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Experience with compliance auditing, facility and physician coding/billing practices, PPS systems of payment (e.g. DRG, APC, APL, HHRG, CMG) and Medicare provider-based rules preferred. Related experience in physician and hospital inpatient/outpatient medical billing, reimbursement, chart review, coding compliance, medical office or patient accounts, rehabilitation, clinical trials coding/documentation requirements, home health/hospice, practice management and physician revenue cycle and strategy consulting is a plus.
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Conducting investigations related to embezzlement, whistleblower, financial reporting fraud, foreign corrupt practices act, loan fraud, fidelity claims, claw back litigation, construction fraud, Ponzi schemes, health care fraud, fraudulent conveyance, purchase price disputes, royalty audit, related party transactions, billing disputes, bankruptcy fraud, securities fraud, anti-money laundering, and other matters.
$97,200 - $207,000 a yearFull-timeRemoteExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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This position will ensure that medical records are coded in an accurate and timely manner as well as work closely with team to consistently and accurately resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.
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Experience in health care revenue cycle, payment integrity, billing, coding, and/or reimbursement highly, desirable. Experience with clinical data transport standards (e.g., FHIR), content standards (e.g., CD, HL7), and terminology standards (e.g., SNOMED, LOINC, ICD-10, CPT, etc.
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3+ years of experience in reimbursement, billing and coding within the healthcare, biotechnology, pharmaceutical, wound care or surgical device fields. Educate and onboard customers on billing, coding, and national & local payer coverage policies.
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Includes audits as directed by the Office of Medical Center Compliance Committee, and/or audits related to Office of Inspector General (OIG) Work plan items, Pre-Billing & Retrospective audits (i.e., Correct Coding, Facility E/M, Infusion Coding), Claims Resolution Audits, RAC audits, Modifier Audits, Charge Capture Audits, and other audits as needed or requested, Outpatient or Inpatient.
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Billing and Revenue Cycle Management (RCM): Software that manages coding, billing and payer contracts for clinics so they don't have to. Teleradiology: Board certified radiologist providing accurate and timely reads of results from X-rays, CT scans, MRIs, and ultrasounds, for our urgent care clients.
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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. Requires coding certification (CPC, CCS, CPMA.
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Extensive administrative experience using Relativity, including an understanding of case search, query syntax creation, document review setup/batching workflows, tag field/layout creation, predictive coding technologies/TAR, content/concept data analysis tools, and data production generation.
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Essential Job Functions: Create billing claims, including medical coding, claims submissions to grantors (including IDHS SUPR online claims coding and posting), payment posting, accounts receivable follow-up, accounts payable management, and reimbursement management.
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Billing and coding experience in one of the following areas; Neurosurgery, Orthopedic, Anesthesia, and In-patient, preferred. 3+ years of Coding/Billing follow-up experience in revenue cycle functions for a large multi-specialty physician office or hospital setting, preferred.
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Maintaining consistent oversight and tracking of all assigned matters, from start to finish, for compliance with eDiscovery Billing Guidelines and Vendor Management. The eDiscovery Project Manager will work with the Legal team on all aspects of the electronic discovery process, including identification, preservation, collection, analysis, review, and production of Electronically Stored Information (ESI.
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Collaborate with other leaders in revenue cycle, third party vendors and Physician Coding and Auditing Director regarding physician billing denials task force activities. Manage physician billing and follow-up manager(s) on a day-to-day basis relating to billing, follow-up, credits and denials management operations.
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Access to a robust in-house administrative team that supports all clinical programming including intake, verification of benefits, billing, coding, collections, and credentialing. Currently, we have opening for post-doctoral fellows in the following cities: Bloomington, Champaign, Darien, South Naperville, Bourbonnais, and Chicago, IL. LifeStance Health offers a wide range of psychotherapy services (e.g. individual therapy, group therapy, couples therapy, and family therapy) in addition to psychological/neuropsychological/pre-surgical evaluations and psychiatry services.
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Experience preferred in conducting or knowledge of hospital and/or physician diagnosis and procedural coding and billing requirements as they relate to Medicare and Medicaid. The Research and Compliance Analyst will focus on ensuring compliance with regulatory requirements around clinical and non-clinical operations, including, but not limited to nursing, quality, medical staff, allied health, human resources, billing, medical records, facilities, marketing, physician practice and information systems.
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billing coding jobs in Chicago, IL
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