Coding Compliance Specialist jobs in Sunland Park, NM
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)
Recently Added Coding Compliance Specialist jobs
Coding Specialist (Medical Coding-SOM/Alberta)
- Texas Tech Unv Hlth Sci Ctr El Paso
-
El Paso, TX
FULL_TIME
-
Share
Coding Specialist (Medical Coding-SOM/Alberta)
Position Description
Review medical record provider documentation and assign appropriate CPT, HCPCS and/or ICD-10-CM codes for provider services (in accordance with the Standards of Ethical Coding set forth by the American Association of Professional Coders and American Health Information Management Association while ensuring accurate completion of responsibilities by established deadlines, resulting in maximum financial return. Demonstrated ability to professionally interact and exchange information, education and training to clinic personnel, physicians, administration, providers, and co-workers.
Requisition ID
37378BR
Work Location
El Paso
Org Level 1
Texas Tech Unv Hlth Sci Ctr El Paso
Campus
HSC - El Paso
Department
Medical Coding SOM ELP
Major/Essential Functions
Assign CPT, HCPCS and/or ICD-10-CM diagnosis and/or modifiers and procedure codes for physician/provider services consistent with coding compliance policies, ICD-10-CM Official Coding Guidelines and regulatory guidelines
Communicate with physicians, residents, staff and other providers to resolve situations where the recommended coded services are not supported in the health record documentation and/or not consistent with coding and regulatory guidelines
Communicate and educate the physician, resident, staff and other providers when additional information is needed for accurate code assignment
Review claim denials. Resubmit corrected claims by required filing deadlines.
Perform charge data entry for billing in C-BIZ. Batch daily for all coded charges and reconcile by end-of-day
Meet volume/productivity and accuracy targets set forth by department director (or designee)
Assist in providing and analyzing reports related to documentation issues, coding patterns, physician productivity, reimbursement trends, etc.
Participate in internal coding and development and training for physicians, residents, medical students and qualified health professional (QHP) staff
Personally demonstrate, display and act in accordance with TTUHSC El Paso's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork).
Adhere to TTUS, TTUHSC El Paso and departmental policies, procedures and regulations
All other duties as assigned by the department’s management
Required Qualifications
High School diploma or equivalent (GED)
1 year experience with medical coding and/or billing
Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC)
Preferred Qualifications
Minimum 3 years’ experience with medical coding and/or billing
Demonstrated knowledge and understanding and/or experience with CMS regulations/industry standards
Demonstrated knowledge of anatomy and physiology
Associate's degree from two-year College or technical school
Medical coding experience for a physician group, hospital and/or academic health sciences/medical center
Strong overview of Medicare and Medicaid billing compliance
Completion of ICD-10 training curriculum
EEO Statement
As an EEO/AA employer, the Texas Tech University System and its components will not discriminate in our employment practices based on an applicant’s race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information or status as a protected veteran.
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: https://www.ttuhsc.edu/emergency/clery-report.aspx
Does this position work in a research laboratory?
No
Job Type
Full Time
Pay Basis
Hourly
Minimum Hire Rate
Compensation is commensurate upon the qualifications
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website.
Travel Required
None
Shift
Day
Grant Funded?
No
Job Group
Information and Records Clerks
Job Expires
05/06/2024 - 1 Day Ago
Coding Specialist (Medical Coding SOM/Alberta)
- Texas Tech Unv Hlth Sci Ctr El Paso
-
El Paso, TX
FULL_TIME
- Share Coding Specialist (Medical Coding SOM/Alberta) Position Description Review medical record provider documentation and assign appropriate CPT, HCPCS and/or ICD-10-CM codes for provider services (i...
- 8 Days Ago
Affordable Compliance Specialist - El Paso
- Asset Living
-
El Paso, TX
FULL_TIME
- Company Overview Asset Living is a third-party management firm and a proven partner in fostering thriving communities nationwide. Founded in 1986, Asset Living has decades of experience delivering exc...
- 6 Days Ago
Lawn Specialist - Earn $13-$22/Hour + Benefits
- TruGreen - Lawn Specialist
-
El Paso, TX
FULL_TIME
- TruGreen is Now Hiring Lawn Specialists! Earn Up to $22.00 per Hour - Comprehensive BenefitsAt TruGreen, we are committed to our customers, our teams, our values, and the science of lawn care. A caree...
- 13 Days Ago
Senior Clinical Coding Nurse Consultant
- UnitedHealth Group
-
El Paso, TX
FULL_TIME
- Opportunities at WellMed, part of the Optum family of businesses. We believe all patients are entitled to the highest level of medical care. Here, you will join a team who shares your passion for help...
- 1 Month Ago
Grants Compliance
- Center Against Sexual and Family Violence
-
El Paso, TX
FULL_TIME
- Scope of Duties: Under general supervision, monitors and evaluates grant-funded programs for compliance, and provide support as new funding opportunities are sought. Performs advanced management/analy...
- 11 Days Ago
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0 Coding Compliance Specialist jobs found in Sunland Park, NM area
Project Compliance Specialist
- City of El Paso, TX
-
El Paso, TX
- Salary : $41,290.00 - $63,290.00 Annually Location : Various Locations within the City of El Paso, TX Job Type: Civil Se...
- 4/26/2024 12:00:00 AM
Affordable Housing Tax Credit Compliance Specialist
- Asset Living
-
El Paso, TX
- Company Overview Asset Living is a third-party management firm and a proven partner in fostering thriving communities na...
- 4/26/2024 12:00:00 AM
Internal Revenue Agent (Examiner) 12 MONTH ROSTER (AMENDED)
- Department Of The Treasury
-
El Paso, TX
- Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I) DIVISION? A description of the business units can be found at: ...
- 4/26/2024 12:00:00 AM
Registered Nurse Clinical Coordinator ICU
- Hiring Now!
-
Sunland Park, NM
- Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, emp...
- 4/26/2024 12:00:00 AM
Registered Nurse Clinical Coord Medical Renal
- Hiring Now!
-
Sunland Park, NM
- Description Introduction Do you currently have an opportunity to make a real impact with your work? With over 2,000 site...
- 4/26/2024 12:00:00 AM
Bilingual EHS Specialist (English & Spanish)
- Macpower Digital Assets Edge Private Limited (MDA Edge)
-
Canutillo, TX
- Must-Haves: MUST HAVE Bachelor's Degree in an Engineering or Science discipline or other program applicable to the healt...
- 4/24/2024 12:00:00 AM
Customs Broker Clerk
- Tecma Baja Services LLC
-
El Paso, TX
- Job Description Job Description Summary As a customs compliance specialist, you are an expert in international trade reg...
- 4/23/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
El Paso, TX
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
About Sunland Park, New Mexico
Sunland Park is a city in southern Doña Ana County, New Mexico, United States, on the borders of Texas and the Mexican state of Chihuahua, with Ciudad Juárez adjoining it on the south and El Paso, Texas on the east. The community of Santa Teresa adjoins it on the northwest. The population of Sunland Park was 14,106 at the 2010 census and was estimated at 15,400 by the United States Census Bureau in 2014. Though it lies adjacent to El Paso, being in Doña Ana County makes it a part of the Las Cruces metropolitan statistical area. Las Cruces is 42 miles (68 km) to the north.
The city is at the fo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$55,846 to $74,187
Sunland Park, New Mexico area prices
were up 1.2% from a year ago
were up 1.2% from a year ago
What does a Coding Compliance Specialist do?
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