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Coding experience in programming languages (i.e. Alteryx, R, Python, VBA , SQL) Competitive pay (salary and bonus potential), Full benefits package - starting day one (medical, dental, vision, STI/LTI, life insurance, generous 401k match AND contribution.
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Familiar with medical terminology and knowledge of medical coding. Job Title: Prior Authorization Specialist. Providers to process prior authorization (PA), and drug benefit exception requests on behalf of Aetna as the client and in accordance with Medicare Part D CMS Regulations.
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JOB SUMMARY: The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices.
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Experience with eligibility verification, medical coding, coordination of benefits, and subrogation. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP.
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Includes but is not limited to charges and transactions, AR, patient and payer phone calls, coding and Electronic Remittance importing and reconciliation, rejections and denials, and appeals. Research and analyze Federal, State, and Payer coding and billing requirements.
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Medical billing and coding certification is required. Medical Billing and Coding Certification (Preferred) Provide leadership and supervision to the Medical Billing and Authorization Departments, while working closely with the Revenue Department Manager.
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3+ years of experience in Dermatology medical billing and coding. Skin of Culture & Hair Center is a comprehensive dermatology medical practice. Medical, vision, dental insurance, life, and short-term disability coverage.
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Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current.
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Medical Billing & Coding. A medical assistant takes on tasks that are both front-end and back-end, including clinical duties and laboratory work. Medical assistants work alongside physicians in a variety of medical settings, including medical offices, clinics, ambulatory care facilities and outpatient facilities.
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Interviews, verifies, and performs accurate data entry of patient demographics, insurance coding, and medical information to ensure integrity of records and minimize claims denials if applicable.
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The primary responsibility of the Hospital Outpatient Coder III position will be to work through the extreme complex coding and charging structure for interventional cardiology, interventional radiology, and other high risk outpatient coding encounters to ensure the highest level of code accuracy based on physician documentation.
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The fundamental responsibilities of the Billing Specialist is to ensure timely and accurate claim processing inclusive of but not limited to coding, verify payors, working denials, rejections, and posting of payments.
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Lead training sessions on current billing and coding information in the medical field. Provides coding education using adult learning methodologies to coders, medical staff and others regarding highly complex documentation, reimbursement and data interpretation for inpatient, outpatient and professional service coded data.
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Supports revenue cycle functions within the practice, including, but not limited to, insurance verification, authorization, coding, charge entry, work queues and denials reduction efforts. Knowledge of electronic medical records.
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Assist the physician’s office with ICD-9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline - Assist the physicians’ offices with pre-authorization process - Knowledge of electronic orders (Epic, Image Now, Trace) - Provides appropriate telephone etiquette and scripting.
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medical coding jobs in Alpharetta, GA
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