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Review appropriate provider documentation to determine principal diagnosis, major or non-major co-morbidities and complications (MCCs and CCs), secondary conditions, severity of illness and risk of mortality (SOI/ROM), hierarchal condition categories (HCC), and surgical procedures.
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Works directly with manager as assigned to charges from PHA providers for non-office based services, i.e. inpatient, outpatient surgery, dialysis and nursing home visits to facilitate charge entry, resolve coding and charging issues for all payers (NCCI, OCE, MUE, LCD, payer custom edits), including but not limited to denials and disputes.
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What Makes You Awesome: Associates or Bachelor’s degree in Health Information TechnologyCertified Coding Specialist (CCS) or Certified Outpatient Coder (COC)Prior leadership experience in a medical coding environment Located in eastern Massachusetts, this region is known to attract many families and professionals due to its enjoyable climate, diverse communities, and highly rated school systems.
$57,880 - $88,400ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries.
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Position Summary / Career Interest:The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes.
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Certified Procedural Coder- Hospital (CPC-H) approved by AAPC for hospital outpatient coding. Special Instructions Experience in Meditech and 3M Responsibilities Dependent upon level of expertise defined in the Education/Training section:Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services.
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This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
$31.55 an hourFull-timeRemoteExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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3-5 years of related experience in physician and hospital outpatient medical billing, reimbursement, physician audits, chart review, coding compliance, medical office or patient accounts. Travel: Flexible WFH arrangement, however this is not a fully remote position.
Full-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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The purpose of this position is to assign ICD diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICDdiagnosis and procedure codes, CPT-4 procedure codes, and APC assignment for outpatient encounters.
$18.47 - $31.75 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records.
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Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply CPT coding guidelines to inpatient and outpatient procedures.
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Professional coder certification with credentialing from AHIMA and/or AAPC (CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, and CPC-A) to be maintained annually. Identify appropriate assignment of CPT and ICD-10 Codes for outpatient Ambulatory Observation services while adhering to the official coding guidelines and established client coding guidelines of the assigned facility.
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Understands coding conventions/rules as published in the "Coding Clinic" and "CPT Assistant", as well as changes in medical terminology and advances in medical and surgical procedures. Collects and analyzes outpatient clinical information to accurately report codes and abstract relevant information used for reimbursement.
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Accurately codes interventional radiology and surgical outpatient records. CPC - Certified Professional Coder 12 Months REQUIRED Or. We’re looking for qualified Specialty Coder (CVIR) like you to join our Texas Health family.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Duties include hands-on coding, documentation review, coding dictionary updates, rejections and denials, surgical coding, physician or other care provider education, and other coding needs for ICD-9, ICD-10 and CPT coding of inpatient and outpatient professional charges.
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