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Experience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement.
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In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding.
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This includes, but not limited to; payer policy review and research, US CPT Coding, pricing, and fee schedule analysis, market analytics review and presentation development, US payer coverage dashboard validation, maintaining Daily Managements (DM) metrics, tracking and policy deployment (PD), Bowlers and action plans, commercial / distributor training development, MAPSS (promotional materials approval process) submission and reviews and seismic (resources) maintenance.
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Knowledge of medical terminology and/or experiences with CPT and ICD-10 coding. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team.
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Possesses a strong understanding and interpreting contracts and DLPs/P&Ps, knowledgeable with CPT coding, ICD-10, HCPCS coding, and possesses strong understanding of all pricing methodologies and benefit applications.
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1-2 years Managed care payer experience; experience in healthcare reimbursement and CPT and ICD coding; knowledge of the clinical delivery setting, healthcare insurance, regulatory setting, and provider contracting arrangements required.
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Possesses at least 6+ years recent experience with Medicare and/or Medicaid Part A, B, & DME claims, coding, and reimbursement procedures, service and coverage policies, coordination of benefits, as well as provider and beneficiary eligibility.
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The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed.
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Comprehensive understanding of CPT, ICD-10, HCPCS, ASA and CDT-2 coding. The Revenue Cycle Liaison MPBS must be well versed in every phase of the revenue cycle (including but not limited to: scheduling; registration; coding; claims submission and adjudication and all related analytics.
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Job Summary This is an Advanced Level III position in which the employee has demonstrated an advanced knowledge of ICD-10 CM-PCS and CPT coding guidelines and is fully competent to independently code the most complex inpatient and or outpatient service types and resolve any associated edits.
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Thorough understanding of claims and healthcare terminology and codes as published by CPT, ICD, HCPCS, and DRG manuals. The ideal candidate is an accomplished subject matter expert who is passionate in making a real impact on preserving the Medicare Trust Fund. He/she should be a confident public speaker with excellent written and oral presentation skills.
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Required Qualifications: Competencies: Must be able to exhibit coding experience to include ICD-CM, CPT, HCPCS, inpatient, outpatient surgery, outpatient and ER records. The Radiology Revenue Cycle Specialist: Proactively identifies outpatient service-based revenue charge/service master opportunities in their assigned department.
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DOD or VA) 3 years Working knowledge of medical billing and coding, ICD10 and CPT coding and mapping to Army medical readiness metrics (DOD, DHA or VA) 4 years Understanding of Army enterprise analytic systems 5 years’ Experience in preparing Information Papers, EXSUMs, CONOPS, OPORDs etc.
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Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. - Identifies when documentation relevant to coding the procedure is missing, lacks specificity, or is inconsistent and communicates with physicians via EPIC in basket messaging to obtain the missing information.
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May be required to have a working knowledge of ICD9, CPT and HCPCS coding and managed care. Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients.
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coding cpt jobs in Washington, DC
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