Coding Compliance Specialist jobs in Alaska

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)

S
Coding Specialist
  • Samuel Staffing
  • Anchorage, AK FULL_TIME
  • About us

    Samuel Staffing is a agency committed to connected top talent with premier medical organizations nationwide.

    Our client is the leading provider of cardiovascualr care in Alaska. Their missions is to deliver compassionate, high-quality care to prevent and treat cardiovascular disease. We collaborate across systems to make proven therapies accessible to all Alaskans, with a commitment to discovering innovative ways to meet the needs of our community.

    Position Overview: We are seeking a detail-oriented and experienced Certified Coding Specialist to join our Business Office team. The successful candidate will be responsible for accurately assigning CPT and ICD-10 codes to all billable services provided by AHVI providers. The role demands a thorough understanding of coding guidelines, exceptional organizational skills, and the ability to thrive in a fast-paced environment.

    Key Responsibilities:

    • Code and post all billable services performed by center providers in accordance with coding guidelines and regulations.
    • Conduct thorough research to ensure accurate coding and billing processes.
    • Investigate coding discrepancies and develop solutions while adhering to current guidelines, payer requirements, and AHVI policies.
    • Accurately assign CPT, ICD-10, and HCPCS codes along with appropriate modifiers.
    • Address medical necessity denials by preparing and submitting appeals in a timely manner.
    • Stay updated with coding guidelines, regulations, and industry best practices.
    • Collaborate with other team members to optimize billing processes and ensure clean claim submissions.

    Qualifications:

    • Education: Minimum of some college, preferably with a focus on Medical Coding, Medical Terminology, and Basic Human Anatomy.
    • Experience: At least two years of experience in a medical office environment with a strong emphasis on medical coding.
    • Certification/License: Certified Professional Coder (CPC) credential from AAPC is required.

    Skills and Abilities:

    • Proficiency in CPT and ICD-10 coding systems.
    • Strong analytical skills with attention to detail.
    • Excellent time management and prioritization abilities.
    • Ability to work independently and in a team environment.
    • Effective communication skills with a professional and customer-oriented demeanor.

    Physical Demands and Working Conditions:

    • Prolonged sitting with occasional bending, stooping, and stretching.
    • Manual dexterity to operate office equipment.
    • Ability to lift/carry up to 25 pounds.
    • Work is primarily conducted in a busy office environment with frequent interaction with colleagues, patients, and external stakeholders.
    • Occasional evening or weekend work may be required.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • Weekends as needed

    Work setting:

    • Office

    Work Location: In person

  • 1 Month Ago

A
Medical Billing & Coding Specialist
  • AKHIRE, INC
  • Anchorage, AK FULL_TIME
  • AKHIRE is recruiting for the following position:...........................................................................................................................................................
  • Just Posted

A
Medical Billing and Coding specialist
  • AKHIRE, INC
  • Anchorage, AK FULL_TIME
  • AKHIRE is recruiting for the following position: Position: Medical Billing & CodingLocation: Anchorage, AlaskaPay: $25Hr/DOESchedule: Full time-Mon-Fri Anchorage based medical practice needs a dedicat...
  • 28 Days Ago

7
Medical Billing/Coding Specialist
  • 7th Generation Medical Billing LLC
  • Wasilla, AK FULL_TIME
  • Medical Biller/CoderJOB POSITION: Certified Medical Coder or Biller(or a candidate who’s willing to become Certified) in Wasilla CLOSE DATE: Once position is filled Urgent we had found a replacement b...
  • 28 Days Ago

A
Outpatient Coding Specialist III - Remote or Hybrid
  • Alaska Native Tribal Health Consortium
  • Anchorage, AK FULL_TIME
  • The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partners...
  • 22 Days Ago

H
Associate Hierarchical Condition Category (HCC) Coding Specialist
  • Highmark Health
  • AK, AK FULL_TIME
  • Description JOB SUMMARY This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and / or Affordable Care Act ...
  • 12 Days Ago

M
Compliance Specialist / Adv Compliance Specialist
  • Marathon Petroleum
  • Canonsburg, PA
  • An exciting career awaits you At MPC, we’re committed to being a great place to work – one that welcomes new ideas, enco...
  • 4/24/2024 12:00:00 AM

S
Code Compliance Specialist 1 (NY HELPS)
  • StateJobsNY
  • Buffalo, NY
  • Current New York State employee with one year or more of qualifying permanent service as a Senior Safety and Health Insp...
  • 4/24/2024 12:00:00 AM

A
EVV Compliance Specialist
  • Addus Homecare
  • Frisco, TX
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/24/2024 12:00:00 AM

G
Compliance Specialist
  • Global Channel Management Inc.
  • Los Angeles, CA
  • About the job Compliance Specialist Compliance Specialist needs 3+ years of strong experience workforce contract Complia...
  • 4/22/2024 12:00:00 AM

C
Code Compliance Specialist
  • City of Santa Cruz, CA
  • Santa Cruz, CA
  • Salary : $6,072.00 - $8,544.00 Monthly Location : City of Santa Cruz, CA Job Type: Regular Full-Time Job Number: 24-076 ...
  • 4/21/2024 12:00:00 AM

C
Customs Compliance Specialist
  • Clean Harbors
  • Norwell, MA
  • The Transportation Compliance Specialist reports directly to the Director of Transportation Compliance and is responsibl...
  • 4/18/2024 12:00:00 AM

A
EVV Compliance Specialist
  • Addus Homecare
  • Frisco, TX
  • >> We offer our team the best << Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Li...
  • 4/17/2024 12:00:00 AM

H
Product Expert - Compliance
  • Haleon
  • Poznań, Greater Poland Voivodeship
  • Hello. We’re Haleon. A new world-leading consumer health company. Shaped by all who join us. Together, we’re improving e...
  • 4/10/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$69,824 to $92,755

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