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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.
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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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Certified Coding Specialist (CCS) 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.
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Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations. Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.
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Required to currently hold one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), AHIMA Certified Coding Specialist (CCS), AAPC Certified Outpatient Coder (COC),AAPC Certified Professional Coder (CPC), AAPC Certified Professional Coder-Hospital (CPC-H), or AAPC Certified Interventional Radiology Cardiovascular Coder (CIRCC.
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Certified Coding Specialist Physician Based (CCS-P) 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.
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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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Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care settingRegistered Health Information Administrator (RHIA) (AHIMA) Registered Health Information Technician (RHIT) (AHIMA) Certified Coding Specialist (CCS) (AHIMA.
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Certification as Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Professional Coder Apprenticeship (CPC-A), Certified Professional Coder-Hospital (CPC-H), Certified Outpatient Coder (COC), Certification as Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) Upon Hire Req.
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Requires knowledge of CPT and ICD-10 coverage policies, internal revenue cycle coding processes and the billing practices of the specialty service line. Title: RCM Specialty Follow Up Specialist – Workers CompDepartment: Central Business OfficeLocation: Security Park – B27 | On-siteThe RCM Specialty Follow Up Specialist for Workers Comp ensures accurate and timely submission of insurance claims, obtaining missing information, researching denials and documentation, following up on claims, and maintaining compliance with department standards, HIPAA, and governing agency policies and procedures.
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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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Certified Coding Specialist (CCS) / Certified Coding Specialist-Physician (CCS-P) Familiar with 3M Encoder for ICD10 and CPT coding. 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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At Houston Methodist, the Coding Charges & Denials Specialist is responsible for coordinating and monitoring the coding specific clinical charges and denial management and appeals process in a collaborative environment with revenue cycle management and clinical partners at various Houston Methodist facilities.
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Physician office coding, charging, and billing experience preferred. Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC). Must have two (2) years of coding experience in an acute care setting or diverse clinical specialties.
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Registered Health Information Management Technician (RHIT) - Registered Health Information Management Administrator (RHIA) - Certified Coding Specialist (CCS) - Certified Coding Specialist Physician Based (CCS-P) - OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following: - Certified Professional Coder (CPC) - Certified Professional Coder-Hospital (CPC-H) - Certified Outpatient Coder (COC.
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cpt coding specialist jobs in Dallas, TX
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