- Community Health Systems (Kingston, PA)
- **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing , and follow-up to ensure timely and accurate ... compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic staff… more
- University of Pennsylvania (Philadelphia, PA)
- …of Medicine and reports directly to the Associate Director, PSOM Office of Clinical Research Compliance . The Clinical Quality Specialist will work as part ... of Medicine and reports directly to the Associate Director, PSOM Office of Clinical Research Compliance . The Clinical Quality Specialist will work as part… more
- Geisinger (Danville, PA)
- …and negotiation processes. + Maintains active partnerships with the Office of Research Compliance , IRB Operations, Research Finance, Insurance Risk ... Job Summary The Research Contracts Specialist position supports principal...determination review and Medicare coverage analyses to ensure regulatory compliance . + Creates clinical research study budgets… more
- Guthrie (Sayre, PA)
- …and payer guidelines resulting in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects, request ... submission issues. 2. Works closely with a Denial Resolution Specialist or Billing Specialist II...policies, payer guidelines and other sources in order to research rejections to secure appropriate payment. 4. Provides back… more
- St. Luke's University Health Network (East Stroudsburg, PA)
- …level of competence related to policies of various insurance companies and Epic-related billing functions. + Ensure compliance with coding guidelines and ... ability to pay for health care. The Charge Review Specialist is responsible for ensuring accurate and timely revenue...paid claim. JOB DUTIES AND RESPONSIBILITIES: + Utilize fundamental billing and coding knowledge to resolve warnings and errors,… more
- TEKsystems (Woodlyn, PA)
- About the Role We're seeking a detail-oriented and customer-focused Billing Sales Support Specialist to join our dynamic team. In this role, you'll provide ... discrepancies. + Cross-Functional Collaboration: + Work with internal teams and vendors ( Compliance , Tech Support, Finance, Billing IT) to resolve operational… more
- Penn Medicine (Philadelphia, PA)
- …procedures. + Monitors assignments of ICD-10CM and CPT-4 coding to ensure full compliance with all billing requirements in accordance with federal and state ... the highest level of care to patients, conducting innovative research , and educating future leaders in the field of...you living your life's work? Job Title: HIM Coding Specialist Department: RAD-O-RBO Coding Location: Centre Square West Tower-… more
- Redeemer Health Home Care & Hospice (Meadowbrook, PA)
- …journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 guidelines, ... with health system specific coding policies and procedures. The Coding Specialist will assist the assigned HRPAS hospital based providers with instruction,… more
- UPMC (Pittsburgh, PA)
- …and procedures are accurately coded and sequenced according to coding and compliance guidelines. + Review billing data when conducting focused chart ... UPMC Corporate Revenue Cycle is hiring a DRG Specialist II to join our coding team! This...utilization, diagnostic complications and co-morbidities have been coded in compliance with coding guidelines, third-party payer and OIG regulations.… more
- UPMC (Pittsburgh, PA)
- UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home position ... and PCS procedures have been coded accurately and completely in compliance with coding guidelines, third-party payer and OIG regulations. **Responsibilities:** +… more