Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

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What makes a good CPC Practice Exam? Questions and Answers with Full Rationale

CPC Exam Review Video

Laureen shows you her proprietary “Bubbling and Highlighting Technique”

Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page

Practice Exam

2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Onsite Medical Coder Opening Multi Specialty Clinic in Pendleton Oregon

Interested in a career at Yellowhawk Tribal Health Center?

To apply for an open position please submit a complete application package consisting of:

•Resume
•Cover letter
•Complete Yellowhawk employment application
•Copies of any diplomas, certifications, licenses, degrees, and Tribal Enrollment
•Submit by email to: [email protected]
•Submit by mail to: Yellowhawk Tribal Health Center, P.O. Box 160, Pendleton, OR 97801
•Submit in person at: 46314 Timíne Way, Pendleton, OR 97801

https://yellowhawk.org/careers/

Medical Billing and Coding Forum

Coding- Denials and Appeals Specialist Job Opening Oklahoma City, Ok

Job Opening!!!! Apply at www.okheart.com

Oklahoma Heart Hospital
Coding – Denials and Appeals Specialist
Location US-OK-Oklahoma City

Shift Monday – Friday Days Full-Time Days

Responsibilities
The Coding and Denial Specialist is responsible for assisting in coding and compliance issues. Generating and reviewing payment discrepancy reports on an ongoing basis for all Medicare and Managed Care contracts. Reviews denials and write-offs from third party payers. Will be responsible for generating appeal letters to send the payer to dispute the denial or underpayment identified. Act as a resource for Charge Entry to assist with coding questions to ensure charges are entered correctly. Performs all work with accord to the mission, vision and values of Oklahoma Heart Hospital.

Qualifications

Education: High School graduate or equivalent required. Bachelor or Associate Degree Preferred.
Licensure/Certifications: Must possess C.C.S, C.P.C, RHIT or RHIA
Experience: At least one (1) year of experience in billing, auditing, medical coding experience.

Medical Billing and Coding Forum

Job Opening – Auditing/Coding/Compliance

Billing Compliance Analyst – Emory Healthcare
Job Number 22743

https://non-clinical-emory.icims.com…un1offset=-240

Description
JOB DESCRIPTION: The Billing Compliance Analyst will work directly with the Emory Hospitals Revenue Cycle team and provide assistance with coordinating the billing compliance activities. Assist with reviewing and analyzing hospital claims to ensure compliance with applicable regulations and guidelines. Conducts monthly review (Billing QA) for hospital claims. Formulates recommendations based upon the findings and communicating them to the appropriate personnel. Assists with reviewing and analyzing claims data for potential compliance concerns. Organizes with applicable parties to complete action items identified from various reviews. Assists with coordinating and tracking of revenue cycle/government audits including CERT, MSP audits, Medicaid Credit Balances and Kepro 2 Midnight review, etc. Performs other duties or special projects to support the hospital revenue cycle team.

MINIMUM QUALIFICATIONS: Bachelor’s Degree in related field is preferred. Relevant combination of education and experience may be considered in lieu of a degree. Five years of experience in coding and/or auditing. Familiarity with hospital operations. Recent experience with regulatory research and an understanding of the regulatory environment particularly related to healthcare revenue cycle. Knowledge of hospital billing and reimbursement of government payers. Excellent communication, organizational, project management and computer skills required. Certified as a coding specialist (CCS), coding specialist physician (CCSP), procedural coder – hospital (CPC-H), OR Certified professional coder (CPC).

PHYSICAL REQUIREMENTS: 1-10 lbs 0-33% of the work day (occasionally), negligible 34-66% of the workday (frequently), negligible 67-100% of the workday (constantly). Lifting 10 lbs max, carrying of small articles such as dockets, ledgers, files, small tools, occasional standing & walking, frequent sitting, close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste. chemicals/gases/fumes/vapors, communicable diseases, electrical shock, floor surfaces, hot/cold temperatures, indoor/outdoor conditions, latex, lighting patient care/handling injuries, radiation, shift work, travel may be required, use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Medical Billing and Coding Forum

Job Opening with BCBSMA, Quincy, MA

Blue Cross Blue Shield of MA, a not-for-profit company serving Massachusetts for more than 75 years is looking for an Inpatient DRG Validation Certified Coder. If you or someone you know is interested in this opportunity at one of the nation’s best health plans for member satisfaction and quality we encourage you to apply.

https://www.linkedin.com/jobs/view/581525177/

BCBSMA POSITION DESCRIPTION

Position Title: Provider Auditor – DRG Hospitals
Department/Division: Recoveries and Provider Audit /IT and Operations
Reports to: Manager, Provider Audit
Location: Quincy

Position Summary

The Provider Auditor for post-pay review is responsible for verifying the accuracy of claims reimbursement, clinical significance, medical necessity, coding and billing in accordance with the Plans’ provider agreements and the National Healthcare Billing Audit guidelines. Serving as one of the “faces” of the Company to provider organizations across Massachusetts, the Provider Auditor strives to improve correct claims payments in order to contribute to the reduction of medical expense. The individual will be a subject matter expert in regards to coding and billing. S/he will also respond to inquiries from a wide variety of internal and external stakeholders. S/he will collaborate with a variety of business units including Fraud and Abuse, Health and Medical Management, Network Management and our external provider community. The successful candidate must be capable of building and maintaining strong working relationships with key internal and external constituents and working effectively in a matrixed environment.

