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Works with medical staff and quality management staff to correctly align diagnosis documentation and billing coding to improve the quality of clinical documentation and correctness of billing codes prior to claim submission to third party payers; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-9 assignments on health records.
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Research coding/billing guidelines for all specialties Work in conjunction with the Manager of Patient Accounts, University Administration and Clinic Administration to reach and maintain financial and accounts receivable goals ensuring compliance of policies and procedures, HIPAA and HiTech.
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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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Keep abreast of the latest trends in medical coding, including updates to regulations and breakthroughs in technology. Assist in educating clinical staff on coding practices and documentation requirements to enhance the accuracy of medical records.
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Ensures optimal reimbursement through continued evaluation of fee schedules and coding practice and works with the Department Administrator and representatives from patient services to develop, implement and measure billing, collection, reimbursement, and revenue cycle processes.
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Certification/Licensure: Required: Current licensure to practice as a Registered Nurse in the State of Arizona or compact state licensure Required: Valid driver’s license Required: Professional certification in Clinical Documentation (CCDS or CDIP) Required: Professional Certification (CRC) within 30 months Preferred: Coding Credentials (CCS, CCS-P, CPC, CIC, COC) or RHIA, RHIT certification also accepted with requisite coding experience.
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This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
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Three years experience with automation, including coding and scripting against cloud-relevant technologies such as the AWS control plane, Azure Active Directory (AAD), Kubernetes, and other API-enabled security technologies.
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Understands Cloud Concepts for GCP, AWS, Azure Cloud, as well as Cloud Service Provider (CSP) billing and cost structures. 3 years of Artifact Registry Tool Administration such as JFrog Artifactory.
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Professional interaction with clients and staffSubmission of timely health insurance claimsPreparation and mailing of client's bills, and collecting and applying payments receivedExperience with medical coding and terminologyThis position also requires the specialist to act as a middleman between clients, clinical staff, and insurance companies.
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This role relies on medical background, business acumen, and industry-standard clinical / coding guidance to ensure physician and healthcare provider plans, education, reporting and materials are accurate and consistent across the enterprise to support regional and corporate strategic initiatives.
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An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
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Facility: Valleywise Health Medical CenterDepartment: Health Information Management - CodingSchedule: Per Diem 16 Hour Per WeekShifts: Varied Under the direction of the Sr. Coding Manager, this position will perform Cancer registry responsibilities that comply with the regulations set forth by the Commission on Cancer.
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SM FRMs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding (as needed), claims processing, reimbursement, and awareness of manufacturer support programs into a range of account workflows.
$173,910 - $225,060 a yearFull-timeExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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We prohibit discrimination based on race, religion, color, national origin, sex, pregnancy, reproductive health decisions or related medical conditions, sexual orientation, gender identity, gender expression, age, veteran status, disability, genetic information, or other characteristics protected by applicable local, state or federal laws.
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medical billing coding jobs Title: administration healthcare in Phoenix, AZ
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