- Highmark Health (Harrisburg, PA)
- …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... and data management + Past auditing and strong education/training background in coding and reimbursement **_Disclaimer:_** _The job description has been designed… more
- Banner Health (PA)
- …operations, or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified ... Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with… more
- Highmark Health (Pittsburgh, PA)
- …strategy to achieve continuous improvements as it relates to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs ... actionable solutions resulting in improved accuracy of medical record documentation and coding . Promotes the strategy and capabilities to develop risk management and… more
- Organon & Co. (Plymouth Meeting, PA)
- …a highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in ... developing and implementing strategies that support billing, coding , and reimbursement processes across diverse healthcare settings, including hospitals today… more
- UPMC (Pittsburgh, PA)
- …as necessary. + Counsel/train coders on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting ... and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR… more
- Penn Medicine (Philadelphia, PA)
- …Plan, organize, design, implement and monitor coding initiatives to improve coding quality and reimbursement . Provide individual and group education to ... and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care… more
- St. Luke's University Health Network (Allentown, PA)
- …documentation and coding assignment of documented medical care for appropriate reimbursement . + Work with the physician advisor in review of patient medical ... pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and...knowledge of HIM field helpful, with focus on MS-DRG reimbursement , AHA coding guidelines, and compliance or… more
- Penn Medicine (Philadelphia, PA)
- …of Arts or Science (Preferred + Clinical experience with knowledge of Medicare reimbursement system & coding structures (Preferred) We believe that the best ... Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical… more
- Community Health Systems (Kingston, PA)
- **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate ... reimbursement . This position serves as the primary contact for...compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic… more
- LifePoint Health (Johnstown, PA)
- …CMS Inpatient Prospective Payment System and working knowledge of AHA Coding Clinic. *Preferred:*Certified Clinical Documentation Improvement Specialist (CCDS) ... Program - mental, physical, and financial wellness assistance Tuition Reimbursement /Assistance for qualified applicants Professional Development and Growth Opportunities… more