- Penn Medicine (Philadelphia, PA)
- …vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation. ... day. Are you living your life's work? **HIM Inpatient Coding Specialist III** **Corporate Services/ Health Information...important due to the far-reaching impact on reimbursement and quality metrics. + Consistently codes the oldest cases first… more
- Penn Medicine (Philadelphia, PA)
- …vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation. ... day. Are you living your life's work? **HIM Inpatient Coding Specialist I** **Corporate Services/ Health Information...important due to the far-reaching impact on reimbursement and quality metrics. + Consistently codes the oldest cases first… more
- The Cigna Group (Philadelphia, PA)
- …the below):** Certified Professional Coder (CPC) Certified Risk Adjustment Coder (CRC) Certified Coding Specialist for Providers (CCS-P) Certified Coding ... Job Description: Coding Education Specialist (AHIMA or AAPC... coding + Perform the minimum number of coding quality reviews consistent with established departmental… more
- Highmark Health (Harrisburg, PA)
- …Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ... at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports...deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
- St. Luke's University Health Network (Allentown, PA)
- …assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment. 2. Maintains 95% data quality coding accuracy rate as measured through quarterly department ... all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of… more
- Penn Medicine (Philadelphia, PA)
- …using ICD-10 as well as completing day-to-day administrative tasks. Through efficient and accurate coding , the Practice Coding Specialist I will help ensure ... well as maintains or exceeds the standard level of quality and productivity. + Maintains up-to-date knowledge and provides...Credentials: + Certified Procedural Coder - CPC or Certified Coding Specialist - CCS is required. +… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... timely review and resolution of coding related claim denials for professional services, FQHC, MSO,...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
- UPMC (Harrisburg, PA)
- …and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR ... This CDI Coding Lead is a hybrid opportunity that oversees...with the one-on-one education with staff identified as having quality or productivity related deficits based on audits conducted… more
- St. Luke's University Health Network (Allentown, PA)
- …a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits procedure code assignment in accordance with ... AHA ICD-10-CM and AMA CPT-4 coding conventions, UHDDS guidelines and CMS directives. Researchs failed...system to earn Medicare's five-star ratings (the highest) for quality , efficiency and patient satisfaction. It is both a… more
- UPMC (Carlisle, PA)
- …and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR ... The CDI Specialist role provides a flexible, hybrid schedule following...OR specific knowledge as a consultant in Medical Record coding and DRG assignment required. + Prior CDI work… more
- Trinity Health (Newtown, PA)
- …Summary Trinity Health, Mid-Atlantic, is looking for a Revenue Integrity Charge Specialist to join our Revenue team! Schedule: Full-time Day Shift (Remote) / ... Monday - Friday / Every 7th weekend rotation The Revenue Integrity Charge Specialist will be responsible for ensuring accurate CPT and/or ICD-10 documentation for… more
- Geisinger (Wilkes-Barre, PA)
- …our friends, neighbors, and family members. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture ... the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately...documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Charge Review Specialist , Physician Billing is responsible for all revenue capture for physician practices ... JOB DUTIES AND RESPONSIBILITIES: + Performs queries to providers regarding documentation, diagnosis coding , and procedural coding + Maintains a high level of… more
- Universal Health Services (Tredyffrin, PA)
- …of people in the communities we serve. Position Overview: The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Payable. + Meets or exceeds established performance targets (productivity and quality ) established by their supervisor. + Partners with the Reimbursement… more
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Sr. SAS BI Specialist - BI and Reporting - Remote **Job Description Summary** Deliver against business ... designing, and developing business intelligence and analytics solutions using coding standards and best practices in close partnership with...Intelligence (BI) team wants you! As a Senior BI Specialist , you will be working with a team of… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Computational Research Specialist - Cremins Lab Job Profile Title Research Specialist A Job ... into the best versions of themselves. The Computational Research Specialist in the Cremins Lab will work with a...code should be written by PEP8 standards and of quality to provide it freely available to the community… more
- Highmark Health (Harrisburg, PA)
- …in the Organization's gain/risk share programs, with a goal of maximizing quality and ROI for the Organization. This includes analyzing performance reports and ... them on their conversion to value-based care; Dissemination and interpretation of quality and efficiency reports; When relevant, dissemination and support of gap… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- UPMC (Coraopolis, PA)
- …If so, we want you to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're committed to providing exceptional oncology ... care to our community. As an Authorization Specialist , you'll play a vital role in ensuring that...the patient's illness, injury, or disease. + Ensures accurate coding of the diagnosis, procedure, and services being rendered… more
- St. Luke's University Health Network (Allentown, PA)
- …ability to pay for health care. The Workers Compensation, Compliance and Safety Specialist serves as a valuable resource of information for the Network displaying a ... positive attitude when dealing with all internal and external customers. The Specialist is responsible for performing duties in alignment with OSHA standards such… more