- Datavant (Harrisburg, PA)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... recognized medical necessity criteria and standards of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed… more
- UPMC (Pittsburgh, PA)
- …adhere to licensing, accreditation, regulatory, and partnership expectations. Actively engage in quality improvement projects and help to ensure inspection and ... family needs with the treatment team. . Report pertinent clinical and non- clinical needs or concerns to...progress during parent conferences. . Actively support the Development Specialist by assisting with lesson planning and preparation and… more
- Globus Medical, Inc. (Collegeville, PA)
- …we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the ... of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and… more
- Bausch + Lomb (Harrisburg, PA)
- …regulatory strategies for development programs and marketed products across CMC and clinical /non- clinical , labeling, adpromo areas. Serve as a strategic advisor ... + Formulate, lead, and drive integrated regulatory strategies across CMC and clinical /non- clinical , labeling, adpromo domains. + Provide technical expertise and… more
- UPMC (Pittsburgh, PA)
- UPMC Mercy is hiring a Full Time Patient Safety Specialist to support our hospital! This position will work Monday-Friday during business hours. Purpose: Responsible ... basis. + Investigate actual and potential patient safety risks in the clinical operations of the hospital through rounds, chart reviews, interviews, physical… more
- ZOLL Medical Corporation (Pittsburgh, PA)
- …the ideal place to build your career. Job purpose The Product Technical Support Specialist - Tier 1 plays a critical role in providing patients, families, and ... comprehensive records of customer interactions for future reference and continuous improvement . . Identify, record, and document alleged deficiencies related to the… more
- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and educational needs related ... to coding quality , compliance assessments, external payer reviews, coding education, interim...Develop and implement education for physicians, nursing, and other clinical staff to enhance documentation. + Communicate effectively with… more
- St. Luke's University Health Network (Allentown, PA)
- …letters, including the coding argument, to support network coding. + Identify clinical documentation improvement issues and through excellent communication with ... regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and… more
- WellSpan Health (Chambersburg, PA)
- …internal and external resources to reduce length of stay and improve quality of care. This includes assessing, planning, implementing, coordinating, and evaluating ... to the physician. Facilitates physician conference calls to address reimbursement and quality of medical care reviews. + (BHU Only) Achieves, maintains, and… more
- Sharecare (Harrisburg, PA)
- …maintaining full compliance with all regulatory requirements. + Analyze baseline quality data, identify performance gaps, and recommend improvement strategies ... for ensuring accurate, timely, and compliant reporting across multiple quality payment programs, including the Merit-based Incentive Payment System (MIPS)… more