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Experience applying knowledge of medical insurance billing and collections across Medicare, Medicaid and managed care including ICD-10 and HCPC coding and terminology and associated healthcare compliance standards.
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Responsible for review clinical documentation to abstract and/or validate CPT and ICD-10 coding medical services. Ensures accurate, timely and appropriate assignment of ICD-10, CPT/HCPCS codes and modifiers for the purpose of billing and compliance with regulatory and payer guidelines.
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The Director, Revenue Cycle Management is the overall management responsibility for optimizing all VOB, Insurance Data Management, Billing, Cash Application, and Collections, considering business objectives and operating compliantly at all times.
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This role requires a strong understanding of medical terminology, ICD-10 and CPT coding, as well as knowledge of major insurance carriers, insurance verification, benefits, and referrals.
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Knowledge of medical terminology and Diagnosis Codes (ICD-9 & ICD-10) is helpful. Three years of experience and demonstrated proficiency in third-party, self-insured account management to include medical, dental, life and other ancillary products including types of stop loss insurance.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD-10 diagnoses and HCC disease categories.
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ICD-10, CPT, HCPCS codes and coding processes Hospital and professional billing processes and reimbursement. Under the general supervision of the Patient Access Manager, this position performs imperative duties, which may include, but not limited to appointment scheduling, registration, transcribing orders, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and payment collection, while maintaining patient relations, customer satisfaction, and Dayton Children's Hospital financial solvency.
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Knowledge of medical terminology, ICD-10 codes, CPT Codes, HCPC Codes, Health Plan benefits, or claims. The opportunity to learn and grow within the medical insurance industry can become a career with limitless possibilities.
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Experience in medical billing and insurance pre-certification preferred. Strong (delete) knowledge of diagnostic ICD-10 procedural (CPT) coding and cancer terminology. Minimum of five years medical business office experience with insurance procedures and patient interaction required (delete.
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Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
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Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. This is a position within Abbott Medical Devices and works out of our Orlando, FL location in the Heart Failure division.
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Performs HCC coding on projects for MA, ACA, or End Stage Renal Disease (ESRD) through the assignment of appropriate ICD-10 diagnosis codes under the direction of management; may flex between coding projects with different MA, ESRD, or ACA HCC Models.
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Proficiency in other disciplines, i.e. ICD-10 & CPT Coding, medical insurance claim forms, EOBs and. 8+ years of experience in biotechnology, pharmaceutical, medical device, or medical/hospital management industry.
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Maintain continuing education treatment trends, current medical terminology used in pre-certification, and ICD-10, CPT and HCPCS codes. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
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As a Medical Billing Specialist Accounts Receivable, you will be responsible for the insurance billing and collections function for an Ophthalmology practice consisting of 10 doctors.
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