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Must obtain a Certified Coding Specialist certification within two (2) years of employment in this position, and must maintain this certification. Knowledge of medical terminology, anatomy and physiology, disease processes, Coding Clinic, POA, query guidelines required.
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Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist , P from the American Health Information Management (AHIMA.
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The Assistant Project Controls Specialist will support all aspects of project controls and reporting, including, project change management, cost control, progress measurement, schedule development and schedule control.
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HCC Risk Adjustment Coders are required to maintain minimum 95% accuracy on coding quality audits. As a Subject Matter Expert, this person will support risk adjustment coding initiatives to identify opportunities to enhance and grow business.
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Work closely with inter-departmental team management to support coding initiatives related to risk adjustment programs. Evaluate and improve the effectiveness of risk adjustment coding programs, policies & procedures and work flow.
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Certified Coding Specialist (CCS) issued by the American Health Information Management Association or Certified Provider Credentialing Specialist (CPCS) issued by NAMSS. Knowledge of ICD-9-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines.
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This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction.
$48 an hourExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Appeal carrier denials through review of coding, contracts, and medical records. The Revenue Cycle Specialist is responsible for billing and collecting payments. Familiarity with CPT and ICD-10 is also required; CPC certification is a plus.
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Our journey started in 2006 with medical billing and coding services for physicians, then pivoted to HCC coding for payers. (Episource’s coding team then reviews and analyzes the charts.
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Responsible for educating and keeping management informed on current changes in regulations/guidance related to ICD-10 coding and quality documentation and reporting. Requires 5+ years of Medical Coding experience.
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As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment.
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The Project Controls Specialist is accountable for timely and accurate input of data, thorough and accurate review and analysis of defined cost and schedule elements, and timely and accurate document production.
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Medical and Clinical Pharmacology coverage for Site Initiation Visits, during the clinical conduct of the trial, for safety reviews and safety reporting and for medical coding. As a recognized specialist in the field, your strong experience in early clinical development and Clinical Pharmacology will enrich the Medical Team's expertise and will help to build and grow Clinical Pharmacology as the Novartis Center of Excellence for FIH and Clinical Pharmacology studies across all therapeutic areas in the BR portfolio.
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Relativity certifications including Relativity Certified Administrator (RCA) and/or Relativity Analytics Specialist strongly preferred. As a CGS ALS Lab Manager, you will leverage industry knowledge, and market research, and have wide-ranging experiences across operating systems and coding languages.
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Previous relevant & significant clinical study experience, across the broad spectrum of Clinical Pharmacology and FIH studies, either in the biopharmaceutical industry leading early phase clinical trials, as a PI or sub-investigator in a CRO or relevant academic medical center.
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coding specialist jobs in Summit, NJ
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