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Familiarity with ADA codes, CPT Codes and ICD-10 Codes. This position reports directly to the Patient Financial Administrator and works closely with school clinics it supports: Dental Faculty Practice, Craniofacial Pain and Sleep Center, Oral Medicine, Oral and Maxillofacial Pathology and Tufts Dental Facilities, the Pre-doctoral (students), Postgraduate (residents) Specialty clinical treatment areas, which includes: Endodontics, Orthodontics, Periodontics, Prosthodontics, Pedodontics, Oral and Maxillofacial Surgery, AEGD and Geriatric Dentistry.
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Maintain current knowledge of SCP policies and procedures, as well as updated ICD-10 and CPT-4 coding and billing compliance knowledge. Maintain current knowledge of SCP policies and procedures, as well as updated ICD-10 and CPT-4 coding and billing compliance knowledge.
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Outpatient Coding Auditor (Hospital Outpatient Surgery And Emergency Dept) Remote for Texas Resident
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Reviews include Outpatient ICD-10, CPT, HCPCS and Modifiers. This position assists the Coding Manager in training and education for Coder I and Coder II. Assists the Coding Manager in training and education of coding staff.
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Under the direction of the Hospital Coding Manager or Supervisor, and exercising independent judgment within the scope of the job, the Hospital Inpatient Coder II assigns applicable ICD-10 Codes, Present on Admission (POA), Hospital Acquired Condition (HAC), and Patient Safety Indicators (PSI) using current industry standards, the Official Coding Guidelines, Coding Clinic, UHDDS and regulatory requirements.
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Must have a working knowledge of CPT and ICD-10 codes, data entry systems for 3rd party billing, various types of payers and their reimbursement and denial patterns. The Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections.
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Must have strong experience with medical coding systems (e.g., NDC, ICD-10, HCPCS, CPT) and an understanding of epidemiologic principles and basic medical terminology. Master’s degree or doctoral degree in related field (e.g., public health, epidemiology, statistics, quantitative social sciences, or economics) preferred.
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Advanced Proficiency in ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services. Appropriately assign CPT, ICD-10, HCPCS II, and modifiers based on documentation and payor requirements as defined in Billing Area Instructions or Standard Operating Procedures.
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Thorough understanding of claims and healthcare terminology and codes as published by CPT, ICD, HCPCS, and DRG manuals. The ideal candidate is an accomplished subject matter expert who is passionate in making a real impact on preserving the Medicare Trust Fund. He/she should be a confident public speaker with excellent written and oral presentation skills.
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In this position as a Coding & Clinical Auditor / DRG Specialist RN, you will apply your expert knowledge of the MS-DRG and APR-DRG coding/reimbursement methodology systems, ICD-10 Official Coding Guidelines, and AHA Coding Clinic Guidelines in the auditing of inpatient claims.
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Research and answer complex questions regarding CPT, ICD-9, HCPC and other codes, fee schedules, PPO applications, and other technical matters. Thorough understanding of the complex inter-relationships between CPT codes/modifiers, ICD-9 codes, HCPCS codes and medical terminology.
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Learn more about a career as a traveling PT. Minimum Qualifications Bachelor's, Master's or Doctoral Degree in Physical Therapy from accredited schools approved by the APTA. Must have credentials evaluated by one of these: FCCPT, ICD, ICA, IERF or IEC. Current state license in good standing with the State License Board.
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Possesses some knowledge of ICD-10, CPT and HCPCS codes, Medicare RVU, and DRG coding methodologies. Designs and builds financial models to support various reporting and contracting needs, including payer contract negotiations on behalf of the Hospital, Physicians' Organization, Pediatric Physicians' Organization at Children's Hospital (PPOC), and Boston Childrens' Health Physicians (BCHP.
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Understanding of Medical Billing, ICD and CPT coding, analytical and leadership ability, computer literacy, excellent interpersonal ability, attention to detail, organization, and a professional attitude.
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Knowledge of ICD-10, HCPCS, CPT-4, and Revenue Codes. Knowledge of ICD-10, HCPCS, CPT-4, and Revenue Codes. Knowledge of Home Infusion Claim Processing preferred. Demonstrate Mass General Brigham Health Plan Core Values of Accountability, Service Excellence, Quality Care, Diversity, and forging strong Relationships.
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The Claims Reviewer Team Lead serves as a backup to the claim's supervisor for all essential functions. Completion of coding classes from certified medical billing school preferred. Identify and escalate issues - systemic, configuration, pricing, etc., to attention of supervisor/manager in a timely manner.
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icd job in Boston, MA
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