- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position working Monday through Friday ... hours. In this role, you will be handling outpatient coding which will mainly include Same Day Surgeries and...incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position working Monday through Friday ... during normal business hours. In this role, you will be handling inpatient coding . You will review clinical documentation within the medical record to ensure that… more
- UPMC (Pittsburgh, PA)
- …Monroeville, Wexford). This role will be primarily responsible for coding operative reports, working practice work queues, appealing claims, preregistering ... knowledge of using Excel. **Responsibilities:** + Refer problem accounts to appropriate coding or management personnel for resolution. + Meet and maintain charge lag… more
- St. Luke's University Health Network (Allentown, PA)
- …Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned ... MS-DRG or APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND RESPONSIBILITIES: +… more
- Penn Medicine (Philadelphia, PA)
- …vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation. + ... you living your life's work? Summary: + Performs all coding and abstracting by reviewing medical records and selecting...+ Missing Operative Notes + Missing Pathology Report + Physician Query Needed + Death Review + Discharge Disposition… more
- UPMC (Pittsburgh, PA)
- …support growth initiatives across surgical oncology services.** **Responsibilities:** + Supervise coding and charge entry staff (where applicable). Work with staff ... and disseminate regulatory information pertaining to changes in reimbursement and/or coding while ensuring regulatory compliance. + Manage the human resources… more
- Penn Medicine (Philadelphia, PA)
- …discussion to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and ... and offer direction to primary care staff w regard to changes in coding practices and noted trends noted in team documentation requiring clarity and/or specification… more
- UPMC (Pittsburgh, PA)
- …our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal regulations. **Key ... Auditing:** Conduct UPMC-wide auditing and monitoring to ensure that coding /documentation combinations and medical record documentation adequately support services… more
- Guthrie (Sayre, PA)
- …medical chart and account documentation in order to determine appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory ... CCA, RHIT, RHIA or certification in medical billing and coding is required. Certification requirement may be waived for...Employer. The Guthrie Clinic is a non-profit, integrated, practicing physician -led organization in the Twin Tiers of New York… more
- Highmark Health (Harrisburg, PA)
- …and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all ... requirements. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate… more