- GE HealthCare (PA)
- **Job Description Summary** Working within the MIC NICU national team, as the Clinical Applications Specialist NICU, you will deliver clinical and ... support for the Maternal Infant Care product portfolio to clinical end-users. These clinical experts will facilitate...train etc.) as necessary. + Proficient use of software applications , such as, Windows Outlook, Word, PowerPoint, and Excel… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support and defend the… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that… more
- Highmark Health (Harrisburg, PA)
- …to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC , ZPIC, etc. Determine appeal action, prepare appeal letter follow up and ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more