St. Luke's Health Network, Inc.Coding Appeals Specialist St. Luke's Health Network, Inc.Coding Appeals SpecialistAllentown, PAPart timeThe Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
JobotNewSenior Inpatient Coder (CIC/CCS) JobotSenior Inpatient Coder (CIC/CCS)Philadelphia, PARemote$30–$40 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals.
St. Luke's Health Network, Inc.Claims and Denial Coding Analyst St. Luke's Health Network, Inc.Claims and Denial Coding AnalystAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
St. Luke's Health Network, Inc.Inpatient Coding Specialist (Remote – Full Time | PA & NJ Candidates) St. Luke's Health Network, Inc.Inpatient Coding Specialist (Remote – Full Time | PA & NJ Candidates)Allentown, PARemoteFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. If candidate is RHIA, RHIT, CCS and/or CPC -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within one year of hire date to retain position with St.
Reed Smith USIP Docketing Specialist Reed Smith USIP Docketing SpecialistPittsburgh, Allegheny$27.93–$43.99Full timeThe IP specialist provides support with data management, data audit projects, and processing and docketing incoming and outgoing communications related to patent and trademark matters. Support the intellectual property practice group with data audit projects in Digital File, PATTSYWAVE and PracticeLink systems to ensure information aligns.
Reed Smith USHospitality Specialist Reed Smith USHospitality SpecialistPhiladelphia, Pennsylvania$17.19–$19.23Full timeService as back-up to the guest services specialist with answering phones, greeting visitors, reserving conference rooms and guest offices. Process or forward catering invoices along with appropriate billing information for reconciliation to the Business Center or other appropriate personnel in a timely fashion.
Reed Smith USLegal Recruiting Specialist Reed Smith USLegal Recruiting SpecialistPhiladelphia, Philadelphia$31.25–$36.06Full timeSupport end-to-end attorney recruiting by collecting and organizing interview feedback, reviewing resumes in connection with searches, and asking thoughtful questions to build understanding of the firm, practice groups, and legal landscape. Assist with on-campus recruiting season, create interview schedules, coordinate travel arrangements, prepare pre-arrival information and arrival packages, follow up with candidates.
Reed Smith USNewAlumni Relations Administrative Specialist Reed Smith USAlumni Relations Administrative SpecialistPittsburgh, PennsylvaniaFull timeThis role performs a variety of administrative duties, including scheduling meetings, processing invoices and travel reimbursements, monitoring the alumni relations LinkedIn feed, LinkedIn group, and Outlook inbox, and updating alumni information, job changes, career services information, and related content in the firm's CRM, SharePoint, alumni website, and other alumni relations platforms, as appropriate. Ability to work effectively with colleagues at all levels of the firm, establish positive working relationships, and respond to challenging situations with professionalism.
Reed Smith USPractice Innovation Specialist Reed Smith USPractice Innovation SpecialistPittsburgh, Allegheny$28.85–$32.69Full timeStrong communication and presentation skills, with the ability to explain technical concepts clearly to non-technical users, deliver user trainings on tools and established procedures, and share information effectively with internal stakeholders and project teams. The Practice Innovation Specialist supports the firm's intranet and extranet platforms and plays a key role in ensuring that attorneys, staff, and clients can reliably access high-quality, user-friendly digital experiences.
St. Luke's Health Network, Inc.NewEmergency Department Medical Coder (Remote PA/NJ) (Per Diem) St. Luke's Health Network, Inc.Emergency Department Medical Coder (Remote PA/NJ) (Per Diem)Allentown, PARemotePart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
St. Luke's Health Network, Inc.Emergency Department Medical Coder (Remote PA/NJ) St. Luke's Health Network, Inc.Emergency Department Medical Coder (Remote PA/NJ)Allentown, PARemoteFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Reed Smith USBilling Specialist Reed Smith USBilling SpecialistPittsburgh, Pennsylvania$22.60–$30.29Full timeMathematical aptitude and ability to organize/prioritize multiple assignments, work independently on various projects, and meet deadlines. Ability to maintain attention to detail while analyzing complex information, managing multiple priorities, and applying sound judgment to decisions.
Reed Smith USAccounts Payable Report Specialist Reed Smith USAccounts Payable Report SpecialistPittsburgh, Allegheny$24.08–$25.48Full timeThis role utilizes Emburse Enterprise to enter and process information within the accounting system and supports payment processing across various accounts payable functions. This position is responsible for reviewing and processing a high volume of paperless expense report submissions for attorneys and support staff, ensuring compliance with the firm's disbursement policies.
St. Luke's Health Network, Inc.CDI RN DRG Downgrades Appeals Review Specialist St. Luke's Health Network, Inc.CDI RN DRG Downgrades Appeals Review SpecialistAllentown, PAPart timeThe CDI RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
CAINewDocumentation Specialist II CAIDocumentation Specialist IIMiddletown, PA$40–$45This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. We are looking for a Documentation Specialist to convert engineering concepts into production-ready detailed drawings and maintain document control processes.
