- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Payment Integrity Coding Professional within Code Edit Vendor Management ... of situations or data requires an in-depth evaluation of variable factors. The Payment Integrity Coding Professional monitors and analyzes Code Edit… more
- Highmark Health (Harrisburg, PA)
- …consistent with established industry and corporate standards and are within the Payment Integrity Clinician's professional discipline.Effectively function in ... The incumbent is responsible for the implementation of effective Payment Integrity strategies on a pre- payment...coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the… more
- UPMC (Pittsburgh, PA)
- …processed and paid. This is your opportunity to make a real impact on payment integrity and compliance while collaborating with talented teams across the ... At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in...and internal teams to implement and maintain industry-standard clinical coding edits. Your insights will help us ensure compliance… more
- Geisinger (Danville, PA)
- …management, physicians, clinical and non-clinical personnel utilizing the national correct coding standards, approaches, and industry standard coding rules to ... and external strategies. Job Duties Minimum one certification required: + Certified Professional Coder CPC through AAPC + Certified Professional Biller through… more
- Humana (Harrisburg, PA)
- …claims initially paid correctly in the system) + Minimum of 2 years Provider Payment Integrity (formally known as Financial Recovery) experience + CAS claims ... to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working with the internal… more
- Geisinger (Danville, PA)
- …of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment against contracted payment ... of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider… more
- Quanta Services (King Of Prussia, PA)
- …Analysis: Produce and manage complex Excel spreadsheets to reconcile billing and payment discrepancies. + Accounts Receivable Integrity : Ensure accurate tracking ... position plays acritical rolein the Finance & Accounting Department, ensuring the integrity of accounts receivable and the timely, accurate invoicing of customers.… more
- Nelnet (Harrisburg, PA)
- …a professional services company, consumer loan originator and servicer, payment processor, renewable energy innovator, and K-12 and higher education expert (and ... lives through the power of service as a student loan servicer, professional services company, consumer loan originator and servicer, payments processor, renewable… more