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Maintain knowledge of (ICD-10) and CPT classifications and coding of diagnoses and procedures. Lead training sessions on current billing and coding information in the medical field.
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This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
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Coding credentials, i.e. CCS, COC, CCS-P, CPC, RHIT, and RHIA preferred. Thorough knowledge of medical terminology, anatomy and physiology, and pharmacology required.
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Conducts reviews of professional or hospital charges to ensure chart documentation supports billed codes by applying appropriate CPT and ICD-10 CM coding and governmental guidelines.
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Key responsibilities include but are not limited to: CPT and ICD-10 coding, Accounts Payable and Receivable, reconciliation of patient accounts and software interfaces, and documentation of processes and procedures.
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Excellent ICD-10, CPT, and HCPCS coding knowledge & skills. Demonstrates a good working knowledge of CPT, ICD10, and HCPCS codes as well as remaining current on regulatory coding changes.
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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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Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
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Working knowledge of CPT and ICD-10 coding systems. Experience working with medical payers including Medicaid, CMO’s and Commercial insurance. Assist in the enrollment and explain drug rebate programs such as Care Path and Entyvio Connect and Pfizer.
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Medical, Eligibility and Pharmacy claims coding including CPT, DRG, ICD10 and other industry standard classifications. The team is a mix of data managers, data scientists, reporting data analysts, SQL/MS Office/Tableau/PowerBI/Python/R programming experts, statisticians, actuaries, and custom solution architects.
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JOB KNOWLEDGE: Knowledge of medical terminology, with understanding of current ICD-10 and CPT Coding. Foreign language may be required, preferably in Spanish and/or Vietnamese.
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Medical Terminology, type 45-55 words per minute accurately, CRT experience preferred, tact and ability to deal with patients under stress; good planning and organizational abilities; speaking and hearing necessary to converse with the public; knowledge of ICD-10 and CPT-4 coding for Part B billables is preferred.
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Other Knowledge, Skills, and Abilities: Advanced knowledge of ICD-CM, HCPCS, and CPT coding systems Advanced knowledge of reimbursement systems, including PPS, APCs, and RBRVS Advanced understanding of industry nomenclature, medical terminology, anatomy, physiology, pharmacology, and disease processes.
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Strong technical knowledge of Centers for Medicare & Medicaid Services (CMS) regulatory guidelines, including ICD-10 CM, CPT, and HCPCS Procedure Coding, and official coding guidelines.
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Coding Proficiency: Review, analyze, and code medical documentation accurately, including ICD-9, ICD-10, and CPT codes for various medical subspecialties. Knowledge of ICD-10, CPT, HCPCS, and experience with modifiers is required.
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medical cpt and coding jobs in Atlanta, GA
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