- Geisinger (Wilkes-Barre, PA)
- …to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we've built an innovative culture that ... lasting career with impact. Job Duties The Registered Nurse Program Integration Specialist for Trauma serves in an expanded role to oversee trauma performance… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. As a Hardware Asset Lifecycle Management Specialist , you will establish the intelligent foundation of IT Asset Management - where ... for HAM processes, familiarization with asset management tools, and data quality across the enterprise including process optimization initiatives utilizing AI/ML to… more
- Medtronic (Erie, PA)
- …valid driver's license is essential for this role. At Medtronic, the Clinical Specialist supports the Pelvic Health Therapy groups in the areas of surgical coverage, ... at the regional and/or national level. . Has an understanding of all quality policy/system items that are applicable. . Follows all work/ quality procedures… more
- UPMC (Williamsport, PA)
- …Staff Services department at UPMC Williamsport is seeking a full-time Credentialing Specialist ! In this role, you will facilitate the credentialing, privileging, and ... + Provides support for the reappointment process. + Commit to high quality , safe work; encourage others to have similar standards. Identify processes/systems that… more
- Highmark Health (Harrisburg, PA)
- …Data Validation (RADV) Audits. Works closely with physicians, team members, Quality , Compliance, partners at Enterprise and leadership to identify and deliver ... high quality and accurate risk adjustment coding. Supports all Remote...years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS ** **Required** (any of the following) + Certified Professional… more
- Utilities Service, LLC (Reading, PA)
- **Description** ArborMetrics is currently hiring a **Technical Production Support Specialist ** to support our growing team. We're looking for a motivated, ... (Full-Time Employees). + Ongoing training and assistance with obtaining industry certifications . **WHAT YOU WILL DO:** _End User Support_ + Provide exceptional… more
- UPMC (Pittsburgh, PA)
- …solving problems, this role is for you! As a Payment Optimization Support Specialist , you'll be the key player ensuring accurate, timely, and compliant handling of ... Retrieve and organize medical records from multiple systems with precision. + Perform quality checks to ensure accuracy before sending records. + Merge and prepare… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient ... within the scope of the role. + Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. + Utilizes all resources and… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Specialist codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS ... ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment + Maintains 95% data quality coding accuracy rate as measured through quarterly department quality … more
- St. Luke's University Health Network (Allentown, PA)
- …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... payers. Meet or exceed established benchmarks for productivity while maintaining quality . + Identify and provide feedback, including identification of trends, to… more