- Datavant (Harrisburg, PA)
- …of the coding team. + Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if ... they agree the coder 's initial coding was correct. + Answers coding questions...Team and Training Team. + Tracks audits completed per coder to ensure coders are receiving timely feedback. Assists… more
- Highmark Health (Harrisburg, PA)
- …and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according ... (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance… more
- UPMC (Pittsburgh, PA)
- …billed in accordance with appropriate state and federal regulations and standards. + ** Code Validation:** Validate the ICD-10-CM, CPT, and HCPCS codes or CPT and ... (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation & Management Coder... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) +… more
- UPMC (Pittsburgh, PA)
- …services coded and billed in accordance with state and federal regulations. . ** Code Validation:** Validate ICD-10-CM, CPT, and HCPCS codes to ensure consistency and ... required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation & Management Coder... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) +… more
- Geisinger (Danville, PA)
- …years). #LI-REMOTE Position Details Minimum one Coding Certification required:--Certified Professional Coder - AAPC --Certified Risk Adjustment Coder - American ... (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional… more
- Datavant (Harrisburg, PA)
- …allowing you to help shape the future of healthcare from your own workspace! Seeking coder that can code Same Day Surgery, ED, and Observation. CCS credential ... and teamwork skills. + Comply with all HIM Division Policies. Seeking coder that can code Same Day Surgery, ED, and Observation. CCS credential required, and… more
- Highmark Health (Pittsburgh, PA)
- …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
- CenterWell (Harrisburg, PA)
- …and operational metrics. + Present insights and recommendations to senior leadership. ** Coder Education:** + Collaborate with the training organization to design and ... + Partner with analytics and audit teams to identify coder errors and address skill gaps. **Associate Engagement and...delivering training programs based on audit findings, and addressing coder skill gaps in partnership with analytics and audit… more
- Penn Medicine (Bala Cynwyd, PA)
- …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 ... and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional experience could be considered...in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + RHIA, RHIT (Preferred)… more
- Humana (Harrisburg, PA)
- …environment **Preferred Qualifications** + **STRONGLY PREFERRED:** Previous auditing, Nurse Coder Background, and/or CPT procedural code experience/certified ... coder (CPC) + Nursing experience preferred in Acute care, OR, Coding, and/or Quality + Clinical documentation improvement (CDI) knowledge + Bachelor's Degree in relevant field preferred + Prospective payment methodologies, auditing experience **Additional… more
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