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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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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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Knowledge of ophthalmology billing and Athena health practice management system is a plusPrefer candidate to have experience with CPT, ICD-10, and NCCI coding, proficient in 10 key charge entry, experience with multiple types of insurance and reviewing the cards.
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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. 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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Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record and an extensive knowledge of all coding conventions and reimbursement guidelines across all services lines.
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8 years experience in medical coding (physician), billing and coding auditing, compliance, clinical documentation and coding training (Required) Responsible for educating Temple physicians as well as other support staff in coding and billing compliance, maintaining the effectiveness of the TUHS Compliance Program, and serving as the key corporate resource for the requirements of the Medicare and Medicaid programs for the payment of fills for physician services.
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Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS) are acceptable with a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and 3 years of medical auditing experience within the last eight years is required.
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Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. Advanced knowledge of medical coding and billing systems and regulatory requirements.
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JOB BRIEF The Medical Coder and Biller is a full-time position responsible for the coding and billing of Ophthalmology, Optometry, Optical and ASC surgery claims.
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The ideal candidate will have a degree in healthcare administration or a related field, certification in medical billing and coding, and at least 5 years of experience in medical billing with 2 years in a supervisory or managerial role.
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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. · Performs audits of the validation team to assure all validation is consistent with coding guidelines and Lifespan’s billing, coding, and compliance policies.
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Serves as a subject matter expert and resource for information and clarification on accurate and ethical coding and auditing processes and demonstrates a thorough knowledge of coding guidelines, governmental regulations, and billing requirements.
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Possesses extensive experience in both private practices and large healthcare systems, making a valuable addition to our team at FreedomCare Med. This pivotal role involves advocating for providers and clinicians supporting primary care/internal medicine practices and healthcare programs like RPM, CCM, and BHI and ensuring all timely coding and billing procedures.
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Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers.
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Teach students the Google platform, Docs, Sheets, Forms, Slides, Drawings, Notes, Calendar, email, Canva Graphic Design, and graphic design principles, 3D printing, block coding using our Tech Plus curriculum and projects.
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coding specialist a plus and billing jobs Company: Iasis Healthcare
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