- R1 RCM (Jenkintown, PA)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The ** Inpatient Coding Quality Associate ** is responsible ... is a plus. + Minimum 3 years of hands-on inpatient coding experience + At least 2...experience + At least 2 years of experience in coding quality review or auditing is preferred… more
- Banner Health (PA)
- …with different focuses (Facility vs Profee)._ In this ** Inpatient Facility-based HIMS Coding Quality Associate ** position, you bring your **5 years of ... Coding experience.** This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience… more
- Banner Health (PA)
- …continued support throughout your career here! _**_ _This position is for facility-based inpatient coding . Interested in Outpatient and/or Physician coding ? ... as subject-matter expert regarding experimental and newly developed procedural and diagnostic inpatient coding . This includes highest level of complexity of… more
- Humana (Harrisburg, PA)
- …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... put health first** In this role, you will conduct quality reviews of coding processes within the...and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG) **So,** **do you**… more
- Veterans Affairs, Veterans Health Administration (Philadelphia, PA)
- …include, but may not be limited to: Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the ... health record to include the impact of documentation on coding , workload, quality measures, reimbursement, and funding....the journey grade level of a MRT (Coder-Outpatient and Inpatient );OR, An associate 's degree or higher, and… more
- Highmark Health (Harrisburg, PA)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, ... Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG/APC structure according to regulatory requirements. Reports findings both verbally… more
- Highmark Health (Harrisburg, PA)
- …+ 5 years in Hospital Coding + 1 year in Trauma hospital coding + Certified Coding Associate (CCS)(preferred) **OR** Registered Health Information ... and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all… more
- UPMC (Pittsburgh, PA)
- …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment ... and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) +… more
- UPMC (Pittsburgh, PA)
- …APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment ... Certifications, and Clearances:** One of the following is required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified… more
- Humana (Harrisburg, PA)
- …level of care, and/or requested site of service should be authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is ... decisions to internal associates. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The possibility exists of doing… more
- Penn Medicine (Philadelphia, PA)
- …and direction in regards to all administrative, financial, regulatory, quality , human resources, patient/employee satisfaction, and clinical aspects for the ... high practice/facility square footage, service line oversight, coordination of inpatient services, coordination of care across several departments/entities, academic… more
- Humana (Harrisburg, PA)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Humana (Harrisburg, PA)
- …participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians ... require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient… more
- Penn Medicine (Philadelphia, PA)
- …and direction in regards to all administrative, financial, regulatory, quality , human resources, patient/employee satisfaction, and clinical aspects for the ... high practice/facility square footage, service line oversight, coordination of inpatient services, coordination of care across several departments/entities, academic… more
- UPMC (Wexford, PA)
- …to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and ... effective for the patient's illness, injury, or disease. 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT,… more