Responsibilities

• Conduct Diagnosis Related Grouper Validation (DRG) audits to verify the accuracy of claims reimbursement by applying National Healthcare Billing Audit standards, Coding Clinic guidelines published by the American Hospital Association, and the Plans’ agreements including published policies.
• Select claims samples for medical record reviews in accordance with pre-selection criteria, billing trends, and supporting documentation.
• Monitor existing/emerging trends and keep relevant stakeholders informed of risk areas and concerns that may require additional attention.
• Act as a subject matter expert with internal and external stakeholders in reference to coding, billing practices, and accuracy of assigned ICD-10codes.
• Educate on post audit findings and close audits timely using audit program databases that incorporate 3M software.
• Identify potential quality of care issues and service or treatment delays. Make referrals for follow-up as necessary.
• Identify possible fraud and abuse, document billing errors, and benefit cost management and savings opportunities.
• Actively participate in internal/external meetings, training activities and other cost and trend initiatives.
• Identify and pursue new opportunities for cost avoidance savings that contribute to the company’s annual financial and service targets.
• Meet deadlines and commitments by tightly managing deliverables, coordinating matrixed inputs and ensuring all tasks are performed to bring projects to timely closure.
• Represent department on cross functional workgroups and projects as needed.
• Conduct audits remotely as well as onsite for certain hospitals.

Qualifications

• Active Certified coder (RHIA, RHIT, or CCS ) required candidate would need to maintain active certification.
• In-depth knowledge of and ability to interpret APR-DRG, HCPCS, CPT, ICD10-CM diagnosis and procedure codes and Plan benefit designs required.
• Ability to travel for onsite audits on an as needed basis required.
• 3-5 years experience reviewing and/or auditing medical records, working in a health plan or hospital environment or other hands-on work with complex medical and billing information preferred.
• Ability to travel between provider organizations across Massachusetts required.
• Strong organizational, project management, problem-solving and communication skills.

Medical Billing and Coding Forum

registering new place of service with Medicare when opening new office

We are opening a new office, and the doctors want to start seeing patients – and sending claims – right away. I know that we have to notify Medicare of this new location on an 855B form (or on PECOS). But do we have to wait for the acceptance letter before sending claims, or can we start sending claims right away (since the practice and providers are already credentialed, and the office is in the same locality)?

Medical Billing and Coding Forum

Full time remote IR coder opening

Growing Fortune 5000 healthcare medical billing company is looking for a full-time Interventional Radiology Medical Coder.

ADVOCATE Radiology Billing & Reimbursement Specialists is an innovative leader in the national radiology reimbursement and management sector of healthcare. We contribute outstanding technical insight with client-friendly services to help our clients achieve optimal top line revenue performance. Visit www.radadvocate.com for more information.

Interventional Radiology Coder

SUMMARY
This individual will be responsible for reviewing and evaluating patient medical records and accurately assigning and sequencing ICD-10-CM codes, HCPCS codes, CPT codes and modifiers. We are looking for a candidate who pays attention to detail, ability to work independently, who is driven and has good communication skills. The individual will be required to meet monthly productivity benchmarks and have an accuracy rate of 98% for CPT codes and 96% for ICD-10-CM codes on audits after they have completed their 90 day training period.

ADVOCATE will cover expenses for required coding books (CPT, ICD-10, and HCPCS) and membership fees for certifications through AAPC, AHIMA and/or RBMA.

Qualifications
Certification through AAPC, AHIMA or RBMA (required)
Interventional Radiology coding experience (required)
AAPC CIRCC certification preferred
Understanding of CPT and HCPCS

Competencies
• Attention to detail
• Communication Proficiency
• Organized
• An ability to work individually and as part of a team
• The ability to concentrate for long periods of time
• Technical Capacity
• Experience in use of Microsoft Word, Excel and Outlook

Position Type and Expected Hours of Work
This is a full-time position.

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Please email resumes to Human Resources at [email protected]

Medical Billing and Coding

Code for dilation of gastrostomy opening?

Is there a separate billing code for dilation of a gastrostomy opening?? Or is that bundled into the code/charge for changing the GT (43760)??
Sometimes when patients come in after their GT’s have fallen out, the open (ostomy) has closed up enough that the tube can’t be put back in and we need to dilate it back open in the office at the bedside before we can put the tube back in.
Just wondering if there is a code or charge that we can apply specifically and separately for that part.

Medical Billing and Coding | AAPC Forum