Coding and Document Compliance Specialist
2 weeks ago
POSITION SUMMARY/RESPONSIBILITIESFunctions under the direct supervision of the Special Investigations Unit (SIU) Manager. Performs at the advanced skill level of a Coding Specialist. Is adept at data collection and statistical report generation. Demonstrates individual judgement, initiates work improvement methods. Will conduct administrative investigations related to fraud and abuse. Will conduct research related to eligibility, claims payment, benefits, prior authorization/referrals and contract review. Responsible for conducting and reviewing audits to assess the quality of coding and documentation to ensure compliance with federal and state laws and regulations. Responsible for researching and compiling documentation that may be reported to external regulatory and law enforcement agencies. Research and audit for accurate provider and facility payments. Identifies overpayments to provider. Assists provider, employee and contractors with the Community First Health Plan's anti-fraud program. Conducts routine education programs for staff and physicians to communicate findings from investigations, coding and documentation audits.EDUCATION AND EXPERIENCEHigh school diploma or its equivalent is required. Five years of experience with ICD-10-CM/DRG assignment, chart auditing, and CPT4 code assignment is required or only two years of experience if candidate has successfully completed a Certified Coding Program or Health Information Management Program. Must be knowledgeable of ICD-10. Must be knowledgeable of Microsoft Office products.
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Coding and Document Compliance Specialist
1 week ago
San Antonio, United States University Health Full timeUniversity Health - POSITION SUMMARY/RESPONSIBILITIESFunctions under the direct supervision of the Special Investigations Unit (SIU) Manager. Performs at the advanced skill level of a Coding Specialist. Is adept at data collection and statistical report generation. Demonstrates individual judgement, initiates work improvement methods. Will conduct...
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Coding & Documentation Compliance Specialist
4 weeks ago
San Antonio, United States University Health Full timePOSITION SUMMARY/RESPONSIBILITIES Functions under the direct supervision of the Special Investigations Unit (SIU) Manager. Performs at the advanced skill level of a Coding Specialist. Is adept at data collection and statistical report generation. Demonstrates individual judgement, initiates work improvement methods. Will conduct administrative investigations...
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Compliance Coding Auditor
4 weeks ago
San Diego, United States Sharp HealthCare Full timeFacility: System Services City San Diego Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time Certified Clinical Documentation Specialist (CCDS) - Various-Employee provides certificate; Other; Certified Health Care Compliance (CHC) - Compliance Certification Board Hours : Shift Start Time: Variable Shift End Time: Variable AWS Hours...
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Coding Specialist
2 weeks ago
San Antonio, United States University Health System- San Antonio Full timeCoding Specialist Now Hiring – Coding Specialist, Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community...
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Coding Specialist
1 day ago
San Antonio, United States University Health Full timeNow Hiring – Coding Specialist, Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high...
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Coding Specialist
5 days ago
SAN ANTONIO, United States University Health Full timeNow Hiring – Coding Specialist, Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high...
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Coding Specialist
3 days ago
San Antonio, United States University Health Full timeNow Hiring – Coding Specialist, Revenue IntegrityUniversity Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high quality...
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Coding Specialist
7 days ago
San Antonio, United States University Health Full timeNow Hiring – Coding Specialist, Revenue Integrity University Health is one of the largest employers in San Antonio. We are a nationally recognized teaching hospital and consistently recognized as a leader in advanced treatment options, new technologies and clinical research. Our mission is to improve the good health of the community through high...
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Code Compliance Specialist
19 hours ago
San Luis, AZ, United States City of San Luis, AZ Full timeSalary: $22.38 Hourly Location : San Luis City Hall, AZ Job Type: Full-time Job Number: 2025-00032 Department: Public Works Opening Date: 06/13/2025 Closing Date: Continuous ABOUT THE POSITION YOUR FUTURE BEGINS HERE! Join one of the fastest-growing cities in Arizona and the youngest in Yuma County! Under general supervision, performs various tasks to...
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Code Compliance Officer
2 days ago
San Antonio, TX, United States City of Alamo Heights Full timeJOB SUMMARY: The Code Compliance Officer performs a variety of routine and complex work in the interpretation and enforcement of adopted codes, ordinances, and related rules and regulations. The position is responsible for enforcing all the city codes not primarily enforced by the Police Department, and in particular, those codes pertaining to property use...