Billing Specialist Mitchell MartinBilling SpecialistPhiladelphia, PA$21.65–$24 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. • This role involves processing claims, addressing denials, and posting payments efficiently.
NewAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald Hospital VituityAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald HospitalDarby, PAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
NewCNC Machinist Ingersoll RandCNC MachinistIVYLAND, PAThis role will be responsible for setting up, adjusting, programming with assistance, G-coding, and operating machine tools with guidance to create products according to engineering specifications, ensuring high quality and efficiency in a manufacturing facility. We produce innovative and mission-critical flow creation and life science technologies – from compressors to precision handling of liquids, gasses, and powers – to increase industrial productivity, efficiency, and sustainability.
NewMedical Scribe Oak Street HealthMedical ScribePhiladelphia, PA$17–$31.30Scribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Coding 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.
NewDirector, Med Coding Merck & Co IncDirector, Med CodingNorth Wales, PA$173,200–$272,600 / yearThe Director, Medical Coding is accountable for the global leadership of Safety Data Management (SDM), Individual Case Safety Report (ICSR) management, medical coding operations, quality oversight, inspection readiness, system enablement, process optimization, and people leadership. Provide strategic leadership and oversight of global Safety Data Management (SDM) operations, ensuring compliant, high-quality execution of case processing, medical coding, documentation, and training activities.
Supervisor, Coding Data Management & Education Christiana Care Health SystemSupervisor, Coding Data Management & EducationWilmington, DE$79,497.60–$127,212.80 / yearPRIMARY FUNCTION: Provides operational oversight for HIMS (Health Information Management Services) coding data quality monitoring and coder education activities to support the accuracy, integrity, productivity, and compliance of coded data in alignment with organizational, regulatory, and reimbursement objectives. Performs or assigns record review activities related to pre‑bill edit resolution, internal coding audits, and responses to internal or external audit requests (e.g., RAC, OIG, Internal Audit, Compliance) or coding accuracy validation requests.
Coding Educator, Avenue North - Hybrid Christiana Care Health SystemCoding Educator, Avenue North - HybridWilmington, DERemote$35.39–$56.63 / hourIncredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, insurance and much more! Performs coding quality audits of all records (outpatient, inpatient, procedures, testing) to assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid Services (CMS) guidelines and provide ongoing feedback and analysis of the education needs for the providers and staff.
Coding Quality Reviewer Educator Remote Cooper University Health CareCoding Quality Reviewer Educator RemoteCamden, NJRemoteApplicant must have demonstrated proficiency in coding inpatient accounts, ICD-10, PCS coding, and/or complex outpatient coding of Observation, Radiation Oncology, Chemotherapy Infusion, Surgery, Cardiology Cath, EP, and/or Interventional Radiology. License/Certification Requirements: One or more of the following are required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC, and/or any of the Core Credentials or specialty credential of AAPC or AHIMA.
Data Engineer - AI Coding Expert - AI Trainer MercorData Engineer - AI Coding Expert - AI TrainerPhiladelphia, PennsylvaniaRemoteReview model-generated implementations involving ETL pipelines , data warehouses , analytics platforms , and distributed data systems . Regular use of AI coding agents such as Cursor, Claude Code, Codex, Windsurf, Gemini CLI, or similar tools.
Scratch & Intro to Coding Teaching Opportunities Concorde EducationScratch & Intro to Coding Teaching OpportunitiesPhiladelphia, PA$50–$100 / hourSome programs provide established lesson plans and project guides, while others allow instructors flexibility to incorporate age-appropriate coding activities and creative projects that align with assignment objectives and school expectations. Assignment offers remain contingent upon factors including program availability, instructor qualifications, school partner approval, scheduling compatibility, successful completion of any legally required background review or clearance process, and final written assignment confirmation.
Medical Coding Specialist (32473) ExamWorks Group IncMedical Coding Specialist (32473)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
NewMedical Coding Specialist (32635) ExamWorks Group IncMedical Coding Specialist (32635)Mount Laurel, NJExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Medical Coding Coordinator Pyramid, IncMedical Coding CoordinatorPhiladelphia, PAFull timeBring your drive for excellence, team orientation and customer commitment to Independence Client; help us renew and reimagine our business and shape the future of health care. If this describes you, we want to speak with you Ensures accurate medical coding related to technology assessments, medical policies, claim payment policies and adhoc coding projects.
Manager - Coding University Health Services IncManager - CodingWAYNE, PAHealthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements Thorough understanding of the revenue cycle and how the various components work together Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations AAPC CPC Certification required Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable As an IPM employee you will be part of a first-class organization offering: A Challenging and rewarding work environment.
NewProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA AL Capital HealthProfessional Coding and Documentation Improvement Specialist - PT - Day - Physician Professional Coders Remote NJ PA ALPARemote$29.27–$38.25 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity.
