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Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
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Must live in TX, AR, FL or WI Primary Purpose The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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Activities include VHDL/Verilog coding, detailed digital design, embedded systems, and FPGA development. Experience in embedded electronics, VHDL, Verilog, System Verilog, Schematic capture, signal processing, RF, FPGA.
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Provides guidance, communication and education to multiple facilities, including regional and corporate staff on correct charge capture, billing and coding processes, and state and federal guidelines.
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Communicate and assist in implement any necessary changes to impacted area that affect policy, financial, charge capture, patient care, billing, and coding operations. The Revenue Cycle Analyst will work directly with the Operations Director to support the Clinical Department and revenue cycle and perform charge capture analysis.
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Value Based Care relies on excellent documentation and coding to accurately capture the burden of illness and demonstrate the quality of care each and every patient in the population. Foundational to this transition is moving the business model from primarily Fee-For-Service (FFS) to FFS plus Value Based Care (VBC.
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Leads are additionally responsible for charge, accuracy work within Revenue Integrity structures, including working post-coding reviews for their assigned services. Under general supervision, the Lead for Revenue Integrity and Facility Coding is responsible for the collection of relevant, pertinent, accurate and timely diagnosis and/or procedural codes abstracted from assigned hospital case types including inpatient, ambulatory clinic, complex medical/surgical cases, or other advanced types of services including surgical, observation, outpatient in a bed, emergency, infusion, and other facility-based services.
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Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
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Collaborates with PSA Liaison to review and provide coding/documentation guidance on Epic order entry, diagnosis, and charge capture preference lists as well as SmartSets and templates.
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As a subject matter expert in the area of compliance and pricing of services, the Senior RI Specialist responds to inquiries regarding Chargemaster issues and is responsible for supervising meetings for projects associated with educating and communicating to clinical revenue generating departmental staff regarding the CDM Maintenance process, coding updates, compliance issues, and charge capture improvement.
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The Prospective Outpatient Risk Adjustment Coder supports risk adjustment optimization activities that improve value-based care and population health by facilitating accurate capture of chronic conditions in the medical record, collecting data around provider documentation and coding practices, and identifying opportunities to close care gaps.
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Manages the revenue integrity function, ensuring accurate charge capture, coding practices, and resolution of payment variances to secure maximum reimbursement. Key areas of responsibility include scheduling, registration, insurance verification, financial counseling, charge master, charge capture, patient financial services, provision of charity, and overall collection of patient service revenues across the revenue cycle.
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Contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process.
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Summary/Objective:The Vice President, Revenue Cycle leads revenue cycle operations, ensuring optimal revenue integrity, overall strategy, and overseeing the integration and efficiency of revenue cycle operations for UMC Health System’s acute care and outpatient facilities, as well as, medical practices.
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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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charge capture coding jobs Title: integrity Company: Impact Advisors
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