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Certified Group Fitness Instructor PLUS one or more of the following certifications (NASM- CPT, ACSM- CPT, NSC CSCS or CPT, ACE- CPT) Certified Group Fitness Instructor PLUS one or more of the following certifications (NASM- CPT, ACSM- CPT, NSC CSCS or CPT, ACE- CPT.
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Reviews and analyzes third-party payer denials for in house patients, and communicates to attending physician , Case Management, Manager, Utilization Management Medical Director, and Utilization Management Nurse as per department protocols.
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In addition, this position will manage all changes within the electronic practice management (EPM) and electronic health management (EHR) systems including CPT & ICD-10 codes, staff access, and other file maintenance duties required to meet state and federal regulations.
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Knowledge of ICD-10, CPT, HCPCS and medical terminology required. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine.
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The Appeals and Denials Specialist is responsible for triaging and writing DRG downgrades and clinical validation appeal letters for multiple clients. Performs review of the medical record including documentation, reports, flowsheets, and test results, applying evidence-based criteria related to DRG and clinical validation denials.
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Healthcare Domain Expertise: Apply your extensive knowledge of healthcare data, including patient records, medical codes (ICD-10, CPT), and healthcare regulations (. Experience in HIE ADT Data Integration: Leverage your experience in integrating Health Information Exchange (HIE) Admissions, Discharges, and Transfers (ADT) data to enhance the overall data integration capabilities, ensuring seamless connectivity and interoperability with external healthcare systems.
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Possessing a sound working knowledge of HCPCS, CPT, ICD-9, and ICD-10 codes, medical terminology, and clinical documentation. Understanding insurance regulations and guidelines, including CMS guidelines, to effectively communicate with payers regarding outstanding claims, slow payments, underpayments, denials, and to ensure compliant and accurate claim processing.
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Revenue Cycle to include Charge Capture, Collections, A/P, Denials Management. Revenue Cycle to include Charge Capture, Collections, A/P, Denials Management. The ideal hospital CFO candidate must be able to demonstrate skills and leadership in management, financial operations, hospital operations, fiscal affairs, strategic financial planning, revenue cycle management, information technology, internal controls and compliance.
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As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis.
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Mentor office management in understanding clinical aspects of the reimbursement process, (e.g., utilization management, focused medical reviews, denials, etc.) Kindred at Home, and its affiliates, including Gentiva, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care.
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Preferred Job Skills· Advanced PC proficiency· Knowledge of CPT and ICD-10 coding2. Required Certifications· Within 3 years of hire as a Care Manager employee must hold a certification in case management from the following certifications; Certified Case Manager (CCM), Case Management Administrator, Certified (CMAC), Case Management Certified (CMC), Certified Rehabilitation Counselor (CRC), Certified Registered Rehabilitation Counselor (CRRC), Certified Occupational Health Nurse (COHN), Registered Nurse Case Manager (RN, C), or Registered Nurse Case Manager (RN,BC.
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This position is responsible for implementing and monitoring productivity standards, resolving issues, managing denials and appeals, reporting on payer performance, and ensuring adherence to Valleywise Health's policies and procedures.
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ICD-10, CPT codes, HCPCS knowledge preferred. Certification through the Commission for Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) or willingness to obtain certification within a specified time.
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Contact insurance companies to follow up on denials and correspondence. Posts payments and denials into patient billing system. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.
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Solid knowledge of CPT and ICD-9 coding, chart audit processes, HIPAA, and collection processes. The Physician Practice Supervisor is a working manager who is capable of performing all the clerical functions and fills in as needed.
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cpt denials jobs in Phoenix, AZ
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