311 coding-"https:" "https:" "https:" "https:" "https:" "https:" "https:" "https:" "U.S" "U.S" "U.S" uni jobs at University of California, Los Angeles
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, particularly urology. Knowledge of third-party insurances, government programs and other insurance agencies for purposes of assigning financial class codes and obtaining any necessary authorizations
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of medical terminology, particularly urology. General knowledge of third party insurances, government programs and other insurance agencies for purposes of assigning financial class codes and obtaining any
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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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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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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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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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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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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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University of California, Los Angeles | Los Angeles, California | United States | about 21 hours ago
new statistical techniques and to adapt existing code to customize statistical analysis strategies. Preferred: Master’s degree or higher in Biostatistics/Statistics/Computer Science or related field 2