- WellSpan Health (York, PA)
- …practice setting. WellSpan Health is seeking a board-certified/ board qualified family physician to join our outpatient family practice in West York. WellSpan is ... learn more about the practice/provider team **Our Commitment to You:** + Physician -designed compensation model; not RVU based + Competitive signing bonus plus… more
- WellSpan Health (Chambersburg, PA)
- …Required **Work Experience:** + Less than 1 year 3 - 6 months of physician office experience Required **Courses and Training:** + Medical terminology within 180 days ... health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and… more
- WellSpan Health (Chambersburg, PA)
- …health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and ... one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000… more
- Humana (Harrisburg, PA)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Humana (Harrisburg, PA)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint venture among three stakeholders: Humana (majority owner), Main Line Health System,… more
- Humana (Harrisburg, PA)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Intermountain Health (Harrisburg, PA)
- …Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International ... coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs. This position supports higher level analytics for CDI… more
- ChenMed (Philadelphia, PA)
- …office & confirmed receipt. + Prepares and actively participates during physician /clinician daily huddles utilizing RITS Huddle Portal and huddle guide. Effectively ... patient's external missed appointment are rescheduled and communicated to the physician /clinician. + Participates in Super Huddle and provides updates on high… more
- Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
- …today. SUMMARY OF JOB The Certified Risk Adjustment Coding/Audit Reviewer is a physician facing position and must have extensive knowledge in reviewing a medical ... clinical care plans to Risk Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT… more
- CVS Health (Harrisburg, PA)
- …records coded by internal teams prior to the submission to the Centers of Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... record documentation review, diagnosis coding, and/or auditing. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical… more