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Job SummaryThis expert level senior inpatient coder is responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation.
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Work all assigned billing edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA). Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Interventional Radiology Cardiovascular Coder (CIRCC) in an active status is required.
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Facility coders are responsible for coding: Inpatient, Ambulatory, Observation, Emergency Department which includes charge capture, charging medication administration and knowledge of multiple specialties consultation/procedures.
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Coding Documentation Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture discrepancies.
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One of the following professional certifications from AHIMA or AAPC: Certified Professional Coder (CPC), Certified Coding Specialist (CCS or CCS-P), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC.
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Under direct supervision, the Hospital Outpatient Coder is responsible for the accurate coding and abstracting of diagnoses, conditions and procedures from medical record documentation for Hospital Ambulatory Surgery (HAS), Home Health/Hospice (if applicable), Observation (OBS) and Hospital complex Outpatient Visit (CHOY) including capture of codes for outpatient services that require monitored anesthesia and conscious sedation.
$44.37 - $48.69 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Background in embedded electronics, VHDL, Verilog, System Verilog, Schematic capture, signal processing, RF, FPGA. Experienced designing in Matlab/Simulink with DSP Builder and HDL Coder blocksets.
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Jointly identify VBCs/non-VBCs to prioritize with risk score performance initiatives including developing strategy on members, VBC providers, and providers that get embedded coder training. This position is responsible for reviewing all activities (programs, analysis, encounter data submission and quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis capture and reporting.
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The Coder I interprets medical documentation to assign the uniform classification system to meet mandated requirements such as Diagnosis Related Grouping (DRG) and Ambulatory Patient Group (APG) assignments under Medicare.
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Utilizes clinical knowledge to identify need to clarify documentation in records, and utilizes strong commination skills with physician, physician extender, case manager, utilization review, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation.
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Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required.
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Leads efforts to identify new charge capture opportunities, while working closely with Revenue, Coding and the Charge Master team. Looks for trends in charge capture/billing discrepancies and reports findings to Business Operations Manager.
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The Coding Specialist will be knowledgeable in and perform all aspects of CPC coder with little assistance from others. Assist team with issues such as medical necessity, claims denials, bundling issues, and charge capture which are in area of expertise.
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Qualifications: EDUCATIONAL REQUIREMENTS None Required CERTIFICATION & LICENSURE REQUIREMENTS Registered Health Information Admin (AHIMA) upon hire or Registered Health Information Tech (AHIMA) upon hire or Certified Coding Specialist (AHIMA) upon hire or Certified Coding Specialist Physician Based upon hire or Certified Professional Coder (AAPC) upon hire or Certified Inpatient Coder (AAPC) upon hire or Certified Outpatient Coder (AAPC) upon hire.
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Responsible for charge capture process and revenue integrity of professional charges, including but not limited to, abstracting data from medical records, coding diagnoses and procedures, along with educating providers and staff, while maintaining work queue goals and is a resource to help maintain patient relations.
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