- Trinity Health (Woodlyn, PA)
- …when necessary. Oversees and manages participant's use of medical specialist and inpatient care. Communicates and follows up with specialist regarding outcome of ... of participants. + Complete documentation timely and uses appropriate diagnostic coding . Respond to coding department in a timely manner. + Advise the Medical… more
- UPMC (Pittsburgh, PA)
- …daylight hours, Monday-Friday. Purpose: To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- Humana (Harrisburg, PA)
- …may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance, and appeals processes, and ... post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- UPMC (Pittsburgh, PA)
- …desk, and scheduling duties. **Purpose:** To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- Highmark Health (Canonsburg, PA)
- …as required, off hours including evenings, weekends, holidays, and on call. 50% inpatient and 50% outpatient, 1 weekend a month of e-consults. (On call, but ... practice. (5%) + Appropriate understanding and timely documentation to support medical coding and billing. (5%) + Provide instructions and guidance regarding medical… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …experience and assumes all responsibilities of coordinating surgical procedures for inpatient and outpatient services. The Position assumes advanced office tasks ... a medical office setting required. + Knowledge of medical terminology, ICD-10 and CPT-4 coding . + Knowledge of insurance plans. + Computer skills + Able to maintain… more
- Penn Medicine (Philadelphia, PA)
- …high practice/facility square footage, service line oversight, coordination of inpatient services, coordination of care across several departments/entities, academic ... Cycle Management -Provides practice revenue cycle management/oversight, including billing, coding , cash management, charge entry, etc. Ensure practice alignment with… more
- Penn State Health (Lancaster, PA)
- …cycle process for services rendered within a community hospital setting, both inpatient and outpatient. The incumbent is responsible for securing all information ... preferred + Medical health insurance knowledge preferred + Medical billing and coding preferred **WHY PENN STATE HEALTH?** Penn State Health offers exceptional… more
- UPMC (Pittsburgh, PA)
- …to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and ... 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,… more
- Trinity Health (Woodlyn, PA)
- …necessary. + Oversees and manages participant's use of medical specialist and inpatient care. Communicates and follows up with specialist regarding outcome of visit. ... improve the health of participants. + Complete documentation and uses appropriate diagnostic coding . + Advise the Medical Director in ways and means to establish… more
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