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Job DescriptionJob DescriptionJob DescriptionThe Professional Coding Auditor performs reviews for professional/clinic based clinic visits and hospital setting claims reviewing providers diagnosis and procedural coded claims in ensuring coded data is in compliance with Official Coding Guidelines and American Medical Association CPT/HCPCS procedural coding conventions.
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The Coding Specialist is responsible for Coding, auditing, and entering all surgeries and special procedures performed in the office, ambulatory surgical center, and hospital setting using correct CPT & ICD-10 and diagnostic codes.
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Will maintain charge master, addition of or change to CPT codes as necessary to ensure appropriate billing. For over 60 years, we’ve been the hospital-of-choice on the west bank of Jefferson Parish for health, wellness, and family-centered care.
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Translates narrative information from billing encounter forms and orders into ICD-10 and CPT-4 codes. Provides billing and coding consultation for departments without revenue staff, such as the ED and Pulmonary medicine.
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We are searching for an Billing Specialist Sr to performs a variety of duties in support of Revenue Cycle Management functions, including but not limited to the effective and efficient management of revenue related billing work queues and management and oversight of denials and appeals process.
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As a Biller for our surgery center, you will be responsible for providing and contributing to the company's mission, vision, and values by accurately billing all diagnosis and procedures from medical records with proper ICD-10 and CPT-4 codes.
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Proficiencies : Extensive knowledge of medical terminology, anatomy and physiology, pathophysiology, pathology and laboratory medicine, coding guidelines for DRG, ICD-10, CM, PCS, HCPCS, CPT, Modifiers, etc.
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The Compliance Manager is well-versed in laws and regulations impacting the healthcare industry along with knowledge of professional billing rules, CPT/HCPCS coding rules, and revenue management processes.
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EducationHS Diploma (Required)Bachelor's Degree (Preferred)ExperienceProficiency with CPT-4 procedural coding and ICD-10 diagnosis codingLicense/Certification/SkillsCertified Professional Coder (CPC) or Certified Coding Specialist (CCS) (Required)A valid driver’s license is required prior to appointment and must be maintained during employment in this classification.
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Basic understanding of CPT and ICD-9 coding, third-party payer billing processes, pre-certification requirements, and the overall revenue cycle (Required) Basic understanding of CPT and ICD-9 coding, third-party payer billing processes, pre-certification requirements, and the overall revenue cycle (Required.
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Back To Openings Billing Specialist I (MVA Appeals) Department: Delaware Valley Billing Location: Voorhees Township, NJ. Billing Specialist I MVA Appeals - Careers at Clearway Pain Solutions Share with friends.
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Thorough knowledge of various reimbursement methodologies, such as MSDRG, APR DRG, CPT-4, HCPCS, UB04 and NYS, CMS regulations as they relate to Managed Care Organizations. Preferred experience with Access, Cerner Millennium or other EMR/Billing systems.
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Under direct supervision, the Patient Coordinator performs frontline reception, registration, administrative and/or billing activities to contribute to an optimal customer service experience for patients and efficient patient flow for physicians within the Department.
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Education: High school diploma or equivalency required: CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Must maintain a knowledge of medical terminology, CPT and ICD-10 Coding and insurance regulations.
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Audit provider documentation of CPT and ICD-10 codes to ensure adherence with coding and CMS Risk Adjustment guidelines. Primary responsibility is to assess Risk Adjustment / HCC coding practices for Family Care Network Practitioners and billing staff ensuring that regulations are being followed.
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