outpatient, physician offices, and other delivery settings Take part in selection 4 *Chargemaster management and development of applications and processes for chargemaster and claims management Apply principles of 3 *Cost reporting, budget variances, and budget healthcare finance for speculation revenue management Implement processes for 3 *Corrective Coding Initiative (CCI)-Electronic revenue cycle Billing X12N; Compliance strategies and management and reporting; Audit process (compliance and reporting reimbursement); Revenue cycle process; Utilization and resource management Domain V. Compliance Subdomain V.A. Regulatory Appraise current laws 5 *Compliance strategies and reporting; and standards related to Regulatory and licensure requirements; health information Elements of compliance programs; Patient initiatives safety Determine processes for 5 *Policies and procedures; Non-retaliation compliance with current policies; Auditing and monitoring laws and standards related to health information initiatives and revenue cycle Subdomain V.B. Coding Construct and maintain 6 *UHDDS and Federal compliance guidelines; processes, policies, and Official coding guidelines from CMS, AMA, procedures to ensure National Committee on Vital and Health the accuracy of coded Statistics (NCHVS), National Correct Coding data based on Initiative (NCCI, and AHA established guidelines Manage coding audits 5 *Audit principles and reporting Identify severity of 3 *Case mix; Computer Assisted Coding (CAC) illness and its impact on systems healthcare payment systems
outpatient, physician offices, and other delivery settings Take part in selection and development of applications and processes for chargemaster and claims management 4 *Chargemaster management Apply principles of healthcare finance for revenue management 3 *Cost reporting, budget variances, and budget speculation Implement processes for revenue cycle management and reporting 3 *Corrective Coding Initiative (CCI)-Electronic Billing X12N; Compliance strategies and reporting; Audit process (compliance and reimbursement); Revenue cycle process; Utilization and resource management Domain V. Compliance Subdomain V.A. Regulatory Appraise current laws and standards related to health information initiatives 5 *Compliance strategies and reporting; Regulatory and licensure requirements; Elements of compliance programs; Patient safety Determine processes for compliance with current laws and standards related to health information initiatives and revenue cycle 5 *Policies and procedures; Non-retaliation policies; Auditing and monitoring Subdomain V.B. Coding Construct and maintain processes, policies, and procedures to ensure the accuracy of coded data based on established guidelines 6 *UHDDS and Federal compliance guidelines; Official coding guidelines from CMS, AMA, National Committee on Vital and Health Statistics (NCHVS), National Correct Coding Initiative (NCCI, and AHA Manage coding audits 5 *Audit principles and reporting Identify severity of illness and its impact on healthcare payment systems 3 *Case mix; Computer Assisted Coding (CAC) systems
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