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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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Must have current Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Clinical Documentation Improvement Practitioner (CDIP). Certification/Licensure: Must have current Certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or Clinical Documentation Improvement Practitioner (CDIP.
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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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Participate in provider education on proper documentation of services provided, coding and billing issues, charge capture process and reconciliation of charges as it relates to E&M coding guidelines.
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At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more.
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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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Requires the ability to abstract registry data from the patient's medical/health record using the above standard setters regarding abstracting and coding procedures. Must be able to work effectively with common office computer software, the Trauma Registry software, the electronic medical records system and databases, spreadsheet and graphical programs.
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The Medical Coder position is responsible for supporting the Revenue Cycle Management (RCM) department with claims coding and billing review, best practices, coding recommendations and policy setting, and staff training and education.
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Sequencing codes to optimize reimbursement in conformance with policies; Coding only diagnoses and procedures which can be substantiated by documentation with the medical records. Ability to demonstrate an in-depth knowledge of medical terminology anatomy and physiology disease processes clinical foundations and clinical data management.
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The Outpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate CPT/ HCPCS code assignments.
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High School Diploma, GED within six (6) months of assuming this position Or Associates degree in medical and health (e.g. healthcare administration, insurance billing and coding, psychology) or care social work, human services, communication preferred.
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The Health Information Management Specialist/Coder Analyst is responsible for assembling and analyzing medical records in accordance with hospital/departmental policies and procedures, performing audits in accordance with established federal rules and regulations, abstracting and coding clinical data using standard classification systems, processing requests for patient health information and coding the medical record to the highest level of severity and following all ICD-10 guidelines.
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Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity accounts. Using a thorough knowledge of coding policies and procedures as well as medical terminology and technology, you will be responsible for providing documentation feedback to physicians under the direction of the Coding Operations Manager or Quality Management personnel.
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1yr Medical experience to include coding and billing or EMT. As a dedicated Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
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As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury and UM claims or catastrophic auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
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medical coding jobs in Phoenix, AZ
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