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Ideal Candidate Will Possess: Required Certificates: Medical Billing and Coding Certification: Required for proficiency in accurate coding and billing practices. Possesses extensive experience in both private practices and large healthcare systems, making a valuable addition to our team at FreedomCare Med. This pivotal role involves advocating for providers and clinicians supporting primary care/internal medicine practices and healthcare programs like RPM, CCM, and BHI and ensuring all timely coding and billing procedures.
$20 - $27 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Qualifications Qualifications and Requirements: University/college degree, or equivalent medical records, claims or billing experience 3+ years in CMS coding and documentation guidelines as well as HCC risk adjustment coding practices CRC Required.
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Expertise relating to laws and regulations applicable to the federal and state Fraud, Waste and Abuse Laws, healthcare transactions, corporate practice of medicine; preferred working knowledge of value-based care and working with health plans; experience relating to broker/agent laws, marketing, and billing and coding compliance.
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Desired: Medical Billing and Coding. Responsible for ensuring census updates reported are processed timely and accurately, charges are entered timely and accurately, and that all necessary procedures are completed prior to invoicing, and statements are finalized, in accordance with contract and PharMerica’s Client Billing Services Policies and Procedures.
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High school diploma or equivalent required; associate’s or bachelor’s degree in medical billing and coding, healthcare administration, or a related field preferred. Comprehensive knowledge of medical billing and coding procedures.
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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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Collaboration Collaborates closely with the Revenue Integrity Team, all revenue producing Clinical Departments, Compliance, Hospital & Physician Business Offices, Transplant Revenue Cycle, Health Information Management (HIM), Information Technology (IT), Managed Care, and Finance to facilitate proper coding and billing outcomes.
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Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing. Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
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Utilization management , quality assurance, charge capture, coding, billing and medical necessity to facilitate correct claims submission to federal and state payers. Certifications in one or more of the following is preferred: a) American Academy of Professional Coders (AAPC) Certifications: Certified Professional Coder (CPC), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), and/or Certified Professional Medical Auditor (CPMA.
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Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.
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Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial.
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Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.
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The Census/Billing Supervisor has a high-level understanding of the company's Census and Billing practices, internal databases, reporting tools, and policies and procedures. Desired: Billing or Collections experience in the healthcare industry; AS400 computer experience.
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Ensures accurate coding of medical records utilizing JC, MHS and MTF guidelines. Knowledge of a broad range of references such as the ICD-10, CPT, HCPCS, medical dictionaries, manuals relating to coding textbooks and glossaries.
$80,000 - $90,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Certified Billing and Coding Specialist from the National Healthcareer Association. Previous medical office experience with exposure to some or all of the following; medical records, insurance verification and pre-authorization fundamentals, scheduling, and/or high-volume phone systems.
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medical billing coding jobs Title: analyst Company: Washington Regional Medical Center
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