Coding Compliance Specialist jobs in Montana

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 Compliance Specialist
  • Health Care Service Corporation
  • Helena, MT FULL_TIME
  • Under supervision, this position is responsible for researching and analyzing the medical records when there is a discrepancy in coding. Validating the coding and supporting the department in the reporting of findings. 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. Reviews insurance payments ad denials and recommends coding corrections. Ability to travel 20 - 30 ff the time in and out of state.

     

    Job Summary

    JOB REQUIREMENTS:
    * High School Diploma or GED.
    * CPC Coding Certification/CPC, CCS, CCSP
    * 2 years medical coding experience
    * Experience with process management
    * PC experience and skills to include Microsoft Office
    * Verbal and written communication skills
    * Analytical skills
    * Ability to travel 20% - 30% of the time in and out of state

    PREFERRED JOB REQUIREMENTS:
    * Associate or Bachelor’s degree
    * CRC
    * Experience in health insurance or health care setting
    * Previous experience working on Risk Adjustment coding for either Medicare Advantage or Retail Exchange business

    **This role is remote in Montana**

    Salary Expectation:  $54,600 depending on experience

    We encourage people of all backgrounds and experiences to apply. Even if you don’t think you are a perfect fit, apply anyway - you might have qualifications we haven’t even thought of yet.

    We encourage people of all backgrounds and experiences to apply.
    Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet.
    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
    HCSC Employment Statement:HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
     

     

  • 24 Days Ago

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Insurance Coding And Billing Specialist
  • Beartooth Vision Center
  • Billings, MT FULL_TIME
  • Beartooth Vision Center in Billings, MT is looking for one insurance coding and billing agent to join our private practice. We are located on 2499 Gabel Road Suite 3. Our ideal candidate is a self-sta...
  • Just Posted

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Coding Specialist II
  • Sidney Health Center
  • Sidney, MT FULL_TIME
  • Text to Apply: 406-298-4763 using code coding Coding Specialist II **Sign On Bonus Available** Join our I CARE team at Sidney Health Center for the competitive wages, benefit package, ability to obtai...
  • 15 Days Ago

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Compliance Sales Agent
  • US COMPLIANCE SERVICES
  • Billings, MT FULL_TIME
  • We have multiple sales positions available currently. We are a third-party compliance agency that assists new DOT applicants in gaining and maintaining their mandatory federal compliance in order to l...
  • 13 Days Ago

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Compliance Specialist *Hybrid
  • Providence
  • Polson, MT OTHER
  • DescriptionProvidence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutua...
  • 8 Days Ago

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FLOOD COMPLIANCE SPECIALIST
  • Stockman Bank of Montana
  • Miles, MT FULL_TIME
  • We are looking for a Flood Compliance Specialist to join our team. A successful candidate will have ability to maintain direction in a fast paced highly productive environment. Must be organized, goal...
  • 13 Days Ago

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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 ...
  • 4/26/2024 12:00:00 AM

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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

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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

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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

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Compliance Specialist
  • Jacent Strategic Merchandising
  • Cinnaminson, NJ
  • Summary As a Compliance Specialist in the consumer products industry, your primary responsibility is to ensure that the ...
  • 4/22/2024 12:00:00 AM

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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

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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

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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

Montana (/mɒnˈtænə/ (listen)) is a landlocked state in the Northwestern United States. Montana has several nicknames, although none are official, including "Big Sky Country" and "The Treasure State", and slogans that include "Land of the Shining Mountains" and more recently "The Last Best Place". Montana is the 4th largest in area, the 8th least populous, and the 3rd least densely populated of the 50 U.S. states. The western half of Montana contains numerous mountain ranges. Smaller island ranges are found throughout the state. In all, 77 named ranges are part of the Rocky Mountains. The easte...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,885 to $79,553

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