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Must have experience in regulatory issues related to Medicare and other third party payers as is relates to hospital coding and billing. Knowledge and support of the Hospital’s corporate compliance initiatives and communicate any suspected coding inaccuracies in a timely manner to the Coding Manager, HIM Services Director, Compliance Officer or BHC’s Revenue Integrity Department.
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Related medical record functions include, but are not limited to data entry, abstracting coding information into Coding Compliance Editor (CCE), and Composite Health Care System (CHCS.
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5 years of coding experience AAPC or AHIMA certification in coding with experience in research medical billing and coding. Perform clinical trial management system activities within the CTMs and conduct financial activities within the medical billing and coding software (i.e. OnCore, EPIC.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards and guidelines regarding clinical documentation requirements, procedure and diagnosis coding.
$19.15 - $22 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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CPC, COC, CIC, or Specialty Medical Coding Certification preferred. Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies. The Sr. Claims Adjudicator will be responsible for reviewing medical claims for accuracy and completeness, analyzing complex CCI and CMS edits, making determinations on claims based on established policies and procedures and processing claims for payment.
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Acts as an advisor and consultant in the establishment of operational policies of the practice to include: (1) Purchasing and capital allocations; (2) Managed care plan participation; (3) Budget and practice expenses; (4) Medicare/Medicaid participation; (5) Billing and collection of professional fees; (6) Personnel management and related policies; (7) Risk management and quality assurance; and (8) Coding compliance.
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A partner of the Optum Care network, WellMed Medical Group, is seeking a nurse practitioner or physician assistant to join our Patient Support Unit team in El Paso, TX. Educate providers on proper coding, risk adjustment metrics, capturing documentation, and adhering to quality protocols.
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Comprehensive knowledge and experience with rules and regulations pertaining to federally funded programs (e.g. Medicare and Medicaid) along with knowledge of documentation requirements for coding and billing.
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Familiarity with Medicare and ICD-10 coding. We offer an attractive base salary, $20,000 sign on bonus, bonus plan, and comprehensive benefits package, including medical, dental, and life insurance, STD/LTD, professional liability, matching 401K, relocation costs, three weeks paid vacation, one-week paid CME with $3500 allowance, and eight paid holidays.
$85,000 - $167,300 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge of ICD-10 Coding and STAR measure attainments. Experience in a Medicare Advantage or an accountable care environment is a plus but not required. Meet all clinical obligations of the medical practice: Accrediting Agency compliance, CLIA compliance, drug prescription compliance, HIPAA, State and Federal regulations, Safety Regulations, etc.
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Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Primarily codes complex ambulatory surgery and observation visit medical records.
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Optum Senior Community Care provides the Patient Connect Program for United Healthcare members in a short stay/transitional setting with focus on reduction in 30-day hospital readmissions, improved completeness and coding accuracy of diagnosis and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning Directives, and improved patient and family satisfaction and discharge and post discharge support.
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Comply with all regulatory guidance including but not limited to HIPAA, Medicare rules and billing and coding guidance. Medical, dental, vision, FSA, *STD/LTD insurances (*STD/LTD eligibility requirements differ for some CA brand partners.
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Leadership and talent development to teach our therapists how to manage people, develop social and emotional intelligence and run a clinic. Preferred Physical Therapy and Confluent Health family of physical and occupational therapy companies that is transforming healthcare by developing and educating today’s highly effective clinicians and by providing them with career development pathways to become industry leaders.
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Peak Physical Therapy is a member of the Confluent Health family of physical and occupational therapy companies that is transforming healthcare by developing and educating today’s highly effective clinicians and by providing them with career development pathways to become industry leaders.
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