prior to submitting to the payer for processing. This may include use of medical necessity check (i.e., Code Check in Athena... coordinator Certification in billing or coding...
and uses these insights to drive improvements to coding hygiene and system architecture. Contributes to software engineering...-based technologies (e.g., MySQL/ Oracle DB) Proficient in coding in one or more languages; Java or Python Experience in...
of providers. Job Description The Coding and Billing Specialist (Care Center Biller) is responsible for complete, accurate..., following all payer and coding guidelines, including those set forth by the AMA in the CPT, ICD-10, and HCPCS code books, CMS...
as an internal expert on coding issues to ensure compliance with state and federal regulations. Preparation of audit reports... Professional Medical Auditor (CPMA) Experience working with MDAudit and Athena is a plus. Must comply with all HIPAA rules...
in Athena. Prepare reviews/appeals as required; keep current on carrier specific billing guidelines, payer policies..., and specific payer coding guidelines; follow-up on unpaid claims, process insurance takebacks, overpayments, and refunds...
years of coding experience - Strong fundamentals in problem solving, algorithm design and complexity analysis. - Proven..., vectorization, multiprocessing, concurrency, batch computing. - AWS: EC2, Lambda, Batch, SageMaker, Redshift, Athena, Data wrangler...
and Athena, etc;) Medical terminology ICD-10, CPT, HCPCS codes, and coding processes Various payer regulations and contracts..., AllScripts, Athena, etc; ) Medical terminology ICD-10, CPT, HCPCS codes, and coding processes Various payer regulations...
. We leverage JP Morgan Athena quant platform to provide pre/post trade and risk management capabilities for FnO/OTC derivatives... quantitative and problem-solving skills. You have strong coding skills (Primarily Python or C++), proficiency in code design...
provisioning and tuning AWS infrastructure for ETL such as EMR, S3, Glue and Athena Experience designing, developing and deploying... strongly preferred Experience coding Java applications using Spring Boot Experience using Terraform to deploy infrastructure...
and proficiency using an automated billing system, Athena IDX and ETM experience Knowledge, Skills, and Abilities Effective... billing and collection laws and regulations, hospital protocols. Knowledge of third party claims and diagnostic coding...