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Under the guidance of A/R and Billing Manager, the Coding Auditor reviews and evaluates medical records to ensure accuracy of patient records and billing as well as compliance with coding procedures and standards, based on Sunset Health’s protocols, regulatory requirements (CMS, Medicare, Medicaid, etc.
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Summary With direction from the Patient Financial Services Director, the Nurse Auditor/ Revenue Integrity/ CDM Analyst is responsible for performing audits of itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate HCPCS codes and modifiers.
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The Medical Billing and Coding Specialist is responsible for managing a variety of revenue cycle support activities. We are currently seeking a skilled and experienced Medical Billing and Coding Specialist to join our dynamic team.
$20 an hourFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Certifications in one or more of the following is preferred: a) American Academy of Professional Coders (AAPC) Certifications: Certified Professional Coder (CPC), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), and/or Certified Professional Medical Auditor (CPMA.
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Five years of experience in clinical setting analyzing data and performing reviews such as utilization management , quality assurance, charge capture, coding, billing, and medical necessity to facilitate correct claims submission to federal and state payers required.
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Responsible for overseeing eligibility, pre-authorization, time of service collections of co-pays and deductibles, coding of services, and reporting. Generates billing and collections data that supports finance and business operations and produces pricing and coding feedback that will optimize reimbursement.
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Conduct compliance coding reviews of medical records and supporting documentation against submitted claims to determine coding and billing accuracy for medical, dental, and mental health services, including telehealth and telemedicine services.
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Charting System: 3M Health, Cerner (Millennium, Epic (EpicCare Link, HealthStream, IBM, MyChart, Resolute Professional Billing), Soarian) Fusion Medical Staffing-Radiology is seeking a travel Ultrasound Technologist for a travel job in Kealakekua, Hawaii.
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Related experience in physician and hospital inpatient/outpatient medical billing, reimbursement, chart review, coding compliance, medical office or patient accounts, rehabilitation, clinical trials coding/documentation requirements, home health/hospice, practice management and physician revenue cycle and strategy consulting is a plus.
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Areas within the Revenue Cycle include pre-registration, registration, pre-certification, financial clearance and counseling, financial assistance, scheduling, billing, claims follow-up, customer service and cash collection.
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Familiarity with Medicare and Medicare Advantage, federal and state Fraud, Waste and Abuse Laws; demonstrated knowledge of value-based care, health plans, CMS policies and guidelines, including those related to marketing; experience relating to broker/agent laws; billing and coding compliance.
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As One Medical continues to expand and transform the primary care experience, we're looking for talent to support the work that makes One Medical and Amazon Health Services unique.
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Coding Compliance Auditor (HIM Inpatient) Location: Keck Medicine of USC, Alhambra, California. Specialized/technical training: Successful completion of college courses in Medical Terminology, Anatomy & Physiology, and a certified coding course.
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A thorough understanding of medical terminology, ICD-10, CPT coding (medical billing coding), and health insurance policies. Ensure compliance with relevant healthcare regulations, coding guidelines, insurance policies, and follow best practices for medical billing and coding.
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From ideation to monetization, Portage Point delivers excellence across transaction advisory services (TAS), transaction execution services (TES), office of the CFO (OCFO), performance improvement (PI), interim management (IM), investment banking (IB) and turnaround and restructuring (TRS.
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