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Highlights of the CMS Evaluation and Management Office/Outpatient Visit Changes for 2019 & 2021
Huge shout out to our own Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I and Linda Vargas, CPC, CPCO, CPMA, CPC-I, CCC, CEMC, CGSC for this summation of the upcoming changes to the Office/Outpatient E/M services that is part of the “Patients over Paperwork” initiative.
Highlights of the CMS EM Final Rule.pdf
Adobe Acrobat document [245.1 KB]
Tips to Avoid Improper Payment(s) Due to Insufficient Documentation
During a POE AG meeting, it was suggested that WPS Government Health Administrators collaborate with members in an effort to author an article that addresses insufficient documentation errors. Recognizing the need to reduce improper payment associated with those errors, members would then share the article with their Medicare business associates and partners organizations. Please review and share with your colleagues and peers.
Tips to Avoid Insufficient Documentation[...]
Adobe Acrobat document [269.2 KB]
Healthcare System Career Search Link
Children's Mercy https://www.childrensmercy.org/About_Us/Careers/Current_Job_Openings/
HCA Midwest http://hcamidwest.com/careers/search.dot
Meritas Health http://www.meritashealth.com/home/careers/
Prime Healthcare

http://careers.primehealthcare.com/?redirect_referrer=http%3a%2f%2fwww.primehealthcare.com%2fPrime-Hospitals.aspx

Shawnee Mission http://joinahs.com/page/show/Shawnee-Mission
St. Luke's Health System http://www.saintlukeshealthsystem.org/jobs-saint-lukes-health-system
Truman Medical Centers http://www.trumed.org/careers
University of Kansas Hospital       http://www.kumed.com/careers
   

Job Postings

Lab Coder

 

Clay Platte Family Medicine Clinic, Kansas City’s first NCQA recognized Medical Home, is currently seeking an outstanding Certified Medical Coder, CPC or CPC-A, to join our busy practice for our in-house lab charge entry.

 

Applicants must be proficient at performing the following assignments:

* Coordinates with staff to get charge information for all patients in an EHR environment.

* Codes information about procedures performed and diagnosis on charge.

* Verifies and completes charge information in database and produces billing.

* Gathers and verifies all information required to produce a clean claim, including special billing procedures that may be defined by a payer or contract.

* Follows ICD9/ICD10 codes to ensure diagnosis codes are appropriate.

* Assists in charge capture by reviewing provider documentation and patient documentation.

* Queries provider when code assignments are not straightforward, or documentation is unclear.

* Keeps supervisor apprised of matters regarding charge entry.

* Works in conjunction with A/R team on follow up and resolution of coding related denials and rejections.

* Responsible for maintaining current knowledge of coding guidelines through the use of current CPT, HCPCS II and ICD-9/10 materials.

* Responsible for maintaining current documentation guidelines and communicating those to providers.

 

This position is scheduled from 8:00-4:30 Monday through Friday. Clay Platte Family Medicine Clinic offers excellent compensation and the following benefits:

 

Health insurance

401(k) match

Dental insurance

Life Insurance

10 days of PTO in the first year

 

EDUCATION/QUALIFICATIONS:

* High school diploma or GED.

* Certified Medical Coder, CPC or CPC-A, required.

* Experience with Medicare Risk Adjustment/HCC; preferred.

* 2+ years preferred experience in a physician billing office, preferably in a family practice setting.

* General understanding of basic accounting principles.

* Proven ability to analyze patient accounts

* Knowledge of medical terminology.

* Knowledge of customer service concepts.

* Ability to communicate clearly and positively.

 

ENVIRONMENTAL/WORKING CONDITIONS:

* Work is performed in a typical, well-lighted office.

* Work involves frequent contact with staff and patients.

* Work involves considerable walking, standing, bending, twisting, and reaching.

* May required to lift a maximum of 30 pounds.

 

Job Type: Full-time

Experience:

* Medical field background preferred.

Education:

* High school or equivalent (Required)

License:

* Certified Professional Coder (CPC or CPC-A) (Required)

 

https://www.clayplattefamily.com/about-us-hg/career-opportunities

Anesthesia Coder 

 

SilverCreek RCM is hiring for an Anesthesia Coder in our Overland Park office. Email your resume to HRINFO@silvercreekrcm.com

 

Job Title: Coding Specialist Status: Non-Exempt

Reports to: Coding Supervisor Department: Coding Department

Pay Status: Hourly

 

Summary of Responsibilities

Translate narrative procedural and diagnostic information into appropriate ICD-10, CPT, ASA and HCPCS codes.

Essential Functions

1. Perform coding for assigned client(s), maintaining PBN established benchmarks for productivity and error rates.

2. Review and evaluate charge source documentation provided for accuracy and completeness.

3. Assign/verify appropriate ICD-10, CPT, ASA and HCPCS codes based upon medical record documentation received from client.

