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CPC - Certified Professional Coder (AAPC) OR. In addition, the Sr Coding Specialist position is responsible for reviewing, correcting and appealing coding related claim denials and mentoring and cross training Coding Specialists.
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LICENSES AND CERTIFICATIONS - REQUIREDCPC - Certified Professional Coder (AAPC) orCCS - Certified Coding Specialist (AHIMA) orAn approved Specialty Society Coding Certification. At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities.
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Additionally, this position will collaborate with key stakeholders and assist in developing appeal strategies to include reference material for staff, letter templates, and regular feedback for revenue cycle coding staff; and functions as clinical subject matter expert related to coding denials and appeals.
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Functions as an educational liaison to clinical staff and revenue cycle staff as needed on payer denials, denial reason and trending, interpretation of payer manuals, medical policies, and local/national coverage determinations.
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SERVICE ESSENTIAL FUNCTIONSPerforms data mining and reporting activities that identify net positive impactful opportunities in denials and adjustments for the individual facilities and the system.
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Certified Professional Coder (e.g., AAPC) required. Analyze daily denials and aging accounts, taking appropriate actions for resolution. Certified Professional Coder (e.g., AAPC) required.
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This position will collaborate with physicians, revenue cycle personnel, and payers to successfully clear front end claim edits, appeal clinical denials, and address customer service inquiries.
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Communicate with the Billing Manager regarding potential claim issues. Experience with Allscripts EHR preferred. Job Overview: As a Medical Collections Specialist, you will play a crucial role inresolving billing issues and ensuring timely reimbursement of receivables.
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Certification: Certified Professional Coder (CPC) - AAPC, Certified Coding Specialist (CCS) - AHIMA, or Certified Coding Associate (CCA) - AHIMA. Minimum 1 year of professional billing, claim denials, appeals, or revenue cycle work.
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Join us and become part of a dynamic team dedicated to excellence in healthcare administration. Join our dedicated team and make a difference in healthcare administration. 3-5 years of experience in Healthcare/Insurance Collections, with a focus on spine and neck cases.
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Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED. Manage coding queues and resolve denials in a timely manner. Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED.
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Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology. As a Senior Specialty Coder, you'll play a crucial role in ensuring accurate and high-quality coding for professional services across multiple specialties.
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Familiarity with Medicare, Medicaid, and Commercial payers coding/billing guidelines. Participate in audit discussions and contribute to continuous improvement initiatives. Minimum 2 years of multi-specialty physician operative and procedural services coding experience.
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At our organization, we value teamwork, integrity, and continuous improvement. Assist in implementing solutions to improve coding efficiency and accuracy. Join our dynamic team and make a difference in the lives of others from the comfort of your own home.
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Prepare payer corrections and appeals in accordance with payer plan requirements. Collaborate with attorneys on legal cases related to auto, workers compensation, and slip and fall cases. Permanent residency within twenty (20) miles of Tampa, Florida.
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