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Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC. We are currently seeking a highly motivated Risk Adjustment Coding Specialist.
$25 - $35 an hourFull-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Associate Hierarchical Condition Category (HCC) Coding Specialist. Certified Coding Specialist (CCS) This job will deliver value to the Health Plan and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and/or Affordable Care Act (ACA) using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, and Centers for Medicare and Medicaid Services (CMS) coding guidelines.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Serve as a liaison to ambulatory Clinical Documentation Specialists regarding coding guidelines and documentation required to capture HCC’s for Risk Adjustment coding. Develop new procedures related to HCC coding and assist with implementation of systems that impact coding, such as 3M’s Ambulatory Module Research payer guidelines or regulatory guidelines that impact coding (ICD10 or CPT) and provide education for Ambulatory Coding Department related to those issues, understanding of claim edits, and denials by payers for coding reasons, to help prevent future denials.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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As part of an expanding dynamic team, our Medical Billing/Coding Specialist holds responsibility for submitting accurate and timely electronic claims through the EDI to enable payment from all appropriate parties.
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As a Denials Coding Review Specialist , you will be responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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Job Title: Risk Adjustment Coding Specialist - Hybrid. Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines.
$25 - $35 an hourFull-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC). The clinic coding specialist will also be responsible for communicating with providers if their documentation does not support the billing code they selected.
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CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) The Billing & Coding Specialist in this position will analyze patient accounts and review chart notes, review reports, identify areas of deficiencies and make determinations regarding physician accuracy and education needs.
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Required Certification/Licensure: Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC. Utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), Hierarchical Condition Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief.
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The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas.
ExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Minimum - Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, or Certified Risk Adjustment Coder (CRC) required within one year of hire for HCC.
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Certifications: Registered Nurse (RN), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H) orCertified Radiology Cardiovascular Coding (CIRCC.
Full-timeRemoteExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Reporting to the Assistant Manager of Corporate Compliance of Connecticut Children's, the Hospital Coding Auditor contributes to the identification and reduction of CCMC's coding compliance risks, billing inaccuracies, and/or denials by coordinating independent reviews and assessments of the organization's hospital inpatient and outpatient and emergency department coding and billing transactions, processes, and internal controls for coding completeness and accuracy.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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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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Preferred: Certified Coding Specialist (CCS) Required: Certified Coding Specialist (CCS) Assists Coding Supervisor with the appeals process for DRG changes/denials.
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Title: coding specialist Company: Ima Medical Group
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