Compliance Specialist – Coding

Job not on LinkedIn

🔥 0 minutes ago

🐎 Kentucky – Remote

🐎 Kentucky – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Appalachian Regional Healthcare (ARH)

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1956

🏥 Healthcare

🤝 Non-profit

📚 Education

💰 $2.2M Grant on 2023-10

Healthcare • Non-profit • Education

Appalachian Regional Healthcare (ARH) is a not-for-profit health system serving residents across Eastern Kentucky and Southern West Virginia. It operates 14 hospitals along with physician practices, home health agencies, HomeCare Stores and retail pharmacies, and provides graduate medical education and allied health training. ARH is the largest regional care provider and a major local employer, offering community-focused healthcare services, workforce development programs, and various patient and employee benefits.

📋 Description

• Assist in developing comprehensive billing and coding audit plans • Generate reports and analyze data from numerous databases and software systems across ARH • Execute audits and requested investigations independently • Perform and document audit follow-up activities to ensure ongoing monitoring and implementation of corrective action plans • Prepare comprehensive written audit reports covering audit process and methodology, results, root cause analysis, and recommendations • Discuss audit results with all levels of management and assist with education as needed • Monitor changes in statutes, regulations, compliance principles, and practices • Review programs and activities affected by industry regulations and recommend changes to non-compliant procedures and practices • Participate in annual risk assessment and recommend process or policy improvements • Maintain coding certification • Provide education on coding and reimbursement updates • Perform other duties as assigned

🎯 Requirements

• Bachelor’s degree • Three years of healthcare experience, with specific experience in coding, reimbursement, risk or regulatory compliance, preferred • Strong understanding of coding, internal auditing or reimbursement laws • Excellent communication and collaboration skills • Demonstrated leadership abilities • Proficiency in data analysis and reporting tools • Ability to maintain confidentiality and handle sensitive information with discretion and professionalism • Ability to manage multiple deadlines and projects simultaneously • Certification in health care compliance preferred • Maintains coding certification