of document management. Serves as expert resource on methodology and procedures for medical records and coding issues... information with discretion. Extensive medical records and coding knowledge. Working knowledge of contract evaluations, claims...
per day. Hold an accuracy of 95%. Microsoft office skills. Reviews medical documentation to perform a variety of coding... and other supported areas of division as needed as a resource for medical records and coding issues. Experience: 2 years: 1 year...
Duties Reviews medical documentation to perform a variety of coding validations for multiple lines of business.../understanding of medical terminology and medical coding. Good judgment skills. Demonstrated customer service and organizational...
in payer environment 5+ yrs medical coding (payer side) 3+ yrs clinical healthcare experience 5+ yrs ICD-10 / CPT / HCPCS...) Required Skills 5+ yrs healthcare insurance (medical review / appeals / program integrity) 5+ yrs working with IT developers...
(Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: Initiates annual (and quarterly... (SME) for medical coding methodologies, Medicaid policy, and related topics. Research business rules, requirements...
Title: IT Healthcare Consultant - Business Analyst - Advanced (Clinical Analyst and Coding Specialist) Location... (Clinical Analyst and Coding Specialist): Specific duties include, but are not limited to: Initiates annual (and quarterly...
with and develops educational programs for coding staff, clinical documentation staff and medical staff to including yearly coding/CPT...) regulations and applicable carrier local medical review policies. Collaborates with Coding leadership to develop and maintain...
Matter Expert (SME) in medical coding methodologies, Medicaid policy, and payer-system processes, ensuring accurate code... Carolina) Current credential as: CPC (Certified Professional Coder) OR CCS (Certified Coding Specialist) Demonstrated...
Matter Expert (SME) in medical coding methodologies, Medicaid policy, and payer-system processes, ensuring accurate code... Carolina) Current credential as: CPC (Certified Professional Coder) OR CCS (Certified Coding Specialist) Demonstrated...
and procedures for medical records and coding issues. Skills We are looking for candidates with the following skills... Licensure Compact (NLC), OR Certified Coding Specialist. Skills and Abilities: Develops methodologies, follows processes...
(HCC) diagnoses and autosuggested conditions impacting HCC coding and Risk Adjustment Factor (RAF) scores. The specialist... Specialist promotes modifications to medical record documentation to ensure accurate depiction of the level of clinical services...
Interpersonal skills Knowledge of various health insurance companies. Knowledge of medical terminology, CPT and Diagnosis Coding... consultations, procedures and tests. Utilizes each patient’s preferred method of contact. Utilizes various electronic medical...
effectively. - Proficiency in MS Office Suite. - Preferred: one year experience working with CPT/medical coding. EEO... to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical...
coding abilities preferred Work Shift Day (United States of America) Location 3 Medical Park Rd Richland Facility 3210... or turned over for collection. Assists with coding and error resolution. Maintains required billing records, reports...
expertise is required. Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy... (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able...
reconciliation or healthcare revenue cycle/medical office experience. Managed care, payor contracting & reimbursement, denials... Specialist Payment & Reimbursement (CSPR) preferred Certified Revenue Cycle Representative (CRCR) preferred Certified Revenue...
and modernization efforts related to the Medicaid Management Information System (MMIS). Key Responsibilities Medical Coding... & Compliance Support Review medical records for medical necessity and coding validation when required Support claims review...
and modernization efforts related to the Medicaid Management Information System (MMIS). Key Responsibilities Medical Coding... & Compliance Support Review medical records for medical necessity and coding validation when required Support claims review...
holidays, and CME) $5,000 continuing medical education (CME) stipend Tuition reimbursement available Health, vision, dental..., and life insurance provided 401(k) with up to 4% company match, vested immediately Provided medical malpractice insurance...