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Knowledge of state payment systems and coding, billing and compliance rules, preferably on Medicaid and/or CHIP claims processing systems, including MMIS; and. Knowledge of payment systems and coding, billing and compliance rules.
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Maintains a repository of program memorandums by payer (both governmental and commercial) detailing coding and billing practice requirements. Develops educational materials and programs to promote client provider accuracy and completeness of medical documentation, coding, and billing in accordance with Federal, State and payer regulatory requirements.
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Reviews, processes, or reassigns appeals, charge correction, coding and provider enrollment rejections as required to achieve successful claim reimbursement. Job Summary - Analyzes invoice with no adjudication status to facilitate timely reimbursement for 1 billion + annual billing of provider services.
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Works closely with other revenue functional areas including Patient Access, Hospital and Physician Billing, Cash Posting, Reimbursement, Payer Contracting, Utilization Management, and Coding.
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Medical Billing and Coding Certificate required. Billing Manager Care at Home Medical PC Position Description Overview The Billing Manager reports to the CINQCARE’s Vice President of Quality and Risk Adjustment, with accountability for providing strategy, judgment, organization, and evidenced-based analysis to influence decisions, and directly to meet CINQCARE requirements.
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DOD or VA) 3+ years Working knowledge of medical billing and coding, ICD10 and CPT coding and mapping to Army medical readiness metrics (DOD, DHA or VA) 4+ years Understanding of Army enterprise analytic systems 5+ years’ Experience in preparing Information Papers, EXSUMs, CONOPS, OPORDs etc.
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Comprehensive understanding of CPT, ICD-10, HCPCS, ASA and CDT-2 coding. The Revenue Cycle Liaison MPBS must be well versed in every phase of the revenue cycle (including but not limited to: scheduling; registration; coding; claims submission and adjudication and all related analytics.
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Manages and/or coordinates all aspects of the revenue cycle including inquiry conversion, scheduling, registration, treatment authorization, documentation, coding, charge entry, billing, collections and, denial processes.
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Intermediate understanding of Explanation of Benefits form (EOB), Managed Care Contracts, Contract Language and Federal and State Requirements Intermediate knowledge of hospital billing form requirements (UB-04) Intermediate understanding of ICD-9, HCPCS/CPT coding and medical terminology Intermediate Microsoft Office (Word, Excel) skills Advanced business letter writing skills to include correct use of grammar and punctuation.
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If interested in training for a career in the Medical Billing & Coding field, Our network of nationally recognized medical billing & coding schools makes it easy for you to find the right program in your area - take the first step towards your new career today.
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My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. Interested in a career in the Medical Billing & Coding field? Why a Medical Billing & Coding Career.
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Required Qualifications: Competencies: Must be able to exhibit coding experience to include ICD-CM, CPT, HCPCS, inpatient, outpatient surgery, outpatient and ER records. Serves as liaison between clinical and revenue cycle areas on new product/service lines, including pricing and payor specific billing criteria.
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Develop detailed knowledge of internal billing coding and CDM process to identify breakdowns and resolutions. Develop knowledge of internal billing systems & edits and make recommendations to mitigate denials.
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Interested in Online Medical Billing & Coding Training? Medical Billing & Coding - HIGH JOB OUTLOOK RATE! Interested in Online Medical Billing & Coding Training? Medical Billing & Coding - HIGH JOB OUTLOOK RATE.
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My Medical Career is the portal for individuals seeking a career in the Medical Billing & Coding field. My Medical Career is the portal for individuals seeking a career in the Medical Billing & Coding field.
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billing coding jobs in Bethesda, MD
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