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Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR.
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Practical knowledge of medical specialties; medical diagnostic and therapeutic procedures; ancillary services (includes, but is not limited to: Laboratory, Dental, Occupational Therapy, Physical Therapy, and Radiology );and revenue cycle management concepts related to medical coding.
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Must be familiar with the other functions in Medical Records and how they relate to the Coding function. Our highly specialized services meet the unique medical needs of children, from Pediatric and Neonatal Intensive Care to Children’s Emergency Services, the latest treatments for deformities of the spine including titanium rib implants and halo traction, a Heart Center, a specialized asthma program, a highly regarded Cancer and Blood Disorders Center, and growing maternal services to include consultation, delivery, and maternal fetal medicine.
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Certification from AAPC or AHIMA as a Certified Professional Coder (CPC) and Certified Professional Medical Record Auditor (CMPA), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) is required.
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Related medical record functions include, but are not limited to data entry, abstracting coding information into Coding Compliance Editor (CCE), and Composite Health Care System (CHCS.
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Description Summary: Single position which performs coding of all inpatient and/or outpatient surgical charge records post discharge for data collection, reimbursement, tissue and implant ordering, return & tracking, and compliance with federal and state licensing and accrediting agencies.
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This position will provide direction and guidance to Medical Coding Analysts, as well as cross functional team members within their respective Markets pertaining to Risk Adjustment. The Sr. Clinical Coding Nurse Consultant will drive Risk Adjustment improvement initiatives, develop recommendations for Risk Adjustment remediation plans and create tools and databases to capture relevant data for assigned markets to achieve corporate and market specific Risk Adjustment goals and initiatives.
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Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures.
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The Billing & Coding Specialist's role is to review assigned physician and facility medical coding and billing records to determine if the billed charges are within the usual, customary, and reasonable (UCR) amount, based on cost comparisons in the geographic area, identify medical coding errors, if any, and communicate their review findings in written format (a counter affidavit or cost report.
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Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.
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Three years recent experience in a related position in a medical office experience preferred. Pediatrix Medical Group, Inc. (Pediatrix) is the nation's leading provider of physician services.
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Explore and attend employee development opportunities to enhance knowledge base regarding compliance topics such as coding/billing, CMS, Legal Medical Record, OIG, NHPCO, etc.,) Ensure awareness and operational adherence to compliance-related product changes that impact patient safety, coding and billing, and/or other regulatory governing topics.
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Orthopedic sports medicine physician practice looking for a highly motivated individual to join our team as a Certified Medical Biller and Coder (Surgical). Certified Professional Coder (CPC) - RequiredEXPERIENCE: Experience: Minimum of 1+ year experience as a medical biller/coder, surgical, orthopedics.
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Job SummaryThe Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient Emergency Room discharged patient records. Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding.
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Prepares and sterilizes medical equipment using the autoclave. Knowledge of ICD-10 and CPT coding. Medical Assistants who are hired prior to receiving their certification are expected to perform at the same level as a "certified" Medical Assistant.
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medical coding jobs in Castle Hills, TX
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