- Datavant (Harrisburg, PA)
- …and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a ... AI/ML and real-time data signals to surface high-impact suspects and coding opportunities. + Drive innovation leveraging interoperability standards (FHIR, HL7, APIs)… more
- Datavant (Harrisburg, PA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... topics. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not… more
- Datavant (Harrisburg, PA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... facility. **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not… more
- Highmark Health (Harrisburg, PA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all ... and cash flow as it pertains to the unbilled coding report. (5%) + Keeps informed of the changes/updates...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- St. Luke's University Health Network (East Stroudsburg, PA)
- …Charge Review and Claim Edit Practice work queues, patient registration, coding diagnoses, insurance verification, and charge entry to maximize reimbursement as ... paid claim. JOB DUTIES AND RESPONSIBILITIES: + Utilize fundamental billing and coding knowledge to resolve warnings and errors, ensuring accurate and compliant… more
- Highmark Health (Harrisburg, PA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ... and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates...Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in… more
- Highmark Health (Blue Bell, PA)
- …+ Develop and oversee programs to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs (Medicare Advantage, ACA business, and ... Compliance) to develop, implement, and continually refine prospective and retrospective diagnosis coding programs and provider support. + Oversee execution of all … more
- St. Luke's University Health Network (Allentown, PA)
- …for validation of RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. + Maintains daily productivity as ... outlined + Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for...system preferred. Please complete your application using your full legal name and current home address. Be sure to… more
- St. Luke's University Health Network (Bethlehem, PA)
- …pay for health care. The Diagnosis and OASIS Specialist is responsible for coding pertinent medical information on patient classifications according to coding ... referral source, Medical Director and admitting clinician. Utilizing standard coding conventions makes recommendations related to diagnoses codes, sequencing and… more
- Intermountain Health (Harrisburg, PA)
- …the RI leadership team. Proactively seeks out positive or negative trends in charge/ coding capture and editing processes to facilitate the sharing of best practice ... involved including the care site teams, external business partners/vendors, compliance, legal counsel, health information management, and designated areas in the… more