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Must be proficient in DRG/APC structure, National Correct Coding Initiatives, ICD CM/PCS Official Guidelines, Outpatient Prospective Payment System and Coding Clinic References. Review documentation to ensure appropriate assignment of DRG, ICD-9 codes, CPT codes, and modifiers for facility-based and provider-based clinical documentation, medical necessity, and/or inpatient coding and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG payment systems.
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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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Maintain computer and electronic system competency including but not limited to processes for: scheduling, appointment cancellations and order entry for clinical system, use of iGuide, EOD status changes, work queue processing, linking referrals, posting “other” payments, use of scanner device and electronic insurance verifications, and assistance with live phone calls.
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Reconcile payment collections accurately at the end of each shift, as per Cash Collections Policy, and completed End of Day (EOD) Reports including DCRF and LDCRS. Complete assigned work queues daily.
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This Coding Auditor or Educator is responsible for monitoring compliance with applicable clinical documentation to support coding and billing regulations to ensure appropriate reimbursement for services across all practices/units (acute and ambulatory settings) to include review of accurate and timely assignment of ICD-10 CM/PCS, HCPCS/CPT codes.
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Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
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Power Application Developer - Canvas - Lead SME Job Category: Information Technology Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: Local Anticipated Posting End: 4/30/2024 What You'll Get to Do CACI's Agile Solution Factory (ASF) is hiring a senior Power Apps software developer to support a key CACI Department of Defense (DoD) Program.
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Our Consumer & Community Banking division serves our Chase customers through a range of financial services, including personal banking, credit cards, mortgages, auto financing, investment advice, small business loans and payment processing.
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Please note that the pay range provided is a good faith estimate for the position at the time of posting. With approximately 350 entertainment destinations spanning North America, our portfolio includes renowned brands like Bowlero, Lucky Strike, AMF, and the Professional Bowlers Association (PBA.
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Coordinate care with case managers for residents utilizing managed care, health maintenance organizations (HMOs), commercial insurance & alternative payment models. We are currently seeking a Lead Registered Nurse Assessment Coordinator (RNAC) to join our team.
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Submits milestone required payment system forms in a format approved by the Division of Vocational Rehabilitation Services. Knowledge, Skills, and Abilities Ability to establish and maintain effective working relationships with school system personnel, students, their families, and vocational rehabilitation/services for the blind.
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The Lead RNAC - MDS Coordinator is responsible for leading the MDS team in accurate and timely completion of MDS assessments and coordination of the RAI process. Short-term Disability and Maternity Leave Options, Personal and Family Medical Leave.
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Provide support to product teams and collaborate with the Pricing Manager to ensure products are established in the system to support correct transactions and posting in alignment with the product models.
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Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Accountable for completion of the Annual Standing Order Review and ICD coding.
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Develops project plans and assists the Benefits Manager with the administration of open enrollment, benefit statement preparation, tuition reimbursement, analysis of error reports and vendor payment.
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