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Working knowledge of state, federal, regional collection and reimbursement laws, HIPAA and other medical insurance regulations and terminology (CPT, ICD-10, HCPCS, modifiers, coding and documentation guidelines) for private payer, state and federal plans including coding, billing and reimbursement protocols.
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Medical Billing Specialist - Medical Collections - REMOTE. As a Medical Revenue Specialist you will. 2+ years Collections and Denials experience, Experience working in a high volume setting (80+ claims per day), Excel experience, Comprehensive knowledge of ICD-10 coding, CPT coding, HCPCS coding, modifiers, and government and commercial payer guidelines., Experience working from home (no distractions.
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Excellent verbal and written communication skills; Must be detail-oriented and analytical in nature; Medical Terminology, advanced level; Anatomy and Physiology, advanced level with laboratory experience; Advanced level coding courses ICD-9-CM and CPT-4.
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Laboratory billing/collections experience, Xifin EMR experience, Advanced Excel knowledge, Payers outside of AZ (specifically Colorado) Computer Skills: To perform this job successfully, an individual should have knowledge of basic office equipment such as: "EMR (electronic medical record system), Microsoft Excel computer, internet, email, copy and fax machines, and telephone.
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5+ years of experience as Medical Coder, Medical Billing Specialist, Reimbursement Specialist or equivalent role. Certified Billing and Coding Specialist (CBCS), AHIMA or AAPC Coder Certification is required.
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Advanced knowledge of CPT, ASA, and ICD-10 codes, and Managed Care, Medicare, Medicaid and Workers Comp. billing and coding rules, regulations and guidance, as they relate to anesthesia.
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Certified Professional Medical Auditor (CPMA), or Certified Healthcare Auditor (CHA) Certification in coding required (Certified Professional Coder, Certified Coding Specialist) US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factor.
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Advanced certification as Certified Anesthesia and Pain Management Coder (CANPC) Requires eye-hand coordination and manual dexterity sufficient to operate keyboard, scanner, copier, telephone and other office equipment.
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Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology. Certification: Certified Professional Coder (CPC) - AAPC, Certified Coding Specialist (CCS) - AHIMA, or Certified Coding Associate (CCA) - AHIMA.
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Minimum 1 year of professional billing, claim denials, appeals, or revenue cycle work. Familiarity with Medicare, Medicaid, and Commercial payers coding/billing guidelines. Minimum 1 year of professional billing, claim denials, appeals, or revenue cycle work.
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Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing. The Coding Audit Response Specialist will support Coding Audit Response Lead by proactively managing (including corresponding communications and escalation paths) significant issues in coding.
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We are currenting hiring for REMOTE Medical AR Specialists to support a large healthcare organization in Phoenix. Understands and implements the contractual requirements for billing to, and collecting from, assigned insurance carrier(s.
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Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED. As a Senior Specialty Coder, you'll play a crucial role in ensuring accurate and high-quality coding for professional services across multiple specialties.
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Working knowledge of computers and ability to use word-processing, spreadsheet and data base programs. Involves frequent contact with professional staff and managed care organizations. This position is responsible for auditing the accuracy of assigned diagnostic and procedure codes to records of patients; ensuring compliance with federal, state and regulatory requirements; payer requirements; and USAP policies and procedures; providing accurate, meaningful andtimely audit reports and findings to management.
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Medical, Dental, and Vision Insurance. Phoenix, AZ - FULLY REMOTE. Responsible to utilize the Accounts Receivable Aging Reports, to track and maintain balances within acceptable range prescribed by management.
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