- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... the highest level of care to patients and families through clinical expertise, research initiatives, and strong administrative support. **Responsibilities:** + Prior… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- CVS Health (Harrisburg, PA)
- …the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations ... 5 years for CPC. + CPC (Certified Professional Coder) **or** CCS-P (Certified Coding Specialist -Physician) and CRC (Certified Risk Adjustment Coder) required. +… more
- Banner Health (PA)
- …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/ documentation to coding quality analysts, supervisor or… more
- UPMC (Pittsburgh, PA)
- …Friday during normal business hours. In this role, you will be handling inpatient coding . You will review clinical documentation within the medical record ... diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG to... documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when… more
- Banner Health (PA)
- …field. Requires at least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - ... and anesthesiologists, and appropriate signatures/authorizations. Refers inconsistent patient treatment information/ documentation to coding quality analysts, supervisor or… more
- UPMC (Pittsburgh, PA)
- …to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query ... Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding . + Utilize computer… more
- Penn Medicine (Philadelphia, PA)
- … Coding Quality Specialist to query the physician for the needed documentation . + Promptly and accurately assigns Coding Hold reasons to all records that ... the unit, department, entity, and health system organization Credentials: + Certified Coding Specialist - CCS (Preferred) + Registered Health Information… more
- Guthrie (Sayre, PA)
- …submit complex appeals to insurance payers. Reviews all medical chart and account documentation in order to determine appropriate coding and initiate corrected ... Review, billing edits and follow up Denials by reviewing chart documentation , payer policies/guidelines/regulations and applying correct coding guidelines to… more
- Advatix, Inc. (Philadelphia, PA)
- …escalation and timely communication of errors and omissions and clinical documentation insufficiencies + Review and resolution of coding -related edits and ... that impact claim submission + Maintaining thorough knowledge of coding and documentation requirements outlined by CPT,...or + Certified Outpatient Coder (CPC-H) or + Certified Coding Specialist (CCS) or + Certified … more