- WellSpan Health (York, PA)
- …and institutes appropriate courses of action. + Prepares detailed appeals and attends Medicare Administrative Law Judge ( ALJ ) hearings as necessary for ... Medicare + Interacts with providers, managers, and staff in departments to ensure correct coding of claims. + Maintains current knowledge of payer/insurance policies, rules and regulations, including state and federal guidelines. + Demonstrates initiative and… more
- St. Luke's University Health Network (Allentown, PA)
- …care team and work independently to resolve such issues. + Participate as needed in Administrative Law Judge ( ALJ ) hearings. + Spends approximately 20% ... of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment. + Performs data entry of… more