- State of Colorado (Denver, CO)
- …professional experience and knowledge of ICD-10CM, ICD-10PCS, DRG, and appropriate use of E/M Coding Guidelines, CPT Coding , Modifiers, HCPCS and CCI edits + ... bulletins to inform providers of annual Current Procedural Terminology ( CPT ) and Healthcare Common Procedure Coding System...Option 1: Seven (7) years of experience in healthcare billing and medical coding (hospital, facility, clinic,… more
- RWJBarnabas Health (Oceanport, NJ)
- …required without a Bachelor's degree. + Extensive knowledge of ICD-10-CM/PCS and CPT coding , medical terminology, human anatomy and physiology, clinical ... pharmacology is required. + Knowledge of Medicare and Medicaid billing and coding regulations. + Must have...Functions: + Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment… more
- Hartford HealthCare (Newington, CT)
- …Edition Clinical Modification (ICD‑10‑CM), Current Procedural Terminology/HealthCare Common Procedure Coding System ( CPT /HCPCS), modifiers, and Evaluation & ... Management Association *Issue Resolution* 1. Review claim edits and revise coding /charging as appropriate for specific range of ICD-10-CM/ CPT /HCPCS codes.… more
- Penn Medicine (East Petersburg, PA)
- …topics with the capability to interpret complex rules and regulations. + Keeps abreast of CPT coding changes + Assures that quality and timely coding , ... Health Physicians LGHP by reviewing, promoting, and evaluating professional coding and professional fee billing . This position... experience. Preferred Qualifications: + Formal education in ICD-10-CM coding , CPT -4 coding , and medical… more
- University of Rochester (Albany, NY)
- …PMI certified as CMC. High level, in-depth coding knowledge and experience with CPT /HCPCS and ICD-10-CM. 1-2 years billing office experience, at least 1 year ... upon hire required Preferred: Demonstrated working knowledge of the professional billing software applications. Active medical coding credential with AHIMA… more
- Banner Health (OH)
- …responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by ... and diagnostic coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding and billing guidelines. Demonstrates extensive… more
- Houston Methodist (Houston, TX)
- …+ Where applicable assists with pre-billed claim edits to ensure complaint coding , charting and billing . **GROWTH/INNOVATION ESSENTIAL FUNCTIONS** + Designs, ... + Expert knowledge and proficiency in the following: + ICD-9-CM , and CPT /HCPCS coding classification systems + ICD-10-CM and CPT (for professional fee … more
- Cardinal Health (Fresno, CA)
- …for reviewing, analyzing, and resolving medical claim denials and rejections related to coding discrepancies. This role ensures accurate CPT , ICD-10, and HCPCS ... and reduce denial rates. The specialist collaborates closely with billing , coding , clinical teams, and payers to...LCD/NCD mismatch, missing modifiers) + Research and apply correct CPT , ICD-10, and HCPCS codes in accordance with payer… more
- R1 RCM (Detroit, MI)
- …results as appropriate (ie, to extract data and apply appropriate ICD-10-CM, HCPCS and CPT -4 codes for billing , review and correct billing edits, internal ... to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers. + Reviews physician...billing concerns. + Meet and/or exceeds the established coding productivity standards + Meet and/or exceeds the established… more
- Catholic Health Services (Melville, NY)
- …participates in quality monitoring and provides timely feedback regarding ICD-10, CPT coding and documentation improvement opportunities. Provides specialty ... resulting in effective auditing and education to assigned services/departments, coding and billing teams. It also requires a broad exposure and knowledge… more
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