Coding Compliance Specialist
Virtual Vocations Inc
To ensure adherence to federal coding regulations, the full-time Coding Compliance Audit & Education Specialist will conduct audits of medical records, provide education to healthcare providers, and prepare detailed audit reports while collaborating with various stakeholders. Key responsibilities Conduct audits comparing medical record documentation to reported codes and applicable laws Prepare audit reports summarizing findings and provide post-audit education to providers Act as an internal expert on coding compliance and communicate findings to stakeholders Required qualifications 5+ years of audit and provider education experience preferred Extensive knowledge of CPT, ICD-10, and HCPCS codes and guidelines Certified Professional Coder (CPC) required; Certified Professional Medical Auditor (CPMA) preferred Experience with MDAudit and Athena is a plus Must comply with HIPAA rules and regulations
- ...’s largest, community-based cancer care specialists, is home to one of the leading clinical... ...the patients we serve.Job Description:The compliance specialist provides compliance and... ...compliance audit activities. Audits will include coding, billing, provider documentation, and...SuggestedFull timeLocal area
- ...The organization focuses on automating workflows, improving coding, billing efficiency, and preventing claim denials through advanced... ...and practice sustainability. Role Description - Coding Compliance Specialist is a full-time, in-person role based in Bronx, NY. This...SuggestedFull time
- ...Adjustment Data Validation (RADV) medical record review (MRR) work performed under the contract. This role ensures compliance with CMS RADV guidelines, coding standards, and risk adjustment policies while maintaining the highest quality and accuracy in medical record...SuggestedContract workPart timeWork at officeRemote workFlexible hours
- Summary: The Senior Compliance Specialist assists with and support the compliance program activities of the organization. This is a generalist... ...compliance and demonstrated expertise in the areas of billing/coding and data analytics. Knowledge, Skills, & Abilities:...SuggestedWork at officeShift workDay shift
$25.75 - $35.45 per hour
Description Title: Coding Compliance Specialist Location: FCN Meridian Administrative Office City: Bellingham, WA Position: Full-time,Monday - Friday 8:00am - 5:00pm, non-exempt (hourly) Compensation : The full wage scale is $25.75 - $35.45 per hour. Placement within...SuggestedHourly payFull timePart timeWork at officeMonday to FridayFlexible hours- ...presenting findings, and communicating with leadership to ensure compliance with department policies and state and federal laws. Organize... ..., approving or denying solicitor applications, budget coding, etc. Act as the facility liaison to ensure the completion of...Work at officeMonday to FridayNight shift
$24.88 - $39.81 per hour
...Center Department: 01.8628 SMC CORPORATE COMPLIANC Pay Range: $24.88 - $39.81 Care for... ...lieu of degree. Procedural, diagnostic coding certification through American Health... ...Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician...Shift workDay shift$79.17k - $118.75k
...guidance of the Overlake Medical Center & Clinics Compliance & Risk Management Program, the Compliance Specialist provides compliance and privacy program support... ...to monitor data privacy and security, billing and coding integrity, patient safety and quality of care, corporate...Contract workFor contractorsLocal areaImmediate startShift work$79.17k - $118.75k
...guidance of the Overlake Medical Center & Clinics Compliance & Risk Management Program, the Compliance Specialist provides compliance and privacy program support... ...to monitor data privacy and security, billing and coding integrity, patient safety and quality of care, corporate...Contract workLocal areaImmediate startShift work$30 - $55 per hour
...Governance, Risk & Compliance (GRC) Analyst $30-55/hr Remote Freelance CODING About the Role We're looking for experienced GRC professionals to help train and evaluate cutting-edge AI systems. At Alignerr, we partner with the world's leading AI research labs —...Ongoing contractFreelanceRemote workFlexible hours- Job Requirements Ensure Integrity. Drive Compliance. Join Our Team As Our Compliance Audit Specialist!Location: Spartanburg, SC (Hybrid)About Spartanburg Regional... ...plays a critical role in ensuring accurate coding, billing, and documentation compliance. This position...Work at office
- University of Mississippi Medical Center is seeking a Compliance Educator to lead education initiatives for the Office of Integrity & Compliance... ...and related regulations, serving as a subject matter expert on coding and billing. Required is a Bachelor's or Associate's degree...Work at office
- Virtix Health LLC is seeking a Remote HCC Coding Quality Specialist to review the accuracy of HCC-coded records mapped to HCCs and RxHCCs in accordance... ...a nationwide remote position with a focus on quality and compliance, including privacy and #J-18808-Ljbffr Virtix Health LLCRemote job
