- CVS Health (Harrisburg, PA)
- …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
- Penn Medicine (Bala Cynwyd, PA)
- …and timely claim submission. . Review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures preformed . In ... Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of … more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …them to achieve their goals. Our talented team delivers actuarial, audit , corporate communications, financial and investment, human capital services, information ... to our customers. Job Summary We're seeking a talented Digital Media Specialist to create compelling digital content for local, national and global audiences.… more
- Banner Health (PA)
- …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... to work and receive care. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you bring your **5 years of acute care inpatient… more
- UPMC (Pittsburgh, PA)
- …ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post- Audit Training:** Conduct post- audit compliance ... training sessions for physicians and non-physician practitioners based on audit results. These sessions will provide education specific to the issues found during… more
- UPMC (Pittsburgh, PA)
- …ICD-10-CM, CPT, and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** ... laws, regulations, and policies. . **Reporting:** Prepare written reports of audit results, including recommendations for improvement and compliance with state and… more