The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing ...
The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing ...
$60 - $80/hr
The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing ...
$60 - $80/hr
The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing ...
Serve as a coding compliance resource during external audits and client reviews Coding Consultation and Education * Serve as the primary resource for coding staff regarding coding guidelines ...
Serve as a coding compliance resource during external audits and client reviews Coding Consultation and Education * Serve as the primary resource for coding staff regarding coding guidelines ...
Compliance Consultant
Radnor, PA · Hybrid
... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...
Compliance Consultant
Radnor, PA · Hybrid
... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...
Compliance Consultant
Radnor, PA · On-site
... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...
Compliance Consultant
Radnor, PA · On-site
... Code. • Preparing monthly, quarterly, and annual compliance reports to business partners and LVIP ... resource and consulting with internal/external stakeholders on a broad variety of compliance ...
Compliance Consultant
Saint Joseph, MO · On-site
The Compliance Consultant works under the supervision of the Director of Compliance. This position ... Audits may focus on but are not limited to documentation, billing, coding, medical necessity, and ...
Compliance Consultant
Saint Joseph, MO · On-site
The Compliance Consultant works under the supervision of the Director of Compliance. This position ... Audits may focus on but are not limited to documentation, billing, coding, medical necessity, and ...
Coding Compliance Analyst III
Sacramento, CA · On-site
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Coding Compliance Analyst III
Sacramento, CA · On-site
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Compliance Consultant
Radnor, PA · Hybrid
Additionally, the Compliance Consultant is responsible for effective implementation of these ... Supporting the administration of LVIP's, PM Funds', and LFI 's Code of Ethics programs including ...
Compliance Consultant
Radnor, PA · Hybrid
Additionally, the Compliance Consultant is responsible for effective implementation of these ... Supporting the administration of LVIP's, PM Funds', and LFI 's Code of Ethics programs including ...
Coding Compliance Analyst III
Sacramento, CA · On-site +1
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Coding Compliance Analyst III
Sacramento, CA · On-site +1
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Coding Compliance Analyst III
Sacramento, CA · On-site
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Coding Compliance Analyst III
Sacramento, CA · On-site
$117K - $176K/yr
... consultative, education, training, and complying with regulatory, system, department and ... coding compliance, including National Coverage Determinations (NCDs), and Local Coverage ...
Compliance Consultant
Kansas City, MO · On-site
$100 - $125/hr
If you're excited toRole SummaryWe are seeking a dedicated Compliance Consultant to join our ... This role reports to the Code of Ethics Compliance Manager.This hybrid position will be based out ...
Compliance Consultant
Kansas City, MO · On-site
$100 - $125/hr
If you're excited toRole SummaryWe are seeking a dedicated Compliance Consultant to join our ... This role reports to the Code of Ethics Compliance Manager.This hybrid position will be based out ...
Compliance Consultant
Kansas City, MO · On-site
Role Summary We are seeking a dedicated Compliance Consultant to join our Compliance team in a ... Co-lead the firm's Code of Ethics program by monitoring employee personal trading activity ...
Compliance Consultant
Kansas City, MO · On-site
Role Summary We are seeking a dedicated Compliance Consultant to join our Compliance team in a ... Co-lead the firm's Code of Ethics program by monitoring employee personal trading activity ...
Compliance Consultant
Kansas City, MO · Hybrid
Role Summary We are seeking a dedicated Compliance Consultant to join our Compliance team in a ... Co-lead the firm's Code of Ethics program by monitoring employee personal trading activity ...
Compliance Consultant
Kansas City, MO · Hybrid
Role Summary We are seeking a dedicated Compliance Consultant to join our Compliance team in a ... Co-lead the firm's Code of Ethics program by monitoring employee personal trading activity ...
Compliance Consultant
Saint Joseph, MO · On-site
The Compliance Consultant works under the supervision of the Director of Compliance. This position ... documents, coding and billing guidelines, and contracts. * Must demonstrate Analytical ...
Compliance Consultant
Saint Joseph, MO · On-site
The Compliance Consultant works under the supervision of the Director of Compliance. This position ... documents, coding and billing guidelines, and contracts. * Must demonstrate Analytical ...
Trade Compliance Consultant
$30 - $40/hr
Trade Compliance Consultant Location ... Greensboro, NC (onsite) Zip Code: 27409 Pay Rate: $30 - $40/hr. (DOE) Job Type: Contract Duration ...
