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Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.
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Evaluates accuracy of supply and implant charge capture and coding based on Medical Center policies and related payor requirements. Interpret and apply documentation and coding rules and regulations along with charge capture and reimbursement methodologies.
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Works with professional charging areas to ensure accurate charge capture of professional services Works with professional charging areas to ensure adherence to correct clinical documentation workflow for charge capture Run reports from Epic to disseminate to professional charging areas on incomplete notes and procedures Assists in providing education and instruction to clinical areas including physicians/APPS for accurate charge capture.
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Minimum of 10 years of healthcare experience working with billing, charge entry, charge capture, and code auditing with knowledge of CPT, HCPCS, ICD-10 codes and modifiers. The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures.
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Resolves rejections and denials that relate to demographic registration, insurance registration, authorizations/referrals, and charge capture. Keeps abreast of payer policies and nuances pertaining to charge capture that impact the payment of claims.
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Recent experience with hospital charge capture workflows, chargemaster maintenance, CPT, HCPCS and Revenue Codes. ARCR: Resolute Professional Billing Revenue Integrity-Charge Capture and Coding.
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Leading a team of 3-6 direct reports, this position will have responsibility and oversight in hospital revenue cycle operations, payer policy, denials management and prevention, charge capture processes and validation, and hospital revenue cycle operations.
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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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Responsibilities include; stewardship of Patient Billing and Collection, A/R Management, Application Systems Support, Claims Management, Coding, Charge Capture, Data Entry, Account Follow-Up, Customer Service, Denial Management, Edit Management, Payment Variance Analysis, Contract Analysis, Credit Analysis, Refund Management, Payment Posting, Auditing, Training, and Productivity and Performance Reports.
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The Revenue Coding Specialist assists with compliance, education, accuracy in charge capture, and improvement in the revenue cycle processes for our Cayuga Health Partners Practices. Maintain knowledge of Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), ICD-10- CM/PCS , Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits.
$65,000 - $75,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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The Revenue Integrity Charge Specialist will be responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process. This person will oversee charge capture functions for Cardiology and Interventional Radiology services as well as other departments within the region.
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Evaluates the appropriateness of ICD-10, HCPCS and CPT codes, APC/EAPG, DRG, and admission assignments, along with modifier usage. Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed.
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Keeps Coding/Charge Capture Manager abreast of issues that arise. Performs audits utilizing an in-depth knowledge of ICD-10, CPT and HCPCS coding, Correct Coding Initiatives (CCI) and documentation guidelines.
$31.77 - $47.66 an hourExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The Coding Specialist III will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.
Full-timeRemoteExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Senior Revenue Integrity Analyst will support the Clinical Department and revenue cycle and perform charge capture analysis including annual price increase analysis. Train others on charge capture process.
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