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We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
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Job Title: Externship Coordinator/Instructor Medical Coding and Billing. EXTERNSHIP COORDINATOR Medical Coding and Billing Sign-on $3k. Monitor and maintain TWC and accreditation regulations of all student records with respect to site evaluations, time cards, surveys and any other required documentation.
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Proficient computer skills using MS-Word, Excel, PowerPoint, Outlook, Electronic Medical Records (EMR) systems including Paragon, eClinical Works, Cerner, CareCloud, Computer Assisted Coding (CAC) and others.
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We are seeking dedicated Medical Records Clerk/Central Supply Clerk to order, stock, and inventory all purchases of nursing supplies for the facility. As a skilled Medical Records & Central Supply Clerk, you will:·Assist in organizing, planning, and directing the medical records department in accordance with established policies and procedures.
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An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
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Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP’s Compliance Special Investigations Unit (SIU.
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The Clinical Coding Specialist assigns the appropriate diagnostic and procedural codes to all inpatient and ambulatory surgery and observation discharges as required and according to hospital coding and billing rules for data retrieval, analysis and claims processing, adhering to established coding conventions and guidelines and UHDDS reporting guidelines.
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Minimum of seven (7) years of experience in Risk Adjustment medical coding. Lead a team of clinical abstraction specialists to ensure the timely and accurate review of medical records.
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SUMMARY: We are seeking a qualified and experienced individual to join our team as Clinical Data Abstraction Team Lead. In this role, you will lead a team of clinical abstraction specialists responsible for analyzing patient medical records to ensure accurate coding for Risk Adjustment and HEDIS purposes.
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Responsibilities :The Provider Claims Inquiry Team Medical Coding Auditor reviews medical records and documents supporting claims for Physical and Behavioral Health Services.
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The coders primary responsibilities are to code, abstract and analyze outpatient medical records using ICD.10 and CPT coding guidelines and educate network providers on proper documentation and coding practice.
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Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines.
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Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
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Ensures accurate coding of medical records utilizing JC, MHS and MTF guidelines. Maintain records and statistics to include quality control measures, CCE reporting, MHS Genesis usage, accuracy of coding, workload completed and ad hoc reports as required.
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Oversees coding practices and clinical documentation, grievance, and appeals processes (including pharmacy), and conducts reviews for durable medical equipment (DME), genetic testing, etc.
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