- Datavant (Harrisburg, PA)
- …and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of ... credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC ). + A minimum of 2 years HCC coding experience, while certified. + Full… more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The Risk Adjustment Clinical Documentation Specialist facilitates accurate, complete, consistent and timely documentation ... RESPONSIBILITIES: + Review medical record(s) for completeness, accuracy, consistency and clinical evidence for severity of illness (appropriate capture of true… more
- CVS Health (Harrisburg, PA)
- …purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and ... speak to such evidence across internal stakeholders with varying knowledge and clinical expertise in either written or verbal forms including communication with … more
- UPMC (Mckeesport, PA)
- …other disadvantaged populations preferred. . Certified Rehabilitation Counselor ( CRC ) certification preferred. **Licensure, Certifications, and Clearances:** . Basic ... Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) . Comprehensive Crisis Management (CCMC) . Driver's License . Act 34 . OAPSA **_UPMC is an Equal Opportunity Employer/Disability/Veteran_** more
- UPMC (Mckeesport, PA)
- …other disadvantaged populations preferred. . Certified Rehabilitation Counselor ( CRC ) certification preferred. **Licensure, Certifications, and Clearances:** . Basic ... Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR) . Comprehensive Crisis Management (CCMC) . Driver's License . Act 34 . OAPSA **_UPMC is an Equal Opportunity Employer/Disability/Veteran_** more
- Humana (Harrisburg, PA)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional, you will develop and/or evaluate compliance policies and… more
- Guthrie (Sayre, PA)
- …companies, government agencies and all Guthrie Medical Group offices. Partners with CRC and other Guthrie departments to field billing inquiries. Answers all ... knowledge, reimbursement policies, payer guidelines and other sources in order to research rejections to secure appropriate payment. 4. Provides back up to Central… more
- Fujifilm (Harrisburg, PA)
- …preferred. + Strong clinical expertise in various tumor types preferred (Tumors, CRC , Lung, GIST, Sarcoma, Prostate, Liver, etc.) preferred. + Ability to sell in ... understanding of IVD reagent systems, distribution modalities, as well as clinical performance and utility of assays. **Company Overview** At FUJIFILM Healthcare… more
- Evolent (Harrisburg, PA)
- …and that impact the team. Provide individual and team training on clinical documentation requirements, risk adjustment coding guidelines, and updates. + Oversee and ... and timely ICD-10 coding of claims via progress note clinical documentation review. + Ensure compliance and quality for...or a related field. + **Certification in medical coding ( CRC - Certified Risk Adjustment Coder) or demonstrated ability.** +… more
- Datavant (Harrisburg, PA)
- …credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC ) + Extensive knowledge of ICD -9/10 + 2 years coding experience, required. ... + People Leader experience managing a team of employees. + Familiarity with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes. + Ability to work in a fast-paced production environment while… more