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Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries.
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Works directly with the Billing Supervisor and Coding Manager to resolve complex issues and denials through independent research and assigned projects. Licensure, Certification & Registration: CP (Certified Professional Coder through AAPC), CPC-A (Certified Professional Coder - Apprentice through AAPC), or CCS-P (Certified Coding Specialist Physician Based through AHIMA.
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Minimum of two years of experience of medical billing and coding experience, this should include working AR/Rejections and working with Workers Comp, Auto; Priority Health, BCBS, Medicaid denials is a plus.
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Actively seek to obtain certification with American Health Information Management Association (AHIMA) as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) and/or Registration with American Association of Professional Coders (AAPC) as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or other equivalent coding certification.
$17.39 - $28.4 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Responsible for insurance payment posting, denials management, and A/R follow-up for assigned accounts. Minimum 2 to 3 years experience in insurance payment posting and denials management preferred.
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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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Essential Job Functions: Coding Clinical Encounters, Hospital Professional Fees, Coding Medical, Surgical, Obstetrics, Newborn charts Claim review for CCI edits, MUE edits and/or denials.
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The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
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Works closely with the Coding Manager and Coding Team Supervisor to prepare education and training material based on coding guidelines, new technology, denials, medical practice and new trends discovered during chart audits.
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Certified Coding Specialist (CCS) Certified Outpatient Coder (COC) credential required. Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) credential required.
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The Billing and Coding specialist will be responsible for increasing business profitability by effectively managing timely medical coding, authorizations, billing/charge entry, accurate coding, analyzing denials, rejections, and seeking the best approach to overturn, and reducing days in accounts receivable.
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Certified Billing and Coding Specialist (CBCS) Certification is preferred (not required) Strong knowledge of medical billing and coding procedures, including insurance guidelines and pre-authorization requirements.
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The Prior Authorization Specialist is responsible for the timely submission of all documentation, forms, or electronic requests in a timely fashion to not impede our community's access to care.
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Overview The Documentation and Reimbursement Specialist is primarily responsible for actively investigating claim denials, performing root cause analysis, and responding to questions regarding documentation, coding, and billing of professional services.
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At Olympic Sports & Spine (OSS), the Payment and Reconciliation Specialist is responsible for investigating credit balances, determining appropriate action, and providing resolution. The payment specialist processes all refund requests for patients and insurance.
$41,790.26 - $63,936.48 a yearFull-timeExpandApply NowActive JobUpdated Today
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