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In-depth knowledge of private and governmental insurance eligibility and verification, charge capture, CPT maintenance, coding, billing and collections, payment posting and self-pay. This involves complete capture of patient revenue, EHR (Electronic Health Record) and EPM (Enterprise Practice Management) in relation to charging mechanisms and triggers, ensuring clean handoffs between clinical departments and revenue cycle, denials management, and clinical operations relations.
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Typical responsibilities in a typical project design cycle include system architecture and trade studies, analog and digital simulation, VHDL and C coding, schematic capture and PCB layout, oversight of board fab and assembly, and lab testing and optimization.
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Masters use of clinical systems to ensure efficiency, excellent supportive documentation, appropriate and optimal coding levels, charge capture, and follow-through on all patient care orders.
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Minimum of three (3) years of experience working in Revenue Integrity/Charge Capture/Coding hospital and/or professional/ambulatory healthcare environment. Preferably: Minimum of five (5) years of experience working in Revenue Integrity/Charge Capture/Coding hospital and/or professional/ambulatory healthcare environment.
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Experience with EPIC charge master and familiarity with CDM structure, content, and maintenance, as well as in revenue integrity operations, clinical charge capture, or revenue cycle operations.
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Prepare plan for outreach for visit capture/recapture, medical record audit to ensure accuracy. Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements; knowledge and expertise in reviewing and adjudicating coding services procedures and diagnoses on medical claims.
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Provides oversight on key Health Information Management (HIM) services provided at a DHS hospital, such as Medical Coding, Release of Information, Document Scanning and Validation, Data Capture and Reporting, Clinical Document Deficiency Tracking, and File Room Maintenance.
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Proficient in HCC coding, CMS STARS measure, and HEDIS measure capture. Proficient in HCC coding, CMS STARS measure, and HEDIS measure capture. Mandarin speaking is preferred. The physician will act as an expert in disease management and prevention for all ages.
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Strong knowledge of healthcare revenue cycle operations, concepts, and policies and their impact throughout the organization, with an in-depth understanding of related functions and issues including coding, registration, billing, reimbursements, aging accounts, contractual adjustments, and charge capture; experience with both facility and physician provider charging and coding.
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Performs finalizing functions, including, but not limited to, limited coding using radiology information system (RIS) to provide for timely and accurate patient information and charge capture.
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Collaborate with the Revenue Capture, Revenue Integrity, and HB teams on the routine review of charge capture processes. You'll apply your extensive knowledge of hospital billing, coding, and pricing practices, as well as advanced data analysis skills, to monitor, maintain, and improve the charge master records.
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Accreditation as a Certified Risk Adjustment Coder (CRC) preferred. A minimum of one year of college or a minimum of five years of experience as a risk adjustment coder. Experience with EPIC eHR. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone.
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Experience in revenue integrity operations, clinical charge capture, charge master, or revenue cycle operations. Bachelor’s Degree, coding certification - CPC-H, CPC, or CCS coding certification.
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Leverage HubSpot’s CRM and Marketing tools to optimize lead capture, create workflow automation, manage campaigns, and generate reports. Experience with STEM, coding, or robotics is a plus.
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Pref Certified Coding Specialist - CCS (AHIMA) or CPC from AAPC or related HFMA, AHIMA certification Required Licenses/Certifications: Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date.
$29 - $45.2 an hourFull-timeRemoteExpandApply NowActive JobUpdated 29 days ago
capture coding jobs in Alhambra, CA
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