
  • The Transportation Compliance Specialist reports directly to the Director of Transportation Compliance and is responsibl...
  • 4/18/2024 12:00:00 AM

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Compliance Specialist
  • Global Channel Management Inc.
  • Los Angeles, CA
  • About the job Compliance Specialist Compliance Specialist needs 3+ years of strong experience workforce contract Complia...
  • 4/17/2024 12:00:00 AM

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EVV Compliance Specialist
  • Addus Homecare
  • Frisco, TX
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/17/2024 12:00:00 AM

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Labor Compliance Specialist
  • Global Channel Management Inc.
  • Los Angeles, CA
  • About the job Labor Compliance Specialist Compliance Specialist needs 5 years working experiences related to Workforce c...
  • 4/17/2024 12:00:00 AM

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DHA Medical Coding Compliance Specialist-(Hybrid Remote)
  • Serco North America
  • Oklahoma City, OK
  • Position Description : Serco is excited to continue our support to the Defense Heath Agency (DHA) Medical Coding Program...
  • 4/15/2024 12:00:00 AM

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Product Expert - Compliance
  • Haleon
  • Poznań, Greater Poland Voivodeship
  • Hello. We’re Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we’re improving e...
  • 4/9/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$60,975 to $81,001

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