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CSI Companies Coding and Clinical Data Integrity Practice is immediately seeking a Risk Adjustment Coding Project Manager (Remote) for a contract position with one of our clients in the payer space.
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Reports to PFS Manager of Coding Policy and Education. Identifies coding trends and reports these trends to the Manager. Monitors validators for violations and reports to PFS Manager or Director when areas of concern are identified.
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Outpatient or Professional Fee Coding, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder, AAPC specialty certifications.
Part-timeRemoteExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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Institutional (Facility) Coding Certifications ONE of the following recognized institutional coding certifications Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Outpatient Coder (COC), or Certified Coding Specialist (CCS.
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Outpatient or Professional Fee Coding: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist – Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H) COC – Certified Outpatient Coder.
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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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POSITION OVERVIEWThe Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
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Works collaboratively with team members, Corporate Revenue Cycle and Compliance Analysts to answer questions and/or resolve issues related to documentation, coding and billing of professional services and/or facility services.
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The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
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Bonus PointsCertified Risk Adjustment Coder (CRC) or similar certificationExperience coding in multiple different Electronic Medical Record (EMR) systems. Certified professional coder (CPC)2+ year(s) retrospective risk adjustment coding experience.
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Technical Proficiency: Strong skills in Microsoft Office Suite, coding, robotics, 3D printing, laser cutting, digital media tools, and game design software. Program Facilitation: Lead hands-on technology programs that are engaging, accessible, and relevant to students, including coding, robotics, digital media, and 3D printing.
Part-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Audit all RAPS submissions to ensure accuracy in the data provided to CMS. Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives.
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Computer training: HBOC Star; 3M Coding & Reimbursement software; SoftMed Systems; MS OFFICE; Horizon Patient Folder; Groupwise; DVI Dictation System; External Transcription Agency Systems. Review all DRG reclassifications before and after assigning correction to the coder who completed the original coding.
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HIM Manager will supervise the HIM Department including but not limited to Medical Records Specialist, Quality Improvement Associate and other staff as needed and will monitor and audit Patients charts and assist in any training or correction in the medical records process to maintain HIPPA Compliance.
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Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC.
$21.63 - $32.45 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago
coding manager jobs Company: Cmp Jobs
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