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capture, coding, claims processing, accounts receivables management. Delivers strategic direction to clinical revenue operations staff. Monitors documentation, coding, and billing processes in accordance
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of medical records to evaluate accuracy of codes for medical billing and to ensure that all services have been captured. Applies general knowledge of CMS regulations and third-party payer guidelines to confirm
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JOB DUTIES Description As the Clinical Documentation Integrity Specialist – Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and documentation, working closely
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tasks Validate performance of delivered code Integrate modules into pipeline scaffolding Deploy, operate and maintain AWS pipeline Communicate regularly with the rest of the RAPID team Support occasional
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at the forefront of technological innovation. Under the modernization directive, this role increasingly leverages AI-assisted development tools to accelerate development velocity and enhance code quality. A critical
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, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions
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policy. Responsible for performing daily documentation and coding audits to ensure correct compliance billing requirements are being followed by physicians, residents, and Advanced Practice Providers
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, benefit management, medical necessity, coding, denial research and scheduling timelines. Associate will work with providers and clinic supervisors to reschedule or escalate or cancel services where medical
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of the California Code of Regulations. Section 1399.540 states “A physician assistant may only provide those medical services which he or she is competent to perform and which are consistent with the physician
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, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions