JOB POSTS…02.28.2018

JOB POSTS…02.28.2018

JOB POSTS…02.28.2018

 

CARTERSVILLE, GA…ON-SITE……………USA residents only

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Summit Radiology Services is seeking a CPC to work on-site at our business office in Cartersville, GA.

The position will be for AR Collections of commercial payers plus coding.

This position will include various duties:

• Follow-up of outstanding claims
• Research denials
• Submit appeals
• Work claims correspondence
• Answer patient inquiry phone calls
• Assist with coding professional claims; as needed

CONTACT:
Please send resume to Connie Chase @ cchase@summitrad.net

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SAVANNAH, GA……ON-SITE……………USA residents only

A well-established dental (Oral Surgery) practice looking for a qualified medical biller/coder to join our wonderful team.

Candidates must show professionalism, excellent communication & time management skills, and be team oriented. Also, must be organized and strong attention to detail. strong computer (WinsOMS Software), communication, and organizational skills are preferred.

Candidates must be reliable, trustworthy, be a team player and have a positive, ‘can do’ attitude.

Minimum 3 years’ experience in dental office management.

CONTACT:
Please send resume to ecarter@seoralsurgery.com

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QUINCY, MA……ON-SITE……………USA residents only

 

Job Opening with BCBSMA, Quincy, MA

Blue Cross Blue Shield of MA, a not-for-profit company serving Massachusetts for more than 75 years is looking for an Inpatient DRG Validation Certified Coder. If you or someone you know is interested in this opportunity at one of the nation’s best health plans for member satisfaction and quality we encourage you to apply.

http://www.linkedin.com/jobs/view/581525177/

BCBSMA POSITION DESCRIPTION

Position Title: Provider Auditor – DRG Hospitals
Department/Division: Recoveries and Provider Audit /IT and Operations
Reports to: Manager, Provider Audit
Location: Quincy

Position Summary

The Provider Auditor for post-pay review is responsible for verifying the accuracy of claims reimbursement, clinical significance, medical necessity, coding and billing in accordance with the Plans’ provider agreements and the National Healthcare Billing Audit guidelines. Serving as one of the “faces” of the Company to provider organizations across Massachusetts, the Provider Auditor strives to improve correct claims payments in order to contribute to the reduction of medical expense. The individual will be a subject matter expert in regards to coding and billing. S/he will also respond to inquiries from a wide variety of internal and external stakeholders. S/he will collaborate with a variety of business units including Fraud and Abuse, Health and Medical Management, Network Management and our external provider community. The successful candidate must be capable of building and maintaining strong working relationships with key internal and external constituents and working effectively in a matrixed environment.

Responsibilities

• Conduct Diagnosis Related Grouper Validation (DRG) audits to verify the accuracy of claims reimbursement by applying National Healthcare Billing Audit standards, Coding Clinic guidelines published by the American Hospital Association, and the Plans’ agreements including published policies.
• Select claims samples for medical record reviews in accordance with pre-selection criteria, billing trends, and supporting documentation.
• Monitor existing/emerging trends and keep relevant stakeholders informed of risk areas and concerns that may require additional attention.
• Act as a subject matter expert with internal and external stakeholders in reference to coding, billing practices, and accuracy of assigned ICD-10codes.
• Educate on post audit findings and close audits timely using audit program databases that incorporate 3M software.
• Identify potential quality of care issues and service or treatment delays. Make referrals for follow-up as necessary.
• Identify possible fraud and abuse, document billing errors, and benefit cost management and savings opportunities.
• Actively participate in internal/external meetings, training activities and other cost and trend initiatives.
• Identify and pursue new opportunities for cost avoidance savings that contribute to the company’s annual financial and service targets.
• Meet deadlines and commitments by tightly managing deliverables, coordinating matrixed inputs and ensuring all tasks are performed to bring projects to timely closure.
• Represent department on cross functional workgroups and projects as needed.
• Conduct audits remotely as well as onsite for certain hospitals.

Qualifications

• Active Certified coder (RHIA, RHIT, or CCS ) required candidate would need to maintain active certification.
• In-depth knowledge of and ability to interpret APR-DRG, HCPCS, CPT, ICD10-CM diagnosis and procedure codes and Plan benefit designs required.
• Ability to travel for onsite audits on an as needed basis required.
• 3-5 years experience reviewing and/or auditing medical records, working in a health plan or hospital environment or other hands-on work with complex medical and billing information preferred.
• Ability to travel between provider organizations across Massachusetts required.
• Strong organizational, project management, problem-solving and communication skills.

 

http://www.linkedin.com/jobs/view/581525177/

 

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Harahan, LA……ON-SITE……………USA residents only

 

**Professional Coding Educator (2 Positions)

**Professional Coding Educator (2 Positions)

Please Apply Here:

 http://ochsner.wd1.myworkdayjobs.co…r_REQ_00022371

We’ve made a lot of progress since opening the doors in 1942, but one thing has never changed – our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health System and discover your future today!

WHAT WE OFFER

• Pay for Performance” with strong merit-based pay increases
• Paid time-off programs for FT and PT positions
• Tuition assistance
• Ochsner offers a comprehensive benefits package designed to accommodate the diverse needs of its employees.

WHAT YOU’LL DO

This job leads, manages and/or participates in all related management aspects of assigned project(s) and ensures that project-related training and quality assurance requirements are assessed and implemented. Assumes responsibility for the oversight of internal consulting projects to ensure that results provide timely, accurate and compliant recommendations to management. Assumes responsibility for audits; training and implementation; develops and maintains processes with strict adherence to timeframes; and develops, implements and maintains educational and training programs for employees to ensure competency in all aspects of job duties, including compliance with all applicable regulatory agencies.

Job Duties

  • Train, educate, and monitor professional coding quality for both Professional Coders and Providers
  • Conduct Quality Reviews for both coders and Providers, look for trends and provide feedback and education
  • Facilitates processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation.
  • Participates in research, training, and education
  • Ensures data integrity and quality control.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

WHAT WE SEEK

Education
Required – High School diploma or equivalent Preferred – Bachelor’s degree in a related field

Work Experience
Required – 10 years related professional experience OR 5 years related professional experience with a Bachelor’s degree

  • Related professional experience includes: Coding, Health Information Management, or Clinical Documentation

Certifications
Preferred – Related professional certification (e.g. CCS, CPC, or other specialty coding certifications)

Knowledge Skills and Abilities (KSAs)

  • Must have computer skills and dexterity required for data entry and retrieval of patient information.
  • Must be proficient with Windows-style applications and keyboard.
  • Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
  • Strong interpersonal skills
  • Strong leadership skills
  • Organizational skills
  • Time management skills
  • Project management skills

WHERE YOU’LL WORK

Dickory – Ochsner Operations Center, located on Dickory Avenue in Harahan, LA is home to many of our corporate functions, including: Payroll, Accounting, HIM, Coding, Finance Administration & Information Systems. This facility serves as our hub for Epic Training!
*** We do have various facilities across the state of LA, this position may have the opportunity to work from a facility located close to your home***

 

Please Apply Here: 

http://ochsner.wd1.myworkdayjobs.co…r_REQ_00022371

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