- Evolent (Harrisburg, PA)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or...action by a state medical board **To comply with HIPAA security standards (45 CFR sec. 164.308 (a) (3)),… more
- Highmark Health (Harrisburg, PA)
- …applicable scope and standards of practice. + Appropriate understanding and timely documentation to support medical coding and billing. + Provide instructions and ... quality improvement processes and patient engagement and satisfaction. + Maintain compliance with the medical staff office. + Maintain professional practice… more
- UPMC (Pittsburgh, PA)
- …and medication distribution. The Pharmacy Technician, Associate services are provided in compliance with Department of Health, The Joint Commission, and State Board ... and maintain all patient information and records.General: Maintain all pertinent documentation as required. This includes eye wash logs, refrigerator logs, perpetual… more
- WellSpan Health (Lebanon, PA)
- …diagnostic and therapeutic services. + Maintains patient records to ensure accurate documentation of the patient's medical treatment. + Adheres to Health Insurance ... Portability and Accountability Act ( HIPAA ) of 1996. + Documents and processes prescription requests...identified. + WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for… more
- Evolent (Harrisburg, PA)
- …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded… more
- Highmark Health (Camp Hill, PA)
- …in performing, documenting, and monitoring effectiveness of internal controls related to compliance with Model Audit Rules (MAR) as well as support any external ... hoc reports; to include but not limited to; gathering of data, analysis, documentation of findings, and calculation of results and generation of reports for… more
- Highmark Health (Pittsburgh, PA)
- …for duty through health histories, physical assessments, diagnostic tests and medical documentation . (10%) + May lead or participate in hospital committees and ... employee accommodations, return to work, annual/ongoing health requirement for compliance , identification and correction of safety issues and other opportunities… more
- Humana (Harrisburg, PA)
- …service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national ... skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and equipment, within… more
- Highmark Health (Erie, PA)
- …May perform phlebotomy and EKG services. (30%) + Completes all required documentation for procedures eg, regulatory, billing protocol and imaging distribution. (10%) ... and federal regulations. (10%) + Implements radiation protection, safety standards and assures compliance in the department. (10%) + Coverage of chief tech duties as… more
- YAI (Kulpmont, PA)
- …shift meetings with DSP/RBTs and Program Administrator. + Conducts daily documentation checks, reviewing IPPs and IBSPs, medication administration records (MARs), ... Behavior Agent notes), communication log and structured leisure activities, to ensure compliance by DSP/RBT staff in recordkeeping, before shift's end. + Reviews and… more