- CVS Health (Bensalem, PA)
- …an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. ... and strategies, policies and programs are comprised of network management, clinical coverage, and policies. Community Care Case Manager's use a collaborative… more
- 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 ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ). + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare,… more
- UPMC (Pittsburgh, PA)
- …education of providers/practices related to risk adjustment, coding, and clinical documentation improvement. + Assess workflow processes in physician practices ... 5 years of experience in professional services, including practice management, nursing, clinical documentation improvement or quality audit. + 2-3 years of teaching… more
- Penn Medicine (Bala Cynwyd, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- Penn Medicine (Philadelphia, PA)
- …mission of providing the highest level of care to patients, conducting innovative research , and educating future leaders in the field of medicine. Working for this ... leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn Medicine, someone… more
- 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 ... (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC ) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology,… more
- Trinity Health (Pittsburgh, PA)
- …**Description:** **Position Purpose:** The Clinical Relief Pool Staff provides as-needed clinical support at the Central Recovery Center ( CRC ), a facility ... mental health or substance use crises. + Complete intake evaluations, clinical assessments, and documentation in accordance with agency and regulatory standards.… more
- Sedgwick (Erie, PA)
- …environment, who are driven to deliver great work. + Apply your medical/ clinical or rehabilitation knowledge and experience to assist in the management of ... services field required with one of the following certifications: CCM, CDMS, or CRC . Valid driver's license required. High speed internet required. **TAKING CARE OF… more
- Datavant (Harrisburg, PA)
- …years managing coders in an outpatient or inpatient setting. + Current CCS, CRC , or CPC required. + Previous Medicare Advantage Risk Adjustment, CDI, Medicaid, ... Commercial RA, and HEDIS experience. + Familiarity with HIPAA patient privacy requirements. + Excellent communication and organizational skills. + Keen attention to detail. + Advanced problem-solving skills. + Proficient in Microsoft Office and G-Suite… more
- Guthrie (Sayre, PA)
- …Works directly with Billing staff, Billing Supervisor/Manager/Director, Application Analyst and CRC departments when needed, to resolve complex issues and denials ... through independent research and assigned projects. This position works closely with...and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of… more