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Remote Coding Quality Reviewer- Surgery at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : The Remote Coding Quality Reviewer - Surgery will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems.
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Review and appeal as necessary all Medicare, RAC, insurance DRG denials Review quarterly NH Pepper reports, review outliers and report findings to Coding/HIM Management. Monitors the Coding Manager queue to assure cases are reviewed timely.
$27.91 - $51.83 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Job Description Job Description Position Summary: The Physician Coding and Billing Manager is responsible for directing, supporting, monitoring and coordinating coding and billing processes for all provider services, retail and DME sales.
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Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided at all clinics. Job Title: Medical Billing and Coding Specialist.
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Maintains updated knowledge of all billing, coding, insurance, and compliance guidelines, including but not limited to HiPAA, CPT, ICD-10, HCHPCS, medical terminology, etc. Reports to PFS Manager of Coding Policy and Education.
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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.
$33 - $54.02 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Coordinates and/or prepares coding and DRG/code validation benchmarking, productivity, quality, and reports for the Coding Director, the SSC Leadership, Facility Leadership, Market/Division leadership and Group leadership.
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Registered Health Information Administrator (RHIA) Registered Heath Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Inpatient Coder (CIC) Registered Nurse (RN) with at least one of the above coding certifications College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical coding courses.
$160,000 - $180,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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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.
$24.12 - $43.42 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Certified Coding Specialist (CCS)/Certified Coder Associate (CCA)/AAPC - CPC Certified Professional Coder? · Certified Coding Specialist (CCS)/Certified Coder Associate (CCA)/AAPC - CPC Certified Professional Coder desirable.
$60,000 a yearFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Completion of an AHIMA or AAPC accredited coding certification program that includes courses that are critical to coding success such as: Anatomy and physiology, pathophysiology, pharmacology, Medical Terminology and ICD-10 and CPT coding courses.
$42.03 - $50.19 an hourFull-timeRemoteExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or licensure equivalent (successfully passed AAPC or AHIMA Coding Exam) to be evaluated by FPRMO management.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD.
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The UNM Medical Group (UNMMG) Coding Auditor position requires the candidate to either hold a Certified Professional Medical Auditor (CPMA) designation at the time of hire, or to secure such designation within 18 months of hire.
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Note:Evidence of enrollment/registration in an accredited course as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT),Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification programwill be accepted.
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