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WPS GHA Medicare eNews for Tuesday, November 28, 2017

Some MACtastic Information Coming Your Way
  
We are excited to announce that as of Friday, December 1, 2017, providers who access the transactional side of the WPS GHA Portal will be able to determine whose claim they are overlapping without calling Customer Service! If your claim or line item was rejected due to another claim that has already processed, you will be given access to the National Provider Identifier (NPI), dates of service, and patient status of each inpatient claim in the Common Working File history. This information will help you determine what provider you need to contact to help resolve your claim issue. Watch for more detailed instructions on how to access and use this information once we go live on Friday! 
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

Charge Entry - 10/30/17

Clay Platte Family Medicine Clinic, Kansas City’s first NCQA recognized Medical Home, is currently seeking an outstanding Certified Medical Coder with Risk Adjustment/HCC experience for charge entry to join our busy growing practice. Applicants must be proficient at performing the following assignments:

 

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

2. Codes information about procedures performed and diagnosis on charge.

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

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

5. Follows ICD10 codes & guidelines to ensure diagnosis codes are appropriate.

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

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

8. Provides education to providers and related staff on coding guidelines and concepts

9. Keeps supervisor apprised of matters regarding charge entry.

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

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

 

This position is scheduled 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

To learn more about our clinic, please visit our website at www.clayplattefamily.com. To apply for this position contact Lori Lingo or Kari Giles at lori@clayplattefamily.com OR kgiles@clayplattefamily.com

 

EDUCATION/QUALIFICATIONS:

1. High school diploma or GED.

2. Certified Medical Coder required (CPC, CCS)

3. ICD-10 Certified

4. Experience with Medicare Risk Adjustment/HCC; preferred.

5. Experience in a physician billing office, preferably in a family practice setting.

6. General understanding of basic accounting principles.

7. Proven ability to analyze patient accounts

8. Knowledge of medical terminology.

9. Knowledge of customer service concepts.

10. Ability to communicate clearly and positively.

ENVIRONMENTAL/WORKING CONDITIONS:

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

2. Work involves frequent contact with staff and patients.

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

4. May required to lift a maximum of 30 pounds.

Coder - 9/25/17

 

University Physician Associates (UPA) has a great opportunity for a (Medical) Coder to join our multi-specialty coding team. The successful candidate will be responsible for abstracting and coding physician inpatient/outpatient diagnosis and procedural codes according to insurance company guidelines including Medicare and Medicaid.

 

Founded in 1972, UPA has a long history of providing quality healthcare for Kansas City. Since its inception, UPA has grown to include over 150 medical staff doctors. As a private not-for-profit corporation we employ the medical staff faculty for the University of Missouri-Kansas City School of Medicine. Our multi-specialty doctors provide patient care at the primary teaching hospitals and their clinics. The UPA administrative staff provides group practice management activities including billing and reimbursement services.

 

UPA also offers a supportive environment for obtaining CEU requirements and excellent benefits and salary commensurate with experience and central location.

 

REQUIREMENTS:

· Physician coding experience

· Detailed knowledge of ICD-9, ICD-10 and CPT coding and payer documentation guidelines.

· Familiarity with current medical terminology

· Capability to meet deadlines

· Capacity to apply policies, procedures and prior instructions to new situations.

· Ability to work with minimal supervision and limited verification.

· CPC credential preferred

· Teaching Facility experience a plus

· OB-Gyn surgical experience a plus

This position is located on-site in the UPA administrative offices on Hospital Hill near Crown Center in Kansas City, MO.

To apply email resume to employment@upamed.org or fax to 816-421-7379

 

EOE-M/F/Vet/Disabled

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.

 

Scholarship Application Form.pdf
Adobe Acrobat document [45.3 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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