Coding Compliance Specialist jobs in Fairmont, WV

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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Coding Specialist I
  • Mon Health
  • Morgantown, WV FULL_TIME
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    Job Summary

     

    With a patient centered culture, the Coding Specialist will provide a positive experience to our customers and patients through assigning diagnostic codes, procedure codes and charge codes to patient accounts in an efficient and timely manner. The coder/abstractor monitors and tracks accounts that need additional documentation to ensure accurate coding of accounts according to official coding guidelines.

     

     

    Education

    Requirements

     

    High School Diploma or Equivalent; or higher college degree completed.

     

    Experience

    Requirements

     

    One (1) year of previous coding experience OR a graduate of a medical billing & coding or medical office administration program required. Knowledge of patient billing practices, medical terminology including anatomy and physiology, and use of CPT and ICD-10 coding preferred. One year using CPT or ICD – 10 code preferred.

     

    Certifications/ Licensures

    Requirements

     

    RHIT, CCA, CCS, CCS-P, or CPC preferred.

     

    Physical Requirements

    Requirement

     

    Light Work:
    Exerting up to 20 lbs. of force occasionally and/or up to 10 lbs. frequently and/or negligible amounts constantly.

  • 16 Days Ago

7
Compliance Inspector
  • 7G Environmental Compliance Management
  • Morgantown, WV FULL_TIME
  • Our CompanyAt 7G, we're the go-to partner for petroleum tank owners across the country. We tackle environmental challenges while consistently keeping things compliant. Our values are simple: excellenc...
  • 6 Days Ago

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NDE Technician - Bridgeport, WV
  • CROSSBRIDGE COMPLIANCE GROUP
  • Bridgeport, WV OTHER
  • Job Details Job Location: Bridgeport, WV Salary Range: Undisclosed DescriptionThe NDE Technician will be performing calibrations, Nondestructive Tests, and evaluations for acceptance or rejection dete...
  • 6 Days Ago

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Construction Manager- Electrical Substation Project
  • Compliance Systems Management
  • Maidsville, WV FULL_TIME
  • Construction Manager (Electrical Substation Project) Location: Maidsville WV Duration: 2 1/2 week shut down Compensation: (negotiable) $60-75/hr Company Overview: Our client is a leading provider of e...
  • 6 Days Ago

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Assistant Director of Compliance - Athletics
  • West Virginia University
  • Morgantown, WV FULL_TIME
  • The department of Athletics at West Virginia University is currently accepting applications for an Assistant Director of Compliance. About the Opportunity This position will assist the Senior Associat...
  • 2 Days Ago

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Compliance Support Coordinator
  • The Health Plan of West Virginia Inc
  • Wheeling, WV FULL_TIME
  • The Compliance Support Coordinator is expected to provide the Compliance Manager and Government Compliance Officer with administrative and organizational support. The Compliance Support Coordinator is...
  • 26 Days Ago

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0 Coding Compliance Specialist jobs found in Fairmont, WV area

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Environmental Compliance Specialist
  • NuHire, LLC
  • Uniontown, PA
  • Job Description Job Description Summary: We are seeking a passionate and motivated Environmental Compliance Specialist t...
  • 4/16/2024 12:00:00 AM

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Civil Engineer-Transportation Specialist
  • WWW Interstate Planning Commission
  • Morgantown, WV
  • Job Description Job Description The WWW Interstate Planning Commission (WWW) is the Metropolitan Planning Organization (...
  • 4/16/2024 12:00:00 AM

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Child Care Assistant Teacher
  • Bright Horizons
  • Morgantown, WV
  • Imagine your future teaching with a world-class team where you make a difference for children every day. Imagine learnin...
  • 4/16/2024 12:00:00 AM

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Specialty Sales (Style, Tech, Beauty) (T1828)
  • Target Brands, Inc.
  • Bridgeport, WV
  • Starting Hourly Rate / Salario por Hora Inicial: $15.00 USD per hour ALL ABOUT TARGET As a Fortune 50 company with more ...
  • 4/16/2024 12:00:00 AM

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Controller
  • Brilliant Financial Search - IL
  • Morgantown, WV
  • Job Description Job Description Exclusively with Brilliant! We are seeking a Controller to join a low-middle-market manu...
  • 4/15/2024 12:00:00 AM

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EHS Specialist
  • MHI
  • Bridgeport, WV
  • As an Environmental, Health &Safety Specialist, here is what you'll be doing at the core, day to day. Ensure that federa...
  • 4/15/2024 12:00:00 AM

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Travel Nurse RN - Home Health - $2,380 per week
  • TRS Healthcare
  • New Martinsville, WV
  • Planet Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in New Martinsville, West Virginia. ...
  • 4/14/2024 12:00:00 AM

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Compliance Specialist
  • APTIM
  • West Union, WV
  • At APTIM, we come to work each day knowing that we are making an impact on the world. Our work spans from safeguarding a...
  • 4/12/2024 12:00:00 AM

Fairmont is a city in Marion County, West Virginia, United States. The population was 18,704 at the 2010 census. It is the county seat of Marion County. The Tygart Valley River and the West Fork River join in Fairmont to form the Monongahela River. Buffalo Creek, a tributary of the Monongahela River, flows through the northern part of the city. According to the US Army Corp of engineers, Fairmont, West Virginia, is the port city farthest from the ocean (2,085 miles) via an inland waterway. According to the United States Census Bureau, the city has a total area of 9.00 square miles (23.31 km2),...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$62,771 to $83,385
Fairmont, West Virginia area prices
were up 1.2% from a year ago

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