NewCoding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeIndiana, PA$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorIndiana, PARemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
Manager, Risk Adjustment Coding Millennium Physician GroupManager, Risk Adjustment CodingIndiana, PAS/he performs duties to conduct the day-to-day management of the MRA Team Supervisors and team functions by communicating with other operational departments and provider offices. S/he will participate in the development, implementation, and performance of workflows for reviewing electronic medical records aimed at improving the health and well-being of patients through appropriate identification of chronic disease conditions.
Supervisor, Risk Adjustment Coding-1 Millennium Physician GroupSupervisor, Risk Adjustment Coding-1Indiana, PAConduct audits of Risk Adjustment Coding Specialist work to validate the accuracy and completeness of diagnosis suspects, claim submission, and/or retrospective reviews identifying and resolving any discrepancies or areas for improvement. The worker must have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
DRG Clinical Auditor Principal Elevance HealthDRG Clinical Auditor PrincipalIndiana, PA$122,240–$183,360 / yearSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Clinical Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Account Follow-Up Representative I Harris Computer SystemsAccount Follow-Up Representative IIndiana, PARemote$18–$26 / hourTimely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient's insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
Profee Audit & Education Specialist - FT DatavantProfee Audit & Education Specialist - FTUnitedRemote$35–$45 / hourWhat We're Looking For: As a Profee Auditing & Education Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To 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.
ProFee Audit Specialist- PRN DatavantProFee Audit Specialist- PRNUnitedRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. The estimated base pay range per hour for this role is: $35—$45 USD To 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.
NewRisk Adjustment Provider Educator Millennium Physician GroupRisk Adjustment Provider EducatorIndiana, PAThe Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. In addition, this role will facilitate and provide detailed analysis, reporting, training, education, and support to Providers and staff to promote accurate clinical documentation along with HCC opportunities identified via performed analysis.
Director, Field Market Access Beam TherapeuticsDirector, Field Market AccessUnited$210,000–$260,000 / yearAs a key member of the commercial organization, this individual will play a critical role in supporting coverage and ensuring appropriate patient access for Beam's first commercial product, risto-cel, an investigational ex vivo gene therapy being studied for the treatment of Sickle Cell Disease. Beam's suite of gene editing technologies is anchored by base editing, a proprietary technology that is designed to enable precise, predictable and efficient single base changes, at targeted genomic sequences, without making double-stranded breaks in the DNA.
Medical Office Assistant LifePoint HospitalsMedical Office AssistantNanty Glo, PAProvides front office support duties including, but not limited to, obtaining referrals and pre-certifications, collecting co-pays and missing patient data, scheduling appointments, and coding fee slips. Performs administrative or clerical duties as assigned, including filing, reception, scheduling, data entry, and patient registration.
Software Engineer Pantherx Specialty LLCSoftware EngineerRobinson, PARelational database (RDBMS) technology such as: Microsoft SQL Server, MySQL or PostgreSQL with a solid understanding of SQL. In every line of service, in every position and area of expertise, PANTHERx associates are driven to provide the highest quality outcomes for our patients.
Account Representative/Cash Poster University of Pittsburgh Medical CenterAccount Representative/Cash PosterAltoona, PAPerform duties and job responsibilities in a fashion, which coincides with the service management philosophy of UPMC Health System, including the demonstration of The Basics of Service Excellence towards patients, visitors, staff, peers, physicians, and other departments within the organization. Ensure claims are submitted accurately and timely, communicate with insurance companies, patients and physicians regarding payment issues, establish reasonable payment arrangements and recommend adjustments according to UPMC policies.
Patient Services Associate - Orthopedics, Casual Float Independence Health SystemPatient Services Associate - Orthopedics, Casual FloatLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Lung Center Independence Health SystemPatient Services Associate - Lung CenterLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Womens Health Independence Health SystemPatient Services Associate - Womens HealthLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
Patient Services Associate - Urology Independence Health SystemPatient Services Associate - UrologyLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. Effective March 2020 or during pandemic: goggles, face shield and mask are required according to CDC guidelines.
PATIENT SERVICES ASSOCIATE - WOMENS HEALTH Independence Health SystemPATIENT SERVICES ASSOCIATE - WOMENS HEALTHPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
PATIENT SERVICE ASSOCIATE - ORTHOPEDICS AND SPORTS MEDICINE - FLOAT Independence Health SystemPATIENT SERVICE ASSOCIATE - ORTHOPEDICS AND SPORTS MEDICINE - FLOATUnity Township, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. This job description is not designed to contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CAREPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.