- St. Luke's University Health Network (Allentown, PA)
- …for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code… more
- St. Luke's University Health Network (Allentown, PA)
- …for the assignment of appropriate diagnosis and procedure codes to individual patient medical records for data retrieval, analysis and claims processing. Codes ... information computer system. Collaborates with multiple departments including Health Information Management and Finance to ensure appropriate flow of patient health… more
- Hunterdon Health Care System (Flemington, NJ)
- …to maintain an efficient system for the daily electronic submission of claims , identifying errors and making the necessary corrections to ensure timely submission ... implement bill edits and prevent denials. Responsible for denial management processes for assigned billing and practice areas. +...all productivity and quality standards as set by the Director of the Business Office and is responsible for… more