Coding Compliance Specialist jobs in Washington

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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Compliance Specialist - Coding and Auditing
  • CRMHS
  • Vancouver, WA FULL_TIME
  • Lives Change Here! We are GROWING…Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the communities of SW Washington. We are the largest and oldest not-for-profit provider of mental/chemical dependency treatment in southwest Washington with 200 employees and a history dating back to 1942.

    Our Mission: Providing behavioral health and recovery services that transform the lives of children, adults, and families in the communities of SW Washington.

    Starting Pay Range - $22.18 to $24.42/hour

    Summary:

    The Medical coding & compliance specialist is responsible in making certain that the documentation within the chart meets compliance with WAC, RCW, and other state and federal guidelines and that the codes assigned within the electronic health record (EHR) meet legal, federal and insurance regulations so that payments to services are easily obtained in a timely manner. The Medical Coding & Compliance Specialist will conduct routine audits of charts, which may include reviewing codes, documentation, and ensuring the evidence-based practices identified are showing properly within the note. The specialist will attend department and leadership team meetings and offer trainings to staff about how to properly document interactions and assist CPCO and billing staff in review of charts and codes for services offered.

    Essential Job Responsibilities:

    • Ensure that all charts have necessary paperwork to meet state and federal regulations
    • Review client charts for accuracy of diagnoses and procedures
    • Audit medical and behavioral health charts to ensure proper CPT codes, ICD10, HCPCS, documentation compliance, time documentation compliance, and interventions are properly documented, including evidence-based practices.
    • Assist EHR and billing staff on identifying codes and recommending codes that could be utilized
    • Assign appropriate codes to diagnoses or services
    • Obtain any necessary clarification of information on the notes and charts to ensure correct coding and compliance with state and federal regulations
    • Maintain department best practice productivity and quality standards.
    • Provide training to staff on proper service selection, time documentation, and chart requirements to meet state and federal requirements
    • Discuss coding questions with supervisor and billing staff and report unusual occurrences to Compliance officer.
    • Run routine reports, develop tracking measures, and follow-up for department to ensure compliance with contracts, state and federal regulations and requirements.
    • Auditing tasks as assigned
    • Assist with any contract, state, insurance, or federal audits that occur
    • Support the review and development of policies and procedures to meet contract, state and, and federal requirements.
    • Provide back-up coverage for medical records for record release and uploading documents to meet quality standards, as requested.
    • Perform EHR compliance reviews and investigations
    • Receive and review court documents from Crisis Center on clients that are on LRA (Least Restrictive Alternative)/Conditional Release program
    • Attend team and leadership meetings to be a resource on compliance requirements
    • This position has access to consumer information. Therefore, the employee agrees to be bound by HIPAA regulations.
    • Use various programs, including CareLogic and Methasoft, to perform tasks
    • Use various HIPAA and 42 CFR Part 2 compliant request tools, such as DocuSign and NeoCertified email

    Non-essential Job Functions:

    • Assist CPCO in other duties as assigned.
    • Provide training to staff on all of the above job functions, as needed
    • Adhere to all departmental and agency policies.

    Education, Licensing and Experience:

    • Associates Degree required.
    • Minimum of 2 Years experience with coding or auditing strongly preferred.
    • Certification specializing in RHIT, CPC, CCS, HIM (Health Information Management)
    • Experience working in a medical or behavioral health office setting required, with demonstrated understanding of standard insurance reimbursement methodologies.

    Competencies, Knowledge, Skills and Abilities:

    • Proven proficiency in data entry, keyboarding, email, Microsoft Office Suite, and agency management systems required.
    • Excellent Medical terminology skills.
    • Working knowledge of ICD-10, DSM-IV, CPT, and HCPCS universal coding systems.
    • Knowledge of Correct Coding Initiatives (CCI) compliance regulations required.

    Why Work Here?

    CRMHS offers AMAZING benefits aside from health and wellness (medical/dental/vision etc.) Work life balance benefits: 12 paid holidays per year, including 3 paid floating holidays, and 24 days of PTO days accrued in the first year, and continues to grow from there! Career development: $325 annual allowance for career development and education with an additional 40 hours of paid time off for career development/education! And so much more!

    PER COMPANY POLICY - ALL HEALTHCARE EMPLOYEES MUST BE EITHER COVID-19 VACCINATED / HAVE A MEDICAL/RELIGIOUS EXEMPTION.

    IF EXTENDED AN OFFER OF EMPLOYMENT WITHIN OUR COMPANY, CANDIDATE MUST PROVIDE PROOF TO BE COMPLIANT (COVID VACCINE CARD/MEDICAL OR RELIGIOUS EXEMPTION) IN ORDER TO COMPLETE THE HIRING PROCESS.

    EQUAL EMPLOYMENT OPPORTUNITY

    Columbia River Mental Health Services is proud to be an equal opportunity workplace. We are committed to diversity and inclusion, and we seek applicants from all backgrounds to join our teams. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status, gender identity, or any other factor protected by law. We encourage our employees to bring their authentic selves to work and do not tolerate discrimination at the workplace.


    Experience

    Preferred
    • 2 year(s): Coding & Auditing

    Education

    Preferred
    • Associates or better
  • 6 Days Ago

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Coding Compliance Specialist
  • COMMUNITY HEALTH CARE
  • Tacoma, WA OTHER
  • Job Details Job Location: Community Health Care - Administration Office - Tacoma, WA Position Type: Full Time Education Level: 2 Year Degree Salary Range: $25.18 - $35.97 Hourly Job Shift: Monday - Fr...
  • 23 Days Ago

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Compliance Specialist - Coding and Auditing
  • Columbia River
  • Vancouver, WA FULL_TIME
  • Lives Change Here! We are GROWING…Columbia River Mental Health Services provides comprehensive behavioral health and recovery services that transform the lives of children, adults and families in the ...
  • Just Posted

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Coding Auditor/Coding Specialist
  • Sound Family Medicine
  • Puyallup, WA FULL_TIME
  • Position Summary: The Coding Auditor/Coding Specialist is responsible for reviewing and auditing to ensure compliance and accuracy. Knowledge of best practices for chart documentation compliance and a...
  • Just Posted

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Coding Specialist
  • Rebound Orthopedics and Neurosurgery
  • Vancouver, WA FULL_TIME
  • The hourly wage offered for this position is $23.01 - $32.21.: Rebound is the largest orthopedic and neurosurgical practice in the Portland-Vancouver area with an array of sub-specialties including or...
  • 21 Days Ago

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Coding Specialist
  • Fred Hutchinson Cancer Center
  • Seattle, WA FULL_TIME
  • Overview Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattl...
  • 2 Months Ago

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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
  • Storm2
  • Boston, MA
  • Role: Compliance Specialist Industry: InvestTech Location: Boston, hybrid Storm2 are partnered with a VC backed InvestTe...
  • 3/27/2024 12:00:00 AM

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Compliance Specialist
  • Trilogy Health Services
  • Louisville, KY
  • JOIN TEAM TRILOGY: Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) ma...
  • 3/27/2024 12:00:00 AM

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Compliance Specialist
  • Collabera
  • Cincinnati, OH
  • Job Description Job Description Urgent Hiring for Compliance Specialist at Cincinnati, OH at $20/hr. Job Description: In...
  • 3/27/2024 12:00:00 AM

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Compliance Specialist
  • Deringer-Ney Inc.
  • Hartford, CT
  • Title: Compliance Specialist Job Summary: Oversee compliance requests and requirements to ensure that statutory, regulat...
  • 3/26/2024 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

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$68,740 to $91,317

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