Coding Compliance Specialist jobs in New Jersey

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)

H
Coding Compliance Specialist
  • HMH HOSPITALS CORPORATION
  • Hackensack, NJ FULL_TIME
  • Our team members are the heart of what makes us better.

     

    At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

     

    Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

     

    The Coding Compliance Specialist performs reviews by validating accuracy of the coding billed in relation to the medical documentation across Hackensack Meridian Health (HMH) network. Determines if a discrepancy exists in the coding and documents the findings using standard documentation guidelines applicable to the Outpatient Coding audit program.

     

    Thee Ideal Candidate will be well versed in Correct Coding Initiative and Medical Necessity Policies and Outpatient Claim Editor. 

     

  • 3 Days Ago

P
Coding Compliance Auditor
  • PRISM Vision Group
  • New Providence, NJ FULL_TIME
  • Role and Responsibilities · Assist the Director of Compliance in creating and further coordinating the Compliance Audit Plan. · Conduct internal billing and coding audits of medical record documentati...
  • 8 Days Ago

E
Coding Specialist
  • Examworks Group, Inc.
  • Mount Laurel, NJ OTHER
  • Overview The Medical CPC Coding Specialist position with ExamWorks is a great opportunity for talented candidates who are enthusiastic about using their skills to make a difference in the world of hea...
  • 23 Days Ago

S
Lead Coding Compliance Auditor Projects
  • Summit Health and CityMD
  • Keyport, NJ FULL_TIME
  • Career opportunities at VillageMD and our operating companies We’re a physician-led, patient-centric network committed to simplifying the complexities of health care and bringing a more connected kind...
  • 19 Days Ago

N
Medical Coding & Billing Specialist
  • NJ Institute For Pain Relief LLC
  • Cranford, NJ FULL_TIME
  • NJ Institute For Pain Relief LLC is a multidisciplinary practice providing pain management, sports medicine, chiropractic care, physical therapy, acupuncture, orthopedic surgery, and spine surgery, in...
  • 19 Days Ago

A
Medical Billing and Coding Specialist
  • Alliance Health System
  • Marlboro, NJ FULL_TIME
  • Medical Billing and Coding Specialist If you are the Certified Professional Coder we are looking for, you will Review and audit medical records to accurately code care for our multispecialty practice....
  • 24 Days Ago

M
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

R
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

L
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

J
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

E
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

V
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

L
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

A
Compliance Specialist
  • APTIM
  • West Union, WV
  • At APTIM, we come to work each day knowing that we are making an impact on the world. Our work spans from safeguarding a...
  • 3/28/2024 12:00:00 AM

New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River. New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$70,534 to $93,700

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