- Elevance Health (Harrisburg, PA)
- ** Audit & Reimbursement II ** **_Location:_** _This role enables associates to work virtually full-time, with the exception of required in-person training ... Medicare and Medicaid Services to transform federal health programs. The ** Audit and Reimbursement II ** will support our Medicare Administrative Contract… more
- Centene Corporation (Harrisburg, PA)
- …changes and updates and submit change requests (CRs) to update payment system + Audit check run and send claims to the claims department for corrections + Identify ... a managed care environment. Knowledge of provider contracts and reimbursement interpretation preferred. **License/Certification:** CPC certification preferred. Pay Range:… more
- Highmark Health (Harrisburg, PA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and ... coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure… more