OASIS Review and Coding Specialist RN / PT / OT / SLP Bayada Home Health Care, Inc.OASIS Review and Coding Specialist RN / PT / OT / SLPPennsauken, NJRemote$77,000–$80,000 / yearProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Active State RN Nursing License, Physical (PT), Occupational (OT) or Speech (SLP) Therapists with required certifications with a minimum of 2 years clinical experience.
OASIS Review and Coding Specialist Non-Clinical Bayada Home Health Care, Inc.OASIS Review and Coding Specialist Non-ClinicalPennsauken, NJRemoteProvide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Responsibilities: Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
Service Line Coding Administrator (40 Hrs/Days/Hybrid)(Temple Health) Temple University Health SystemService Line Coding Administrator (40 Hrs/Days/Hybrid)(Temple Health)Philadelphia, PASecond, the Administrator is directly responsible for the organization and management of the point of care coding documentation improvement program for their individual service line. As such, the Administrator must possess an expert knowledge of the documentation issues that impact service line metrics and create strategies to optimize performance.
NewAssociate Director Revenue Cycle & Coding Cooper University Health CareAssociate Director Revenue Cycle & CodingCamden, NJThe Associate Director leads revenue cycle initiatives across multiple surgical specialties, utilizing data analytics and process improvement methodologies to improve key performance indicators while supporting exceptional patient and provider experiences. Monitor and improve key performance metrics including charge capture, coding accuracy, accounts receivable, denial rates, clean claim rate, reimbursement, lag days, and cash collections.
Service Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health) Temple HealthService Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health)Philadelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
Service Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health) Temple University Health SystemService Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health)Philadelphia, PAThen join Temple Physicians, Inc. '',''Pennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Operational Admin & Management'',''Operational Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''404112'',''404112'',''true'',''404112'',''false'',''Submission for the position: Service Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health) - (Job Number: 262753)'',''false'',''404112'',''false'',''true''. ''404112'',''true'',''404112'',''false'',''Submission for the position: Service Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health) - (Job Number: 262753)'',''false'',''404112'',''false'',''true'',''Service Line Coding Administrator (40 hrs/Days/Hybrid)(Temple Health)'',''262753'',''!*!
Summer Camp Coding, Digital Arts, or Game Development Assistant Teacher Black Rocket ProductionsSummer Camp Coding, Digital Arts, or Game Development Assistant TeacherAmbler, PA$13–$14 / hourStrong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.
Coding Auditor University Health Services IncCoding AuditorWAYNE, PAMeets continued education guidelines to maintain current AAPC CPC certification Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality or revenue to enhance clinical documentation to support codes billed, drive consistency across IPM, mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesPhiladelphia, PA$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Code Ninjas Sensei Code NinjasCode Ninjas SenseiMarlton, New JerseyWe are looking for a code ninjas sensei to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
ESL TEACHER (3) NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL TEACHER (3) NJDOE Endorsement Code #1475 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Elementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 Required Trenton Public SchoolsElementary Teacher Gr. 6 NJDOE Endorsement Code #1013 or #1001 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
ESL Teacher NJDOE Endorsement Code #1475 Required Trenton Public SchoolsESL Teacher NJDOE Endorsement Code #1475 RequiredTrenton, NJAll certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE). PERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students.
Bilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 Required Trenton Public SchoolsBilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 RequiredTrenton, NJid='p9342_'>Bilingual Elementary Teacher Grade 1 NJDOE Endorsement Code #1000, #1001 or #1013 Required JobID: 9342. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
Bilingual Kindergarten Teacher NJDOE Endorsement Code #1000, #1001 or #1013 Required Trenton Public SchoolsBilingual Kindergarten Teacher NJDOE Endorsement Code #1000, #1001 or #1013 RequiredTrenton, NJ$71,525–$117,475 / yearid='p9403_'>Bilingual Kindergarten Teacher NJDOE Endorsement Code #1000, #1001 or #1013 Required JobID: 9403. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred Trenton Public SchoolsAnticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert PreferredTrenton, NJid='p9376_'>Anticipated Vacancy Kindergarten Teacher NJDOE Endorsement Code #1000 #1001 #1013 Required Cert Preferred JobID: 9376. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
School Psychologist NJDOE Endorsement Code #3100 Required Trenton Public SchoolsSchool Psychologist NJDOE Endorsement Code #3100 RequiredTrenton, NJ$71,525–$117,475 / yearPERFORMANCE RESPONSIBILITIES: Develops and implements written instructional plans that meet the diverse needs, abilities, and interests of all students. All certificated positions require a valid certificate issued by the New Jersey Department of Education (NJDOE).
