- Penn Medicine (Bala Cynwyd, PA)
- …healthcare, or related field (Required) + 2+ years of relevant coding medical professional services experience including ambulatory outpatient and risk ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
- Highmark Health (Pittsburgh, PA)
- …Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional Coder - Hospital(CPC-H) + Certified Outpatient Coder (COC) + Accredited ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …healthcare providers in the office and patient home setting (eg outpatient setting) A sound knowledge of medical coding (https://www.aapc.com/certification/ ... AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge + Knowledgeable of medical and clinical terminology,… more
- CVS Health (PA)
- …Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient ) preferred. ... **Position Summary** Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the submission to the… more
- Highmark Health (Harrisburg, PA)
- …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
- Cardinal Health (Harrisburg, PA)
- …of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Manages focused audits ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
- St. Luke's University Health Network (Allentown, PA)
- …coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality ... at a time. Repetitive arm/finger use for retrieving/viewing computerized patient medical records and abstracting information. Extended periods of vision use for… more