- Highmark Health (Harrisburg, PA)
- …ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, ... Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to… more
- Penn Medicine (Philadelphia, PA)
- …the facility is legally entitled according to stringent coding and compliance guidelines. Responsibilities: + Examines the complete medical record to accurately ... determine the principal & secondary diagnoses, procedures, co-morbidities and complications demonstrating 95% accuracy as determined by audits. + Sequences the diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrates 95% accuracy… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor!** Are you passionate about ensuring accuracy and compliance in healthcare ... where your expertise can make a significant impact? **UPMC Corporate Compliance ** is seeking a dedicated and detail-oriented **Intermediate Compliance … more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor, Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC ... Corporate Finance** is looking for a dedicated and meticulous ** Compliance Auditor, Associate** to join our team. This role is crucial in maintaining the integrity… more
- Highmark Health (Pittsburgh, PA)
- …documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional ... teams including Care Management, STARS, Compliance , clinical leadership of health systems, physicians and vendors to develop programs that deliver measurable,… more
- Penn Medicine (East Petersburg, PA)
- …to official coding guidelines for the purpose of assuring accuracy and compliance when billing insurance carriers. This position is responsible for the performance ... hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory… more
- Penn Medicine (Bala Cynwyd, PA)
- …you living your life's work? Entity: Corporate Services Department: Office of Billing Compliance Hours: M-F, 8 hr days, hybrid Location: 150 Monument Road, Bala ... Cynwyd, PA Summary: + The Compliance Analyst (CA) I is responsible for audits, reviews,...and health system organization Credentials: + Certified Risk Adjustment Coder certification. (Preferred) + Certified Procedural Coder … 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 ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
- Orbis, Inc. (Philadelphia, PA)
- Quality Assurance Specialist for Command Level I Program NSWCPD Code 00Q Philadelphia, PA Responsibilities: Position is for the Quality Assurance Specialist, NSWCPD ... Code 00Q support, to be part of team supporting...issued command Level I training to ensure NSWCPD workforce compliance , and report status back to the LIPM. Maintain… more
- Banner Health (PA)
- …in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts ... ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers… more