- Highmark Health (Pittsburgh, PA)
- …RESPONSIBILITIES** + Analyze and evaluate claim processes specific to professional, hospital , ambulatory surgical center, home health and durable medical equipment ... 5 years in Financial Analysis in an acute care hospital or health insurance setting + 5 years in...of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of… more
- Robert Half Technology (Philadelphia, PA)
- …standards and operating policies during project execution. * Coordinate with hospital information systems teams to ensure smooth integration of new technologies. ... and principles. * PMP Certification is required. * Strong knowledge of coding and content management systems (CMS). * Familiarity with IT security protocols… more
- Guthrie (Sayre, PA)
- …reviewed for standardization and centralization + Revenue cycle leadership in a multi- hospital and employed physician environment Essential Functions + Work with VP, ... the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record System (EPIC HB) for Federal, State, and Commercial… more
- Highmark Health (Jefferson Hills, PA)
- …holidays, and on call. This is an inpatient role at Jefferson Hospital **ESSENTIAL RESPONSIBILITIES:** + Perform complete, detailed and accurate histories, review ... practice. (5%) + Appropriate understanding and timely documentation to support medical coding and billing. (5%) + Provide instructions and guidance regarding medical… more
- Penn State Health (Lancaster, PA)
- …functions performed by the PPAS registration positions performed in the community hospital setting. The incumbent is responsible for reviewing and providing feedback ... preferred + Medical health insurance knowledge preferred + Medical billing and coding **WHY PENN STATE HEALTH?** Penn State Health offers exceptional opportunities… more
- UPMC (Pittsburgh, PA)
- …effective for the patient's illness, injury, or disease. 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT, ... Works collaboratively with internal and external contacts specifically, Physician Services and Hospital Division, across UPMC as well as payors to enhance customer… more
- Penn Medicine (Philadelphia, PA)
- …to, correction of registration, submission of documentation, acceptable Correct Coding Guidelines, timely filing, appeal reviews, verification of duplication claims, ... systems. + Possess ability to utilize Health System professional billing and hospital patient accounting computerized systems. + Uses worksheets from Microsoft Excel… more
- UPMC (Pittsburgh, PA)
- …effective for the patient's illness, injury, or disease. + Ensures accurate coding of the diagnosis, procedure, and services being rendered using ICD-9-CM, CPT, ... with internal and external contacts specifically, Physician Services and Hospital Division, across UPMC as well as payors to...working experience in a medical environment (such as a hospital , doctor's office, or ambulatory clinic) + OR an… more
- Penn Medicine (Philadelphia, PA)
- …your life's work? **Summary:** The Renal, Hypertension & Electrolyte Division at the Hospital of the University of Pennsylvania (HUP) is looking to add an Advanced ... Metrics + Identifying and addressing quality gaps in care + Documenting and coding in accordance with Network quality assurance standards + Facilitating advance care… more
- Ansible Government Solutions (Pittsburgh, PA)
- …surgical pathology gross, microscopic, and final diagnosis rendering along with coding of surgical reports with pathology in rotation with other pathologists. ... and oversight of the QA/QI of the department. + Participate on hospital /departmental committees and hospital /departmental conferences as needed. + Provide… more
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