308 coding-"https:" "https:" "https:" "https:" "https:" "https:" "UNIV" uni jobs at University of California, Los Angeles
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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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, 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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coding systems (ICD-10-CM/PCS, UB-04, HCPCS, MS DRG, CPT, etc.) Familiarity with Commercial, Medicare, and Medicaid reimbursement Ability to write SQL and other coding languages a plus Excellent
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University of California, Los Angeles | Santa Monica, California | United States | about 8 hours ago
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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claims to commercial, government, and self-pay payers in compliance with billing regulations and timely filing guidelines Editing claims to ensure accurate coding, documentation, and payer
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compliance with CMS, HIPAA, federal and state regulations, coverage determinations, and coding guidelines while maintaining audit readiness and reducing compliance risk Monitor key
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. Hourly range: $33.96-$69.54 JOB QUALIFICATIONS Qualifications Required: High school degree and/or equivalent demonstrated experience in data science, coding, and programming. Bachelor’s Degree
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Code of Federal Regulations (CFR) and ICH Good Clinical Practice (GC) for clinical research. Be available to work in more than one environment, travel to meetings, off-site visits, conferences, etc.
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multiple assignments with multilevel personnel. Skill in speaking English language with medical/surgical terminology. Ability to comply with department standards inclusive of attendance, dress code and