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Coordinate with the Risk Adjustment Coders and Manager of Risk Adjustment Auditing and Coding to follow-up with providers on opportunities identified in their reviews. Ensure compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment and Quality.
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Accurately documents the patient visit and follow up care to communicate, mitigate risk, and ensure appropriate billing and coding. · Uses evidence-based resources (i.e. Up to Date) for treatment options.
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Performs procedures including, but not limited to, local anesthesia, digital blocks, wound management and closure, foreign body removal, incision and drainage, splinting, manages orthopedic appliances, fracture management, reduction of dislocations.
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Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS.
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Oversees the intake process for Medical Records including, but not limited to: - Entry into EMR of new patient demographics - Insurance coverage verification - Scheduling of tests where applicable - Collecting medical records - Scheduling consultation visits, and ensuring that all new consults are seen within 5 days of reaching out to our center - Follow-up with physicians to assess for any outstanding needs prior to scheduled visits.
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May also assist the case manager with scheduling hospital follow-up. Knowledge of ICD-10 and CPT coding. Able to follow through with delegated tasks. Ability to push or pull heavy objects using up to 100 pounds of force.
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Description Conduct follow up on cancer patients indexed in the Cancer Registry database through written and oral contact. Identify new cancer patients from pathology reports and other case finding sources for abstracting and follow-up.
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Acts as a liaison for issues affecting various teams (coding, revenue integrity, accounts receivable (AR) follow up, etc.) WORK EXPERIENCEFive years of certified coding experience with coding denialsAccounts receivable follow up experience preferred.
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Ensure that in the absence of a primary care provider that a mechanism is established so that a physician is available to review lab and x-ray reports; prescriptions and follow-up medical care is accomplished.
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We provide an entire internal operational support team for our clinicians to handle the tasks of pre-populating the medication reconciliation, tracking down DME orders, getting MD signatures, coding, lab follow-up, etc., truly allowing you to function independently, with the flexibility to make your own schedule and plan patient visits around other commitments if needed.
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Identifies and facilitates agreement of major messages which are consistent regardless of audience, credible and reflects entity/Penn Medicine core values Communication plans are effectively implemented Ensure appropriate follow-up of major issues Manage routine and crisis communications throughout the entity/community as they arise Demonstrates recognition of the systemic impact of employee communication and/or policy changes and solicits proactive feedback prior to implementation.
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Conduct follow up on cancer patients indexed in the Cancer Registry database through written and oral contact. Excellent organizational skills in maintaining Cancer Data files and conducting annual follow up of cancer data center patients.
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Works assigned claim edit and follow up work queues and meets the assigned productivity standards on a daily basis as well as assigned patient account work queues and responds with resolutions within the expected time frame.
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Coordinates and performs Pharmacovigilance activities such as data entry, coding and assessment of adverse events, case review, follow-up, tracking of reports, and regulatory reporting activities.
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Perform software security activities within the defined application security program including; application vulnerability testing and analysis, code review, use of common tools, written and verbal articulation of remediation recommendations and follow up.
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