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Review electronic health records (EHR) to determine what information is appropriate for coding purposes. + Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding 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.
$18.5 - $35.29 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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CPC AAPC or CCA AHIMA certification - 3+ years risk adjustment experience in Medicare advantage or commercial - 3+ years of provider education experience - Knowledge of regulatory/accreditor guidelines - 3+ years of recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
$60,522.8 - $129,600 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Concurrent reviews assure the completeness of medical records, the accuracy of documentation, and the appropriate assignment of a final DRG. The CDI Specialist functions as a resource for clinical staff and other groups involved in the care and discharge planning of patients.
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Experience with medical billing and coding, including CPT and ICD-10 codes. Associate degree or higher in medical billing and coding, healthcare administration, or a related field is preferred.
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For Outpatient Clinical Documentation Specialist, three (3) years of outpatient facility medical coding, ambulatory outpatient direct patient care, or outpatient Clinical Documentation Specialist experience.
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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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Perform proficiently in all competency areas including but not limited to: medical coding, auditing, clinical records, privacy official responsibilities, supervisory responsibilities, patient rights, and safety and sanitation.
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The Medical Records Director (Non-Nurse) maintains the patients' clinical records, including coding, auditing, and providing pertinent staff education regarding recordkeeping procedures in accordance with all applicable laws, regulations, and Life Care standards.
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Coordinates and executes pre- and post-payment audits of medical records and associated clinical documentation to ensure proper charge capture and billing in accordance with standard state, federal, and internal reimbursement policies, principles, and mandates.
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Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
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The Clinical Documentation Improvement Specialist (CDIS) reviews inpatient medical records while patients are still in-house (concurrent review) for proper documentation resulting in appropriate reimbursement, severity of illness, risk of mortality, quality measures and risk adjustment.
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Oversee health information management, including coding, medical records, transcription and admissions. Ability to use Electronic Medical Record system. Knowledge of financial risk assessment and management, including experience with insurance, hedging and other risk mitigation strategies.
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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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Also requires assembling, analyzing, retrieving and filing of medical records. Assembles and analyzes medical records timely and accurately for quantitative deficiencies. AHIMA or AAPC coding credentials required.
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medical records coding jobs
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