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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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Reimbursement Specialists are responsible for policies and protocols related to charge capture coding and billing to ensure compliance for clinical department hired to support. One of the following certifications is required: Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA.
ExpandApply NowActive JobUpdated 26 days ago - UpvoteDownvoteShare Job
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Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation. Advanced knowledge of medical coding and billing systems and regulatory requirements.
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2-3 years of related experience in medical billing experience with the top major Payors (United Healthcare, BCBS, Kaiser, HCSC, Florida Blue) Payment posting, Medical, Payment poster, Data entry, Medical billing, medicaid, Collection calls, Revenue cycle, outpatient, wound care, physical therapy, Accounts receivable, Cash postings, Collections customer service, 50 wpm, Medical insurance, Insurance follow up, Icd-10, Medical terminology, Claim, Medical claim.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Accesses patient medical records as required to provide appropriate information for billing resolutions. The Behavioral Health AR Manager is responsible for oversight of the following: Billing and Collections, Patient Insurance, Data Processing, and Integrity of Patients.
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BrandSafway offers a competitive benefits package that includes medical, dental, vision, life and disability insurance along with a generous 401k plan. The billing supervisor is responsible for training, managing a team of 3-6 billers, maintaining documentation, month end activities, and support the audit and collection teams.
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Responsibilities will include provider medical record audits, analysis of practice coding patterns, education, and training regarding risk adjustment. 2 years of experience in coding with knowledge of Medicare risk adjustment (HCC Coding) required.
$31.7 - $42.35 an hourFull-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Responsibilities include; stewardship of Patient Billing and Collection, A/R Management, Application Systems Support, Claims Management, Coding, Charge Capture, Data Entry, Account Follow-Up, Customer Service, Denial Management, Edit Management, Payment Variance Analysis, Contract Analysis, Credit Analysis, Refund Management, Payment Posting, Auditing, Training, and Productivity and Performance Reports.
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Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
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Partners with coding and billing to provide regular feedback and education on appropriate clinical documentation, including documentation that maximizes accurate reporting of conditions that impact risk-adjustment.
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Attend coding and billing in-services to stay current on changes; attend other meetings and training as assigned. Requires knowledge of the carrier’s (Federal/State/Private) regulations and guidelines, internal revenue cycle coding processes and be familiar with the billing practices of the specialty service line.
Full-timeExpandApply NowActive JobUpdated 29 days ago - UpvoteDownvoteShare Job
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As a Medical Coder specializing in Risk Adjustment/HCC, you will play a crucial role in ensuring accurate and compliant coding for our healthcare organization. Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines.
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Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
Full-timeRemoteExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CPC-H), Certified Coder Specialist-Physician (CCS-P), and/or Certified Coder Specialist (CCS) are acceptable with a minimum of 5 years medical coding experience (encompassing multiple clinical specialties) and 3 years of medical auditing experience within the last eight years is required.
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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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medical billing coding jobs Title: administration healthcare in Torrington, Connecticut
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