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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.
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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. 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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This candidate will trend denials for root cause analysis reporting, follow and create value added processes related to denials management, account reviews, and appeals management, and insurance follow up to maximize revenue recovery and denial prevention.
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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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Coding Denials Management: Manage the submission, correction of claim edits and follow-up clinical denials related to coding, ensuring accurate and timely reimbursement. Coding Denials Management: Manage the submission, correction of claim edits and follow-up clinical denials related to coding, ensuring accurate and timely reimbursement.
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CPT II must meet the state regulatory certification requirements to work in the clinical laboratory. Current and valid state certification as a CPT required. The Certified Phlebotomy Technician II primarily perform skin puncture or venipuncture on patients of all ages for the purpose of obtaining a blood specimen for analysis in the clinical laboratory and is under the supervision of Laboratory Director / Manager / Supervisor.
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This includes denials related to the billed CPT, diagnosis, and modifier.) 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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Experience and commitment to providing evidence-based treatments (e.g., ACT, CBT, CPT, DBT) and clinical best practices (e.g., measurement based care, promoting skills practice) Unrestricted LCSW, LMFT, LPCC, PsyD, PhD, or equivalent license (i.e., able to work independently, without supervision from a licensed supervisor) without current, past, or pending disciplinary action.
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May perform routine respiratory care activities under the supervision of a Registered Respiratory Therapist (RRT) who holds a Texas state license as a Respiratory Care Practitioner (RCP), includes aerosol therapy, CPT, pulse oximetry, Incentive Spirometry oxygen therapy, MDI, patient education and set-up of respiratory equipment.
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Revenue Cycle to include Charge Capture, Collections, A/P, Denials Management. Baylor Scott & White Medical Center - Uptown is a joint venture between Baylor Scott & White Health (BSWH), United Surgical Partners International, and local physicians.
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The Coding Quality Specialist will report directly to the HIM Coding Education Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Registered Health Information Technician (RHIT) (AHIMA) Certified Coding Specialist (CCS) (AHIMA.
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Certified Group Fitness Instructor PLUS one or more of the following certifications •NASM- CPT •ACSM- CPT •NSC CSCS or CPT •ACE- CPT. Certified Group Fitness Instructor PLUS one or more of the following certifications •NASM- CPT •ACSM- CPT •NSC CSCS or CPT •ACE- CPT.
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Additionally, the Charge Master Analyst II will be responsible for the complete CDM maintenance process for all regions including on-going updates and revisions, incorporation of code set corrections, revenue code to CPT/HCPCS code mismatch corrections and newly identified charges for current systems and future standards developed.
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Manages and controls all processes related to Denials Management in the Inpatient, Outpatient (COPC and Specialty Clinics) and Emergency areas. Denials/Collections Manager is responsible for providing oversight, management, reporting, prevention, and resolution of the denial inventory for Government, Managed Care, Non- Government, and Commercial plan payors.
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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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cpt denials jobs in Dallas, TX
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