Professional Coder-Hospital), or CIC (Certified Inpatient Coder). EXPERIENCE: 1. Three (3) years of hospital inpatient coding... be assigned. 1. Codes inpatient and/or IRAD 90% of current FTE status. 2. Reviews and accurately interprets medical record...
be interested in. Required Qualifications: High School Diploma/GED (or higher) Professional coder certification... with credentialing from AHIMA and/or AAPC (CPC, CCS-P, RHIA, RHIT) to be maintained annually 3+ years of Physician medical coding (ICD...
is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed... and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance...
assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide..., such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes...
Prior experience of working in inpatient case management or utilization review is preferred Strong medical surgical... medical record on a concurrent, and potentially a prospective and retrospective basis, using a multi-disciplinary team process...
licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). Certified Inpatient Coder (CIC... appeals of medical claims, that have been previously been subject to a Payment Integrity finding, to ensure the accuracy...
educational materials and delivering instruction to Medical Group physicians, Advance Practice Providers, and staff... across all RWJBH medical centers, as directed by the System Professional Provider Education Coding Manager and Coding Leadership...
following certifications are required: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient... Services (CMS) and U.S. Department of Health & Human Services (HHS). Performs prospective/retrospective medical record reviews...
Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional... services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning...
, Utilization Review ("UR") regulations and Medicare guidelines regarding medical necessity, inpatient, outpatient and observation... regarding medical necessity, inpatient, outpatient and observation. In the context of managing the appeals, the incumbent...
/reimbursement, medical facility contracts, fee schedules, inpatient/outpatient/physician Claims required Certified Professional... / Hospital Coder Certification (CCS, CPC, CPC-H, CCS-P, CCRC, CCS-A, RHIA, RHIT ) preferred Prior claims auditing or consulting...
healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24... and charge related edits, including medical necessity, National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor...
into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year... and charge related edits, including medical necessity, National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor...
shall include, but not be limited to, serving as lead coder for Business Operations to ensure accurate and timely pricing, medical... and completeness of medical claims and assigned Diagnostic Related Group Rates (DRG) under Hospital Inpatient Prospective Payment...
customer service experience or related certification (e.g. Certified Coder, Certified Medical Assistant) Education: High... patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients...
for all aspects of medical coding for physician services. This includes office, outpatient, hospital – both inpatient and outpatient... for reviewing medical records for inpatient and outpatient visits and procedures and code them appropriately and accurately...
and coding support resource across both inpatient and outpatient settings. The role works closely with other compliance team...-P) – AHIMA, or Certified Professional Coder (CPC) – AAPC Schedule: Standard schedule, with some team members...
of experience in hospital inpatient and/or outpatient medical record coding and reimbursement One (1) year of prior supervisory... workflow processes and personnel to accomplish the timely and compliant coding of hospital medical records/accounts...
Job Summary Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional... services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning...
standards. Advanced knowledge of contractual pricing mechanisms for inpatient, outpatient, Long Term Care (LTC) and ancillary... Professional Coder (CPC) or other equivalent Coding Certification Required Training Physical Requirements Light Additional...