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Medical Coding Compliance Jobs in Missouri (NOW HIRING)

Medical Coding Specialist

Columbia, MO · On-site

$20.58 - $32.49/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between ...

$70K - $109K/yr

  • Medical

  • Retirement

  • PTO

Supervises Coding Coordinators to assure hospital based services captured timely and to maximize ... Performs compliance related duties such as review of medical documentation, completion of physician ...

$70K - $109K/yr

  • Medical

  • Retirement

  • PTO

Supervise Coding Coordinators to ensure hospital based services are captured timely and to maximize ... Perform compliance related duties such as review of medical documentation, completion of physician ...

$70K - $109K/yr

  • Medical

  • Retirement

  • PTO

... Coding and Compliance. The Manager will oversee the billing cycle and coding function of a large ... This leader will also assist in the audit of medical records in order to identify potential ...

Inpatient Coder

Kansas City, MO · On-site

$21.25 - $25.50/hr

Working knowledge of Official Coding Guidelines and CMS guidelines. Strong understanding of medical terminology, anatomy and physiology, compliance and reimbursement guidelines. SPECIALSKILLS:

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Medical Coding Compliance information

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What are some common challenges faced in a medical coding compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor for compliance with legal and payer requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

Medical Coding Specialist

University of Missouri-Columbia

Columbia, MO • On-site

$20.58 - $32.49/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


University Of Missouri rating

7.3

Company rating: 7.3 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

363rd of 620 rated colleges and universities


Job description

Hiring Department

University Physicians

Job Description

#upjobs
This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions.
Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance.
Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc.
Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding.
Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records.
Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards and guidelines regarding clinical documentation requirements, procedure and diagnosis coding.
Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc.
Remote working options available.

Shift

Monday - Friday

Minimum Qualifications

Completion of a coding certification program or equivalent training to obtain certification using ICD-10-CM, ICD-10-PCS, and the CPT-4 coding systems. One (1) year of related medical records coding experience may be substituted.

One of the following certifications within one (1) year as a condition of continued employment in this job classification:

-- Certified Coding Associate (CCA)
-- Certified Coding Specialist (CCS)
-- Registered Health Information Technician (RHIT)
-- Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA); or

-- Certified Professional Coder (CPC/CPC-A)
-- Certified Outpatient Coder (COC/COC-A)
-- Certified Inpatient Coder (CIC/CIC-A) by the American Academy of Professional Coders (AAPC); or

Specialty certification per the department needs such as:
-- Radiation Oncology Certified Coder (ROCC) by the American Medical Accounting and Consulting Inc (AMAC)

Anticipated Hiring Range

Salary Range: $20.58 - $32.49 hourly
Grade: PAT - 6A
University Title: MED CODING SPCLST, UP
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

Application Materials

In addition to the Online Application, please provide Resume, cover letter, and verification of coding certification.

Benefit Eligibility

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at https://www.umsystem.edu/totalrewards/benefits.

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.


To request ADA accommodations, please call the Director of Accessibility and ADA at 573-884-7278.


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About University of Missouri

Sourced by ZipRecruiter

The University of Missouri, based in Columbia, MO, US; is a public, land-grant research institution with an established reputation in academic excellence, industry relevance, and societal impact. Founded in 1839, it was the first public university located west of the Mississippi River. The institution spans various industries in the education sector with its multitude of undergraduate, graduate, and professional degree programs across various disciplines. The University's mission is centered on improving lives, enhancing communities, advancing health, and fostering excellence through its teaching, research, and engagement activities. U-M has some significant achievements under its belt including pioneering the world's first school of journalism and being one of the only six public universities in the US that accommodates medicine, veterinary medicine, and law in one campus.

Industry

Education

Company size

10,000+ Employees

Headquarters location

Columbia, MO, US

Year founded

1839

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