- WelbeHealth (Harrisburg, PA)
- …values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Highmark Health (Harrisburg, PA)
- …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
- St. Luke's University Health Network (Allentown, PA)
- …with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor / Educator . Demonstrate the ability to formulate an appeal rationale based ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO,… more