Coding Compliance Specialist jobs in Tennessee

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
  • Honest Medical Group
  • Nashville, TN FULL_TIME
  • Who You Are

    You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient's conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

    Does this sound like you? If so, we should talk.


    Who We Are

    We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

    For us, it's all in an Honest day's work.

    Your Role

    As a medical Coding Specialist, you will partner with physician offices within our established partnerships to assist them in the accurate coding of patient medical records. You serve as a subject matter expert in ICD.9 and ICD.10, AHA Coding Clinic for ICD.9 CM and ICD.10 CM and CMS Medicare Part C instructions and requirements for diagnostic coding.

    Primary Functions of the Coding Specialist Include:

    • Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. This is done in adherence with ICD.9 and ICD.10 Official Guidelines for Coding and Reporting, AHA Coding Clinic for ICD.9 CM and ICD.10 CM, and CMS Medicare Part instructions and requirements for diagnostic coding.
    • Research and analyze data needs for reimbursement.
    • Analyze medical records and identify documentation deficiencies.
    • Review and verify documentation supporting diagnoses, procedures, and treatment results.
    • Identify diagnostic and procedural information.
    • Audit clinical documentation and coded data to validate that documentation supports the services rendered for reimbursement and reporting purposes. · Assign codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
    • Follow standard coding conventions. Serve as coding consultant to care providers.
    • Identify discrepancies, potential quality of care, and billing issues.
    • Research, analyze, recommend, and facilitate plans of action to correct discrepancies and prevent future coding errors.
    • Identify reportable elements, complications, and other procedures.
    • Perform other related responsibilities as assigned.

    How You Qualify

    You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

    • Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
    • High school diploma, GED, or suitable equivalent
    • 2 years of recent outpatient medical coding experience
    • ICD.10 certification
    • Must possess one of the following coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA
    • Proficient computer skills
    • Excellent communication skills, both verbal and written
    • Strong people skills and ability to build supportive relationships with providers
    • Outstanding organizational skills and an ability to operate efficiently and independently.
    • CMS HCC Risk Adjustment experience, preferred
    • Outpatient CDI credential from AAPC or ACDIS, preferred
    • Auditing experience preferred

    How You are Supported

    • As a full-time team member, you will benefit from Honest's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
    • As a part-time team member, you will benefit from Honest's total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
    • Family friendly policies that support paid parental leave and flexible work arrangements
    • As a team member you'll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest
    • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest's high-quality, value-based, care model.

    Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

    Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@HonestMedicalGroup.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

  • Just Posted

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Coding Specialist
  • Maury Regional Health
  • Columbia, TN FULL_TIME
  • Title: Coding Specialist Location: Maury Regional Medical Center Position Shift: Full Time Position Summary: Reviews patients charts and performs ICD-10 and CPT coding for DRG and APC assignments. Wor...
  • 1 Month Ago

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Coding Specialist
  • NHC and Affiliates
  • Murfreesboro, TN FULL_TIME
  • "A different kind of care that ensures you’re surrounded by people who make a difference in your life" Position: Coding Specialist Benefits: Competitive Wages, Insurance, 401K Match, Dental, Vision Qu...
  • 1 Month Ago

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Coding Specialist
  • NHC and Affiliates
  • Johnson, TN FULL_TIME
  • "A different kind of care that ensures you’re surrounded by people who make a difference in your life" Position: Coding Specialist Benefits: Competitive Wages, Insurance, 401K Match, Dental, Vision Qu...
  • 1 Month Ago

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Coding Quality Review Specialist
  • Parallon
  • Nashville, TN FULL_TIME
  • Introduction Sign on bonus eligible * Do you want to join an organization that invests in you as a Coding Quality Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $30...
  • 2 Months Ago

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Coding Specialist I
  • State Of Franklin Healthcare Group
  • Johnson, TN FULL_TIME
  • Coding Specialist I Seeking a Coding Specialist I at our Central Billing Office in Johnson City, TN. Office hours are typically 8-5, Monday through Friday. WHO WE ARE: State of Franklin Healthcare Ass...
  • 18 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
  • 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

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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...
  • 4/9/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Coding Compliance Specialist jobs
$59,372 to $78,871

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