Coding Compliance Specialist jobs in Fresno, CA
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)
Recently Added Coding Compliance Specialist jobs
Supervisor Med Imaging Info-Coding Compliance, Radiology
- Community Health System - CA
-
Clovis, CA
FULL_TIME
-
Overview:
- All positions are located in Fresno/Clovis CA *
Since opening at its current location in 1988, Clovis Community Medical Center has grown from 109 beds to 352 private patient rooms. Voted 'Best Hospital' nine years in a row by Valley residents, it is often the first choice for women's and children's services, advanced surgeries, and comprehensive care.
Your Career at Community | Opportunity. Challenge. Growth.
Responsibilities:
The Supervisor of Medical Imaging Informatics and Coding Compliance is responsible for ensuring clinical exam builds support correct clinical use and promote correct billing compliance. Provides guidance, recommendations, operational and clinical use oversight for multiple imaging information systems operations. Provides direction, oversight and education to the Medical Imaging staff, leadership and radiologists in informatics workflows and billing compliance. Responsible for direct supervision, work direction and performance management of charge capture compliance team and imaging informatics teams.
Accountabilities
1. Acts as a liaison in digital imaging initiatives within the Medical Imaging department and other departments.
2. Ensures clinical exam builds support correct clinical use and promote correct billing compliance.
3. Recommends best practice workflows and monitors optimal use of imaging and imaging related information systems to include, billing and regulatory compliance.
4. Recommends best practice workflows and workflow corrections.
5. Provides direction, oversight and education to the Medical Imaging staff, leadership and radiologists in informatics workflows and billing compliance.
6. Provides guidance, recommendations, operational and clinical use oversight for multiple imaging information systems operations.
7. Participates in activities of vendors in all phases of installation, implementation and training of new systems, applications and upgrades.
8. Attends and participates in departmental/hospital meetings. Attends seminars and training sessions necessary to maintain appropriate level of professional competence.
9. Accountable for activities related to maintaining a comprehensive and accurate Charge Distribution Master (CDM). Works collaboratively with Medical Imaging leadership to ensure CDM accuracy, timeliness and appropriate interface with the RIS/PACS product.
10. Coordinates and supervises the PACS on call team providing physician and staff support through assuring systems integrity and troubleshooting.
11. Provides oversight and support for Radiologists' workstations.
12. Directly responsible (with support from Human Resources) for employee engagement and people management processes including interviewing and selection, time and attendance approval, providing timely feedback and performance evaluations, employee development, employee retention, disciplinary actions and terminations.
13. Performs other duties as assigned.
Qualifications:EDUCATION:
- High School Diploma, General Education Development (GED) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
- Bachelor's Degree in a related field preferred
- 4 years of related experience in radiology operations in an acute hospital setting required
- One of the following is preferred
o ARDMS - American Registered Diagnostic Medical Sonographer
o CNMT - NMTCB Certified Nuclear Medicine Technician
o CIIP - Certified Imaging Informatics Professional
o EPIC - Certified Radiant Build
Have questions? Contact Recruiter Adela Lozano today at ALozano2@communitymedical.org
Disclaimers:
- Pay ranges listed are an estimate and subject to change.
- If any bonuses are noted, they are only applicable to external hires meeting criteria.
- 3 Days Ago
Supervisor Med Imaging Info-Coding Compliance, Radiology
- Community Medical Centers of Fresno, CA
-
Clovis, CA
OTHER
- Overview *All positions are located in Fresno/Clovis CA* At Community Health System, we know that our ability to provide the highest level of care begins with our incredible staff. From unique supplem...
- 7 Days Ago
Medical Billing/Coding Specialist
- Regional Hand Center
-
Fresno, CA
FULL_TIME
- Medical Billing/Coding Specialist Regional Hand Center in Fresno, CA, USA Benefits Offered 401K, Dental, Medical, Vision Employment Type Full-Time Why Work Here? "Beautiful state of the art facility, ...
- 23 Days Ago
Coding and Documentation Specialist
- Central California Faculty Medical Group Inc
-
Fresno, CA
FULL_TIME
- DescriptionResponsible for performing routine coding reviews of Evaluation & Management documentation, identify improvement opportunities, monitor accuracy and ensure documentation compliance. Works c...
- 1 Month Ago
Compliance Specialist
- Stantec
-
FRESNO, CA
FULL_TIME
- Compliance Specialist - ( 240000RW ) Description We create great places and the connections that get people and goods moving—whether by car, bus, train, plane, or their own two feet. Working within th...
- 12 Days Ago
Compliance Specialist
- Hinderliter de Llamas & Associates
-
Fresno, CA
FULL_TIME
- Company Overview The HdL Companies help cities, counties and special districts maximize revenues through research and discovery efforts, financial and economic analysis, and provision of software that...
- 16 Days Ago
Filters
- Current Active Filter
- Fresno, CA
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Coding Compliance Specialist jobs found in Fresno, CA area
Occupancy Specialist
- Gsf Properties Inc
-
Fresno, CA
- Job TypeFull-timeDescriptionGSF Properties Inc. is looking for a Occupancy Specialist in Fresno, CA, join a dynamic prop...
- 4/28/2024 12:00:00 AM
Sr. Environmental Engineer/Scientist (EH&S)
- Yorke Engineering
-
Fresno, CA
- Job Description Job Description Join Yorke Engineering, LLC, an Environmental Consulting leader in California, while we ...
- 4/27/2024 12:00:00 AM
Internal Revenue Agent (Examiner) - Direct Hire - Incentive eligible-AMENDED
- Department Of The Treasury
-
Fresno, CA
- Duties WHAT ARE THE APPEALS (AP), LARGE BUSINESS AND INTERNATIONAL (LB&I), SMALL BUSINESS SELF-EMPLOYED (SB/SE) AND TAX ...
- 4/27/2024 12:00:00 AM
Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
- Department Of The Treasury
-
Fresno, CA
- Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
- 4/27/2024 12:00:00 AM
Senior Internal Revenue Agent-Senior Program Analyst (12 month roster) AMENDED
- Department Of The Treasury
-
Fresno, CA
- Duties WHAT IS THE LARGE BUSINESS AND INTERNATIONALDIVISION? A description of the business units can be found at: https:...
- 4/27/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Fresno, CA
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/27/2024 12:00:00 AM
Sr. Environmental Engineer/Scientist (EH&S)
- Yorke Engineering, LLC
-
Fresno, CA
- Join Yorke Engineering, LLC, an Environmental Consulting leader in California, while we implement Environmental Engineer...
- 4/25/2024 12:00:00 AM
US, AVP, Commercial Banking
- BMO Financial Group
-
Fresno, CA
- For nearly 80 years, BMO Commercial Bank has served the needs of the entire food continuum. We understand how each eleme...
- 4/25/2024 12:00:00 AM
About Fresno, California
Fresno (/ˈfrɛznoʊ/ FREZ-noh; Spanish for "ash tree") is a city in California, United States, and the county seat of Fresno County. It covers about 112 square miles (290 km2) in the center of the San Joaquin Valley, the southern portion of California's Central Valley.
Named for the abundant ash trees lining the San Joaquin River, Fresno was founded in 1872 as a railway station of the Central Pacific Railroad before it was incorporated in 1885. The city has since become an economic hub of Fresno County and the San Joaquin Valley, with much of the surrounding areas in the Metropolitan Fresno regi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$64,245 to $85,344
Fresno, California area prices
were up 2.7% from a year ago
were up 2.7% from a year ago
What does a Coding Compliance Specialist do?
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