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At SSM Health (oinssmhealth.com/slucare/) , we are committed to delivering exceptional healthcare services and our Illinois (smhealth.com/locations/illinois) Region is seeking a Physiatrist at Good Samaritan Hospital in Mt. Vernon, Illinois.
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Under general supervision, the Special Investigations Unit Medical Reviewer (SIU Medical Reviewer) performs reviews of medical records and healthcare claims to substantiate or refute the accuracy and compliance with federal and state regulations and contractual requirements of codes billed to identify coding errors and billing discrepancies in relation to incidents of suspected healthcare fraud, waste, and abuse (FWA) reported to IEHP’s Compliance Special Investigations Unit (SIU.
$71,572.8 - $93,038.4 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Codes for all services performed at WHA. Services may include office visits, wellness exams, in office surgeries & procedures, injections, supplies, lab, ultrasound, screening mammography, behavioral health, maternal fetal medicine, inpatient and outpatient hospital services, birth center, and ambulatory surgical center.
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About the Medical Coding Auditor position We are looking for a skilled Medical Coding Auditor to join our revenue cycle department and will be responsible for conducting audits according to the Internal Audit Program standards and specifications.
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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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The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
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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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Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities. Cross-train on the Occupational Health Billing Coordinator functions to serve as a back-up when needed.
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Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others.
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Care New England Health System (CNE) and its member institutions; Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, womens health, urgent care and emergency services.
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40 day onboarding program with MIPS, billing and coding training and support from experienced clinical educators. Job Description Advance your career providing safe, high-quality care as a psychiatric mental health nurse practitioner (PMHNP) within 30 minutes of Kempsville, Virginia.
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Req ID : 178 Working Title : Physician Billing Coordinator III Department : CSRC PB - Group Business Entity : Cedars-Sinai Medical Center Job Category : Patient Financial Services Job Specialty : Patient Billing Overtime Status : NONEXEMPT Primary Shift : Day Shift Duration : 8 hour Base Pay : $23.18 - $34.77.
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The Senior Director of Behavioral Health Services plans, directs, manages, and coordinates activities for the Behavioral Health Service including the integration of behavioral health services through the acute care and outpatient medical/surgical areas at MedStar Washington.
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Ensure compliance with coding and billing regulations. + Participate in ongoing medical education and training. American Board Certified or Board Eligible in Specified Area of Medical Specialty.
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billing medical coding health services jobs Company: National Healthcare Corporation
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