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This position is responsible for designating appropriate ICD-10 and CPT Codes for specialty focused professional billing in Radiation Oncology at Sentara Virginia Beach General Hospital (SVBGH) as well as patient registration and charge entry of the same.
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The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
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If you describe yourself as a healthcare coding and billing policy geek who is passionate about payment accuracy and integrity, then this is the dream job you've been looking for.
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The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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Five years of experience in clinical setting analyzing data and performing reviews such as utilization management, quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers required.
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Performs complex physician billing compliance reviews as well as for Residents, APPs (ADVANCED PRACTICE PROVIDERS-PA/NPs), internal and external Coding, and Billing staff forEmergency Medicine including our Hospitalist, Urge.
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Phys Financial LLC is a leading Medical Coding and Billing organization located in Lexington, KY, dedicated to providing exceptional services to our clients. As a key member of our team, you will ensure compliance with coding and billing guidelines while maintaining high-quality standards.
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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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High school diploma or equivalent with three years of recent experience working in the field of Medical Billing and Coding or equivalent combination of industry and formal teaching experience.
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Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials.
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Familiar with coding taxonomies used in healthcare billing and electronic medical records, such as ICD-10 codes, CPT-4 codes, MS DRGs, SNOMED, LOINC, RxNorm. Experience with software development tools and technologies (e.g., Jira, Confluence.
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We are currently seeking a motivated and detail-oriented individual to join our team as an Entry-Level Medical Billing and Coding Specialist. Engage in a comprehensive on-the-job training program to learn the fundamentals of medical billing and coding.
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Supports the billing department with: CPT coding and billing reimbursement advice and assistance, government and commercial payer inquiries, internal audits, prepayment reviews and recoupments, management of 3rd party billing and coding audits, monitoring and analyzing trends in claim submissions to identify payment inconsistencies or errors and the corresponding corrective actions, and identification of areas where training and education are needed.
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Medical billing and coding experience desired. Works with internal and external customers, including facility owners, CEOs, to resolve assigned portfolio of accounts by collecting the balance due or by taking other action (write-offs, billing to another source, in-house collections or referral to attorney or collections agency, etc.
$18 - $19 an hourFull-timeExpandUpdated 16 days ago - UpvoteDownvoteShare Job
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Manages and conducts specific medical billing and coding audits to evaluate the completeness of medical record documentation, identifies aberrant coding and billing patterns, and provides feedback to the Clinical and Investigative staff on coding and compliance issues.
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