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In-house billing, coding, and collections. Tenet Florida Physician Services not only provides the resources needed to successfully run a medical practice, we also provide the strength and stability that comes from being part of a large national network of hospitals, outpatient centers, and healthcare providers.
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It achieves this through Revenue Cycle Task Force committees and processes for Hospital, Physician, Pharmacy, Pacific Islanders, Worker compensation, and direct oversight and management of the Billing, Charge Description Management, Coding, Admissions and Financial Service functions.
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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Minimum Qualifications:High School Diploma or GED.At least three (3) years of Medical insurance billing and coding experience. Submits insurance claims through billing softwares clearinghouse vendor.
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Medical coding and billing experience required. An experienced Revenue Cycle Manager is sought that has a proven track record with management of the financial aspects and revenue cycle of a medical practice.
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Minimum 2 years hands on coding and/or billing experience within a physicians office and/or successful completion of secondary education in medical coding/billing or medical administration, or urology experienceAbility to follow policies and procedures for compliance, medical billing, and coding.
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Written appeal letters to insurance companiesDetail oriented, high-level problem solving, analytical and investigational skillsResolving billing edits including coding, charging and billing issuesWorking knowledge Medicaid regulations, CMS documentation standardsReconciling reimbursements, follow-up and research reimbursement issuesExperience in medical billing and coding, insurance verificationMedisoft, E-Clinical, NextGen, Advanced MD, TrakNet, Prognosis or similar software.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes. Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure.
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Review claim documentation, including medical records and billing codes, to ensure proper coding and billing practices. Strong understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems.
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Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
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Medical Billing & Coding. Enrollment is on a rolling basis with programs beginning every 10 to 15 weeks, and you can be finished with your IT Support Specialist diploma in as little as 18 to 21 months.
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As a clinician led organization, TeamHealth offers flexibility in scheduling, no billing or coding responsibilities and dedicated educational programs for our OB/Gyn hospitalists.
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The Revenue Cycle Manager position is a hands-on role, responsible for managing medical billing and coding activities and developing strategies to optimize revenue and reduce billing errors.
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Assists in reconciling coding and billing issues. Position Summary: Abstracts and assign diagnoses and procedure codes for the medical records of discharged patients, including inpatients, day surgery, observation, and outpatient records using ICD-9- CM and CPT-4 classification systems and 3M encoder software for Grouper determination.
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billing medical and coding jobs
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