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Follows, and maintains up-to-date knowledge of, industry coding and documentation guidelines (e.g., Official ICD-10 Coding and Billing Guidelines, Coding Clinic advice, R1 and Ascension coding policies and procedures, and AHIMA/ACDIS Query Guidelines) to maintain system-wide coding consistency and remain in compliance with governmental and other regulatory guidelines.
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Manually code provider services by reviewing clinical documentation to assign the appropriate CPT, ICD-10, and modifiers. Degree in Health Information Technology or possession of RHIA, RHIT, CCS or CPC certification desirable.
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Certified Registered Health Information Administrator (RHIA), or Technician (RHIT), or an associate degree in a health care related discipline with Certified Coding Specialist (CCS) certification, and a minimum of 3 years medical coding experience.
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Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP)could be considered in lieu of an RN.
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The Compliance Auditor must have expertise across multiple professional services lines as well as experience with reviewing hospital services for appropriate use of CPT, HCPCS, ICD-10, APC, MS-DRG, revenue codes, and other required coding to help ensure appropriate documentation, coding, and billing practices.
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At least one of the following certifications is required: CPC, COC, CIC or CCA, COC-A along with a CPMA, CRC, CPC-I, RHIT, or RHIA. The HIM Outpatient Surgery/Ambulatory Coder Auditor/Lead is responsible for providing support to staff when training to code for CPT, ICD-10 AND HCPCS and to be a resource for leadership and healthcare providers regarding appropriate coding and clinical documentation requirements to ensure accurate coding and physician revenue.
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Certifications, Licenses: Inpatient - RHIA, RHIT, CCS Outpatient - RHIA, RHIT, COC or CPC. Codes & Assigns APRs/APGs - Reviews medical records to determine the diagnosis/procedures for the patient and assigns ICD-10 CM and PCS and CPT codes to those diagnoses/procedures.
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Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC) Completion of ICD-10 training curriculum. Current RHIT, RHIA, CPC, CCS, CCSP, or equivalent certification through a nationally recognized credentialing body (i.e., AHIMA or AAPC.
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Desired: RHIT, RHIA, CDIP, CCDS, CCS and ICD-10 certification or designation. Desired: RHIT, RHIA, CDIP, CCDS, CCS and ICD-10 certification or designation. Experience in Utilization Management/Case Management, Critical Care, patient outcomes/quality management and/or inpatient coding considered a plus.
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CHDA, HIM, RHIA, RHIT, CCA, CMA, CPA, CIA, CGAP, HFMA or other relevant industry certifications. CPT, ICD-9 and ICD-10 coding and HCPCS knowledge. CHDA, HIM, RHIA, RHIT, CCA, CMA, CPA, CIA, CGAP, HFMA or other relevant industry certifications.
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Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Tumor Registrar (CTR) through the American Health Information Management Association (AHIMA) Knowledge of CPT, HCPCS and ICD-9 and ICD-10 coding, and other third party billing rules, reimbursement, and coverage guidelines.
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College education with an RHIT, RHIA, CCA, CCS, CPC, COC, CMC or CIC credentialed or equivalent experience required. Must have comprehensive knowledge of ICD-10, CPT and HCPCS codes. College education with an RHIT, RHIA, CCA, CCS, CPC, COC, CMC or CIC credentialed or equivalent experience required.
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Have and maintain current coding credential from AHIMA or AAPC (RHIA RHIT CCS CCS-P CPC or CPC-H ). Completion of an AHIMA or APPC accredited coding certification program that includes courses that are critical to coding success such as Anatomy and physiology pathophysiology pharmacology Anatomy I Physiology Medical Terminology and ICD-10 and CPT coding courses etc.
$30.04 - $40.44 an hourFull-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Acceptable coding or HIM certification; RHIT, RHIA and/or CCS/CCS-P or CPC/CPC-H required. Advanced knowledge of ICD-10 official coding guidelines, including the use of AHA Coding Clinic or similar authoritative resources.
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RHIA, RHIT or CCS preferred. Reviews medical records to determine the ICD-10 CM and CPT-4 codes to be utilized, in accordance with coding and reimbursement guidelines. RHIA, RHIT or CCS preferred.
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