143 Results for

Medical Review Specialist Jobs in Allentown, PA

Jobs

Allentown, PA20 days ago

Part-time

The 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.

Allentown, PA20 days ago

Part-time

The 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.

New!

Allentown, PA5 days ago

Remote

Full-time

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. 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.

Allentown, PA20 days ago

Part-time

Occasionally lift and/or carry 50 lbs Frequently lift and/or carry 25 lbs Stooping (bending at the waist) and crouching (stooping and bending at the knee) Sit at least 6 hours in an 8-hour workday Finger and hand dexterity necessary to handle office equipment Visual and auditory acuity required to provide job functions. 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.

Easton, Pa20 days ago

Full-time

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. 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.

Sellersville, PA20 days ago

Full-time

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. 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.

Allentown, PA20 days ago

Full-time

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. 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.

Bethlehem, PA20 days ago

Full-time

Ascertains 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.

Allentown, PA17 days ago

Remote

Full-time

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. 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.

Allentown, PA20 days ago

Remote

Full-time

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. 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.

New!

Allentown, PA5 days ago

Full-time

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. Review medical record(s) for completeness, accuracy, consistency and clinical evidence for severity of illness (appropriate capture of true disease burden and quality using official Risk Adjustment and relevant official documentation/coding guidelines.

New!

Allentown, PA4 days ago

Full-time

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. 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.

New!

Bethlehem, PA1 day ago

$18.50–$35.29

The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. As required, conduct routine quality control checks including infection control measures, equipment, and checks for expired medication and supplies and/or assist in maintaining center lab.

New!

Allentown, PA1 day ago

$18.50–$35.29

The purpose of a Medical Assistant at Oak Street Health is to gather all necessary medical information regarding our patients to ensure providers have the most accurate information available when making healthcare decisions. Computer skills: Ability to quickly navigate and use multiple computer programs to include, but not limited to: Gmail, MS Word or Google Docs, Excel or Google Sheets, etc.

Bethlehem, PA20 days ago

Full-time

Bachelor's degree in a chemical or biological science or medical technology from an accredited institution; and have at least 2 years of laboratory experience in non-waived testing in the designated specialty or subspecialty areas of service for which the technical coordinator is responsible. 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.

Allentown, PA20 days ago

Part-time

Interacts with the Network’s Crisis Intervention team / external sources and the Behavioral Health unit staff to facilitate admission decisions and placement, may need to coordinate with other crisis team members to assist with Emergency Department patient flow and appropriate placement issues. 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.

Allentown, PA20 days ago

Part-time

Allentown, PA20 days ago

Full-time

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. Maintains an adequate knowledge base of the Pennsylvania Workers’ Compensation Act and OSHA recordability and demonstrates competency in these areas as assessed by case management review of the medical record.

Bethlehem, PA20 days ago

Full-time

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. The St. Luke’s Physician provides medical services in the general care and treatment of patients in both practice and hospital settings.

Allentown, PA11 days ago

Part-time

Responsible for accurate and timely pre-registration, submission of prior authorizations for SLPG Primary Care and Specialty practices, submission of insurance referrals for all Primary Care and Care Now departments, peer to peer evaluations, verification and validation of all financial information, and Point of Service cash collection for all services assigned to ensure proper reimbursement. 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.

Easton, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments; gives injections or immunizations within State guidelines.

Sellersville, PA20 days ago

Full-time

Harleysville, PA20 days ago

Full-time

Bethlehem, PA20 days ago

Full-time

Center Valley, PA20 days ago

Full-time

Phillipsburg, NJ20 days ago

$17.20–$25.80 Per Hour
Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Palmerton, PA20 days ago

Full-time

Allentown, PA20 days ago

Full-time

Sellersville, PA20 days ago

Full-time

Sellersville, PA20 days ago

Full-time

Center Valley, PA20 days ago

Full-time

Tamaqua, PA20 days ago

Full-time

Provides other patient care services as needed/directed: keeps exam rooms clean; maintaining clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations; within State approved scope of practice; phlebotomy; pulmonary functions/nebulizer; EKG; OB/GYN exams assist as needed. As appropriate assists with scheduling outpatient testing, pre-certifying patients for procedures and referral processing, responds to patient communications within practice guidelines, refill medications per practice protocol, provides patients with information relating to their visit (info packets, vaccine advisory sheets, etc).

Allentown, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Souderton, PA20 days ago

Full-time

Quakertown, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Allentown, PA20 days ago

Full-time

Harleysville, PA20 days ago

Full-time

Kutztown, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Sellersville, PA20 days ago

Full-time

Macungie, PA20 days ago

Full-time

Allentown, PA11 days ago

Full-time

Allentown, PA20 days ago

Full-time

Walnutport, PA20 days ago

Full-time

Allentown, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Stroudsburg, PA20 days ago

Full-time

Easton, PA20 days ago

Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Bethlehem, PA20 days ago

Full-time

Easton, PA18 days ago

Full-time

Phillipsburg, NJ20 days ago

$17.20–$25.80 Per Hour
Full-time

Communicates and coordinates with providers or Care Team regarding hospital discharge, Emergency Department visits, consulting physicians, community resources, disease management, patient self-management, patient and/or family education on chronic conditions, and labs or other testing as well as specialist visits. 4. Provides other patient care services as needed/directed: keeps exam rooms clean; maintains clinical supplies in exam rooms; cleans and autoclaves contaminated instruments ; gives injections or immunizations within State guidelines.

