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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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Job Summary - Under the supervision of the Reimbursement Manager, reviews and analyzes medical billing and coding for processing. Abstracts and codes to ensure accuracy of all required billing and coding data elements.
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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.
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Performs searches of governmental, payor-specific, guidelines to identify and coding and billing requirements to make recommendations. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
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In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims.
$33.75 - $66.25 an hourFull-timeRemoteExpandApply NowActive JobUpdated 22 days ago - UpvoteDownvoteShare Job
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As the Medical Billing and Coding Specialist, you will perform all aspects of the billing process with insurance companies and other payers, including but not limited to eligibility and benefit verifications, referrals, prior authorizations, claim submissions, appeals, and payment processing.
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Professional Staffing: The company also caters to professional staffing needs in areas like accounting, finance, call center services, customer service, financial services, insurance operations, medical billing & coding, office and administrative support, patient intake/access/scheduling, recruiting, revenue cycle, sales, and marketing.
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2) Copy of valid medical billing and coding certification (if needed to meet minimum requirements) To be considered for this position, all qualified applicants must attach to their online application the following documents: 1) Curriculum Vitae/Resume outlining work experience 2) Copy of valid medical billing and coding certification (if needed to meet minimum requirements.
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Certification from AAPC or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) is required.
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Including but, not limited to Managed Care, Reimbursement, Clinical, Admissions, Facility Business Office Manager, Coding, Case Management, HIM and Charge Master Departments. Skills:Payment posting, Collection, Medical collections, Medical, Payment poster, Data entry, Customer service, Medical billing, Call center, medicaid, Collection calls, Revenue cycle, outpatient, Outbound calls, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminologyExperience Level:Intermediate Level About TEKsystems: We're partners in transformation.
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Reviews and interprets various regulatory billing and coding updates, to remain compliant and accurate and to minimize noncompliance. Work closely with Finance, Medical Records, and other revenue producing areas or departments to assure accuracy and compliance to acceptable billing/coding guidelines and regulations.
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The Revenue Cycle Operations Specialist provides Revenue Cycle Management/Medical Billing services for Azalea clients and operates under the direct supervision of the Revenue Cycle Operations Manager.
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Responsible for the billing and collection processes under the direct and indirect supervision of the TBD, the Billing Specialist completes ambulance billing and coding, answers inquiries from insurance companies and patients, and explains all actions pertaining to the billing/accounting/collections processes.
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Certified Billing and Coding Specialist Certification required. Certified Billing & Coding Specialist. Requires knowledge of ICD-10 coding, accurate typing skills, computer knowledge, prior utilization of an Electronic Medical Record system, knowledge of medical terminology, and the ability to communicate effectively with physicians, co-workers, insurance plan representatives and attorneys.
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Directly supervises Patient Financial Services Manager, Accounts Receivable Manager and Revenue Integrity Specialist. Comprehensive knowledge of claims management, HIPAA standards, CMS requirements, managed care, CPT, ICD-9 and 10, and HCPCS coding.
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