Coding Compliance Specialist jobs in Oklahoma

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 Specialist
  • Xpress Wellness Urgent Care
  • Oklahoma, OK FULL_TIME
  • Xpress Wellness Urgent Care is seeking a qualified Certified Coding Specialist to join our team. The Coding Specialist is responsible for abstraction or accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all system policies and procedures and any state and other regulatory agencies. The Certified Coding Specialist must adhere to all CPT guidelines and ICD-10 Coding Guidelines.

    Coding Specialist Responsibilities:

    • Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps.
    • Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT and ICD-10 codes to the electronic health record. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
    • Consults with physicians/ providers as needed to clarify any documentation in the record that is inadequate or unclear for coding purposes. Provides education around documentation improvement for maximum patient care. Assists physicians/providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Identifies opportunities for education and communicates trends to.
    • Reviews and resolves charge sessions that fail charge review edits, claim edits, and follow up denials. Works to improve billing based on findings/resolution of errors.
    • Work with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers.
    • Providing guidance on billing/coding discrepancies, questions and issues to providers and customers.
    • Responsible for maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost.
    • Review and respond timely to requests, including emails, telephone calls, issues, account research and resolution as needed by co-workers, management and clients.
    • Participate in meetings, conference calls and training sessions, including Management Meetings, Team Meetings, as well as any meetings while working telecommute during assigned daily work schedule.
    • May process incoming and outgoing mail.
    • May receive incoming telephone calls and resolve issues communicated.
    • Ability to interpret and apply policies and procedures.
    • Performs various duties as needed in order to successfully fulfill the function of the position. This is a safety sensitive position.
  • 19 Days Ago

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Coding Specialist
  • Mays Home Health
  • Sallisaw, OK FULL_TIME
  • TITLE: CODING SPECIALIST REPORTS TO: CLINICAL COMPLIANCE DIRECTOR MINIMUM QUALIFICATIONS Is an RN, LPN, or LVN with current licensure to practice professional nursing in the state of practice, or is a...
  • 10 Days Ago

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Coding Specialist
  • Mays Home Health
  • Shawnee, OK FULL_TIME
  • TITLE: CODING SPECIALIST REPORTS TO: CLINICAL COMPLIANCE DIRECTOR MINIMUM QUALIFICATIONS Is an RN, LPN, or LVN with current licensure to practice professional nursing in the state of practice, or is a...
  • 10 Days Ago

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Coding specialist
  • Cigna
  • Bartlesville, OK FULL_TIME
  • Job Description : Coding Education Specialist (AHIMA or AAPC certified) Must live in Mobile, Alabama area. We value our talented employees, and whenever possible strive to help one of our associates g...
  • 18 Days Ago

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Coding Specialist - Days
  • INTEGRIS Health
  • Oklahoma, OK FULL_TIME
  • Coding Specialist - Full-Time - Day Shift - INTEGRIS Health INTEGRIS Health, Oklahoma’s largest not-for-profit health system has a great opportunity for a Coding Specialist Oklahoma City. In this posi...
  • 19 Days Ago

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Medical Billing and Coding Specialist
  • Peak Physical Therapy
  • Bartlesville, OK FULL_TIME
  • Job Summary: We are seeking a detail-oriented and experienced Medical Biller to join our team. As a Medical Biller, you will be responsible for accurately coding and billing medical claims, ensuring t...
  • 3 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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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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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

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Compliance Specialist
  • King City Gardens
  • Cincinnati, OH
  • Qualifications -Stipulation of employment is passing an OHIO BCI and FBI background check in accordance with ORC/OAC 379...
  • 3/28/2024 12:00:00 AM

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Compliance Specialist
  • VP Racing Fuels
  • San Antonio, TX
  • Job Description Job Description Company Overview: VP Racing Fuels is the world’s leader in fuel technology. From a singl...
  • 3/27/2024 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

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,239 to $78,696

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