- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims ... or AMA CPT, are assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and ... formal meetings with auditor or payor representatives in defense of coding appeals , as needed. + Maintain necessary audit/appeal activity documents including… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The Revenue Cycle Specialist II is responsible for performing a variety of complex duties, including working outstanding insurance claims ... and timely submission of claims follow up, reconsideration and appeals , response to denials, and re-bills of insurance claims,...& Follow-Up) + Knowledge of revenue and ICD 10 coding practices **Physical Requirements** + Manual dexterity of hands… more
- Guthrie (Sayre, PA)
- …all medical chart and account documentation in order to determine appropriate coding and initiate corrected claims and appeals . Interprets payer guidelines, ... HCPCS, modifier and linkage. 3. Initiates complex appeal procedures and submits appeals for billing resolution by utilizing proficient coding skills. Works… more