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Knowledge of ICD-9, ICD-10 and CPT codes for clinic operating policies. Identifies and provides accurate CPT/ ICD codes on the authorization request. Contacts Payer(s) in a timely manner to obtain, monitor, expedite, and track pre-authorization/pre-certification requests for planned services.
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This position is responsible for ICD-10 Coding and OASIS Review, quality assurance, accuracy and overall integrity of the clinical records and documentation completed by Clinical staff. OASIS Certification and ICD-10 Coding Certification, preferred.
RemoteExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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In addition to observing and documenting all patient encounters in real time, our Scribes become experts in our value-based care model and the documentation and care of chronic conditions, including ICD-10 and CPT coding.
Full-timeExpandApply NowActive JobUpdated 20 days ago - UpvoteDownvoteShare Job
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This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. PRIMARY PURPOSE The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC),observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
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Strong knowledge of Medicare, Medicaid, Managed Care and Commercial Plans Strong reconciliation and analytical abilities as it relates to medical billing, collections and payment posting Intermediate Excel experience Basic knowledge of clinical terminology, ICD-10, and CPT codes Ability to read and understand different Explanation of Benefits.
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The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters.
Full-timeRemoteExpandApply NowActive JobUpdated 28 days ago - UpvoteDownvoteShare Job
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An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, NHA or AAH+ Experience with HEDIS and ICD/CPT coding+ Experience with Electronic Medical Records+ Experience in a fast paced/high volume environment+ Bilingual in English and Spanish proficiency.
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Code, abstract and conduct charge quality review on all episodes of care on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of information and resolves identified issues.
RemoteExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Completed coursework in Human Anatomy & Physiology, Medical Terminology, Introduction to Coding (including ICD-10 and CPT) preferred. Minimum (1) year of experience in a medical office setting highly preferred (i.e. ambulatory surgery center, hospital, doctors office.
Full-timeExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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Below) Active certification through the AAPC or AHIMA (CRC, CCS, CPC, CIC, COC, RHIT, or RHIA) Minimum GED/high school diploma A reliable high-speed internet connection (the faster the better.
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Maintain compliance with AAPC coding standards and CMS Risk Adjustment guidelines. Knowledge of CMS-HCC model and guidelines along with ICD-9/10 and guidelines. This position supports and aligns planning to ensure the key strategic activities aimed at HCC/RAF management for Population Health Management is delivered and executed at the clinic level.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Assist with development and coordination of review plans, feedback to coding staff and management to include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management.
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Understanding of medical terminology, CPT codes, and ICD-10 codes a plus. This position is responsible for entering stop loss specific and/or aggregate claims into the claims system and logging the claims into the claim log, data entry of monthly reports provided by third-party administrators, sorting and formatting pre-certification and case management reports, and assisting with other administrative tasks as needed including back-up processing and posting monthly premium payments.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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CPC - Certified Professional Coder (AAPC) High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.
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Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS.
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