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Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
$18.5 - $35.29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Concurrent reviews assure the completeness of medical records, the accuracy of documentation, and the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups involved in the care and discharge planning of patients.
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For Outpatient Clinical Documentation Specialist, three (3) years of outpatient facility medical coding, ambulatory outpatient direct patient care, or outpatient Clinical Documentation Specialist experience.
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The Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist Physicians. Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification process.
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The Clinical Documentation Improvement Specialist (CDIS) reviews inpatient medical records while patients are still in-house (concurrent review) for proper documentation resulting in appropriate reimbursement, severity of illness, risk of mortality, quality measures and risk adjustment.
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Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
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Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification from recognized accrediting bodies. At least 1 years’ experience in medical coding or healthcare administration is preferred.
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Knowledgeable of the revenue cycle CMS guidelines managed care contracts and LCDs. Performs the function of coding DRG assignment collection of predefined indicators and abstracting medical records.
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We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
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The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the accurate representation of the severity of illness. Demonstrates knowledge of International Classification of Diseases coding regulations, applies to ongoing evaluation of medical record documentation, and works closely with Coding staff to assure documented diagnosis (es) and co-morbidities gives a complete and compliant reflection of the patient's clinical status and care.
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Identify and provide information on proper coding guidelines, insurance regulations, medical records and physician documentation and signature requirements. Review and release information to persons and agencies according to regulations on medical records request received.
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Proficient computer skills using MS-Word, Excel, PowerPoint, Outlook, Electronic Medical Records (EMR) systems including Paragon, eClinical Works, Cerner, CareCloud, Computer Assisted Coding (CAC) and others.
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The Sr. Claims Auditor utilizes CPT and ICD-10 coding to review physician claims and medical records for coding accuracy. Required to possess Certified Professional Coder (CPC) certification or CCS (Certified Coding Specialist.
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Ensure accurate and timely billing and coding of medical records. Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching.
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Experience: Must possess in-depth knowledge of medical and anatomical terminology, reimbursement principles, health record content, sequencing of diagnoses, and the use of coding software.
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coding specialist medical records jobs
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