- Penn Medicine (Bala Cynwyd, PA)
- …Care Service Line, Director of Quality with an affiliation with the ambulatory billing & compliance team. The primary objective of this position is to improve ... the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of out-patient medical record… more
- UPMC (Pittsburgh, PA)
- …revenue cycle workflows, improve charge capture, and address coding, billing , and reimbursement gaps through targeted education and documentation support. ... + Coordinate and oversee feedback loops between providers, clinical leadership, billing , coding, and operational teams to identify and resolve frustrations,… more
- Cardinal Health (Harrisburg, PA)
- …supervises and manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation of… more
- Highmark Health (Harrisburg, PA)
- …hospital or health insurance setting + 1 year in professional billing , facility Patient Financial Services, HIM, Internal Audit, Professional/Facility Reimbursement ... (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud… more
- UPMC (Pittsburgh, PA)
- …medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Code ... issues, including denials, in a timely manner and demonstrate proficiency on billing system. + Monitor billing performances to ensure optimal reimbursement… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT Assistant. Responsible for meeting ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… more
- Guthrie (Sayre, PA)
- …understand and adhere to revenue integrity standards, including coding, billing , documentation, and compliance requirements. The trainer collaborates with subject ... - Minimum of 3-5 years of experience in healthcare revenue cycle, coding, billing , or compliance - Experience in developing and delivering training programs -… more
- Datavant (Harrisburg, PA)
- …for reviewing records via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. **What You Will Do:** + Performs Inpatient ... to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in...via client's auditing tool, updating coding and submitting for billing . Evaluator experience a plus. + 5+ years of… more
- Baylor Scott & White Health (Harrisburg, PA)
- …to meet daily un-coded accounts receivable. + Is a resource for resolving billing edits using the National Correct Coding Initiative and Local and National Coverage ... Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs...Certified Coding Specialist-Physician Based (CCS-P), or + Certified Professional Coder (CPC), or + Reg Health Info Administrator (RHIA),… more
- Penn Medicine (Philadelphia, PA)
- …professional fee coding across all entities to ensure timely and optimal billing and reimbursement to support established Health Information Management and Revenue ... unit, department, entity, and health system organization Credentials: + Certified Professional Coder (Required) + RHIA or RHIT or CCS-P. (Preferred) Education or… more
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