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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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Job Summary - Under the supervision of the Reimbursement Manager, reviews and analyzes medical billing and coding for processing. Assigns correct ICD-10, HCPCS and CPT codes using standardized medical coding guidelines maintaining departmental accuracy standards.
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Familiar with coding taxonomies used in healthcare billing and electronic medical records, such as ICD-10 codes, CPT-4 codes, MS DRGs, SNOMED, LOINC, RxNorm. Experience with electronic medical records or other healthcare related information systems.
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In Healthcare Administration, Medical Coding, Auditing, Finance, Accounting, Nursing, or a related field required. Performs basic and complex billing and budget analysis in accordance with CMS regulations for all clinical trials performed at UMMS affiliates and FPI practice offices and clinics.
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Three years of recent work experience in medical coding, billing, records management, and/or IT/IS. + Certified as medical coder CCS or CPC-A. + Finger dexterity is required to manipulate objects and medical and simulation equipment with fingers, whole hand(s), and arms.
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Understanding of medical note content, and medical billing and coding. Prior experience in healthcare settings, particularly in the role of medical scribe. Assists providers with real-time documentation assistance for clinicians to free the clinician from enough data entry so that he/she can focus on other aspects of quality patient care; accompanies provider in room and documents clinical note, laboratory results, prescription refills, procedures, billing information and any other documentation as directed by the provider.
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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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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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Utilizes extensive HEDIS and coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality outcomes and STARs outcomes while not compromising payment integrity.
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Consults with various teams, including the Quality, Risk Adjustment, Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
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If interested in training for a career in the Medical Billing & Coding field, My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field.
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Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
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5 years of experience in a medical office management or healthcare administration role preferred In-depth knowledge of medical office operations, including billing, coding, EHR systems, and compliance regulations.
$80,000 - $100,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Assists in the development of medical record documentation standards and requirements related to clinical services billing.
$72,600 - $127,000 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge of, or willingness to learn, federal and state regulatory requirements related to healthcare privacy, security and compliance, including the Health Insurance Portability and Accountability Act, new State privacy regulatory requirements, federal billing, coding and documentation requirements, Stark and Federal False Claims Act. Experience with Microsoft Office Suite and ability to manage databases.
Starting at $77,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago
medical billing coding jobs in Brooklyn, MD
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