- UNC Health Care (Chapel Hill, NC)
- … . **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC / OPPS ) with ... Experience Requirements:** * If associate's degree: Five (5) years of experience in medical coding or acute care consisting of both IP and OP coding … more
- UNC Health Care (Chapel Hill, NC)
- …level. **Knowledge/Skills/and Abilities Requirements:** * Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC / OPPS ) ... Bachelor's degree: Three (3) years of experience at the Lead or Senior Medical Coder level in medical coding . * If an Associate's degree: Seven (7) years of… 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 . . Monitor and supervise personal coding quality review… 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 . . Follows department workflow for service type to include addressing… more
- Trinity Health (Fresno, CA)
- …areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. ... audits, and clinical billing. 6. 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
- University of Washington (Seattle, WA)
- …Understands implications of accounts receivable, in regard to information flow from the medical record coding , claim submission, patient billing and the overall ... reporting including use of Slicer Dicer + Possesses demonstrated proficiency with APC /APG reimbursement, CMS rules and regulations, coding , billing, and… 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
- Kelsey-Seybold Clinic (Houston, TX)
- …for Medicare & Medicaid Services (CMS) rules specific to DRG pricing methods, APC , Outpatient Prospective payment system mechanics ( OPPS ) and Contractual Payment ... Mechanics. Knowledge of CMS rules and regulations. Skillful in medical terminology, CPT and ICD9 Coding and...Skillful in medical terminology, CPT and ICD9 Coding and billing. Demonstrate strong working knowledge of Payor… more