- Adecco US, Inc. (Philadelphia, PA)
- …by the client. + **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay ... a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty… more
- Guthrie (Sayre, PA)
- …and protocols + Collaborate with clinical, utilization management, billing , HIM, and coding teams to resolve medical necessity and coding -related denials ... knowledge in the area of health care revenue cycle billing , strong medical terminology, reimbursement and insurance...+ Primary Denial Rate + Authorization Denial Raate + Coding Denial Rate + Medical Necessity Denial… more
- Geisinger (Danville, PA)
- …and/or professional audits on the adequacy of medical record documentation to support coding (DRG, CPT, ICD 10) and billing as required by the Compliance ... and provides compliance education for facility and professional documentation, coding , and billing . The Senior Compliance Auditor...medical staff with a focus on federal payor billing compliance. Work is typically performed in an office… more
- Geisinger (Danville, PA)
- …auditing activities to ensure compliance with federal guidelines and regulations related to coding and billing , managing a team of auditors, conducting risk ... departments to manage billing risks Job Duties One of the following coding or auditing certifications are required (CCS, CPC, RHIA, RHIT or CPMA). + Manages,… more
- Penn Medicine (Philadelphia, PA)
- …management profiles measuring physician productivity, compensation and incentive planning, billing and coding compliance, workforce planning, revenue and ... schedule and bill patients. + Basic understanding of CPT and ICD-9 coding , third-party payer billing processes, pre-certification requirements, and the overall… more
- Penn Medicine (Philadelphia, PA)
- …future each day. Are you living your life's work? Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal ... Experience: + HS Diploma/GED (Required) + Previous work experience or training in coding inpatient medical records (Required) + Extensive knowledge of medical… more
- Intermountain Health (Harrisburg, PA)
- …**Required** + Current certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring attention to ... system-wide initiative levels. + Monitors for positive or negative trends in coding , charge capture and/or editing processes to improve teams' performance. +… more
- Guthrie (Sayre, PA)
- …across departments understand and adhere to revenue integrity standards, including coding , billing , documentation, and compliance requirements. The trainer ... Experience: - Minimum of 3-5 years of experience in healthcare revenue cycle, coding , billing , or compliance - Experience in developing and delivering training… more
- Penn Medicine (Philadelphia, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Services Representative is responsible for a broad range of complex billing activities including data entry, payment posting, reconciliation, depositing checks,… more
- Humana (Harrisburg, PA)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more