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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.
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AAPC billing and coding certifications, preferred. Assist customers with billing questions, claim denials, and appeals. Conduct reimbursement orientations with billing managers of private offices and wound care centers to train them for success.
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The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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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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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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Knowledgeable in medical coding and terminology related to Medicaid and Managed Care Behavioral Health Billing. Communicate billing and coding updates specific to behavioral health to relevant departments and staff.
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7+ years of experience in healthcare operations related to revenue integrity, coding, finance, revenue cycle management, patient accounting and/or physician billing. In addition, you will improve charge capture accuracy through workflow assessments, coordinating coding reviews, process improvements, and report generate.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The Physician Enterprise (PE) Local Director of Revenue Cycle (LDRC) serves as the primary contact between assigned Practices, Revenue Integrity, Coding, the Software Vendor and the Central Billing Office (CBO) for all aspects of the billing and collection of professional services.
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5 years of coding experience AAPC or AHIMA certification in coding with experience in research medical billing and coding. Perform clinical trial management system activities within the CTMs and conduct financial activities within the medical billing and coding software (i.e. OnCore, EPIC.
Full-timeExpandApply NowActive JobUpdated 3 months ago - 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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Weissbluth Pediatrics is looking for a Medical Biller/Accounts Receivable/Claims Manager, who is highly motivated, responsible, reliable and detail-oriented with billing experience. Experience with full cycle billing, insurance claims processing, payment processing, insurance denial follow up, and patient collections.
Full-timeExpandApply NowActive JobUpdated 19 days ago - UpvoteDownvoteShare Job
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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.
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Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products.
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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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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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coding and billing jobs in Chicago, IL
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