Medical Coding and Compliance Specialist
3 weeks ago
Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.
JOB SUMMARY:
The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra Health Services, including but not limited to revenue optimization, level of service coding and diagnosis coding.
Responsibilities:
MAJOR DUTIES AND RESPONSIBILITIES:
PrimaryFunctions:
Provider/Coder support, education and training related to revenue optimization, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
Perform compliance audits for designated provider/coder centers consistent with established audit protocol.
Coordinate with Zone Medical Leadership in development of provider/coder training plans and for active support in the training process.
Organize and schedule periodic training as indicated from audit results, denial and down coding trends, level of service reports, etc. and/or as requested by medical leadership or CBO management.
Monitor Coding and State Workers’ Compensation changes to ensure that most current information is available.
Provide coding support to CBO as requested.
Other duties as may be assigned.
Qualifications:
EDUCATION/CREDENTIALS:
High School
Associates degree or Bachelor’s degree or equivalent experience
CPC or CCS-P coding certification Required
JOB RELAVENT EXPERIENCE:
Five years progressive healthcare billing, coding and auditing experience including provider training and presentation.
JOB-RELATED SKILLS/COMPETENCIES:
Auditing
Basic computer skills – PowerPoint, Excel, Word
Strong process management skills
Familiarity with state specific workers’ compensation regulations
Training and presentation skills
Additional Data:
Concentra is an Equal Opportunity Employer, including disability/veterans
-
Medical Coding and Compliance Specialist
3 weeks ago
Addison, Texas, United States Concentra Career Choice Full timeOverview: Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. JOB SUMMARY: The position is responsible for coordinating provider coding and compliance activities and outcomes within Concentra...
-
Coding Specialist
4 weeks ago
Houston, Texas, United States Retina Consultants of Texas Full timeOverview: Job Summary: Under supervision, the Coding Specialist provides real-time coding and is committed to providing and delivering a superior quality service to our patients. This position will review medical records and assign accurate diagnosis and procedure codes based on the patient’s medical record. The Coding Specialist is responsible for...
-
Compliance Specialist
1 week ago
Spring, Texas, United States Arrow Child and Family Ministries Full timeOverview: The Compliance Specialist’s primary responsibility is the assurance of Medicaid policies & procedures across all Arrow Health Solutions (AHS) services. These processes will inform and improve practices that have a direct impact on services to children, families, and compliance. This position is responsible for developing systems for routine...
-
Quality and Compliance Specialist
2 weeks ago
Tyler, Texas, United States Arrow Child and Family Ministries Full timeOverview: The Quality and Compliance Specialist promotes a culture of improvement within the 4Kids4Families network by monitoring the quality and regulatory compliance of network providers and providers from whom ancillary services are purchased. This position will guide the provider monitoring process, including routine provider audits, and partnering with...
-
HR Specialist
6 days ago
Austin, Texas, United States Unchained Full timeAs the HR Specialist, your role will involve assisting with a variety of HR activities and processes within our organization. Your responsibilities will include ensuring compliance with legal standards and internal policies, as well as managing personnel files and handling procedures related to FMLA and disability. In this position, you will play a strategic...
-
Quality and Compliance Supervisor
4 weeks ago
Tyler, Texas, United States Arrow Child and Family Ministries Full timeOverview: The Quality and Compliance Supervisor manages a team who is responsible for promoting a culture of improvement within the 4Kids4Families network by monitoring the quality and regulatory compliance of network providers and providers from whom ancillary services are purchased. Responsible for supervising Quality & Compliance Specialists in the...
-
Medicaid Billing Specialist
3 weeks ago
Addison, Texas, United States Behavioral Innovations Full timeOverview: Position Summary: The Billing Specialist, Medicaid ensures proper submission and adjudication of all claims submitted to Medicaid carriers while working within the deadlines and protocols of the assignments. This position will focus primarily on reviewing and assessing Medicaid denials or returned claims. Must be able to communicate with all...
-
Regulatory Compliance Specialist
3 weeks ago
Houston, Texas, United States Global Healing Full timeWho We Are: Global Healing Center is a leading manufacturer, distributor, and retailer of healthy living products, specializing in cleansing and detoxification. Our mission: create and market the best products possible, help as many people as we can through education, and provide customers with solutions to live a healthy lifestyle. Check us out at if you...
-
Clinical Compliance Specialist
7 days ago
Weslaco, Texas, United States Ernest Health Full timeOverview: At Weslaco Regional Rehabilitation Hospital, our hospital has been ranked in the Top 10% nationally for rehabilitative care for 4 years and has earned The Joint Commission’s Stroke Certification and Amputee Certification. At our 32-bed hospital, we provide specialized inpatient and outpatient rehabilitative services to our patients, serving...
