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Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P.
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Manages system-wide initiatives to identify, investigate, and capture revenue opportunities in specialty billing areas such as Behavioral Health, Pharmacy, Collaborative Care, Integrated Behavioral Health, Radiation Oncology, Radiology, Women’s Health.
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In addition to day-to-day responsibilities as a Pharmacist, PMEL program participants will be responsible for completing operations and leadership/management skills training and learning about key aspects of the business and CVS Pharmacy culture in order to prepare for future promotion to Pharmacy Manager.
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CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS.
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Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits.
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Works with medical staff and quality management staff to correctly align diagnosis documentation and billing coding to improve the quality of clinical documentation and correctness of billing codes prior to claim submission to third party payers; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-9 assignments on health records.
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Registered Nurses (RN) with Coram CVS/specialty infusion services have a uniquely rewarding setting to use their exceptional nursing skills. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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3 years Health care compliance auditing of coding and billing practices Required. The Compliance Auditor - OP/Ambulatory Services educates physicians and staff on error trends and how to prevent/reduce errors to demonstrate compliance with the False Claims Act, the Federal Overpayment Rule, CMS and Medicaid billing and coding requirements to maximize reimbursement.
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Sentara Health Plan is hiring for a Senior Specialty Software Engineer. Sentara Health Plans is the health insurance division of Sentara Healthcare doing business as Optima Health and Virginia Premier.
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Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing.
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ESSENTIAL DUTIES AND RESPONSIBILITIES: Conduct compliance coding reviews of medical records and supporting documentation against submitted claims, to determine coding and billing accuracy for medical, dental, mental health services, including telehealth and telemedicine services.
$44,467.32 - $63,859.08 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Knowledge of ophthalmology billing and Athena health practice management system is a plusPrefer candidate to have experience with CPT, ICD-10, and NCCI coding, proficient in 10 key charge entry, experience with multiple types of insurance and reviewing the cards.
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Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist – Professional (CCS-P) or Certified Outpatient Coder (COC) Req.
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CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
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Maintains updated knowledge of all billing, coding, insurance, and compliance guidelines, including but not limited to HiPAA, CPT, ICD-10, HCHPCS, medical terminology, etc. · Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and the American Association of Professional Coders.
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cvs pharmacy specialty health billing coding jobs Company: Cvs Health in Vienna, West Virginia
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