- Datavant (Harrisburg, PA)
- …Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate ... High school diploma or GED equivalent required + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified...CIC or CRC) + A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease… more
- UPMC (Camp Hill, PA)
- …the practice of held licensure. + Demonstrates knowledge of clinical treatment, case management and community resources. + Encourages coordination of care with ... and recommendations for improvement. + Assumes responsibility for a designated client case load across the continuum. + Provides members, providers, and other… more
- Select Medical (Canonsburg, PA)
- …Hand Therapist-Occupational Therapist** for our outpatient orthopedic center! Although a certified hand therapist (CHT) is preferred, we are willing to consider ... courses. **Responsibilities** + **Collaboration:** Supervise assistants and aides and contribute to case management. + **High Standard of Care:** Stay current and up… more
- UPMC (Pittsburgh, PA)
- …and present in-service training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case management and ... DRG reimbursement issues among coding, nursing administration, Patient Business Services, medical staff, case management, and other ancillary departments… more
- Datavant (Harrisburg, PA)
- …other duties as assigned. **What you will bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, ... with HCC coding. + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Datavant (Harrisburg, PA)
- …for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... of HCC Auditing experience + High school diploma or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H,… more
- Magellan Health Services (Bethlehem, PA)
- …with a minimum of five years experience in behavioral health: - Board Certified Behavior Analyst - Licensed Clinical Social Worker - Licensed Marriage and Family ... ABA services and assures coordination with other services providers such as medical , speech, occupational therapy, physical therapy and IEP services provided through… more
- Banner Health (PA)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... + **Bachelors degree or equivalent;** + **Must be currently certified through AAPC or Ahima, as defined in minimum...reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to… more
- Highmark Health (Harrisburg, PA)
- …both internally and externally.Takes action to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law ... a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related… more
- Penn Medicine (Lititz, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy by verifying that the principal… more