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The clinical documentation RN will provide support and expertise through comprehensive assessment and review of inpatient medical records. The clinical documentation RN will facilitate accurate DRG assignment and obtain appropriate documentation through extensive interaction with physicians, patient caregivers and health information management coding staff to ensure that reimbursement is received for the level of services rendered to the patients.
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Gradute from a Medical Coding program. Ensures proper coding, billing, and compliance according to regulatory guidelines as well as organizational policies. One to Two Years Coding experience in inpatient setting.
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Maintain comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and recording of patient care-related activities and communications.
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Strong knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment.
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Administrative duties may include scheduling appointments, accessing Prescription Drug Monitoring Program, maintaining medical records, billing, and coding for insurance purposes.
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Knowledge of electronic medical records. Supports revenue cycle functions within the practice, including, but not limited to, insurance verification, authorization, coding, charge entry, work queues and denials reduction efforts.
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The Sr Compliance Coding Analyst conducts compliance reviews on hospital and physician documentation, coding and billing in order to ensure that Rush University Medical Center is billing in accordance with federal and state regulations.
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The Coding Associate 2 is primarily responsible for the coding and abstracting of ancillary/outpatient records including ambulatory surgery and emergency room pertaining to patient's occasion of service.
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Maintaining electronic medical records (EMR) Medical Assistants perform administrative and clinical duties under the direct supervision of a medical provider – physician, physician assistant or nurse practitioner – in the medical office setting.
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The coder is responsible for reviewing patient medical records via electronic format and assign the appropriate CPT-4 codes, and physician identification numbers to each patient record into the billing system following Team Health coding guidelines.
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Responsible for efficient operation of the front and back-office processes, including staff, physician, and patient scheduling, billing/coding and medical records. Basic knowledge of CLIA, HIPAA, NCQA, and OSHA medical office regulations required.
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Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.
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It is the positions responsibility to maintain accurate medical records for each client by verifying accuracy of the information/ data collected and entered into the electronic medical records starting with the registration provided, which requires knowledge and understanding of medical coding for completed clinic visits.
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Strong knowledge of medical coding principles, including ICD-10 and CPT codes. -Experience with medical billing software and electronic health records (EHR) systems. -Review and analyze medical documentation to ensure accurate coding and billing.
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Familiar with coding taxonomies used in healthcare billing and electronic medical records, such as ICD-10 codes, CPT-4 codes, MS DRGs, SNOMED, LOINC, RxNorm. Experience with electronic medical records or other healthcare related information systems.
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