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Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.
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You will be accountable for reviewing patient medical records in the clinic setting to capture an accurate representation of the severity of illness, risk adjustment and facilitate proper coding.
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Knowledge of insurance plans, billing codes (CPT, ICD-10), and medical terminology. Benefits:Competitive salary based on experienceComprehensive benefits package including medical, dental, and vision insurancePaid time off (vacation, sick leave, holidays)Retirement savings plan (401k) with employer matchOpportunities for professional development and advancement within the organizationTo apply for the Insurance Verification Specialist position at Prince William Surgery Center, please submit your resume today.
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Bilingual in English and Spanish proficiency+ An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH+ 1 or more years of Medical Assistant experience in 'back-office' direct patient care+ Experience with HEDIS and ICD/CPT coding+ Hands-on professional Phlebotomy experience+ Experience with Electronic Medical Records+ Experience in a fast paced/high volume environment.
ExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding. This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services across all practices/units (acute and ambulatory settings) to include review of accurate and timely assignment of ICD-10 CM/PCS, HCPCS/CPT codes.
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All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and organization/institutional coding directives.
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These claims require additional research, including, but not limited to the following: initial clinical evaluations, request and review of medical records, coding assistance and research- CPT and ICD-10, including unlisted procedures and changes in diagnosis and procedures, system editing review.
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Knowledge of ICD-10, CPT, HCPCS and medical terminology required. + Review electronic health records (EHR) to determine what information is appropriate for coding purposes. Experience with Medical Practice Management systems, EHR, payer websites, clearinghouses.
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Experience with medical billing and coding, including CPT and ICD-10 codes. Proficiency with medical billing software and electronic health records (EHR) systems. Associate degree or higher in medical billing and coding, healthcare administration, or a related field is preferred.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Proficiency in the use of all applicable software, which includes the abstracting system 3M HDM product(s) and Nuance CD One. Demonstrates familiarity with patient medical records. CM/PCS, CPT, and HCPCS coding guidelines with working knowledge of DRG, APC and diagnosis sequencing concepts.
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Use SEVIS to create and maintain student immigration records including initial SEVIS record, transfers in and out, extensions, CPT, OPT, medical leave, leaves of absence. Create and maintain student records, both electronic and physical files Develop a full understanding of all issues related to international student regulations and requirements as set forth by the Department of Homeland Security, Student Exchange and Visitor Program.
$45,000 - $55,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Familiar with coding taxonomies used in healthcare billing and electronic medical records, such as ICD-10 codes, CPT-4 codes, MS DRGs, SNOMED, LOINC, RxNorm. Experience with electronic medical records or other healthcare related information systems.
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As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team.
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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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Serves as back-up of all areas of the Administrative Office which includes Front Desk Coordinator and Medical Records Coordinator. Must be familiar with CPT, HCPCS and ICD-10 codes and CMS regulation preferred.
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