4. Keep apprised of new and changing Medicare and Medicaid related regulations and policies affecting coding.

5. Keep apprised of commercial payer policies and procedures which impact coding.

6. Coordinate efforts with Document Control and Batch Entry in resolving coding related issues.

7. Obtain certified coding credential within one year of employment.

 

Supervisor Responsibility: None

Educational Requirements: High School Diploma or equivalent

Required Experience: Minimum 1-year medical coding experience or have completed both a medical terminology and basic coding class.

Required Licenses and/or Certificates: Must possess a nationally recognized Medical Coding Certification

 

Patient Account Representative (Anesthesia Claims)

 

Job Description​

 

The Patient Account Representative will be responsible for billing, collection, straightforward coding, and all account receivable activities for the physician clinics within Saint Luke’s Health System.  Activities include, but are not limited to, responding to inbound and outbound billing calls from patients, payment posting, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies. 

 

Percentage of time spent on job duties above will vary dependent on the focus area of team assigned.  A summary of specific team duties are described below, all to include other duties as assigned.  

 

Anesthesia Insurance Denials and Follow-Up
• Responsible for researching, identifying errors, and correcting claims denied by insurance companies.
• Must be able to assess claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team.
• Responsible for writing appeal letters to insurance companies
• Responsible for following up with insurance companies for no response claims.
• Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues.
• Research refund request from payor organizations
• Responsible for preliminary audit of billing code errors before claim submitted to the Coding team.
• Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team.
• Responsible for identifying issues which can be resolved by programing software to prevent denials. 
• Responsible for becoming a subject matter expert on the payor policies. 
• Responsible for communicating and resolving problems with the  provider representatives
• Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies

 

****Candidates for this position must have a strong background in working Anesthesia outstanding A/R, denials, and appeals****

 

This position has flex hours, employee works 5 days a week Monday -Friday.  Employee can choose how to work 8 hour days anytime between 6:00am-5:30 pm (with a start time no later than 9am).  Position also has the ability to telecommute, offers career ladder advancement opportunities, and includes a bonus program.

 

Education

Diploma

Certifications

 

Work Shift

Day (United States of America)

 

Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer. We hire only non-tobacco users.   Apply Here

Saint Luke's Health System

 

Certified Coder Position

 

POSITION TITLE:
CERTIFIED CODER
DEPARTMENT/CLINIC:
CENTRAL BUSINESS OFFICE
ACCOUNTABLE TO:
DIRECTOR
RESPONSIBLE FOR:
N/A
STATUS
NON-EXEMPT
HOURS
M-F 8:00-5:00
 
Remote Position with Jefferson City Medical Group

1241 W Stadium BlvdJefferson CityMO65109 

https://www.jcmg.org/careers/

 

Job Specific Competencies:
  1. Performs all functions essential in the billing of providers and ancillary services.
  2. Organizes workflow and communication with the clinics and providers for accurate billing information.
  3. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission.
  4. Appropriately uses facility communication, information systems and equipment.
JCMG Core Competencies:
  1. Strives for continuous quality improvement.
  2. Participates in educational experiences designed to maintain and/or improve professional competence.
  3. Maintains high work ethic standards.
  4. Provides quality customer service to staff, patients and visitors always.
     
MINIMUM QUALIFICATIONS
 
Education
  • High school diploma or GED
  • Associate degree preferred
 
Experience:
  • Minimum two years in a Physician Coding environment
 
Certification/License:
  • Certified Professional Coder (CPC)
  • Certified Evaluation and Management Coder (CEMC) for E&M Specialties and Family Medicine
 
Knowledge/Skills/Abilities:
  • Competency in medical terminology as demonstrated by either formal training or experience
  • Must be able to assess self-learning needs and participate in educational programs as appropriate
  • Computer literate
  • Knowledge and experience with ICD-10 and CPT coding
 
WORK ENVIRONMENT
Works in heated and air-conditioned area consistent with a normal office environment.

Member Spotlight

Make sure to check out the Member Spotlight on the Membership Tab.

Want to Become a Member?

Please click on the Membership tab at the top of this page for details.

 

AAPC of Kansas City

PO Box 12431
Kansas City, MO 64116

Scholarships

AAPC of KC offers scholarships to our members for local chapter events.  See the scholarship application.

 

2019 AAPC KC Scholarship Form
Scholarship_Application_Form__2019[1].pd[...]
Adobe Acrobat document [125.9 KB]

Mentor Program

Do you need a Mentor, or would you like to become a Mentor? The AAPC of KC has a program to pair up members that need a little guidance and support with members who have a wealth of knowledge to share.

This program was developed to help our new and newly credentialed members with the support that is needed in our chosen career field.,Syd Stevens (sstevens@mncpc.com), Member Development Officer, can answer any questions you may have about this program.

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