- St. Luke's University Health Network (Allentown, PA)
- …working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding ... serve, regardless of a patient's ability to pay for health care. The Coding Specialist codes and abstracts all pertinent patient medical information according to… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...care for appropriate reimbursement. + Work with the physician liaison in review of patient medical records identified by… more
- Datavant (Harrisburg, PA)
- …(CAPs) + Offer insight into team dependability, quality, flexibility, and understanding of coding guidelines + Serve as a go-to liaison for coders, surfacing ... realize our bold vision for healthcare. As a **Supervisor, Coding Operations** , you'll play a critical leadership role...you'll play a critical leadership role in ensuring our coding team delivers consistent quality and efficiency. You'll serve… more
- Amgen (Reading, PA)
- …for Amgen rare disease therapies, common prior authorization requirements, and coding and billings requirements + Investigate access challenges pre and ... post-infusion, to include support for denied claims and claim reviews + Partner with Safety and PV and report AE's and product complaints through medical information. + Adhere to professional standards compliance guidance, policies and procedures, federal,… more
- UPMC (Pittsburgh, PA)
- …50-75% travel primarily within Southwest PA. The Physician Educator serves as a liaison between the Health Plan and the participating providers of the UPMC Health ... to address issues, questions and learning needs related to coding and documentation in the medical record and the...Educator maintains a positive and helpful attitude as a liaison to the participating providers of the UPMC Health… more
- UPMC (Pittsburgh, PA)
- …support growth initiatives across surgical oncology services.** **Responsibilities:** + Supervise coding and charge entry staff (where applicable). Work with staff ... and disseminate regulatory information pertaining to changes in reimbursement and/or coding while ensuring regulatory compliance. + Manage the human resources… more
- WellSpan Health (York, PA)
- …line level denials.- Provides trend analysis to management, leadership, and insurance liaison .- Writes and submits appeals when needed to overturn claim denials.- ... appropriate departments on accounts requiring precertification, preauthorization, referral forms, coding and other requirements related to ensuring claim payment. +… more
- Geisinger (Danville, PA)
- …rather provides a methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the ... and accuracy of Case Mix Index. Acts as documentation liaison to physician staff as a means of finalizing...to Geisinger. + Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation… more
- Squirrel Hill Health Center (Pittsburgh, PA)
- …providers before they are administered. This role involves acting as a liaison between patients, healthcare providers, and insurance companies to streamline the ... documentation and clinical information. + Act as a liaison between patients, healthcare providers, and insurance companies. ... + Knowledge of medical terminology, ICD-10, and CPT coding . + Proficiency in using healthcare software systems… more
- Commonwealth of Pennsylvania (PA)
- …of internal and external business partners. Furthermore, you will act as a liaison between business users and IT personnel, facilitating system modifications and ... coding . Interested in learning more? Additional details regarding this...or enhancement projects for use by developers for system coding . Levels of Performance Select the "Level of Performance"… more
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