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AAHAM, NAHAM, HFMA, AAPC, and/or AHIMA certification preferred. Responsible for providing support to Payer operations with UMMS contracted commercial, Medicare Advantage and Medicaid MCO Payers.
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For internal JHHS candidate an active coding credential from AAPC or AHIMA, or must obtain credential within 9 months of hire. Active approved coding credential from AAPC or AHIMA upon hire.
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Requirements:Coding certification required through AHIMA or AAPC (at least one of the below):Certified Professional Coder (CPC)Certified Risk Adjustment Coder (CRC)Certified Coding Specialist for Providers (CCS-P)Registered Health Information Management Technician (RHIT)5+ years of risk adjustment coding experience, 3+ national Medicare Advantage health plan experience preferred.
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Certified Coder (CCS or CPC)-AHIMA or AAPC. Experience: 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience.
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Utilizes coding expertise, combined with medical policy, credentialing, and claim processing rules knowledge to determine appropriate billing and code submissions while not compromising payment integrity.
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Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
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Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC) Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC) Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment.
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Must have Medical Coding certifications from AHIMA or AAPC (CCS or CPC) Must have Medical Coding certifications from AHIMA or AAPC (CCS or CPC) AHIMA Credential- RHIT or RHIA. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
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Active certification through the AAPC or AHIMA (CRC, CCS, CPC, CIC, COC, RHIT, or RHIA) Who Should Apply: If you have experience as a certified coder, medical coder, Medicare risk adjustment, CPC, CRC, medical coding specialist, remote coder, medical coding, MRA, HCC, hierarchal condition categories, or risk adjustment, we would love for you to apply.
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3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience. Supports and contributes to the development and refinement of effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality outcomes while not compromising payment integrity.
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Certified Coding Specialist (CCS-P), Certified Professional Coder (CPC) or related credential from AHIMA or AAPC required upon hire. Certified Coding Specialist (CCS-P), Certified Professional Coder (CPC) or related credential from AHIMA or AAPC required upon hire.
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AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC). AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC.
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