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Communicates timely and relevant feedback to team, management, entity, and/or medical staff as it pertains to assignment, errors in coding, performance/process improvement initiatives, ongoing projects and other related issues; follows-up on and closes the loop of each communication to ensure timely resolution or escalation if necessary.
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Overseeing various billing tasks such as medical coding, claims submissions, and reimbursement management. Bring at least three years of experience in the medical insurance/healthcare revenue cycle field.
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Job Summary This position is responsible for performing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
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Knowledge of medical terminology, various claim forms, third party contracts and payment patterns, CPT and ICD9 coding, and reimbursement regulations and policies of third party payers. Here, Diversity, Equity and Inclusion are integrated into our core values and practices.
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Report coding problems or irregularities to Medical Coding Manager. Minimum one (1) year experience in medical coding and/or medical terminology and billing experience.
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Provide necessary CPT and ICD-10 coding information upon request. Process orders such as home healthcare, durable medical equipment and respiratory, etc. Familiarity with Medical Terminology, ICD-10 and CPT preferred.
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Develop common processes for AE and SAE data collection and delivery, including Safety Data Exchange Agreements (SDEAs), reconciliation, drug and event coding, adverse event reporting, adverse event report training and resource planning in collaboration with Clinical Operations, Medical Affairs, BDS, HEOR, Global Regulatory Affairs, Commercial teams, etc.
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Attends annual JAG Billing and Coding seminar. HSA Options including dependent care, medical, and commuter benefits. Oversee support staff of PTA, ATC, PT aides. Our workplace fosters a close-knit and supportive environment where individuals genuinely care for and uplift one another, creating a strong sense of unity and camaraderie.
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Job Requirements Education Required: Graduate of an approved nursing program Preferred: Bachelor's Degree in Nursing Experience Required: 3 years acute care experience, 5 years preferred Preferred: Preferred experience in (ED, ICU, Neuro or Stepdown) Skills Ability to apply coding guidelines when reviewing documentation in the medical record.
$5,000 a monthPart-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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For Community Health & Research Center, at least 3-5 years previous experience including experience with medical insurance processing, Medicare, Medicaid, CCI edits, Medicare Functional Therapy Reporting and Therapy Cap requirements, local payer coding and billing guidelines as they pertain to physical, occupational, or speech therapy preferred or equivalent combination of education, experience and/or training approved by Human Resources.
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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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Whether we're racing ahead of the market on 3D printing technologies, AR/VR and wearables, coding on IoT products, or developing next-level robotics, we build the right product, make ambitious discoveries, and set the pace for what's next.
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Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
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Requirements 5+ years' progressive experience in billing and coding; Prior postsecondary related teaching experience of at least 1 year in subject matter is highly preferred; Knowledge of medical terminology; Demonstrated knowledge of anatomy and physiology; Meet TWC instructor requirements.
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Manages and/or coordinates all aspects of the revenue cycle including: inquiry conversion, scheduling, registration, treatment authorization, documentation, coding, charge entry, billing processes.
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medical coding jobs
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