Quick apply
Trade Compliance Consultant
$30 - $40/hr
Trade Compliance Consultant Location ... Greensboro, NC (onsite) Zip Code: 27409 Pay Rate: $30 - $40/hr. (DOE) Job Type: Contract Duration ...
Top Skill * 5+ extensive coding audit experience * General Microsoft Office, e-mails, Teams * EPIC (HealthConnect), 3M for coding; Outlook, Teams for communication. Performs coding audits by ...
Top Skill * 5+ extensive coding audit experience * General Microsoft Office, e-mails, Teams * EPIC (HealthConnect), 3M for coding; Outlook, Teams for communication. Performs coding audits by ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · On-site +1
$333K/yr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · On-site +1
$333K/yr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Auditor, Remote
Baltimore, MD · Remote
$33.46 - $46.70/hr
... compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or ... issues with consultation from the medical and clinical staff, and clinical documentation ...
Coding Compliance Consultant information
See salary details
$35.5K - $45.8K
4% of jobs
$45.8K - $56K
13% of jobs
$58.5K is the 25th percentile. Wages below this are outliers.
$56K - $66.3K
33% of jobs
$66.3K - $76.6K
6% of jobs
$76.6K - $86.9K
13% of jobs
$92K is the 75th percentile. Wages above this are outliers.
$86.9K - $97.1K
12% of jobs
$97.1K - $107.4K
9% of jobs
$107.4K - $117.7K
4% of jobs
$117.7K - $128K
2% of jobs
$128K - $138.2K
2% of jobs
$138.2K - $148.5K
2% of jobs
$35.5K
$80.9K
$148.5K
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Provider Coding Compliance Consultant
Remote
$63K/yr
Full-time
Posted 25 days ago
Baylor Scott & White Health rating
7.4
Based on 775 frontline employees who took The Breakroom Quiz
263rd of 898 rated healthcare providers
Job description
Job Summary
Baylor Scott & White Health (BSWH) is committed to an effective compliance program. The Provider Coding Compliance Consultant reports to the Coding Compliance Manager works under the Compliance Vice President or Director. They perform activities related to developing, implementing, and maintaining BSWH policies. These activities ensure adherence to federal, state, and local laws and regulations.
Salary: The pay range for this position is $30.52/hour ($63,481/year) for those with entry-level qualifications up to $45.79 ($95,243) for those highly experienced. The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
Essential Functions of the Role
- Identifies appropriate projects for audits and schedules audits with appropriate personnel.
- Conducts auditing of provider services, monitoring, and investigating activities to establish compliance with BSWH policies and procedures, and federal, state and local laws.
- Provides written audit and investigation reports, identifying risks and recommending appropriate steps to improve effectiveness and mitigate risks.
- Obtains corrective action plans for identified deficiencies and follows through to establish effective implementation is completed.
- Tracks audit findings and surveys personnel audited to assess audit satisfaction and effectiveness.
- Provides and coordinates coding education with providers regarding audit trends. and training for compliance initiatives.
- Serves as a coding compliance resource to BSWH departments and entities on basic compliance matters.
Key Success Factors
- Strong written and verbal communication skills with the ability to provide provider education and present audit findings.
- Proficient in Microsoft Word and Excel.
- Exercises good judgment, attention to detail, integrity, dependability, and objectivity.
- Possesses exceptional critical thinking skills.
- Demonstrates professional growth by obtaining continuing education and seeking certifications.
- Demonstrates initiative by learning business processes and applicable auditing techniques.
- HCCA Certification Preferred.
- Advanced knowledge of CPT, ICD-10-CM, HCPCS, CMS regulations, and payer-specific billing and documentation requirements.
- Experience auditing E/M services, surgical procedures, office-based procedures, and diagnostic services for multiple specialties with advanced knowledge in orthopedics
Preferred Qualifications
- Bachelor's in HIM or 4 years of Physician/Professional fee coding work experience
- Medical Coding Certifications such as CPC, CCS, CCS-P
Minimum Qualifications
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 1 Year of Experience
What Baylor Scott & White Health employees say
Pay
Benefits
Hours and flexibility
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About Baylor Scott White Health
Sourced by ZipRecruiter
Industry
Outpatient health care and health care and social assistance
Company size
10,000+ Employees
Headquarters location
Dallas, TX, US