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,
and 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.