- Guthrie (Sayre, PA)
- …action to submit complex appeals to insurance payers. Reviews all medical chart and account documentation in order to determine appropriate coding and initiate ... denial and obtaining payment. 2. Responsible for assigned workqueues and resolves Charge Review , billing edits and follow up Denials by reviewing chart … more
- Datavant (Harrisburg, PA)
- …suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review ). You will manage a cross-functional team of product managers and ... vision, strategy, and roadmap for the Prospective Suspecting and Concurrent Review solutions within Datavant's Clinical Insights Platform suite. + Define multi-year… more
- Guthrie (Sayre, PA)
- …promoting outreach: currently RPH AD Hoc outreach committee e. Development and review brochures and educational materials for outlying offices f. Ongoing development ... and review Diabetes Specific Information for Guthrie website g. Speakers...including population served/ behavior change statistics/outcome measures/CQI process h. Chart reviews to assure documentation meets ADA standards for… more
- Datavant (Harrisburg, PA)
- …vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ... severity of a patient's health status. **You will:** + Review , analyze, and code diagnostic information in a patient's...plus the option to earn up to $3.25 per chart based on quality and production.** We are committed… more
- Burns & McDonnell (Conshohocken, PA)
- …contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project Execution Plan, ... plan, safety & health plan, subcontracting plan, project staffing plan, organization chart , and procurement plan. + Develop construction staffing plans and train… more
- WellSpan Health (Hanover, PA)
- …sheets etc.). + Obtains comprehensive health information from patient/family members to review with providers or clinical resource over the phone. Uses this ... at the time of the visit. This may include review of systems and history of present illness and/or...routes leading north, south, east and west, one can chart an easy route to major East Coast cities.… more
- CBRE (Harrisburg, PA)
- …coordinate, and implement strategy at local, regional, and global levels. Draft, review , negotiate, and maintain contracts and other business documents in support of ... Conduct periodic visits to high-profile supplier work locations to review vendor performance. Approve and manage costs related to...our people. At CBRE, you have the opportunity to chart your own course and realize your full potential!… more
- University of Pennsylvania (Philadelphia, PA)
- …activities around the clinical trials, including: subject recruitment, informed consent, chart maintenance and data entry; being actively involved in planning and ... at each visit are performed, reporting adverse events and ensuring review and appropriate follow-up by investigator, monitoring patient care and treatment… more
- Highmark Health (Pittsburgh, PA)
- …Star Ratings. Oversee and coordinate team of coder/ clinicians to facilitate chart collection and abstraction.Serves as escalation to provider offices and provides ... Programs coding results: Lead team of coder/ clinicians to review member medical records to validate 100% of new...for reimbursement.Oversee operations to track and validate multi-pass quality review of validation leading up to external audit of… more
- CBRE (Philadelphia, PA)
- …illness, and incident-related performance. + HECP documentation database management including routine review and update of the assessments. + Support with permit to ... permits, licenses, applications, and records to ensure compliance. + Review inspection records and investigate called out complaints and...our people. At CBRE, you have the opportunity to chart your own course and realize your full potential!… more