Utilization Management RN Coder - Newtown Square, PA

The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. · ...

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely.This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable polic ...

Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. · Abstracts data in compliance with national, regional, and local policies... · ...

A Clinical Dictionary Analyst is responsible for facilitating dictionary management processes and maintaining clinical dictionaries used in data analysis. · ...

The Claims Specialist is responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections. · ...

The Claims Specialist is responsible for the accurate and timely resolution of professional billing claim and clearinghouse edits as well as payer rejections. This includes registration-based edits, claim requirement data edits (e.g. missing admission date), provider enrollment e ...

The Coder provides coding services and support to assigned IPM Markets/Billing Entities. · ...

Coder provides coding services and support to assigned IPM Markets/Billing Entities utilizing clinical documentation in multiple electronic health record (EHR) systems. · ...

Coder provides coding services and support to assigned IPM markets/billing entities as required utilizing clinical documentation in multiple electronic health record systems. · ...

The Compliance Analyst (CA) I is responsible for audits, reviews, · and education related to professional fee billing for UPHS providers.The CA I is also responsible · for responding to inquiries, requests for consultation and developing content for provider education sessions. · ...

The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality with an affiliation with the ambulatory billing & compliance team. · The primary objective of this position is to improve the accuracy of coding, compliance and clinic ...

We are seeking a Professional Fee Coding Quality Lead to join our team at Penn Medicine. The successful candidate will have experience in coding and auditing inpatient and outpatient medical records. · Validate the accuracy of professional fees abstracted from medical records. · ...

The Compliance Analyst (CA) I is responsible for audits, reviews,and education related to professional fee billing for UPHS providers. · The CA I is also responsible for responding to inquiries, · requests for consultation and developing content · for provider education sessions. ...

The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, · Review and interpret patient medical record documentation (progress notes, operative reports, discharge summaries, charge documents) to determine services provided and identify pertinen ...

Breakthrough Makers will inspire you to pursue passions develop expertise and drive innovation At CHOP your experience is valued; your voice is heard; and your contributions make a difference for patients and families. · This role will be responsible for reviewing medical record ...

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This role is responsible for reviewing and analyzing billing processes, conducting documentation, coding, and billing audits, · and ensuring compliance with applicable healthcare regulations for the Children's Hospital of Philadelphia Practice Association (CHOPPA). · The position ...

Join our Coding Abstractionist Team as a Coding & Reimbursement Specialist supporting critical follow-up denial and claim edit work queues. · At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. · This role i ...

The Patient Financial Services Specialist will lead projects and support the leadership team as a Subject Matter Expert in their field. · Acts as subject matter expert in their department, manages projects to timely completion, troubleshoots issues and maintains accurate and comp ...

+Job Summary · This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services.Systematically r ...