ExelonPrincipal Engineer – Transmission Scenario Planning - External Analysis Specialist ExelonPrincipal Engineer – Transmission Scenario Planning - External Analysis SpecialistKENNETT SQUARE, PA$122,400–$168,300Develops and/or leads teams in studies, plans, criteria, specifications, calculations, evaluations, design documents, performance assessments, integrated systems analysis, cost estimates, budgets, associated with the planning, design, licensing, construction, operation, and maintenance of Exelon's electric generation, transmission, distribution, gas and telecommunication facilities/systems. We are a Fortune 200 company, 20,000 colleagues strong serving more than 10.7 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).
St. Luke's Health Network, Inc.Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Professional Radiology BillingAllentown, PARemoteFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
St. Luke's Health Network, Inc.Accounts Receivable Specialist I St. Luke's Health Network, Inc.Accounts Receivable Specialist ISellersville, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
St. Luke's Health Network, Inc.Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Hospital BillingAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician BillingAllentown, PARemoteFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
St. Luke's Health Network, Inc.Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist - Hospital BillingAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
St. Luke's Health Network, Inc.Oncology Data Specialist, Certified (Cancer Data Registrar) - Full Time St. Luke's Health Network, Inc.Oncology Data Specialist, Certified (Cancer Data Registrar) - Full TimeBethlehem, PAFull timeAscertains all reportable malignant, reportable by agreement benign or borderline disease cases as defined by the American College of surgeons Commission on Cancer, FORDS Manual, PA Cancer Registry Manual, NJ Cancer Registry Manual, by reviewing pathology reports, radiation reports, and various hospital records. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
St. Luke's Health Network, Inc.Practice Prior Auth and Referral Specialist - Sleep Medicine St. Luke's Health Network, Inc.Practice Prior Auth and Referral Specialist - Sleep MedicineBethlehem, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.
St. Luke's Health Network, Inc.Recovery Specialist - Substance Use Disorders (Full-Time, 2nd shift) St. Luke's Health Network, Inc.Recovery Specialist - Substance Use Disorders (Full-Time, 2nd shift)Sellersville, PAFull timeThe Recovery Specialist has experience with behavioral health services and is willing to use and share their lived experience and first-hand knowledge to hospital patients and their family members to provide expertise around the recovery process, symptom management, and the persistence required by clients/families to have a recovery oriented and satisfying life. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
GeisingerNewRN - Registered Nurse - Clinical Documentation Improvement Educator GeisingerRN - Registered Nurse - Clinical Documentation Improvement EducatorDanville, PAMonitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the medical record. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.
St. Luke's Health Network, Inc.Professional Fee Coder(Remote PA/NJ) St. Luke's Health Network, Inc.Professional Fee Coder(Remote PA/NJ)Allentown, PARemotePart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
St. Luke's Health Network, Inc.Per Diem Professional Fee PA/NJ Remote Coder St. Luke's Health Network, Inc.Per Diem Professional Fee PA/NJ Remote CoderAllentown, PARemotePart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
St. Luke's Health Network, Inc.Professional Fee Coder (Radiology exp required) St. Luke's Health Network, Inc.Professional Fee Coder (Radiology exp required)Allentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
St. Luke's Health Network, Inc.Professional Fee Coder St. Luke's Health Network, Inc.Professional Fee CoderAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
St. Luke's Health Network, Inc.Provider Services Auditor St. Luke's Health Network, Inc.Provider Services AuditorAllentown, PAFull timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. At least 2 years of healthcare experience with background and competency in coding and documentation State and Federal regulatory requirements including Medicare, Medicaid and third-party payers as well as strong written/verbal communications skills preferred.
A-Line Staffing Solutions LLCMedical Billing Specialist A-Line Staffing Solutions LLCMedical Billing SpecialistHarrisburg, PA$22–$25 / hourProvide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding. · Provide proactive customer service to providers and recipients via inquiry lines, including guidance on proper billing practices and benefit understanding.
Diedre Moire Corp.Ins Claims Specialist Medical Malpractice - Pittsburgh, PA Diedre Moire Corp.Ins Claims Specialist Medical Malpractice - Pittsburgh, PAMcKnight, PA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
St. Luke's University Health NetworkCoding Appeals Specialist St. Luke's University Health NetworkCoding Appeals SpecialistAllentown, PAThe Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patients ability to pay for health care.
University of Pittsburgh Medical CenterCertified Coding Specialist I (Risk Adjustment University of Pittsburgh Medical CenterCertified Coding Specialist I (Risk AdjustmentPittsburgh, PAIf you enjoy digging into medical records, applying your coding expertise, and making a meaningful impact on data accuracy and patient care-you'll feel right at home here. On a typical day, you'll: Review inpatient, outpatient, physician, and emergency department records to assign accurate diagnosis and procedure codes.
