- CVS Health (Harrisburg, PA)
- …Health Records (EHR) systems and clinical workflows. + Understanding of clinical terminologies and coding systems (eg, SNOMED, LOINC, ICD10). + Experience ... the US** We are seeking an innovative and experienced **Director of Engineering Clinical AI** to lead our initiatives in **developing and implementing advanced AI… more
- Penn Medicine (Bala Cynwyd, PA)
- …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 ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Penn Medicine (Philadelphia, PA)
- …to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and ... of severity in care team documentation w consideration of CMS coding guidelines + Provide clinical care teams with ongoing education and training on current… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- … coding classification systems is preferred + Previous experience in inpatient coding or sufficient knowledge of clinical documentation, DRG assignment and ... + Strong critical thinking skills and ability to incorporate clinical and coding knowledge to CDI setting. + Strong organizational and prioritization… more
- Geisinger (Danville, PA)
- …with a diverse group, including management, physicians, clinical and non- clinical personnel utilizing the national correct coding standards, approaches, and ... Biller through AAPC + Applies expanded knowledge of CPT, ICD-10 and HCPCS coding skills toward the maintenance and development of prospective claim edits and… more
- Highmark Health (Harrisburg, PA)
- …clinical outcomes, cost, and member experience. + **Operational Integration & Coding :** Engage non- clinical teams to ensure operational guidelines are aligned ... as a primary owner of assigned medical policies, ensuring their accuracy, clinical soundness, and operational feasibility. A core responsibility of this position is… more
- AmeriHealth Caritas (Newtown Square, PA)
- …and related financial analysis experience. + Basic understanding of Claims Processing / Clinical Coding and business practices. + Basic working knowledge of ... + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG claims coding Revenue Code Mapping, Data Analysis, Data warehousing, translated 5010 EDI files, financial… more
- Guthrie (PA)
- …the supervision of clinical coders who perform compliance audits of clinical documentation, coding , and billing. Education, License & Cert: Bachelor's ... years in compliance in a health care organization * Experience in conducting coding and compliance audits and developing corrective action plans helpful * Ability to… more
- UPMC (Pittsburgh, PA)
- …+ Coordinate and present education of providers/practices related to risk adjustment, coding , and clinical documentation improvement. + Assess workflow processes ... for participating providers to address issues, questions and learning needs related to coding and documentation in the medical record and the various risk adjustment… more