- UPMC (Pittsburgh, PA)
- …role, the DRG Specialist II will review clinical documentation within the medical record to ensure that all patient resource utilization, diagnostic complications ... of care. + Review and evaluate focused UPMC DRG medical records for accurate DRG assignment to ensure that...sequenced according to coding and compliance guidelines. + Review billing data when conducting focused chart audits to ensure… more
- UPMC (Pittsburgh, PA)
- …the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize ... reimbursement and address any potential bundling issues. The Coder...personnel for resolution. + Identify incomplete documentation in the medical record and formulate a physician query to obtain… more
- Gentiva (Bala Cynwyd, PA)
- …in a manner consistent with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of ... consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a...Adult Medicine preferred + Practice experience with Part B billing + Able to work autonomously in an Advanced… 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 ... + Performs all coding and abstracting for Penn Medicine by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… 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 ... work? Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… 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 ... + Performs all coding and abstracting for Penn Medicine by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… 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 ... I** Job Summary: + Performs all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure,… more
- Gentiva (Pittsburgh, PA)
- …in a manner consistent with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of ... consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse...practice experience preferred + Practice experience with Part B billing + Able to work autonomously in an Advanced… more
- Highmark Health (Pittsburgh, PA)
- …contracts including negotiations, contract development, contract renewal, and financial reimbursement . Acts as the intermediary between the organization and outside ... those terms. Perform special studies/audits, coordinating office site visits and medical records reviews, ensuring resolution of member/provider complaints in timely… more
- St. Luke's University Health Network (Orwigsburg, PA)
- …or Equivalent Required TRAINING AND EXPERIENCE: One to two years of experience in medical billing office, medical setting or insurance company. Working ... insurance verification, obtaining pre-authorizations, and referrals. Ensures notification of reimbursement to physicians, nurses, financial clearance staff, and patients… more