record via EMR or paper chart to: verify the appropriateness of the diagnosis and procedural codes reported by the Physician... deadlines, and complying with all HIPAA regulations. QUALIFICATIONS FOR THE ROLE Certified Risk Adjustment Coder (CRC...
and standards; oversees proper CPT and ICD 10 coding on a daily basis and services as a liaison between the Coders, Physician... setting or Large multispecialty group practice (50 or greater) Preferred: Experience in a medical office/ hospital...
compliance with Teaching Physician guidelines within an academic medical practice. 3. Pends charge sessions to seek corrective.... Required Licenses or Certifications Certified Professional Coder Apprentice (CPC-A) through AAPC organization. Must maintain...
and leaders, Practice Managers and other stakeholders throughout the organization to outline and institute strategies... for efficiency related to edits/hold bills based on findings. Assists in reviewing and makes recommendations for physician template...
and leaders, Practice Managers and other stakeholders throughout the organization to outline and institute strategies... for efficiency related to edits/hold bills based on findings. Assists in reviewing and makes recommendations for physician template...
(s), physician/provider notes. Uses a standard listing of procedures/charge codes and/or an automated system with the company... of service charging/coding staff to maintain consistency in practice. Works as a member of the unit, practice or clinic team...
to the practice and communicate as necessary Confirm patient demographic, insurance and referring physician information... of coding throughout the practice, communicate findings to management, and provide recommendations based on the audit findings...
that physician encounter forms, the IDX billing system and MMG processes are up to date and compliant regarding coding issues... of billing, coding, and editing dictionaries in the billing system. Contacts physician when conflicting or ambiguous information...
staff and practice/operations leadership within a timely manner 3. Facilitates virtual events, calls, and training to meet... to creating and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates...
staff and practice/operations leadership within a timely manner 3. Facilitates virtual events, calls, and training to meet... to creating and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates...
, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders.... Responsibilities: Purpose: To conduct quality assurance reviews of physician coding and documentation, to verify and ensure the...
and professional coding rules and regulations. 2. Reviews and responds to coding questions by physicians, coding staff and practice... and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates...
and professional coding rules and regulations. 2. Reviews and responds to coding questions by physicians, coding staff and practice... and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates...
accuracy, completeness, and quality of clinical information used for measuring and reporting physician and hospital outcomes..., and reimbursement methodologies in the outpatient setting, including physician encounters and how physician documentation translates...
and related training sessions Act as liaison and problem solver between physician and staff with regards to coding, charge entry... applications Proficiency in EMR Systems Preferred Qualifications: Associate’s degree Certified Professional Coder (CPC...
to identify patterns/trends of denials by payer, provider/service, diagnosis, DRG, CDI reviewer, Coder and best practice... successful outcomes. Recognizes and acknowledges appropriate escalation and engagement of Physician Advisor during the appeal process...
and related training sessions Act as liaison and problem solver between physician and staff with regards to coding, charge entry... with one or more of the following certifications preferred: Professional Coder (CPC), Certified Coding Specialist (CCS) or Certified Coding...
and possibly prospectively or retrospectively, to determine opportunities to improve physician documentation and communicates... identified opportunities to the physician. Facilitates appropriate modifications to clinical documentation to accurately reflect...
Software for the accuracy and completeness of clinical information used for measuring and reporting physician and hospital... clinical documentation remotely during patient admissions to determine opportunities to improve physician documentation...
data within the practice management system as well as facilitates timely maintenance for upgrades or changes. Manages the... EPM (Practice Management) side of the Billing systems. Works on process improvement of billing functions using resource...