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Be a part of a world-class academic healthcare system at UChicago Medicine as a DRG/APC Coordinator - Coding Auditor for the Health Information Management department. In this role, the DRG/APC Coordinator- Coding Auditor is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding; insures optimal and timely reimbursement.
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Supports the Senior Medical Billing and Coding Specialist to respond to audit findings and make applicable coding additions or corrections. Supports the Senior Medical Billing and Coding Specialist to facilitates coding orientation for new providers.
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The Risk Adjustment Coder/Auditor works under the direct supervision of the Coding Manager and collaboratively with others in the organization, including ACO support staff, quality specialists, HIS team and clinical staff.
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Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.
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Please check our website (Search Category: Medical Coding) for other remote or non-remote coder opportunities in and outside of the State of California. Have and maintain current coding credential from AHIMA or AAPC (RHIA RHIT CCS CCS-P CPC or CPC-H.
$44.13 - $52.7 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Institutional (Facility) Coding Certifications: ONE of the following recognized institutional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS.
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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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If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Outpatient Coding Auditor (Surgical Specialty, Outpatient Coding) - PPI Coding Disputes Team with Humana.
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Institutional (Facility) Coding Certifications: ONE of the following recognized institutional coding certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Inpatient Coder (CIC), or Certified Coding Specialist (CCS.
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Outpatient or Professional Fee Coding, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder, AAPC specialty certifications.
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A minimum of 7 years of experience in a clinical environment (hospital inpatient, outpatient or integrated healthcare delivery system) coding role involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population such as a coder, coding auditor or coding instructor.
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Required Certification/Licensure: Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC. Utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), Hierarchical Condition Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief.
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We are looking for passionate Flutter coding instructors to teach project-based K-12 students in after-school programs, weekend workshops, and camps. Familiar with coding and basic data structures.
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The Revenue Integrity Coding Auditor will play a crucial role in ensuring accurate coding, MS-DRG assignment, and compliance within our healthcare organization. Seeking a highly skilled and experienced Revenue Integrity Coding Auditor to join our dynamic team.
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About the RoleAs a Risk Adjustment Coder for Community Health Plan of Washington, you will be responsible for ensuring accurate and timely coding of medical records to support risk adjustment activities.
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coding job
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