- Singh Management Co., Llc seeks a skilled hospice QA/compliance reviewer to conduct concurrent and retrospective chart reviews, ensuring... ...with attention to detail and the ability to educate staff on correct documentation and coding #J-18808-Ljbffr Singh Management Co., Llc
$148.94k - $223.3k
Your Role The Risk Adjustment Compliance Specialist, Principal is responsible for ensuring organizational compliance with laws related to Risk... ...risks, and recommendations for improvement. Collaborate with coding, clinical, and data management teams to ensure accurate and...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week- ...establish policies, and coordinate cross-functional processes for timely, compliant billing. You will create reports, stay current on coding requirements, and partner with internal teams and external authorities to resolve issues. The role emphasizes process improvement,...Contract work
$80k
...are currently looking to add a Regulatory Specialist (Cosmetics) to their team. Salary/... ...Specialist (Cosmetics) will support regulatory compliance efforts for personal care and cosmetic products by performing raw material coding, managing ingredient documentation,...Hourly payWork at office- ...will apply for other labor markets outside of NCAL.The Compliance Consultant IV, Medical Coding independently reviews inpatient, outpatient,... ...American Academy of Professional Coders OR Certified Coding Specialist from American Health Information Management Association...Work experience placement
- ...position is exempt from Career Service under the CCH Personnel Rules.Job SummaryThe Compliance Officer reflects the mission and vision of Cook County Health (CCH) adheres to the organization’s Code of Conduct and Corporate Compliance Program, and complies with all relevant...Full time
- ...listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Coding & Documentation Compliance Specialist (CPC/CPMA) based in the United States. We are seeking an experienced Coding & Documentation Compliance...Full timeFor contractorsRemote work
$24 - $26.45 per hour
..., Salary Range: $24.00 - $26.45 Hourly, Job Summary The Compliance and Operations Specialist provides administrative, marketing, and operational support... ...weekend activities. Manage invoicing, billing, expense coding, revenue tracking, reimbursement documentation, and...Hourly payFull timeCasual workAfternoon shift- ...Medical Records professional to manage resident records from admission to discharge, ensuring accuracy and regulatory compliance. The role includes ICD coding, HIPAA privacy, and supporting quality initiatives; RHIA/RHIT preferred with 3+ years in a skilled nursing or...Full time
$70k - $80k
Privia Health is seeking a Coding Compliance Audit & Education Specialist to conduct audits and educate providers on coding compliance. This remote position requires expertise in CPT, ICD-10, and HCPCS coding, as well as strong communication skills. The ideal candidate...Remote job$134k - $202k
...worldwide.About the role:We are looking for a Governance, Risk and Compliance (GRC) Analyst who wants to build GRC with AI, and you do not... ...levelsBonus if you:Built an automation or internal tool, with code or AI coding tools, even outside an engineering roleWorked with...Work at officeWork from homeWorldwideFlexible hours3 days per week$260k - $390k
...sciences companies* Assist clients in developing and implementing compliance strategies across multiple jurisdictions, including the United... ...and pricing frameworks, including coverage determinations, coding, and payment policy as they relate to innovative life sciences...Full timeTemporary workWork at officeFlexible hours- We are looking for a System Pharmacy Charge & Compliance Analyst to support accurate outpatient medication billing and regulatory alignment... ...brings strong knowledge of pharmacy charging practices, coding standards, payer expectations, and audit readiness within a hospital...Contract work
- ...health and improving lives.Labcorp is searching for a Corporate Compliance Officer to support the specialty testing business of the... ...areas, including healthcare provider financial relationships and coding/billing arrangements.Work with specialty testing business and operational...Temporary workCasual workInternshipWork at officeFlexible hours
- ...Compliance Officer (Full Time) Department: Administration The Compliance Officer is responsible for administering and continuously... ...areas of compliance risk. Monitor professional billing, coding, documentation and related revenue-cycle practices for compliance...Full time
- ...Description Position Summary: The Compliance Officer leads and administers Waterfall Community Health Center's organization-wide Corporate... ...prevention, federal grant compliance, healthcare billing and coding, and risk management. Ability to interpret complex legal and regulatory...Full timeContract workFor contractorsWork at officeMonday to Friday
$113k - $194k
Senior Compliance Officer (Investment Compliance Specialist) (Primarily Home) This position will work closely with the American Family Investments' Management... ...in a timely manner. Conduct unauthorized rule coding reconciliations and monitoring manual rules on a periodic...Full timeWork at officeLocal areaRemote workWork from homeRelocation packageNight shift
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