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Enters charges and reviews patient record for billing accuracy performing quality checks on ICD-10 and CPT codes and other related information in order to streamline the billing process per practice protocols.
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Licensure, Certification & Registration:Epic proficiency or certification in Resolute HB and/or Resolute PB desiredExperience:Requires minimum 2 years of healthcare revenue cycle experienceSkills, Knowledge & Abilities:Comprehensive working knowledge of medical/hospital billing practices, billing software, health care insurance, and CMS regulationsKnowledge of CPT, HCPCS, and ICD-10 coding principles.
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Schedules patient appointments and collects pre-registration information, reviews and verifies eligibility of insurance. Stool for occult blood. Preferred: Graduate of an Accredited Medical Assistant program or has obtained a Medical Assistant Certification (AAMA, CCMA, RMA, NCMA.
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Performs Phlebotomy procedures (back up to phlebotomist) (drawing of blood, spinning of bloods) BILH/LHMC Talent Acquisition reserves the right to change signing bonus eligible jobs and amounts at any time.
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Thorough knowledge of ICD-10, CPT, HCPS, and Revenue Billing Codes. The Sr. Claims Auditor utilizes CPT and ICD-10 coding to review physician claims and medical records for coding accuracy.
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Experience in coding, billing, and knowledge of insurance reimbursement policies and regulations or equivalent experience is preferred but not required if one has completed a Coding Certificate or Health Technology Program.
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Medical Coding background and experience with CPT, ICD-9, ICD-10 and billing requirements. At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care.
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Interacts directly with EPIC Auth/Cert, Registration and Referral Shell, entering data accurately to coordinate all elements required for payment of services rendered, which includes, but is not limited to, appropriate CPT Procedure and Diagnosis codes, rendering Physician(s), level of care, and facility, i.e., across entities (BWH, BWFH, FXB, etc.
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Post visit workEnters charges and reviews patient record for billing accuracy performing quality checks on ICD-10 and CPT codes and other related information in order to streamline the billing process per practice protocols.
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4+ of coding experience in Managed Care, medical billing, facility or physician environment required. Identify and provide analytical data on billing trends/issues for potential areas of recoveries.
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