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Requires coding certification (CPC, CCS, CPMA). Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and bachelor's degree strongly preferred. Requires coding certification (CPC, CCS, CPMA.
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Certified Medical Coder - RHIT, CPC, CCS or similar. Clinical experience with a background of ICD-10, CPT, and HCPCS coding principles. Certified Medical Coder - RHIT, CPC, CCS or similar.
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Preferred Skills, Capabilities and Experiences: Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and bachelor's degree strongly preferred. Research new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
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Candidate will also possess one of the following certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator, (RHIA) or Certified Coding Specialist (CCS.
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CM/PCS, and/or CPT-4 coding classification systems and the encoder, CAC, and other apps as instructed. Certified Coding Specialist (CCS) Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) – renewed every 2 years.
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Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions.
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Maintains coding certification (CPC, CPC-A, CCS, RHIT, RHIA). Performs ICD and CPT coding of provider (professional) services and verifies thatall requisite charge information is entered.
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Exposure to standard clinical measures and taxonomies from multiple sources (HEDIS, HCPCS/CPT codes, HCCs, CCS, etc). Extensive experience with reporting and dashboard tools such as PowerBI, Looker, Tableau, etc.
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Must have and maintain Professional Coding Certification (CPC, CCA, CCS or CCS-P) Minimum of 2 years’ experience in E&M coding (ICD-10 and CPT-4) Assign appropriate ICD-10 or CPT codes to patient records.
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Certified Coder (CCS or CPC)-AHIMA or AAPC Certified Professional Coder (CPC) within 1 Year. Working knowledge of medical insurance and managed care principles and knowledgeable of CPT and ICD-10 coding systems.
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If candidate is not RHIA, RHIT, CCS or CPC and/or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position.
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Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC. Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.
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Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA) required. Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner.
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Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required.
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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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