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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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U-Haul is in search of friendly, motivated people for the position of Customer Service Representative.
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Job description : The Ramp Agent is responsible for providing ground support for inbound and outbound aircraft. We have job opportunities available for Ramp Agents located at the PDX airport in Portland, OR. Experience preferred; but, not required as training is provided.
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Qualifications: Board-certified Addiction Medicine Physician with a DEA certification Be enrolled with Alabama Medicaid, United Healthcare, Blue Cross Blue Shield, Aetna, and Cigna Location: Mobile offers a relatively low cost of living.
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Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
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Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
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Engages in RPM Coding educational meetings and annual coding Summit. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
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Certified Coding Specialist (CCS) Build partnerships and work within coding teams and internal partners critical to HCC coding. Maintains RPM coding accuracy and productivity requirements. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.
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Certified Risk Coder (CRC) In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
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Registered Health Information Technician (RHIT) Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations.
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Certified Professional Coder (CPC) Assists with Regulatory Audits by performing first coding review and ranking of charts. Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity.
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If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.
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Military veteran - military service member - sales representative - sales manager - sales director - service advisor - account executive - real estate agent - insurance agent - loan officer - home advisor.
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Canvasser - outside - inside - call center - entry level - automotive sales - luxury car - used car - medical - dental - pharmaceutical - solar - industry - brewery - agriculture - vacation - travel - insurance - mortgage servicing - mortgage processing - real estate - retail - customer service - dealerships - collections - startups - creative marketing - SDR - canvass - sales - construction - marketing - food service - canvassing- outdoor sales - appointment setter.
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enrolled agent jobs Title: tax accountant Company: Gelsi
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