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5 jobs found

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BS
Full Time
 
Medical Coder Auditor, Senior - Medi-Cal
Blue Shield of California Hybrid (CA, USA)
Your Role   The Medi-Cal Operations team is responsible for Claims processing and ensuring Medi-Cal benefits are applied. The Medical Coder Auditor Senior will report to the Director of Medi-Cal Performance. In this role you will Serve as an expert Medi-Cal resource in the areas of coding, documentation, auditing, including CMS/HHS regulations and compliance issues surrounding requirements for risk adjustment. Review and monitors all Medi-Cal, HIPAA and CMS regulations for updates and changes pertaining to Medi-Cal programs. Determine and implement changes needed for systems and processes.   Your Work   In this role, you will: Perform audit projects, including and not limited to Government RADVs, and internal compliance audits Support and implement prospective, retrospective and auditing project strategy to support improved clinical documentation and coding Be responsible for facilitating and/or performing an audit of the providers’ medical...

Jun 06, 2023
Grady Hospital
Full Time
 
Coding Supervisor
Grady Hospital Remote
Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!  SUMMARY Supervises the coding function and corresponding staff and manages auditing and quality control and improvement initiatives. Investigates, diagnoses, and corrects problem accounts that impede the billing/revenue cycle. Coordinates and reviews the work of designated coding staff. Oversight of Coding Staff training and professional development and assumes full responsibility for the charge capture, coding, and charge entry of all assigned surgical cases into the practice management system. Responsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of...

Jun 06, 2023
MG
Part Time Contract
 
Part time coding auditor
Mercury Global Services Remote
Need part time Coding auditors with experience on multiple coding specialties- ortho/ ED/ Surgery./ Urology. Must be CPC Certified. Should be able to remotely work 25-40 hours a week. 

Jun 04, 2023
University of Florida, Department of Orthopaedic Surgery and Sports Medicine
Full Time
 
Clinical Coding Specialist
University of Florida, Department of Orthopaedic Surgery and Sports Medicine Hybrid (The incumbent may work remotely and in-office, dependent upon the needs of the team and the department.)
The University of Florida’s Department of Orthopaedic Surgery and Sports Medicine is seeking a self-motivated, collaborative, analytical, detail-oriented individual to be part of the Revenue Cycle team. This full-time position reports to the Coding supervisor and is responsible for ensuring departmental compliance with coding and reimbursement guidelines and maximizing reimbursement outcomes. Ranked among America’s five best public universities, the University of Florida is not only a top university, it’s also a great place to work! We offer competitive salaries,  a diverse benefits package , and generous leave plans.  Responsibilities include the following: ·         Perform comprehensive review of record to assure accuracy and assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information in orthopaedic setting for inpatient rounding, surgeries, and...

May 26, 2023
Clarity RCM
Full Time
 
Dermatology Coding Specialist
Clarity RCM Remote
Scope of Duties: The Dermatology Coding Specialist provides guidance in accordance with state, Federal, and payer guidelines and is responsible for accurate coding, auditing, and training. The specialist works along with the coding team to provide the BEST-IN-CLASS service to our clients. Read and abstract physician office notes and operative notes to apply correct ICD-10-CM, CPT®, HCPCS Level II, and modifier coding assignments. Work with the AR team to address and provide resolution for coding related denials including appeal cover letter creation and review. Assist with E/M audits using the 2021 evaluation and management (E/M) guidelines for new and established office and outpatient services, as well as E/M coding based on 1995 and 1997 documentation guidelines. Collaborate with the offshore coding team to perform yearly provider/client audits including ongoing monitoring and education. Research coding questions and provide supporting resource...

May 12, 2023
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