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This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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A minimum of 7 years of experience in a clinical environment (hospital inpatient, outpatient or integrated healthcare delivery system) coding role involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population such as a coder, coding auditor or coding instructor.
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Outpatient Coding Auditor (Hospital Outpatient Surgery And Emergency Dept) Remote for Texas Resident
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This position assists the Coding Manager in training and education for Coder I and Coder II. CPC (Certified Professional Coder) This position assists the Coding Manager in training and education for Coder I and Coder II.
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Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT) Certified Outpatient Coder (COC) Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT.
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The Hospital Inpatient Coder I will be oriented in the application of clinical coding based on the official Coding Convention guidelines and the AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter.
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Serves as a subject matter coding expert on Medicare Risk Adjustment and additional clinical specialty-based coding. This position also supports accurate Medicare risk adjustment reporting and potentially healthcare exchanges.
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models. Your primary goal is to drive provider engagement and the adoption of Optum Risk Adjustment programs through a consultative approach.
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As a Neurosurgery Coder , you will play a vital role in ensuring accurate and compliant coding of neurosurgical procedures and services. LaSalle Network has partnered with a leading healthcare provider in their search for a Neurosurgery Coder.
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Imparting their knowledge and expertise in CDI, inpatient coding, DRG methodologies, risk adjustment, quality indicators, comorbidity indices, clinical documentation integrity and coding compliance to both their customers and their internal team members as well.
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Education & Certification: Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained before hire or job transfer. Looking for a certified coding specialist to join our team: Requirements: Experience in E&M Specialty Coding- Outpatient, Inpatient, observation, Critical care facilities using ICD-10, Modifiers, CPT, HCPCS codes.
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Billing Manager Care at Home Medical PC Position Description Overview The Billing Manager reports to the CINQCARE’s Vice President of Quality and Risk Adjustment, with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements.
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Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained before hire or job transfer. Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained before hire or job transfer.
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We're looking for a skilled and passionate Dermatology Biller & Coder to lead the charge and ensure smooth sailing in our billing department. As our Dermatology Biller & Coder, you'll be the captain of cash flow, navigating pre-auths, claims filing, and patient collections with finesse.
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Perform a daily inspection and log of a chiller and service and adjustment. Responsible for testing & adjustment of chemical treatment levels in the water system. Responsible for adjustment and repair of security systems.
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Your primary objective will be to assess the overall health and well-being of member beneficiaries to ensure accurate and comprehensive risk adjustment coding, leading to greater value-based care.
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adjustment coder jobs in Atlanta, GA
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