Harleysville, PA20 days ago

Full-time

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Medical Review Specialist Jobs in Allentown, PA

CDI RN DRG Downgrades Appeals Review Specialist St. Luke's Health Network, Inc.

Coding Appeals Specialist St. Luke's Health Network, Inc.

Inpatient Coding Specialist (Remote – Full Time | PA & NJ Candidates) St. Luke's Health Network, Inc.

Nursing Workforce Staffing Specialist-Weekend Nights (Saturday/Sunday 6p-6:30a) St. Luke's Health Network, Inc.

Practice Prior Authorization and Referral Specialist - Radiation Oncology St. Luke's Health Network, Inc.

Accounts Receivable Specialist I St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Hospital Billing St. Luke's Health Network, Inc.

Oncology Data Specialist, Certified (Cancer Data Registrar) - Full Time St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.

Accounts Receivable Specialist- Professional Radiology Billing St. Luke's Health Network, Inc.

Risk Adjustment Clinical Documentation Specialist St. Luke's Health Network, Inc.

Accounts Receivable Specialist - Hospital Billing St. Luke's Health Network, Inc.

Medical Assistant/Phleb Oak Street Health

Medical Assistant Float Oak Street Health

Technical Specialist Hematology St. Luke's Health Network, Inc.

Crisis Intake and Referral Specialist, Behavioral Health (PartTime Evenings) St. Luke's Health Network, Inc.

Crisis Intake & Referral Specialist, Per Diem St. Luke's Health Network, Inc.

Physician - Gastroenterologist IBD Specialist St. Luke's Health Network, Inc.

Neurology Physician - Movement Disorders Specialist St. Luke's Health Network, Inc.

Network Prior Auth & Referral Specialist St. Luke's Health Network, Inc.

Medical Assistant - Anderson Family Medicine St. Luke's Health Network, Inc.

Medical Assistant, Pediatric Primary Care, Sellersville St. Luke's Health Network, Inc.

Medical Assistant, Pediatric Primary Care, Harleysville St. Luke's Health Network, Inc.

Medical Assistant - Chiropractic, Bethlehem St. Luke's Health Network, Inc.

Medical Assistant, Practice Operations - Neurology St. Luke's Health Network, Inc.

Certified Medical Assistant, New Jersey Float Pool SLPG St. Luke's Health Network, Inc.

Medical Assistant - Palmerton, Primary Care St. Luke's Health Network, Inc.

Medical Assistant, OBGYN St. Luke's Health Network, Inc.

Medical Assistant, Infectious Diseases St. Luke's Health Network, Inc.

Medical Assistant, Pulmonary St. Luke's Health Network, Inc.

Medical Assistant, Coopersburg Pediatrics St. Luke's Health Network, Inc.

Medical Assistant - Full Time - Star Community Health Rural Health Clinics St. Luke's Health Network, Inc.

Registered Medical Assistant - Cardiovascular St. Luke's Health Network, Inc.

Medical Assistant, Souderton Primary Care St. Luke's Health Network, Inc.

Medical Assistant, Quakertown Primary Care St. Luke's Health Network, Inc.

Medical Assistant - Cedar Point Primary Care, Allentown St. Luke's Health Network, Inc.

Medical Assistant, Lederach Primary Care St. Luke's Health Network, Inc.

Medical Assistant - Orthopedics; Kutztown/Allentown St. Luke's Health Network, Inc.

Medical Assistant, Gastroenterology St. Luke's Health Network, Inc.

Medical Assistant - Sleep Medicine St. Luke's Health Network, Inc.

Medical Assistant, Ophthalmology, Allentown St. Luke's Health Network, Inc.

Medical Assistant - Allentown Gastroenterology Practice Based and Float St. Luke's Health Network, Inc.

Medical Assistant, Walnutport Family Practice St. Luke's Health Network, Inc.

Medical Assistant, Float Pool SLPG; Allentown/West Region St. Luke's Health Network, Inc.

Medical Assistant, Monroe Family Practice St. Luke's Health Network, Inc.

Medical Assistant, Easton Nephrology Practice Based and Float St. Luke's Health Network, Inc.

Medical Assistant - Cardiology EP & Device St. Luke's Health Network, Inc.

Medical Assistant - Cardiovascular St. Luke's Health Network, Inc.

Certified Medical Assistant, St. Luke's Physician Group NJ Areas St. Luke's Health Network, Inc.

Medical Assistant, Harleysville Primary Care St. Luke's Health Network, Inc.

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