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Must be credentialed with a certified physician coder credentialing organization i.e. American Health Information Management Associates (AHIMA), or American Academy of Professional Coders (AAPC.
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One or more of the following Coding Certification(s) CPC, CCA, CCS, AAPC, RHIA, or RHIT required. One or more of the following Coding Certification(s) CPC, CCA, CCS, AAPC, RHIA, or RHIT required.
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Certified Coder (CCS or CPC)-AHIMA or AAPC Certified Professional Coder (CPC) within 1 Year. Medical Policy Analyst - RN (Remote) 3 years Clinical experience within the field of Medical Surgical, Mental Health, Durable Medical Equipment, and/or Utilization Management, including some experience in research methodology and systematic evaluation of medical literature and translation of evidence into policy in a healthcare setting.
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A Certified Professional Coding (CPC) certificate through AAPC or other national recognized agency is required or the willingness to get certified within the first 90 days of employment. A Certified Professional Coding (CPC) certificate through AAPC or other national recognized agency is required or the willingness to get certified within the first 90 days of employment.
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Would also consider an RHIA or RHIT eligible candidate if enrolled in an HIT or HIM program and candidate has completed coding, medical terminology, anatomy & physiology; OR a Certified Professional Coder (CPC) or Certified Medical Coder (CMC) with certification from the American Academy of Professional Coders (AAPC); OR an experienced coder with the Certified Coder Specialist (CCS) credentials would also be considered.
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Auditing Certifications: AAPC: Certified Professional Medical Coding Auditor (CPMA). Or successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) online or in-person coding exam preparation course that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology.
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Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA. Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
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Preferred Skills, Capabilities, and Experiences:Fraud certification from CFE, AHFI, AAPC or coding certificates preferred. Preferred Skills, Capabilities, and Experiences:Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.
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AHIMA and/or AAPC Coding Credential, including RHIA, RHIT, CCS-P, CPC, and/or COC. Specialty credentials such as CASCC and CIRCC may be required for specialty areas. AHIMA and/or AAPC Coding Credential, including RHIA, RHIT, CCS-P, CPC, and/or COC. Specialty credentials such as CASCC and CIRCC may be required for specialty areas.
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Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED. Certified Professional Coder (CPC) – AAPCCertified Coding Specialist (CCS) – AHIMACertified Coding Associate (CCA) - AHIMA.
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Certified Professional Coder - (CPC®) through governing body AAPC or equivalent certification. Healthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team.
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Licensure/Certification Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification.
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Certified Procedural Coder (CPC) approved by the American Academy of Professional Coders (AAPC) for physician services coding. Certified Procedural Coder- Hospital (CPC-H) approved by AAPC for hospital outpatient coding.
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Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years. Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.
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Licensure - AAPC CPC (no CPC-A), and/or AHIMA CCS preferred. Maintain knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), ICD-10- CM/PCS, Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits.
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