Trade Compliance Analyst jobs in Bartlesville, OK

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Quality Improvement - Clinical Coding & Compliance Analyst 195-2013
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: Responsible for the review, analysis, reporting and follow-up of risk adjustment and clinical coding functions to support the accurate representation of the member’s clinical health status as well as the accuracy of internal systems to support clinical decisions. This role works collaboratively with multiple internal departments as well as with external providers.   KEY RESPONSIBILITIES: Serve as clinical coding resource across the CommunityCare Health Network Division in support of both ongoing and future coding related initiatives. Adhere to all official coding rules and CMS guidelines for risk adjustment programs. Ensure accuracy, completeness, specificity, and appropriateness of diagnosis information. Surveillance of CPT, CMS, and other regulations and their impact related to coding and other business functions. For Risk Adjustment Validation Audits (RADV), conduct chart review of inpatient and outpatient medical records for Hierarchal Condition Category (HCC) coding.  Summarizes audit findings and recommendations for coding and/or documentation improvement. Evaluate Medicare Wellness Visit documentation for accuracy and completeness in addressing gaps in care and expiring HCC’s. Present findings to providers on a regularly scheduled basis. Evaluate/prioritize results of new Medicare Advantage and Marketplace member self-reported health risk assessments for risk adjustment conditions that should be addressed. Create analyses, summary reporting, and coordinate with providers. Engage with other Health Network Division Department leaders for opportunities to optimize clinical documentation at the point of care delivery. Provide measurable, actionable solutions for best practices to improve documentation and coding accuracy. Develop a feedback loop for provider query and education. This will involve collaborative work with owner and non-owner providers. Analyze the in-home assessment program for opportunities to follow-up on members who decline the assessment or do not schedule care. Support work/data from the Benefits Interpretation Committee (BIC) and the quarterly coding review workgroup. Support clinical coding needs of ASO (self-insured employers) marketing, claims and configuration departments, and preventative services list maintenance. Work in collaboration with company fraud, waste, and abuse program on issues with specific providers or services as may arise.   QUALIFICATIONS: Knowledge of risk adjustment payment models and risk adjustment coding preferred Familiarity with State and federal regulations governing healthcare  Medicare Advantage and /or medical practice experience preferred Proficient in Microsoft Excel Successful completion of Health Care Sanctions background check Excellent verbal and written communication skills Ability to work independently under stringent deadlines   EDUCATION/EXPERIENCE: Coding certification nationally recognized by AAPC or AHIMA required Bachelor’s degree preferred or equivalent experience Three (3) years relevant professional experience with medical coding (ICD 10-CM, CPT, HCPCS)
  • 15 Days Ago

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Director, Compliance
  • STRIDE BANK NA
  • Tulsa, OK OTHER
  • Job Details Job Location: Tulsa-Yale - Tulsa, OK Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Travel Percentage: Up to 25% Job Shift: Day Job Category: Banking Des...
  • 7 Days Ago

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Compliance Specialist
  • SeneGence
  • Tulsa, OK FULL_TIME
  • As a Compliance Specialist at SeneGence, you'll play a critical role in ensuring that our distributors adhere to the company's Policies and Procedures. You'll serve as a trusted point of contact for o...
  • 1 Month Ago

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Compliance Officer
  • Capital Advisors, Inc.
  • Tulsa, OK FULL_TIME
  • We endeavor to make a positive difference in people's lives by helping them achieve meaningful lifetime goals through investment management. We inspire peace of mind through a transparent and repeatab...
  • 1 Month Ago

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Grant Compliance Coordinator
  • YWCA Tulsa Inc.
  • Tulsa, OK FULL_TIME
  • Description YWCA Tulsa is seeking a full-time Grant Compliance Coordinator to support strategic implementation of all grant funding with a particular focus on federal grants. This person will work clo...
  • 21 Days Ago

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Compliance/Internal Auditor
  • Fox Rent A Car Inc.
  • Tulsa, OK FULL_TIME
  • As part of Europcar Mobility Group, a global mobility solutions provider, Fox Rent A Car is a benchmark for value leisure car rental in the United States and worldwide. Fox operates 24 corporate locat...
  • 6 Days Ago

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0 Trade Compliance Analyst jobs found in Bartlesville, OK area

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Financial Representative
  • Modern Woodmen Of America
  • Bartlesville, OK
  • The ideal candidate will deliver personalized investment solutions to help clients work toward their long-term financial...
  • 4/26/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen of America
  • Owasso, OK
  • The ideal candidate will deliver personalized investment solutions to help clients work toward their long-term financial...
  • 4/26/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen Of America
  • Owasso, OK
  • The ideal candidate must reside in the state of Oklahoma. They will deliver personalized investment solutions to help cl...
  • 4/26/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen of America
  • Bartlesville, OK
  • The ideal candidate will deliver personalized investment solutions to help clients work toward their long-term financial...
  • 4/25/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen of America
  • Bartlesville, OK
  • The ideal candidate must reside in the state of Oklahoma. They will deliver personalized investment solutions to help cl...
  • 4/24/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen of America
  • Owasso, OK
  • The ideal candidate must reside in the state of Oklahoma. They will deliver personalized investment solutions to help cl...
  • 4/24/2024 12:00:00 AM

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Financial Representative
  • Modern Woodmen of America
  • Bartlesville, OK
  • Who we are:Named to Forbes’ list of World’s Best Insurance Companies for 2023 Modern Woodmen Fraternal Financial and MWA...
  • 4/23/2024 12:00:00 AM

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Branch Office Administrator
  • Edward Jones
  • Bartlesville, OK
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 4/18/2024 12:00:00 AM

Bartlesville is a city mostly in Washington County in the U.S. state of Oklahoma. The population was 35,750 at the 2010 census, with a 2015 estimate of 36,595 according to the U.S. Census Bureau. Bartlesville is 47 miles (76 km) north of Tulsa and 18 miles (29 km) south of the Kansas border. It is the county seat of Washington County. The Caney River runs through Bartlesville. Bartlesville is the primary city of the Bartlesville Micropolitan area, which consists of Washington County and had a population of 52,021 in 2015. A small portion of the city is in Osage County. The city is also part o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Trade Compliance Analyst jobs
$80,050 to $103,991
Bartlesville, Oklahoma area prices
were up 1.2% from a year ago

Trade Compliance Analyst in Hickory, NC
Manage and execute key projects required to maintain a high level of performance on internal and external compliance trade compliance.
April 10, 2023
Trade Compliance Analyst in Kennesaw, GA
Monitor and analyze impacts of changes in local and regional import/export laws and regulations, align business processes with these changes and evolutions.
November 09, 2022
Trade Compliance Analyst in Morton Grove, IL
Support remediating trade compliance issues as necessary, such as building project plans, connecting resources to find solutions, and documenting resolutions and remediation plans.
December 21, 2022
Build and run reports from the Automated Commercial Environment (ACE) and similar systems to support needs.
January 06, 2023