- AdventHealth (Orlando, FL)
- … APC edits to ensure all facilities are receiving accurate reimbursement under OPPS . The APC Coordinator may assist with monthly quality reviews, RAC, and ... the team is up to date on the latest Coding and payment updates. The APC Coordinator...interpersonal skills necessary to deal effectively with patients, guests, medical staff, the public, co-workers, and external business associates.… more
- LifePoint Health (Brentwood, TN)
- …the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System ( OPPS ), National Correct Coding Initiative guidelines, Local and National ... Coverage Decisions and other medical necessity/compliance guidelines for billing and coding . Have experience working with CDI team, writing queries, and working… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Terminology (CPT) coding systems; Medicare Outpatient Prospective Payment System ( OPPS ), and Ambulatory Payment Classification ( APC ) + Other duties and/or ... Compliance Specialist** performs reviews by validating accuracy of the coding billed in relation to the medical ...the coding billed in relation to the medical documentation across Hackensack Meridian Health (HMH) network. Determines… more
- LifePoint Health (Hickory, NC)
- … Coding Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System ( OPPS ), and Ambulatory Payment Classification ( APC ). * Has knowledge of ... bill holds, authorizations, Athena documentation, etc. COMPANY DESCRIPTION Frye Regional Medical Center, located in the beautiful foothills of North Carolina is… more
- Trinity Health (Athens, GA)
- …areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. ... audits, and clinical billing. + Knowledge of Ambulatory Payment Classification ( APC ), and Outpatient Prospective Payment System ( OPPS ) reimbursement structures… more
- Trinity Health (Livonia, MI)
- …areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. ... audits, and clinical billing. 7. Knowledge of Ambulatory Payment Classification ( APC ), and Outpatient Prospective Payment System ( OPPS ) reimbursement structures… more
- LifePoint Health (Marquette, MI)
- … Clinic for HCPCS guidelines; Medicare Outpatient Prospective Payment System ( OPPS ), and Ambulatory Payment Classification ( APC ). *Minimum Work Experience* ... all payor requirements. Provides education regarding documentation requirements to improve coding quality and ensure accurate and complete capture of maximum… more
- Baptist Memorial (Memphis, TN)
- …and values; Knowledge of facility and professional billing requirements; Knowledge of medical coding rules and regulations. About Baptist Memorial Health Care ... Integrated Outpatient Code Editor (I/OCE) associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification ( APC ), HCPCS… more
- Catholic Health (Buffalo, NY)
- …, and/or revenue capture functions KNOWLEDGE, SKILL, AND ABILITY + Knowledge of APC and OPPS reimbursement structures preferred + Possesses strong project ... clinical departments and root cause correction to support accurate charging and coding in compliance with Hospital/Health System policies. The OP CDS assists… more
- LifePoint Health (Martinsville, VA)
- …evaluate and measure revenue integrity operations; develops systems to manage medical necessity denials; and develops tracking mechanisms to measure loss leaders ... to which it is entitled through appropriate charging and coding of patient claims. . Assists with SOX audits,...refers to financial counselors for follow up. . Performs medical necessity check, when appropriate (if not already done… more