, and ultrasounds, for billing and insurance purposes, using CPT, ICD-10, and HCPCS codes to ensure accurate documentation... health record (EHR) systems and knowledge of ICD-10, CPT, and HCPCS codes are essential Attention to detail, analytical...
understanding of coding (CPT and ICD-10) documentation requirements (for both billing and compliance), and the billing submission...Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional...
codes. Code review includes E/M, CPT, HCPCS, ICD-10-CM and modifiers. Review of medical records may include office visits..., leading projects, and overseeing staff deadlines. Experience abstracting CPT, E&M, HCPCS and ICD-10-CM codes from provider...
and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards. Drive cross-continuum... Technician) CCS (Certified Coding Specialist) CPC (Certified Professional Coder) Comprehensive understanding of ICD, CPT...
of five (5) years' experience coding inpatient and/or outpatient hospital records using ICD-10, CPT, HCPCS, and other third... for quality and comprehensive coding and documentation to ensure compliance with ICD-10-CM, CPT4, and HCPCS level II coding...
ICD-10-CM , CPT-4, and HCPCS code sets/systems. Core Competencies Reviews the assignment and sequencing of codes... that should be coded according to ICD-10-CM official guidelines for coding and reporting, published by the U.S. Department of Health...
and coding accuracy of ICD-10 CM codes related to chronic conditions Analyze coding patterns within medical groups. Provide... of ICD-10, CPT and CPT (II), and HCPCS coding systems Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical...
experience in medical record and billing reviews including clinical documentation, medical terminology, codes (CPT, HCPCS, ICD-10..., Information Systems/Computer Science or Healthcare related field required Experience 10 years of experience assessing risk...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... inpatient and/or outpatient coding. Facilitates the coder audit appeal process, providing rationale and education to the coding...
, and TJC standards. Coding knowledge (ICD-10, CPT, HCPCS, CDT, DSM-5). Excellent analytical, critical thinking, communication..., HRSA, FTCA, and CA-specific health-care regulations. Certifications (Preferred) Certified Professional Coder (CPC...
. Job Summary: Performs quality reviews and audits to ensure compliance with DRG validation, ICD-10/PCS, and CPT coding guidelines... inpatient and/or outpatient coding. Facilitates the coder audit appeal process, providing rationale and education to the coding...
functions and issues, including ICD-10-CM, CPT 4, and HCPCS coding, billing, reimbursements, and charge capture. Strong project... management or coding management position Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), or Certified Coding...
for denial and potential success of appeal including correct allocation of diagnostic and procedural codes under official ICD-10... and procedural codes under official ICD-10 Coding and Procedural Coding Guidelines, 3M APR-DRG Classification System, CPT, HCPCS...
of the Facility Auditor is to audit ICD-10-PCS, present on admission indicators (POA), APR-DRG & MS-DRG, Possible CPT... following functions in accordance with CodingAID policies: Abstract all ICD-10-PCS, present on admission indicators (POA...
ICD-10-CM , CPT-4, and HCPCS code sets/systems. Core Competencies Reviews the assignment and sequencing of codes... that should be coded according to ICD-10-CM official guidelines for coding and reporting, published by the U.S. Department of Health...
. * Compliance Has a thorough understanding of ICD-10 and CPT coding guidelines. Protects all work products, working papers... working knowledge of CPT, ICD-10 and HCPCS codes is required. Thorough understanding of Medicare, insurance documentation...
and internal standards. Provide physician education with extensive knowledge in ICD-10-CM diagnosis, CPT procedural assignment...), surgical, and diagnostic services. Ensure accurate CPT, HCPCS, and ICD-10-CM code assignment by physicians for all PB claims...
2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments – and accuracy... and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes...
: Required: Deep knowledge of the CMS-HCC Risk Adjustment model, ICD-10 coding guidelines, and the end-to-end RADV process is essential... procedures (SOPs & P&Ps) for audit workflows. Monitors coder and physician audit results to maintain quality of information...
up coding and notifies coder when documentation is available. Monitors and performs follow up on ICD 10 queue... in One Content for missing diagnosis codes on orders; notifies coder when documentation is available. Monitors reanalysis...