Coding Compliance Specialist jobs in Nampa, 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)

A
Certified Billing and Coding Specialist
  • Align Business Solutions
  • Eagle, ID FULL_TIME
  • Experienced Certified Medicare Part A & B Biller (MUST LIVE IN TREASURE VALLEY)

    Align Business Solutions is seeking a highly motivated and detail-oriented Certified Biller to join our growing team. The ideal candidate will have extensive experience in medical billing and coding, with a strong focus on Medicare Part A and Part B regulations and procedures.

    Responsibilities:

    Accurately and efficiently prepare and submit claims for all Medicare Part A and Part B patients.

    Analyze and resolve claim denials and rejections.

    Maintain accurate and up-to-date patient billing records.

    Perform Medicare Part A and Part B audits.

    Stay current on all Medicare regulations and coding updates.

    Communicate effectively and professionally with clients, patients, insurance companies, and other healthcare providers.

    Contribute to the continuous improvement of our billing and coding processes.

    Qualifications:

    Certified Medical Biller (CMB) or Certified Professional Coder (CPC) certification.

    3 years of experience in medical billing and coding, with a focus on Medicare Part A and Part B.

    Trained and experienced in relevant clearinghouses.

    Proficiency in ICD-10-CM and CPT, as well as HCPCS coding systems.

    Excellent understanding of Medicare billing guidelines, compliance, regulations and reimbursement.

    Proficient in electronic health records (EHR) systems.

    Exceptional organizational and time management skills.

    Ability to work independently and as part of a team.

    Capable of being flexible and adaptable to changing environment and client dynamics.

    Strong communication and interpersonal and problem solving skills.

    Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, skills, or qualifications required for the role.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Employee assistance program
    • Health insurance
    • Life insurance
    • Paid time off
    • Referral program
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Application Question(s):

    • Do you currently live in the Treasure Valley? If not, are you planning to relocate?

    Experience:

    • Medicare Part B: 1 year (Preferred)
    • Medicare Part A: 1 year (Required)

    License/Certification:

    • Medical Billing Certification (Required)

    Ability to Relocate:

    • Eagle, ID 83616: Relocate before starting work (Required)

    Work Location: In person

  • 7 Days Ago

C
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...
  • 27 Days Ago

S
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...
  • 3 Days Ago

M
Global Trade Compliance Specialist 5
  • Micron
  • Boise, ID FULL_TIME
  • Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of i...
  • Just Posted

M
Global Trade Compliance Specialist 5
  • Micron Technology
  • Boise, ID FULL_TIME
  • Our vision is to transform how the world uses information to enrich life for all. Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of i...
  • Just Posted

C
Construction Health and Safety Professional
  • Compliance Management International
  • Boise, ID FULL_TIME
  • Construction Health and Safety Professionals | Boise, ID Embark on an exciting career with a company celebrated by Inc. Magazine, boasting over 25 years of expertise in Environmental, Health, and Safe...
  • 13 Days Ago

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0 Coding Compliance Specialist jobs found in Nampa, ID area

I
IT Compliance Specialist
  • Idaho State Job Bank
  • Boise, ID
  • IT Compliance Specialist at Sedgwick in Boise, Idaho, United States Job Description Taking care of people is at the hear...
  • 4/18/2024 12:00:00 AM

I
Environmental Compliance Specialist
  • Idaho State Job Bank
  • Boise, ID
  • Environmental Compliance Specialist at Stantec in Boise, Idaho, United States Job Description Environmental Compliance S...
  • 4/18/2024 12:00:00 AM

I
Customs Compliance Specialist
  • Idaho State Job Bank
  • Boise, ID
  • Customs Compliance Specialist at Oracle in Boise, Idaho, United States Job Description Job Description Oracle Global Tra...
  • 4/18/2024 12:00:00 AM

I
Global Trade Compliance Specialist 5
  • Idaho State Job Bank
  • Boise, ID
  • Global Trade Compliance Specialist 5 at Micron Technology, Inc. in Boise, Idaho, United States Job Description Our visio...
  • 4/18/2024 12:00:00 AM

I
Institutional Review Board (IRB) Administrator / Research Compliance Specialist Full -Time - Boise
  • Idaho State Job Bank
  • Boise, ID
  • Institutional Review Board (IRB) Administrator / Research Compliance Specialist Full -Time - Boise at Trinity Health in ...
  • 4/18/2024 12:00:00 AM

I
Cash Management Specialist
  • Idaho State Job Bank
  • Nampa, ID
  • Cash Management Specialist at St. Luke's Health System in Nampa, Idaho, United States Job Description Overview St. Luke'...
  • 4/18/2024 12:00:00 AM

I
Human Services Senior Consultant
  • Idaho State Job Bank
  • Boise, ID
  • Human Services Senior Consultant at Public Consulting Group in Boise, Idaho, United States Job Description Overview Abou...
  • 4/18/2024 12:00:00 AM

I
AVP, Cyber Risk Engineering
  • Idaho State Job Bank
  • Boise, ID
  • AVP, Cyber Risk Engineering at Zurich NA in Boise, Idaho, United States Job Description AVP, Cyber Risk Engineering 1085...
  • 4/18/2024 12:00:00 AM

Nampa (/ˈnæmpə/ (listen)) is the largest city of Canyon County, Idaho. The population of Nampa was 81,557 at the 2010 census and, as of 2018, is the third-most populous city in Idaho. Nampa is about 20 miles (32 km) west of Boise along Interstate 84, and six miles (10 km) west of Meridian. Nampa is the second principal city of the Boise-Nampa metropolitan area. The name "Nampa" may have come from a Shoshoni word meaning either moccasin or footprint. Nampa is located at 43°34′29″N 116°33′49″W / 43.57472°N 116.56361°W / 43.57472; -116.56361 (43.574807, -116.563559). According to the United St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$58,988 to $78,360
Nampa, 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.
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