. 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...
experience/training. Must have experience working with professional fee coding, CPT, ICD-10, E/M Documentation Guidelines (1995...Job Summary The Analyst II Coder, under the direction of the Revenue Manager/Associate Director, provides support...
work experience is required, although a fundamental understanding of coding (CPT and ICD-10) documentation requirements...Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional...
main codebooks: CPT®, ICD-10-CM Code Set and HCPCS Level II. You will be introduced to health insurance, multiple...): Certified Professional Biller (CPB) Certified Professional Coder (CPC) Note: This program consists of 3 Phases: 1. Online...
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...
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...
main codebooks: CPT®, ICD-10-CM Code Set and HCPCS Level II. You will be introduced to health insurance, multiple...): Certified Professional Biller (CPB) Certified Professional Coder (CPC) Note: This program includes both online classroom...
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...
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...
: 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...
: Scrutinize medical claims for correct application of industry coding standards (ICD-10, CPT, HCPCs) and ensure the system..., and compliance. Medical Coding Proficiency: A strong command of ICD-10, CPT, and HCPCs coding systems and their application...
/outpatient coding or professional E/M coding in the following coding systems: ICD-10-CM/PCS, DRG, CPT& HCPCs, and/or E/M CPT.... Preferred Qualifications Other : Strong background in in ICD-10-CM/PCS coding, DRG coding and CPT coding classification...