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Remote Coding Quality Reviewer- Surgery at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : The Remote Coding Quality Reviewer - Surgery will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems.
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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.
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The HIM Outpatient Surgery/Ambulatory Coder Auditor/Lead is responsible for providing support to staff when training to code for CPT, ICD-10 AND HCPCS and to be a resource for leadership and healthcare providers regarding appropriate coding and clinical documentation requirements to ensure accurate coding and physician revenue.
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Experience: Minimum3 years health care management/leadership experience required Minimum 5 years recent inpatient hospital coding experience required Certificate/License: RHIA, RHIT and/or CCS preferred "Parallonprovides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare.
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As an Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.
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What Success Looks Like In This Job The Medical Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic Health Record (EHR) system, implementing payment arrangements, and liaising with various payor entities.
$52,886.08 - $74,041.76Full-timeExpandApply NowActive JobUpdated 14 days 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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The Medical Billing and Coding Specialist is responsible for generating and processing medical claims within the Electronic Health Record (EHR) system, implementing payment arrangements, and liaising with various payor entities.
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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.
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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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AAPC Certified Medical CPC, CPMA, CPCO or similar specialist preferred. 3+ years CPT coding experience (surgical, hospital, clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location.
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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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Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC approved coding credential.
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Required to currently hold one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), AHIMA Certified Coding Specialist (CCS), AAPC Certified Outpatient Coder (COC),AAPC Certified Professional Coder (CPC), AAPC Certified Professional Coder-Hospital (CPC-H), or AAPC Certified Interventional Radiology Cardiovascular Coder (CIRCC.
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Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA). The primary purpose of the Senior Inpatient Clinical Coding Specialist position is to analyze medical records and abstract clinical data by assigning codes from patient records in accordance to coding classification systems.
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Title: coding specialist Company: Ima Medical Group
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