- 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 ... Adjustment Data Validation (RADV) Timelines. Medicare and Medicaid regulations and billing guidelines and AMA's publication CPT Assistant. Responsible for meeting… more
- Guthrie (Sayre, PA)
- …understand and adhere to revenue integrity standards, including coding, billing , documentation, and compliance requirements. The trainer collaborates with subject ... - Minimum of 3-5 years of experience in healthcare revenue cycle, coding, billing , or compliance - Experience in developing and delivering training programs -… more
- Baylor Scott & White Health (Harrisburg, PA)
- …National Correct Coding Initiative and Local and National Coverage Determinations. Facilitates billing issues with Physician Fee Schedules (PFS) and informs PFS ... of the following: + Certified Coding Specialist (CCS), or + Certified Coding Specialist- Physician Based (CCS-P), or + Certified Professional Coder (CPC), or +… more
- UPMC (Pittsburgh, PA)
- …accurately coded and sequenced according to coding and compliance guidelines. + Review billing data when conducting focused chart audits to ensure it is complete and ... the Patient Business Services department for appropriate reimbursement. + Formulate physician queries that present indications, utilizing clinical judgment, of a… more
- Penn Medicine (Philadelphia, PA)
- …professional fee coding across all entities to ensure timely and optimal billing and reimbursement to support established Health Information Management and Revenue ... Responsible for CFA Revenue Cycle Management for all UPHS hospitals and physician practice groups within the CFA scope. Direct oversight of Professional Fee… more