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Strong understanding of medical coding (ICD-10, CPT) and billing processes. Minimum of 3 years of experience in revenue cycle management or medical billing. Stay up-to-date with coding and billing regulations and guidelines.
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5+ years of experience as Medical Coder, Medical Billing Specialist, Reimbursement Specialist or equivalent role. Extensive knowledge of medical coding including CPT and ICD-10.
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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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Review and assess supporting documentation in patient medical records for appropriate ICD-10, CPT, HCPCS coding. Certified Professional Medical Auditor (CPMA) completed through American Academy of Professional Coders preferred.
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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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We are looking for an experienced and certified Medical Coding Support Manager to support our internal teams as well as our customers regarding medical documentation, coding, billing, reimbursement and more.
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Medical Billing Representative. · Minimum of 1-year medical billing experience. · Familiarity with CPT and ICD10 codes. · Generate billing reports and provide updates to management.
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Act as the Subject Matter Expert regarding medical documentation, coding, claim review, claim submission, billing and reimbursement by staying up to date with relevant legislation and guidelines.
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College course work relating to healthcare operations includes the following topics such as Medical Terminology, Human Anatomy and Physiology, ICD-10 Coding, and CPT Coding, or closely related courses.
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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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Collaborate with the billing team to address any coding or billing discrepancies that may impact reimbursement. Collaborate with insurance companies and patients to resolve billing inquiries and disputes.
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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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Appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.
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Hometown Health Plan Medical, EyeMed Vision, Guardian Dental, Vanguard 401(k) with match and Flexible Spending Account. Knowledge of UB04 Inpatient and Outpatient Medicaid Billing in a Hospital or Healthcare setting preferred.
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At least 2 years of CPT / HCPCS and ICD-10 coding experience and medical terminology is required. At least 2 years medical coding and/or billing background. Knowledge of IV drug administration coding and billing is a plus.
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