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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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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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Maintains updated knowledge of all billing, coding, insurance, and compliance guidelines, including but not limited to HiPAA, CPT, ICD-10, HCHPCS, medical terminology, etc. Reports to PFS Manager of Coding Policy and Education.
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Strong understanding of CMS guidelines, HCC coding, and risk adjustment processes. Additional certifications such as CCS (Certified Coding Specialist) or RHIT (Registered Health Information Technician.
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Current American Health Information Management Association (AHIMA) certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) is required.
$55.02 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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In an acute care setting doing inpatient, requires Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC.
$39.44 an hourPart-timeRemoteExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Care New England - Systems Clinical Documentation Integrity (CDI) and Coding Director collaborates with physicians, nurses, case managers, chief financial officers, and others. Requirements: Certified Coding Specialist (CCS) required with Certified Professional Coding (CPC) also preferred Certified Clinical Documentation Specialist (CCDS) preferred CDI preferred Experience Minimum 7 Years Education: Bachelor's Degree Required Schedule: on site/hybrid required Excellent oral and written skills required.
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Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Associate [CCA], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT.
$50.38 an hourFull-timeExpandApply NowActive JobUpdated 1 month 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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Description : JOB SUMMARYThis job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
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We are seeking a qualified medical billing and coding specialist. Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
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Identifies through extraction errors or concerns in workflow and works with the coding department to improve data quality and coding on MIPS and other key quality, operational or patient flow When noted, the Clinical Quality Coder I will correct quality errors and stat code errors in the system to improve data integrity in facility dashboards and provider scorecards.
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Experience in FPGA or ASIC Design / Development, including VHDL (preferred) or Verilog HDL coding. The ideal candidate is expected to perform activities including assisting in design architecture, as well as ownership of RTL coding, synthesis, basic test bench development, lab testing, product support and FPGA security.
$166,320 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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CERTIFICATION & LICENSURE: Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)SKILLS AND KNOWLEDGE:Knowledge of Pathophysiology and Disease Processes sufficient to pass the clinical pre-employment test at a rate of 85% or better is required for new hires.
$63.74 - $95.6 an hourFull-timeExpandApply NowActive JobUpdated Today
coding job Company: Emory Healthcare Emory University
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