- Humana (Harrisburg, PA)
- …discussions with an external provider. Some roles include an overview of coding practices and clinical documentation , dispute/grievance and appeals ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Penn State Health (Hershey, PA)
- …+ Minimum ten (10) years experience in comprehensive compliance, audit, billing, coding , and documentation experience, preferably in complex health care system. ... remote work requiring travel to various sites **SUMMARY OF POSITION:** The Director of Compliance and Privacy (Audits and Administration) will report directly to… more
- Geisinger (Danville, PA)
- …the accuracy of the balance sheet and income statement accounts (excluding clinical revenue and related receivables), maintaining appropriate documentation and ... of cash, investment and investment earnings accounts, and related activities including coding of non-patient cash deposits and periodic cash audits. + Responsible… more
- Fresenius Medical Center (Philadelphia, PA)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Guthrie (Sayre, PA)
- …submit complex appeals to insurance payers. Reviews all medical chart and account documentation in order to determine appropriate coding and initiate corrected ... Review, billing edits and follow up Denials by reviewing chart documentation , payer policies/guidelines/regulations and applying correct coding guidelines to… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Position: Director Revenue Cycle Management** **Entity: Clinical Practices of the University of ... to practice revenue cycle operations including pre-registration, financial clearance, documentation , coding , charging, and billing and collections practices.… more
- Trinity Health (Woodlyn, PA)
- …the Medical Director to establish best practices and works with clinical staff and interdisciplinary team to make appropriate procedural and or operational ... to avoid unnecessary hospitalizations and improve the health of participants. + Complete documentation timely and uses appropriate diagnostic coding . Respond to … more
- Trinity Health (Woodlyn, PA)
- …the health of participants. + Complete documentation and uses appropriate diagnostic coding . + Advise the Medical Director in ways and means to establish ... the Medical Director to establish best practices and works with clinical staff and interdisciplinary team to make appropriate procedural and or operational… more
- Highmark Health (Pittsburgh, PA)
- …physicians, and the rest of the multidisciplinary team. + Interacts regularly with coding and clinical documentation specialists. + The Physician Advisor ... for patients treated at Allegheny Health Network while correlating patient clinical information with both government and commercial payer utilized regulations and… more
- Gentiva (Harrisburg, PA)
- …opportunities (eg assist with new site launches) + Practice experience with Part B documentation and coding + Must have a collaborative agreement in place with ... an industry leader in hospice and palliative care. Our clinical teams serve as an extension of physicians' care,...and follow-up under the direction of the Palliative Medical Director or Primary Care physician. + Role requires up… more
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