- Penn Medicine (Elizabethtown, PA)
- …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and...+ A health care provider in good standing with Medicare , Medicaid, and other federal and state health insurance… more
- Evolent (Harrisburg, PA)
- …interacts with leadership and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will Be Doing:** + Serve ... as the Physician match reviewer in Imaging cases, that do not...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Sunrise Senior Living (Haverford, PA)
- …(RAI) process. + Reviews and assists in case management of both Medicare & non- Medicare guests/residents. + Ensures interdisciplinary notes reflect the ... of documentation related to clinical systems weekly. + Consults with physician as appropriate. + Ensures guest/resident changes, concerns, and/or solutions are… more
- Highmark Health (Pittsburgh, PA)
- …drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for ... and development, member facing outreach initiatives + Develop and implement physician , pharmacy, account, and member educational initiatives that promote the… more
- Banner Health (PA)
- …knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment ... and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's… more
- Sunrise Senior Living (Haverford, PA)
- …follows Resident Centered Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. + Participates in the Care ... of documentation related to clinical systems weekly + Consults with physician as appropriate. + Ensures guest/resident changes, concerns and/or solutions to… more
- Aveanna Healthcare (PA)
- …every weekend Essential Job Functions: + Develop a plan of care through physician orders, client input, and nursing assessment to include medical interventions and ... care through documentation and timely communication with the client's physician and other caregivers. + Provide care in patients...the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis… more
- ChenMed (Philadelphia, PA)
- …expanding and we need great people to join our team. ChenMed, a physician -led and mission-driven, primary care organization, is currently one of the most successful ... full-risk Medicare Advantage providers in the nation and has a...opportunity and join the ChenMed family. The Primary Care Physician (PCP) in our organization demonstrates: * Accountability for… more
- Penn Medicine (East Petersburg, PA)
- …This position is an integral part of the revenue cycle as it pertains to physician coding and billing functions, as such will interact with physician and non- ... + Monitors payer guidelines to ensure accurate coding, including local Medicare Administrative Contractor guidance, state payer rules, regulations, and trade… more
- Banner Health (PA)
- …We are looking for a motivated, experienced **Certified Medical Coder | Physician Practice Complex Coder with 3+ years of Cardiology Complex Coding experience** ... and procedure codes, discharge disposition, date of surgery, attending physician , consulting physicians, surgeons and anesthesiologists, and appropriate signatures/authorizations.… more