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3 years HCC coding and/or coding and billing. 5 years HCC coding and/or coding and billing. 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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Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. Demonstrate a basic understanding of the anatomy and physiology of body systems and related medical terminology in order to properly process clean claims.
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Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). High School Diploma or Equivalent (Required) and Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) by AAPC. For Hospital Billing, Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Professional Coder (CPC.
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Minimum of 5 years acute care inpatient and outpatient coding experience required. As a n 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.
Full-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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Strong interpersonal skills, good verbal and written communication skills and comprehensive knowledge of outpatient coding, CMS HCC, billing, VBC and regulatory requirements.
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For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Communicates with insurance companies about coding errors and disputes (physician billing.
RemoteExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Minimum two years of related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and cash application.
Full-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Responsibilities: Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing). Education and Certification Requirements: High School Diploma or Equivalent (Required) and Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) by AAPC. For Hospital Billing, Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Professional Coder (CPC) Required Work Experience: For HIM coder, one (1) year hospital-based outpatient coding experience.
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Education and Certification Requirements:High School Diploma or Equivalent (Required) and Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) by AAPC. For Hospital Billing, Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Professional Coder (CPC.
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Opportunities: Competitive production-based compensation (base pay + production bonus)Association with the leading provider practice in the countryAccess to TeamHealth's clinician wellness program and referral programIndustry leading onboarding program with EMR, MIPS, billing and coding training, and support from experienced clinical educatorsDeveloped infrastructure with extensive back office support as well as local managementInterested in learning more.
Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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The Cardiac Cath/ Interventional Radiology departments overall function is to ensure all required elements for coding and billing are dictated and accurately charged. RI also utilizes technology to enhance achievement along with an added focus where necessary that may include high dollar accounts, denials, improved A/R days and cash flow while collaborating with many areas such as Billing, Coding, CDM Services Expected reimbursement.
Full-timeRemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Revenue Cycle Management: We run all day-to-day medical billing functions, including claim submission, denial management, payment processing, payment posting, and coding audits. Complete A Cover Letter Detailing Your Direct Employment Experience As A Medical Biller For A Pediatric OT, PT, SLP Organization, Physical Therapy Clinic, or a Medical Billing Agency and how You Are A Game-Changer For This Specialty.
$22 - $25 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Makes appropriate coding corrections, when advised, and follows procedure to notify billing. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance.
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Five years of experience in clinical setting analyzing data and performing reviews such as utilization management , quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers required.
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Accurately completes coding and billing for services provided. Ability to learn proper billing and coding as related to department. Upholds all policies and procedures of Advocate Health Care/Dreyer Medical Clinic.
$77,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago
billing and coding jobs Title: post acute care Company: Teamhealth
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