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High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Medical Billing and Coding, or related field preferred. 5 years of experience working in medical billing or revenue cycle management, with a focus on Medicaid billing and reimbursement.
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Lead training sessions on current billing and coding information in the medical field. Provides coding education using adult learning methodologies to coders, medical staff and others regarding highly complex documentation, reimbursement and data interpretation for inpatient, outpatient and professional service coded data.
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5 years experience in medical billing or health claims, with experience in IDX billing systems in a health care or insurance environment, and strong familiarity with ICD/CPT coding.
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The CDI Specialist assesses the clinical documentation through extensive reviews of the medical record, interaction with all members of the healthcare team, Quality department and the Health Information Management (HIM) Coding team to ensure appropriate coding and DRG assignment for the level of services rendered to the patient and to ensure that the clinical information utilized in profiling and reporting outcomes is complete and accurate.
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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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Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR.
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Qualifications MINIMUM QUALIFICATIONS:Education: An associate degree in medical assisting and a current industry recognized credential or certification in CMA, RMA, NCMA, CCMA or CMAA.Experience: Two (2) years (4,000 hours) work experience relating to the field in the last 5 yearsOne (1) year teaching experience in post-secondary and/or vocational/technical education location including online and in-person delivery methodsKnowledge/Skills/Abilities:Ability to teach billing and coding courses.
$57,000 - $62,700 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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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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Works closely with Finance to ensure proper billing, accounting, auditing, CPT coding, Medicare/Medicaid billing procedures and protocols are followed. Bachelor's Degree in medical technology, clinical laboratory science, biological sciences, chemical sciences or allied health technologies or equivalent: Required.
$103,727 - $155,590 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Preferred:Five years of CPT and diagnosis coding experience in a healthcare provider or a third party payer and 3 year of experience as an instructor/trainerClinical knowledge and exposure to risk adjustment codingWe're proud to share that Virginia Mason Medical Center was recognized among the Best Hospitals in Washington state by U.S. News & World Report.
$29.03 - $42.1 an hourExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Billing and Coding Specialist II will review claims data to ensure the assigned procedural and diagnosis codes meet required legal and insurance rules. Knowledge of medical terminology and coding, including, ICD-10, CPT and HCPCS required.
$24 - $35 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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The Billing and Coding Specialist works to support the mission and vision of Neighborhood Healthcare by reviewing and validating patient chart billing codes. Knowledge and understanding of electronic practice management systems and OIG billing and coding guidelines.
$28.09 - $34.33 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Comprehensive knowledge of healthcare reimbursement practices, billing procedures, compliance, coding, medical terminology, coverage policies and local payer landscape. 3+ years of experience in reimbursement, billing and coding within the healthcare, biotechnology, pharmaceutical, wound care or surgical device fields.
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Required: 3 years’ acute care academic medical center inpatient coding experience within an academic Health Information Management department (service lines must include cancer, transplant, obstetrics, rehabilitation and cardiology.
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Knowledge of ophthalmology billing/coding strongly preferred. Two years as medical scribe preferred. Benefits to full-time team members that include comprehensive medical, dental and optical coverage, 401k and short and long term disability.
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medical billing coding jobs Company: Providence
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