- Cognizant (Harrisburg, PA)
- …team and collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI ... minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 +… more
- University of Pennsylvania (Philadelphia, PA)
- …will report directly to the Research Nurse Manager and work directly with Physician Investigators on clinical research performed. He/she will be responsible for all ... Initiation meetings + Obtain slides from pathology and ship to sponsor/independent review per protocol guidelines. + Obtain records required to complete case report… more
- Deloitte (Harrisburg, PA)
- …pricing studies + Implement competitive vendor search and selection initiatives + Review of health plan renewals including assisting in rate negotiation, and ... medical and pharmacy + Prepare financial projections and rate development + Review health plan performance, including reviewing policy year settlements and premium… more
- CSL Behring (King Of Prussia, PA)
- …and Accountabilities:** + Work with payers, specialty pharmacies, physicians, physician support staff, and professional societies to secure adequate reimbursement ... to healthcare providers and other medical staff. Conduct billing procedure review for home care companies, pharmacies, and other providers experiencing inadequate… more
- CVS Health (Harrisburg, PA)
- …from home. **Position Summary** + Responsible for performing second level quality inter-rater review audits of medical records coded by internal team, as well as ... of 3 years recent and related experience in medical record documentation review , diagnosis coding, and/or auditing. + CPC (Certified Professional Coder) or CCS-P… more
- Penn Medicine (Philadelphia, PA)
- …to increase profitability and meet all financial objectives. They will review radiology billing activities and generate ideas for innovative revenue programs. ... charging, and billing and collections practices. This position will analyze and review all departmental work queues for accuracy and timely competition. Promote and… more
- UPMC (Pittsburgh, PA)
- …hours. In this role, you will be handling inpatient coding. You will review clinical documentation within the medical record to ensure that all patient resource ... and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis… more
- Penn Medicine (Limerick, PA)
- …also complete charge entry responsibilities. + Effectively manages and resolves charge review , claim edit and credit workqueues within the designated benchmark. + ... Meets regularly with Manager to review status of A/R, special projects, and problematic or unusual accounts. Reviews Indicator and Productivity Reports with manager… more
- UPMC (Harrisburg, PA)
- …to all members of the health care team and participates in the nursing peer review process. + Promotes change that enhances the quality of patient care and the unit ... episode of care and in educational/teaching instances + Participates in self review by critically analyzing strengths, areas for improvement in relation to… more
- UPMC (Mechanicsburg, PA)
- …to think critically, assessing the patient results for communication with the physician . + Performs all job responsibilities of Level I Sonographer. + Conduct ... + 2 years of echo experience required. + Performance review consistent with minimum of Strong Solid performance on...renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal **UPMC is an Equal Opportunity Employer/ Disability… more