Coding Compliance Specialist jobs in Delaware

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
Environmental Compliance Specialist - WHS Compliance
  • State of Delaware
  • Castle, DE OTHER
  • Introduction

    The DNREC - Compliance and Permitting Section regulates solid waste through the inspection of waste generators and permitting of waste management facilities. The section also develops programs to achieve sustainable waste management practices through waste reduction, re-use, and recycling.

    Click here for more information about the Division of Waste and Hazardous Substance.

    Summary Statement

    This position conducts on-site inspections at an operating landfill to identify or evaluate regulatory and permit compliance. Inspections generally involve visual observation of operating conditions. Analysis of the conditions surrounding the facility will be needed at times. The Specialist reviews applicable records to ensure completeness and accuracy. Resolution of discrepancies are performed to maintain or achieve compliance. Preparation of reports, including evaluations, based on information and data gathered from site inspections, monitoring reports, or submittals by facility owner/operators are required. In the event of noncompliance, the incumbent will evaluate the facility's corrective action and may provide information to support enforcement actions.

    Essential Functions

    Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.

    • Conducts random and scheduled on-site inspections of a specific type of facility or operation and equipment to identify or evaluate malfunctions or noncompliance. Inspections may involve visual observation of facility operating conditions and/or sampling of emissions/effluents by manual or instrumental methods.
    • Analyzes the conditions surrounding malfunctioning facilities and equipment.
    • Reviews applicable owner/operator records to ensure completeness and accuracy. Resolves discrepancies with the owner/operator to maintain or achieve compliance.
    • Prepares reports, including evaluations, based on information and data gathered from site inspections, monitoring reports, or submittals by facility owner/operators.
    • Maintains awareness of changes in regulations and reporting requirements, technology enhancements, and advances in sampling and operating methods.
    • Reviews and evaluates reports that may include lab analyses to determine facility compliance. In the event of noncompliance, evaluate the facility's corrective action and may provide information to support enforcement actions.

    Job Requirements

    JOB REQUIREMENTS for Environmental Compliance Specialist
    Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

    • Six months experience in data collection which includes collecting, compiling and maintaining data from multiple sources such as files, records, databases, customers, staff or others.
    • Six months experience in applying laws, rules, regulations, standards, policies and procedures.
    • Six months experience in narrative report writing.
    • Knowledge of inspecting facilities to identify hazards, deficiencies, or permit violations.
    • Possession of a valid Driver's License (not suspended, revoked or cancelled, or disqualified from driving).

    Conditions of Hire

    DNREC does not provide sponsorship for holders of H-1 B Visas.

    Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources.

    DNREC Medical Exam: To meet health and safety requirements, applicants for this position must successfully pass a baseline medical examination to demonstrate fitness for duty.

    Benefits

    To learn more about the comprehensive benefit package please visit our website at https://dhr.delaware.gov/benefits/

    Selection Process

    The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements.

    Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov.

    Accommodations

    Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call (302) 739-5458. TDD users should call the Delaware Relay Service Number 1-800-232-5460 for assistance.

    The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

  • 30 Days Ago

B
VALUE BASED CARE - RISK ADJUSTMENT CODING SPECIALIST
  • Beebe Healthcare
  • Lewes, DE FULL_TIME
  • Why Beebe? Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excel...
  • 17 Days Ago

H
Facility Environmental Compliance Specialist
  • Harsco Corporation
  • Castle, DE FULL_TIME
  • Company DescriptionWhat’s on your career wish list? Joining a great team? Check! A responsible business? Yep! Opportunities to learn and advance? Oh yes (and we can prove it). How about contributing t...
  • 17 Days Ago

B
Regulatory and Audit Compliance Specialist
  • Blood Bank of Delmarva
  • Newark, DE FULL_TIME
  • Overview Founded in 1954, Blood Bank of Delmarva (BBD) is a non-profit, community-based blood center providing blood and blood products to hospitals in the Delmarva region. The Quality and Regulatory ...
  • 8 Days Ago

C
Quality Systems Compliance Specialist - 1234494
  • Core BTS
  • Dover, DE FULL_TIME
  • Job description Systems Specialist (Patching & Compliance) Location: Remote/Onsite Must reside or relocate to service territories - DE, MD, PA, OH, VA, GA, FL, NC Our client is in need of a Systems Sp...
  • 12 Days Ago

M
Senior Quality and Compliance Specialist (GCP Auditor)
  • MMS
  • Wilmington, DE FULL_TIME
  • MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission chall...
  • Just Posted

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...
  • 4/9/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$65,079 to $86,452

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