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Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS Required. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team.
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High School Diploma or GED and courses in Medical Terminology, Anatomy & Physiology and Pharmacology. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
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Strong understanding of anatomy, physiology, and medical terminology required. The Certified Medical Coder will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes.
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Strong knowledge of medical terminology, anatomy and physiology. Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing.
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Prefer post high school education in anatomy, physiology and pathophysiology. Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes.
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Preferably with post High school courses in anatomy/ physiology and medical terminology Associates or bachelor's in health information Preferred. DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing.
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Knowledge of medical terminology including anatomy and physiology, clinical medical surgery, diagnostic tests, radiology, pathology, pharmacology, and various medical specialties.
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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/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
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Knowledge in medical terminology, anatomy and physiology. Responsible for analyzing and coding outpatient records, including but not limited to, radiology, laboratory, reoccurring Physical Therapy, Occupational Therapy, Speech Therapy, Same Day Care, emergency room, cardiopulmonary and cardiac rehab.
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Must have detailed knowledge of medical terminology and anatomy/physiology. The Coder performs the assignment of ICD-10 diagnosis and procedures and CPT procedure codes for billing and classification of medical records for both Inpatient and Outpatient charts.
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Advanced knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations. Course work in anatomy and physiology, medical terminology strongly preferred.
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Knowledge of anatomy, physiology, and medical terminology commensurate with ability to correctly code provider surgical and hospital services and all diagnoses. The Coding Specialist will be knowledgeable in and perform all aspects of CPC coder with little assistance from others.
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Accredited training in Medical Terminology, Human Anatomy and Physiology required. The coder will apply the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing.
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Knowledge of medical terminology, anatomy and physiology. Collaborate as an advanced coder in the review of medical documentation provided by physicians and other health providers in order to obtain detailed information regarding disease, injuries, surgical operations, and other procedures and translate into alpha-numeric codes.
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Working knowledge of human anatomy and physiology, Disease process , demonstrated knowledge of medical terminology and the medical record. Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) or similar certification is required, or must be obtained within a year of hire.
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