-
Proposal Specialist
3 weeks ago
Addison, Texas, United States Concentra Career Choice Full timeOverview: The Proposal Specialist supports Concentra’s Proposal Development team’s efforts to produce quality and compliant responses to Request for Proposals (RFP). Through partnership and collaboration with Concentra stakeholders, this position leads the proposal development process by analyzing requests for proposal (RFPs), effectively communicating...
-
Proposal Specialist
3 weeks ago
Addison, Texas, United States Concentra Full timeOverview: The Proposal Specialist supports Concentra’s Proposal Development team’s efforts to produce quality and compliant responses to Request for Proposals (RFP). Through partnership and collaboration with Concentra stakeholders, this position leads the proposal development process by analyzing requests for proposal (RFPs), effectively communicating...
-
Commercial Billing and Collections Specialist
6 hours ago
Addison, Texas, United States Behavioral Innovations Full timeOverview: Fast Growing Healthcare Company seeking a Commercial Billing and Collections Specialist! Your Work and How You’ll Make a Difference: The Commercial Collections Specialist ensures proper adjudication of all claims submitted to carriers while working within the deadlines and protocols of the assignments. This position will focus primarily...
-
Audit and Compliance Specialist #REF2096O
3 weeks ago
Fort Worth, Texas, United States Elbit Systems of America Full timeJob Description The Audit and Compliance Specialist provides oversight on Corporate and Business Unit (BU) policies and procedures to assure that both external and internal regulatory and procedural compliance is followed throughout the Supply Chain Management (SCM) process based on the execution of Purchase Orders. The Specialist will address operational...
-
Billing Specialist
3 weeks ago
Addison, United States Texas Spine Consultants Full timeJob DescriptionJob DescriptionDescription:Texas Spine Consultants -Onsite role in Addison, TX Medical Billing SpecialistA busy Orthopedic clinic is looking for a Billing Specialist who is motivated and excited to join a high paced team. We are looking for a self-starter who likes to stay busy.Responsibilities Include:Patient payment responsibilities.Payment...
-
Air Quality Specialist
4 weeks ago
Addison, United States Frontline Source Group Full timeOur client in Dallas, TX is seeking an Air Quality Specialist on a direct hire basis.Company Profile:Oil and Gas industryHeadquarters in DallasAir Quality Specialist Role:In the Air Quality Specialist role, you will be an integral part of the organizations commitment to provide clean and affordable energy.The role will concentrate on overseeing air...
-
Quality and Compliance Training Supervisor
4 weeks ago
Tyler, Texas, United States Arrow Child and Family Ministries Full timeOverview: The Quality and Compliance Training Supervisor manages a team who is responsible for professional development, continuous learning, legislatively mandated and certification training. The supervisor also ensures CLOE training standards are met. The candidate would also manage the oversight to CLOE and mentorship programs, as well as all other...
-
Billing Specialist
3 weeks ago
Addison, Texas, United States CalAmp Full timeOverview: We are CalAmp, a connected intelligence company that gives people the ability to track, monitor and recover their vital assets with real-time visibility and insights. Currently, we are seeking a Billing Specialist with at least 2 years of experience. This is an exciting opportunity for those who align with our core values (Inclusion,...
-
Collection Specialist
4 weeks ago
Montgomery, Texas, United States Nova Medical Centers Full timeOverview: Collections Specialist Summary: Perform standard Medical Collection functions in our Central Billing Office Responsibilities: Minimum 1 year experience in heavy medical collections experience Ability to read and learn technical terms, as well as follow moderately complete instructions furnished in oral,...
-
Accounts Receivable Specialist
1 week ago
Addison, United States The LaSalle Group Full timeLaSalle Network has partnered with a rapidly growing transportation company in the Dallas area to identify an Accounts Receivable Specialist to join an experienced, growing organization. This company covers over 90% of zip codes in the United States and well as Canada, Mexico and the Caribbean. This incredibly established team is looking for an Accounts...
-
Charge Capture Specialist
4 weeks ago
Huntsville, Texas, United States Huntsville Memorial Hospital Full timePOSITION PURPOSE Under general supervision of the Supervisor of Billing, the Charge Capture Specialist is responsible for reviewing logging of surgical procedures, preparing patient charges, auditing records for accuracy, maintaining records and preparing reports ESSENTIAL JOB FUNCTIONS Every effort has been made to make this job description as complete...