Coding and Compliance Specialist (Finance)


Coding and Compliance Specialist (Finance)

Full-Time, Regular

Individual Cont.

Anchorage, AK, US

 

 

 

Coding and Compliance Specialist – The Coding and Compliance Specialist responsible for reviewing documentation generated by program departments for content accuracy and compliance. This position reviews clinical content to validate documented services and assigns applicable billable codes per State and Commission on Accreditation of Rehabilitation Facilities (CARF) regulations. This position completes weekly, monthly, and quarterly quality assurance reports to ensure departmental needs encompass the services’ goals and expectations. 

CITC stands for Cook Inlet Tribal Council. But more than that, CITC stands for people, partnerships, and potential. Our mission is to work in collaboration with Our People to develop opportunities that fulfill Our endless potential. When we work together, we can help each other grow our talents and strengths and become successful and self-sufficient individuals, families, and communities. People. Partnership. Potential. When people come to CITC, they join a network of caring partners who can help you achieve your goals, pursue opportunities, and overcome challenges and know the great care we take with participants and employees alike.

Our Mission

To work in partnership with Our People to develop opportunities that fulfill Our endless potential.

Our Vision

We envision a future in which all Our People—especially Our youth, the stewards of our future—have access to vast opportunities and have the ability, confidence, and courage to advance and achieve their goals, infused with an unshakeable belief in Our endless potential.

Our Values

Our People have always understood that no one lives in isolation—individuals depend on each other and themselves. These cultural values are summarized in the organizational values of CITC, which guide us in everything we do:

  • We are interdependent
  • We are resilient
  • We are accountable
  • We are respectful
  • We are humorous. 

Requirements:

  • Excellent verbal and written communication skills.
  • Demonstrated proficiency with computers and standard office equipment.
  • Demonstrated ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Demonstrated ability to work independently with minimal supervision.
  • Demonstrated ability to prioritize workload.
  • Excellent time management skills.
  • Demonstrated ability to coordinate multiple activities.  

Minimum Qualifications:

  • High School Diploma or GED
  • Medical Coding certification (AAPC/AHIMA).
  • Two years of medical coding experience.
  • Continued employment is contingent upon receipt of a satisfactory report from a state and federal background check.

Preferred Qualifications:

  • Associate’s Degree in Accounting, Finance, or related field.
  • Two years of experience performing quality assurance using a Behavioral Health electronic case management system.
  • Two years of experience working with the State of Alaska Department of Behavioral Health Medicaid regulations and coding. 

Responsibilities:

Coding and Compliance

  • Review and validate that documentation meets coding guidelines for activity code selected in the EHR.
  • Review all assessments and progress notes for accuracy, following an outlined curriculum.
  • Prepare billing spreadsheets for Billing Specialists.  
  • Train and guide departments to ensure a shared understanding of relevant Department of Behavioral Health (DBH) clinical regulations.
  • Attend training regarding Department of Behavioral Health (DBH) clinical regulations and requirements
  • Work with Quality Assurance Manager to obtain and adhere to Commission on Accreditation of Rehabilitation Facilities (CARF), National and State accreditations, and licensing bodies.

Credentialing

  • Work with new employees to obtain National Provider Identification (NPI) numbers or transfer current NPI numbers.
  • Validate the correct completion of all NPI information and prepare submissions for approval.
  • Ensure the entry and completion of staff NPI numbers required for their position, license, certification, and category outlined per Health Insurance Portability and Accountability Act (HIPAA) Standards.
  • Review approved progress notes to validate appropriate documentation for delivered services. That documentation meets State and CARF regulations within the scope of the staff member’s National Provider Identifier Standard (NPI) number and position.

General

  • Prepare weekly, monthly, and quarterly spreadsheets.
  • Act as a liaison between program and billing departments.
  • Ensure adherence to confidentiality and HIPPA regulations.
  • Maintain confidentiality according to regulations, policies, and procedures.
  • Maintain a positive working relationship with CITC staff.
  • Perform all related duties as needed and assigned. 

The Location: Cook Inlet Tribal Council is based in Anchorage, Alaska.  

Why Should You Apply?

  • Great Mission Serving Our People
  • Excellent Benefits for Employees and Families
  • Great Work-Life Balance
  • Market-Based Compensation 

NATIVE PREFERENCE STATEMENT: Pursuant to the Indian Self-Determination and Education Assistance Act of 1975 (PL 93-638) and as further guided by CITC’s Native Preference Policy 6.120, CITC maintains preference in all phases of employment for Alaska Native, American Indian (AN/AI) and Native Hawaiian people, including direct lineal descendants and foster or traditionally adopted children. Also included is the non-Native head of household members for Native families, which provides foster or traditionally adopted Native children.

Anchorage, AK

1 month(s) ago