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This position is also responsible for auditing medical record documentation to determine appropriate diagnostic coding for services provided, taking into account the AMA CPT coding guidelines, ICD-9 & ICD-10 Coding Guidelines, CMS Medicare, HHS, and DHS BadgerCare Plus risk adjustment policy and Hierarchical Condition Category Coding.
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Knowledge of HCC and ICD-10 coding and documentation. Ability to bend, reach, lift, pull, push, and carry up to 10 lbs. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada.
$125,400 - $150,000 a yearFull-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories.
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At least 2 years of CPT / HCPCS and ICD-10 coding experience and medical terminology is required. The Authorization Coordinator is responsible for obtaining appropriate insurance pre-certification/preauthorization prior to the provision of scheduled infusion center services or treatments.
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Certified Level: Credentials (RHIA, RHIT, CCS, or CPC) may be substituted for previous coding (ICD-9 and/or ICD-10 and CPT) experience. Is responsible for testing of quarterly updates for ICD-9 and/or ICD-10.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Obtains pre-authorization or pre-certification for coverage of office visit or surgical procedure with appropriate ICD-10 and CPT codes needed. Knowledge of medical terminology, coding procedures, CPT and ICD-10, billing functions, cashier and data entry.
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In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans Strong reconciliation and analytical abilities as it relates to medical billing, collections and payment posting Intermediate Excel experience Basic knowledge of clinical terminology, ICD-10, and CPT codes Ability to read and understand different Explanation of Benefits.
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Experience in healthcare industry with medical terminology, medical billing and coding, CPT, ICD-10, and HCPCS preferred. Knowledge of chart review/auditing training, CPT and ICD-10 coding, health insurance, medical billing procedures in a clinical and surgical setting.
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The CCMHC is responsible for providing triage, clinical assessment, direct diagnosis of mental health disorders in conjunction with DSM, ICD-10 and Collaborative Care and/or Psychotherapy codes, psychoeducation to patients and primary care providers, care coordination, case management, direct evidence-based psychotherapy, treatment plan formulation and updates, crisis coordination, and relapse prevention planning.
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Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. Licensed Practical Nurse (LPN); Licensed Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred.
Full-timeExpandUpdated 13 days ago - UpvoteDownvoteShare Job
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Experience in CPT and ICD-10 coding. Must be able to assign appropriate ICD-10 codes correctly. 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.
Full-timeExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance. Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding, using your experience to ensure accuracy and achieving maximum reimbursement.
Full-timeRemoteExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Assigning appropriate CPT and ICD-10 codes. Administrative support for your provider and care team ~ 10% Clinical Documentation Improvement ~ 10% This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
$18.88 an hourFull-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The purpose of a Medical Scribe at Oak Street Health is to support our primary care providers with clinical documentation so that they can focus on providing exceptional care to our patients. Title: Medical Scribe (Full-time in Primary Care Setting.
Full-timeExpandApply NowActive JobUpdated 13 days ago
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