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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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Our not-for-profit organization includes two medical centers, a large physician network, a home health company, three surgery centers, a health plan, health services and a health foundation.
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Expertise relating to laws and regulations applicable to the federal and state Fraud, Waste and Abuse Laws, healthcare transactions, corporate practice of medicine; preferred working knowledge of value-based care and working with health plans; experience relating to broker/agent laws, marketing, and billing and coding compliance.
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These activities include but are not limited to: the timely submission of claims, monthly billing activities for Medicare, Medicaid, Managed Care, and Insurance Billing, Follow Up, Denial Management, Revenue Integrity, Coding, and timely processing of refunds and write offs.
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Facilitates education and/or educates providers and office staff on proper CMS Risk Adjustment coding and billing, pay for performance measurements and medical record review criteria;Document and trend findings in identified database;Generally, works independently, under the supervision of a Medicare Risk Adjustment leader;Communicates to the MRA Leader and I.T. Department regarding defects in the reporting system or database, tracks through to completion.
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The Health Service Coordinator organizes and coordinates medical services with Health Care Providers for Unaccompanied Children (UC) including specialty, dental, vision and hearing services, laboratory, imaging services, and processes Treatment Authorization Requests (TARS) and updates via the Office of Refugee and Resettlement (ORR) UC Portal.
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Preference for strong working knowledge of telehealth and other practice of medicine regulations, state or other local laws concerning direct primary care and health insurance, experience relating to broker/agent laws, billing and coding compliance, HIPAA, and ERISA.
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Ensure compliance with coding and billing regulations. Dignity Health Medical Group - Stockton, a service of Dignity Health Medical Foundation, is a dynamic multi-specialty group with over 20 physicians and advanced practitioners and still growing.
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Talroo - Allied Health, coordinator, insurance verification, registration, billing. Ability to properly obtain insurance eligibility, member benefits, obtain authorizations and complete pre-registration for the services requested.
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The Medical Billing Manager is a full-time position responsible for overseeing the billing and coding staff and making day-to-day decisions, understanding and coding all procedures within regulatory mandates, assisting with following up on insurance claims, and submitting appeals as needed.
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Missouri Baptist Medical Center , an acute care hospital in St. Louis County, offers a full continuum of medical and surgical services, including heart care, cancer, women and infants, breast health, gastrointestinal, orthopedic, stroke, therapy, wound and pain management services.
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PDI provides comprehensive professional billing services for hundreds of physicians and non-physician practitioners rendering services at Sinai Hospital, Northwest Hospital, Levindale Hebrew Geriatric Center & Hospital, Grace Medical Center and Carroll Hospital.
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Quality Assurance Coding Auditor Job Summary University Medical Billing (UMB) is a fully remote department that is viewed as the premier billing office for the University of Utah School of Medicine, serving over 1,800 providers and 30 different specialties across Utah and surrounding states.
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High school diploma or equivalent with three years of recent experience working in the field of Medical Billing and Coding or equivalent combination of industry and formal teaching experience.
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Responsibilities will include provider medical record audits, analysis of practice coding patterns, education, and training regarding risk adjustment. Work in conjunction with other departments, including Provider Relations, Quality, and the Medical Director, to ensure compliance with CMS risk adjustment guidelines.
$31.7 - $42.35 an hourFull-timeExpandApply NowActive JobUpdated Today
billing coordinator medical coding health services and jobs Company: Bjc Healthcare
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