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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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Certifications in one or more of the following is preferred: a) American Academy of Professional Coders (AAPC) Certifications: Certified Professional Coder (CPC), Certified Outpatient Coding (COC), Certified Inpatient Coder (CIC), and/or Certified Professional Medical Auditor (CPMA.
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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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Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. Details Department: Health Information Management Schedule: Monday-Friday, regular business hours Hospital: Ascension St. Agnes Location: Baltimore, MD ED, ICU and Med Surg experience required Bachelors in Nursing with at least 1 year of either CDI, Quality, or Care Management and Coding experience.
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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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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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Five years of experience in clinical setting analyzing data and performing reviews such as utilization management , quality assurance, charge capture, coding, billing, and medical necessity to facilitate correct claims submission to federal and state payers required.
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B) American Health Information Management Association (AHIMA) Certification: Certified Coding Specialist (CCS) UMMS is currently seeking a Compliance Auditor at our corporate office in Linthicum, MD.
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Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC) Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC) Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation.
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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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