Coding Compliance Specialist jobs in Meridian, ID

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 Quality Specialist
  • St. Luke's Health System
  • Boise, ID FULL_TIME
  • Overview

    St. Luke's Health System is seeking a Coding Qualiting Specialist to join our team.

     

    Under limited supervision, the Coding Qualiting Specialist is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.

     

    Must be located in Idaho or Oregon.

     

    Do you enjoy complex coding cases?

     

    Exciting highlights of this role!

    • Be our team expert for coding questions, complex cases, and coding denials
    • Advise on coding guidelines and documentation requirements
    • Create and deliver coding education to team, and support new specialist onboarding
    • Auditing skill development
    • Support a skilled and compassionate team!
    • Network with healthcare professionals!
    • Begin your career for a growing organization that values its employees
    • Remote work and flexible schedule opportunities!

    We are looking for people who are flexible with any scenario and who see change as an opportunity!

     

    This is a FULL TIME position that is eligible for our full benefits package:

    • Health, dental, and vision benefits
    • Retirement plans with employer match
    • Paid time off, Sick leave
    • Life insurance
    • And so much more!

    Responsibilities

    • Demonstrates advanced competency with coding and review of medical record documentation to accurately assign codes based on state and federal regulations and company policies.
    • Reviews reimbursement denials from third party carriers associated with inappropriate diagnosis or procedure coding.
    • Responds promptly to questions from coders and utilizes various reports for the analysis and identification of patterns or trends when investigating issues.
    • Analyzes and reviews documentation for appropriateness and completeness to ensure documentation supports the level or type of services billed and documentation is in compliance with all guidelines and regulations.
    • Apply advanced coding knowledge to problem solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes.
    • Communicates with department management regarding complex coding issues, auditing issues, and current coding regulations.
    • Collaborates with department leadership to continually improve and maintain the efficiency and accuracy of the overall coding process.
    • Interprets federal and state regulations related to coding and integrates applicable regulations into current processes.
    • Performs other duties and responsibilities as assigned.

    Qualifications

    • Education: Associates degree in Health Information Management, 2 years in lieu of degree.
    • Experience: 5 years relevant experience.
    • Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries).

    Why St. Luke's

    A strong, talented staff is at the heart of St. Luke’s Health System. We are the state’s largest employer with more than 15,000 employees and a medical staff of more than 1,800 physicians and advanced practice providers. We’re proud of our people who deliver skilled, compassionate care every day, and are looking to add dedicated individuals who will continue this same tradition of excellence.

     

    *St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

  • 23 Days Ago

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Hospital Coding Specialist REMOTE
  • Clinical Management Consultants
  • Payette, ID FULL_TIME
  • A renowned community hospital is seeking a skilled and knowledgeable Hospital Coding Specialist to join their team and this has the possibility of being a remote position! The Hospital Coding Speciali...
  • 6 Days Ago

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Coding Quality Specialist
  • St Lukes Health System (Boise ID)
  • Boise, ID FULL_TIME
  • Category Revenue Cycle / Health Information Management Work Unit Physician Services Coding System Office Position Type Full-Time Work Schedule DAY Location Name 701 Morrison Knudsen Dr, Boise, St Luke...
  • 1 Month Ago

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Environmental Compliance Specialist
  • Stantec
  • Boise, ID FULL_TIME
  • Environmental Compliance Specialist - ( 230002YJ ) Description Grounded in safety, quality, and ethics, our experts lead their fields and guide our work with rigor, a creative spirit, and vision for g...
  • 9 Days Ago

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Regulatory Compliance Specialist
  • HF Sinclair Corporation
  • Mountain Home, ID FULL_TIME
  • Basic FunctionHF Sinclair Midstream is seeking a Regulatory Compliance Specialist. This position is open to location. The Regulatory Compliance Specialist conducts and supports compliance of DOT/PHMSA...
  • 15 Days Ago

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Administrator
  • Express Compliance
  • Boise, ID FULL_TIME
  • Overview:We are looking for a meticulous and knowledgeable individual to fill the role of USDOT Compliance Administrator with a focus on filing state and federal regulations. The ideal candidate will ...
  • 4 Days Ago

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0 Coding Compliance Specialist jobs found in Meridian, ID area

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Boise, ID
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 3/28/2024 12:00:00 AM

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Assistant Branch Manager (Sales & Service Lead) - 40 hours Meridian ID
  • BNP Paribas Bank NV
  • Meridian, ID
  • We are looking for **Assistant Branch Manager (Sales & Service Lead) - 40 hours Meridian ID** **Location** At Bank of th...
  • 3/28/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Special Enforcement Program - Examiner) 12 MONTH ROSTER (Amended)
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Supervisory Internal Revenue Agent (12 month roster) AMENDED
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE LBI - LARGE BUSINESS AND INTERNATIONAL DIVISION? A description of the business units can be found at:...
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) - 12 MONTH ROSTER
  • Department Of The Treasury
  • Boise, ID
  • Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
  • 3/27/2024 12:00:00 AM

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Financial Planning Consultant (Required: Series 7/66 or 63/65 combo) (Remote: Pacific NW - MT, ID, WA, CA, OR, UT, CO)
  • Avantax Planning Partners
  • Boise, ID
  • Position Summary Avantax Planning Partners is seeking a Financial Planning Consultant that will service a book of busine...
  • 3/27/2024 12:00:00 AM

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Risk Manager
  • Ada County, ID
  • Boise, ID
  • Salary: $90,000.00 Annually Location : Boise, ID Job Type: Full-Time with Benefits Job Number: 02089 Department: Human R...
  • 3/26/2024 12:00:00 AM

Meridian is a city located in Ada County in the U.S. state of Idaho. As of the 2010 census, the population of Meridian was 75,092 making it the third largest city in Idaho after Boise and Nampa. Meridian is considered the state's fastest-growing city and among the fastest-growing cities in the United States. A 2015 census estimate placed the population at approximately 90,739. With a 2018 non-census population estimate of 106,410 and a 1,000 percent increase in population since 1990, the city is currently estimated as the second largest in the state. Meridian is located at 43°36′51″N 116°23′56...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,602 to $79,178
Meridian, Idaho area prices
were up 2.5% from a year ago

Coding Compliance Specialist in Somerset, NJ
Make compliance and process related recommendations on medical coding issues.
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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.
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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.
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