Penn MedicineNewHIM Coding Specialist Penn MedicineHIM Coding SpecialistPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
St. Luke's University Health NetworkInpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates) St. Luke's University Health NetworkInpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates)Allentown, PARemoteIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. If candidate is RHIA, RHIT, CCS -eligible or possess no credentials, then candidate will be expected to obtain their AHIMA/AAPC credential within three years of hire date to retain position with St.
Highmark IncLead Hierarchical Condition Category (HCC) Coding Specialist (Remote) Highmark IncLead Hierarchical Condition Category (HCC) Coding Specialist (Remote)PARemoteApplies extensive clinical and coding knowledge and abilities, independently conducts coding research, aligns all aspects of audit, including coding adjudication and rebuttals with audit vendor, obtains provider attestations, identifies & obtains missing medical records, compares audit results to claims, and thoroughly reviews all in-house charts in chart repository for validation of audit. Completes analytics on providers and/or provider group coding trends and creates and delivers externally facing presentations to provider documentation and accuracy, act as the point person for the provider office for any questions and additional trainings, as needed.
Penn MedicineHIM Inpatient Coding Specialist III Penn MedicineHIM Inpatient Coding Specialist IIIPhiladelphia, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist III Job ID: 303888 Category: Health Information Management/Coding Work Type: FT Location: Philadelphia, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: - Missing Operative Notes - Missing Pathology Report - Physician Query Needed - Death Review - Discharge Disposition - Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
American Endovascular & Amputation PreventionCoding Specialist American Endovascular & Amputation PreventionCoding SpecialistGlen Rock, PARemoteDuties: Participate in the day-to-day tasks necessary to appropriately code and enter all charges related to patient services including gathering of all charges via automated and manual methods from the physicians and our EMR. Coding knowledge/experience specific to Interventional Radiology preferred but E&M coding experience required.
Penn MedicinePractice Coding Specialist II Radiation Oncology Penn MedicinePractice Coding Specialist II Radiation OncologyPhiladelphia, PARemoteReviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. The main focus of the Practice Coding Specialist II is to oversee coding processes and serve as a resource to other practice coders, helping to foster staff development, satisfaction, and achievement.
DatavantNewOutpatient Facility Coding FT DatavantOutpatient Facility Coding FTUnitedRemote$20–$35 / hourThe estimated base pay range per hour for this role is:$20—$35 USDTo ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
UnitedHealth Group IncCoding Quality Analyst UnitedHealth Group IncCoding Quality AnalystNewtown Square, PA$23.89–$42.69 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references.
Stout Risius Ross LLCAnalyst, Healthcare Medical Coding - Disputes, Claims & Investigations Stout Risius Ross LLCAnalyst, Healthcare Medical Coding - Disputes, Claims & InvestigationsPhiladelphia, PA$60,000–$130,000 / yearAbout Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators.
Penn MedicineHIM Inpatient Coding Specialist I Penn MedicineHIM Inpatient Coding Specialist IPhiladelphia, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist I Job ID: 287828 Category: Health Information Management/Coding Work Type: FT Location: Philadelphia, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: share to e-mail Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Demonstrates a consistent level of performance strives to maintain a steady level of productivity according to the following guidelines: HUP - Average of 7.5-11.5 inpatient records coded daily PPMC - Average of 7.5-11.5 inpatient records coded daily PAH - Average of 15 inpatient med/surg charts coded daily • Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
Keystone Rural Health CenterBilling & Coding Integrity Specialist Keystone Rural Health CenterBilling & Coding Integrity SpecialistChambersburg, PennsylvaniaUnder the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health. This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current knowledge of coding/billing regulations and guidelines.
St. Barnabas Health System IncHome Health RN--Oasis & Coding Specialist St. Barnabas Health System IncHome Health RN--Oasis & Coding SpecialistGibsonia, PAOur mission is to ensure that retirees live comfortably, regardless of their ability to pay, by offering luxurious accommodations and a full continuum of care in a community-focused environment. St. Barnabas Health System is one of Pennsylvania's largest healthcare systems, dedicated to providing compassionate and comprehensive care since 1900.
athenahealth IncCoding Denial Management Associate athenahealth IncCoding Denial Management AssociateHarrisburg, PA$50,000–$86,000 / yearWe offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. Lead detailed claim adjudication analysis to triage rejections, denials, and payer edits; convert adjudication scenarios into consumable, effective processes that identify true root causes and lead to successful outcomes.
Thomas Jefferson UniversityCoding Quality Reviewer/Audit Thomas Jefferson UniversityCoding Quality Reviewer/AuditPhiladelphia, PAThomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
St. Luke's University Health NetworkClaims and Denial Coding Analyst St. Luke's University Health NetworkClaims and Denial Coding AnalystAllentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.
Ensemble Health PartnersPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorPittsburgh, PA$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.