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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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, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations Excellent verbal and written
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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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in which the patient documentation is maintained) to validate the codes assigned by physicians. Abstract and or validates as necessary, abstract E&M, and Procedure codes for surgical specialties
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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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billing practices, CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding Understanding of provider network/IPA arrangements and reimbursement methodologies, etc. Knowledge
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, payment cards, and vendors • Enters documentation for contracts, receipts, and invoices in the appropriate system with minimal errors • Reviews documents for mathematical accuracy, proper coding, compliance
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coding, compliance, and approval as directed • Assigns commodity or account codes to requisitions and invoices as directed • May review financial transactions for compliance Customer Support • May
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protocol, i.e., gynecomastia, prophylactic mastectomies. Responsible for pre‑coding of all surgical cases prior to obtaining precertification and scheduling of surgeries. Responsible for calculation