- Datavant (Harrisburg, PA)
- …healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of ... + Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. + Collaborate with… more
- Datavant (Harrisburg, PA)
- …realize our bold vision for healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of ... medical necessity and necessity of continued stay in the inpatient patient care setting and/or discharge to an alternative...Regulations, URAC and NCQA preferred + ICD10 and CPT coding a plus + Experienced computer skills, Word, Excel,… more
- UPMC (Pittsburgh, PA)
- …Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of ... to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical equipment, and… more
- UPMC (Pittsburgh, PA)
- …**Licensure, Certifications, and Clearances:** One of the following is required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
- Penn Medicine (Lititz, PA)
- …analysis and or CPT coding principles guidelines. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician CCS-P ... .Must meet one of the following criteria: + Certified Coding Specialist CCS and or AAPC Certifications...have experience in ICD-10 CM PCS and CPT HCPCS, Inpatient coding . + Demonstrates proficient computer skills… more
- Penn Medicine (Philadelphia, PA)
- …work volumes by adjusting work schedule. + Strives to become fluent in the inpatient coding at all of the UPHS facilities. + Responsible for continuing ... the unit, department, entity, and health system organization Credentials: + Certified Coding Specialist - CCS (Preferred) + Registered Health Information… more
- WellSpan Health (Chambersburg, PA)
- …entails. Qualifications and Standards Education: Formal Education and Training - - Certified Coding Specialist (CCS) with at least one year of acute care ... coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved coding guidelines and conventions.… more
- WellSpan Health (York, PA)
- …**Work Experience:** + 3 years medical coding Required + 3 years inpatient coding Preferred **Licenses:** + Certified Professional Coder Upon Hire Required ... data by careful review and analysis of documentation of inpatient medical records, assigning the appropriate ICD-10 codes for...Coding Associate Upon Hire Required or + Certified Coding Specialist Upon Hire Required or +… more
- Trinity Health (Woodlyn, PA)
- …participants to hospital when necessary. Oversees and manages participant's use of medical specialist and inpatient care. Communicates and follows up with ... of participants. + Complete documentation timely and uses appropriate diagnostic coding . Respond to coding department in a timely manner. + Advise the Medical… more
- Trinity Health (Woodlyn, PA)
- …to hospital when necessary. + Oversees and manages participant's use of medical specialist and inpatient care. Communicates and follows up with specialist ... of care developed by the interdisciplinary team. + Refer participants to medical specialist as indicated. Manages all care of participants in the nursing home:… more