td>- Reviews the assignment and sequencing of codes for the principal diagnosis, principal procedure, complications and comorbid (CC) conditions, and other significant invasive and non-invasive procedures that should be coded according to ICD-10-CM official guidelines for coding and reporting, published by the U.S. Department of Health and Human Services (DHHS) and the AHA Coding Clinic for ICD-10-CM.
- Applies Medicare Outpatient Prospective Payment System (OPPS) coding assignment requirements regarding the following: Modifiers approved for Hospital Outpatient use, CPT consistent with HCPCS Level II , Medical Necessity Justification (i.e., linking diagnosis to procedure/service performed), Evaluation and Management code assignment, when necessary.
Our 18-bed ARU is designed for people who have experience the debilitating effects of an acute injury, impairment or illness and like the LTACH, we partner with your physician and offer 24-hour clinical care seven days a week so you can start your journey to wellness. - Maintains appropriate medical records and statistics for prospective payment systems to ensure compliance with The Joint Commission (TJC), Center for Medicare and Medicaid Services (CMS) and other accrediting or regulatory agencies.
Riverside, CA30+ days ago Ability to: Organize, coordinate, and supervise the work of subordinate staff; develop instructional material; analyze situations and recommend appropriate actions; establish and maintain effective working relationships; prepare clear and concise oral and written reports. • Coordinates with other Hospital departments and supervisors, County departments and external factions to insure the accurate flow of information and to solve mutual problems; analyzes and prepares a variety of detailed statistical reports. This involves performing a variety of clerical and technical duties associated with the management and oversight of a program's medical records including, but not limited to: assembling, analysis, release of information, data processing, collection, reconciliation and preparation of reports in a manner consistent with medical, administrative, ethical, legal and regulatory requirements of a mental health care system. - One (1) year of EHR or healthcare information system experience in a psychiatric inpatient or outpatient program or acute hospital setting AND Credentialed as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), through American Health Information Association (AHIMA).
Los Angeles, CA30+ days ago The Senior Coding Auditor reviews and audits current and retro accounts, and reports audit outcomes regarding charge errors, percentage of savings or losses for the facility, data processing errors, the performance of the hospital charging system as well as documentation and justification within the medical record and itemized bill. The Senior Coding Auditor performs detailed audits of medical cases to ensure accuracy of assigned codes, charges, availability of documented medical records, medical accounts and compares the cases with the itemized bill and overall procedures. p>Under supervision, performs specialized technical work pertaining to applications programming and analysis, system software/hardware analysis and design, and system administration and support activities; prepares or codes programs from specifications; tests and debugs programs; updates and modifies existing programs from detailed specifications; develops, maintain and/or updates system procedures and documentation; performs hardware and software maintenance on complex installations and data communications equipment; interfaces with end users to plan, define and implement systems modifications; accurately interprets end user needs and requirements and modifies or designs programs or systems to meet those needs; prepares detailed technical specifications for programmers to follow in program development and modification; provides timely, accurate and effective customer service; recommends options to end users by considering various solutions to business needs; may act in a lead or supervisory capacity; may prepare or evaluate training materials and manuals; and performs other related duties as required. REQUIREMENTS TO FILE: Applicants must meet ONE (1) of the following options: (OPTION A) Bachelors degree from an accredited college or university in science, technology, engineering, math, business systems, accounting systems or related field with major coursework in computer science or closely related field (proof required) AND one (1) year of paid, full-time experience equivalent to a Systems Technician I-IV (or higher) with the City of Long Beach or a related field such as Information Systems Management, Information Systems Support, IT Security Manager, or Database Systems Management.
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