Urgent Care - Partner Veterinarian - Bryn Mawr , {State_Code UsvtaUrgent Care - Partner Veterinarian - Bryn Mawr , {State_CodeBryn Mawr, PennsylvaniaAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
General Practice Care - Associate Veterinarian - Ambler , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Ambler , {State_CodeAmbler, PennsylvaniaAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
General Practice Care - Associate Veterinarian - Plymouth Meeting , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - Plymouth Meeting , {State_CodePlymouth Meeting, PennsylvaniaAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
NewMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelPhiladelphia, PennsylvaniaThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Billing Specialist Philadelphia FightBilling SpecialistPhiladelphia, PAFull timeConducts all billing activities for managed care, commercial insurance Medicare and Medicaid, including verifying insurance, processing patient claims for services rendered, processing data batches, transmitting/submitting documents to insurance companies, etc. Recognizes, interprets and evaluates inconsistencies, discrepancies and inaccuracies in accounts receivable and system files and initiates appropriate corrective methods; works to increase error resolution/denial management.
Medical Billing Specialist (GSD) ConnectAmerica LLCMedical Billing Specialist (GSD)PAThe purpose of the Medical Billing Specialist role is to: Support our life-saving Lifeline products by using your medical billing and collecting experience to obtain maximum reimbursement while establishing strong relationships with insurance companies and customers. With the easy-to-use personal emergency response, remote patient monitoring and medication management systems, Connect America/Lifeline processes more than 250,000 emergency signals and data transmissions each month and has protected more than 1 million lives.
Senior Compliance Audit & Education Specialist Temple University Health SystemSenior Compliance Audit & Education SpecialistPhiladelphia, PAPennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Operational Admin & Management'',''Operational Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''405161'',''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true''. ''405161'',''true'',''405161'',''false'',''Submission for the position: Senior Compliance Audit & Education Specialist - (Job Number: 263313)'',''false'',''405161'',''false'',''true'',''Senior Compliance Audit & Education Specialist'',''263313'',''!*!Responsible for reviewing and auditing coded records across specialties for coding and compliance quality.
Medical Billing Specialist Center for Advanced Eye CareMedical Billing SpecialistWilmington, DEFull timeWhat You'll Need: Two years of full-time medical billing experience, which includes proficiency working in electronic health record systems, CPT and ICD-10 coding, posting payments and clinic billing; OR an equivalent combination of related training and experience. We are aligned to ensure our communities can access patient-centered, medically oriented full service eyecare delivered in convenient locations with friendly, knowledgeable doctors and staff.
Billing Supervisor PRIMARY HEALTH NETWORK, INC.Billing SupervisorMercer County, NJEssential Function: Ensures the activities of the billing operations within the Network are conducted in a manner that is consistent with overall department protocol, and are in compliance with federal, state, and payer regulations, guidelines and requirements. The mission of Primary Health Network is to enhance the health and well-being of the communities we serve by fostering trust and ensuring inclusive and equitable access to healthcare that is both compassionate and exceptional.
Medicaid Billing Administrator - Intern (Unpaid) Neuropath Healthcare SolutionsMedicaid Billing Administrator - Intern (Unpaid)Cherry Hill, New JerseyAt Neuropath Healthcare Solutions, we provide comprehensive technology-driven healthcare solutions for healthcare organizations, including hospitals, long-term care, outpatient facilities, and residential treatment. The Medicaid Billing Administrator Internship at Neuropath Behavioral Healthcare is designed to provide students and recent graduates with practical training and exposure to healthcare billing processes.
Sr. Coder Thomas Jefferson UniversitySr. CoderPhiladelphia, PennsylvaniaJefferson 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. Thomas 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.
NewBilling Manager Southern Jersey Medical Centers IncBilling ManagerMarlton, NJSummary: Responsible for managing and coordinating the overall functions of the patient billing cycle, including patient accounting, billing/claims, and collections for federally qualified health centers ("FQHC"). Manages and oversees insurance, billing, accounting systems, and EMR systems, and works with Information Technology to ensure timely and accurate enhancements and implementations.
Senior Compliance Audit & Education Specialist Temple HealthSenior Compliance Audit & Education SpecialistPhiladelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
NewWorkers Comp Clinical State Manager IvyrehabWorkers Comp Clinical State ManagerPhiladelphia, PennsylvaniaRemoteDrive Workers’ Comp KPI Metrics, including but not limited to Workers’ Comp Visits, New Patients, LOS, SFQ, coding accuracy for PT/OT and Work conditioning payor mix, functional capacity evaluations, SSG planning, and other industrial specialty services. Responsible for implementation, monitoring and reporting on results of assigned special projects nurse case manager CEUs, social media blogs, workers’ comp networking/conference activities, and integration/companywide trainings.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistPA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)PA$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Sr Charge Master Analyst Remote Cooper University Health CareSr Charge Master Analyst RemoteCamden, NJRemoteAdvises and instructs providers, department managers, end users regarding billing and documentation policies, procedures and regulations; interacts with Cooper University Health Care staff regarding incorrect charging, conflicting coding, ambiguous documentation, obtaining clarification of same and educate in regard to changes and measuring compliance. Responsibilities include: Oversee Chargemaster maintenance for CUH to ensure proper revenue generation and reimbursement, improvement to all aspects of revenue cycle operation (coding, charge capture, and work processes), while maintaining compliance with third party and government requirements.