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.
Professional Fee Coder St. Luke's Health Network, Inc.Professional Fee CoderAllentown, PAPart 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.
Emergency Department Coder St. Luke's Health Network, Inc.Emergency Department 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.
Accounts Receivable Specialist- Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist- Physician 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.
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.
Accounts Receivable Specialist-Physician Billing St. Luke's Health Network, Inc.Accounts Receivable Specialist-Physician 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.
Medical Scribe Oak Street HealthMedical ScribeAllentown, PA$17–$28.46 / hourScribes 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.
NewFinancial Counselor (Full Time, Days. Bilingual Preferred) St. Luke's Health Network, Inc.Financial Counselor (Full Time, Days. Bilingual Preferred)Allentown, PAFull timeUtilize Search America to evaluate patients for hospital Financial Assistance Program and obtain all necessary financial documentation to support eligibility on All Self Pay Accounts including: Self Pay POS accounts referred by Admission Services, Self Pay SAT accounts referred by Outpatient Registration, any High Dollar outpatient Self Pay (i.e. Oncology/OB) that appears on high dollar report or are referred by a Financial Rep. 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.
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.
NewClaims 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.
NewCoding Quality Analyst UnitedHealth Group IncCoding Quality AnalystNewtown Square, PA$23.89–$42.69 / hourFollows 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. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical literature as provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines.
Network Coordinator, Coding Audit & Education St. Luke's University Health NetworkNetwork Coordinator, Coding Audit & EducationAllentown, PAEDUCATION: Must maintain and be credentialed in at least ONE of the following AHIMA and/or AAPC recognized Professional Coding Certifications: Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Reviews and validates coded medical records to assess coding accuracy, documentation integrity, compliance risk, and reimbursement impact related to ICD-10-CM/PCS, CPT/HCPCS, DRG/APC assignment, modifiers, and applicable payment methodologies.
Inpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates) St. Luke's University Health NetworkInpatient Coding Specialist (Remote - Full Time | PA & NJ Candidates)Allentown, PARemoteWith annual net revenue in excess of $4 billion, the Network's service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. Luke's University Health Network (SLUHN) is a fully integrated, regional, non-profit network of more than 23,000 employees providing services at 16 campuses and 350+ outpatient sites.
Financial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PA Eurofins Scientific SEFinancial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PALancaster, PA$80,000–$90,000 / yearThe Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in discovery pharmacology, forensics, advanced material sciences and Eurofins Scientific 2/2 March 2023 agroscience contract research services. With climate change posing an imminent threat, Eurofins and its many companies recognize their duty to proactively reduce or offset the environmental impact of essential operations while also helping our clients do the same-serving as a true ESG Enabler.
HIM Coding Auditor University Health Services IncHIM Coding AuditorKING OF PRUSSIA, PARemoteMeets 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
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.
NewBilling Representative FT TEAMCare Behavioral Health LLCBilling Representative FTLancaster, PAFull timeMajor Duties and Responsibilities include:Ensuring health providers are paid for medical services renderedPayment postingReviewing patient medical recordsCoordinating reimbursement activities with payersBilling patients for medical servicesVerifying medical insurance Utilizing EMR software/clearinghouse to perform medical billing and coding functionsCreating and submitting disputes, reconsiderations, investigations, and appeals to insurance carriersMay be handling claims, collections, reimbursements, transfers, and insurance fraud issues in writing and over the phone directly with carriers and patientsQualificationsPrevious medical billing experience preferredExcellent organizational skills as well as oral and written communication skills and exceptional detail orientation. The Billing Representative is responsible for ensuring compliance with TEAMCare's billing and collections policies and procedures, timely and accurate invoicing, as well as inputting and monitoring documents, transactions and records impacting the Accounts Receivable system.
Billing and Practice Operations Manager Job Vision Source LPBilling and Practice Operations Manager JobWayne, PAOperations & Administration • Oversee day-to-day office operations, patient flow, and scheduling • Foster a positive team environment and keep staff coordinated • Address technology-related concerns and support electronic medical record (EMR) system administration • Proactively identify operational gaps and drive improvements from start to finish. , Must Have • Experience in medical billing, coding, and collections • Experience with EMR systems • Background in a medical office setting; eye care experience preferred • Demonstrated ability to support staff in an office environment • Strong organizational skills with exceptional attention to detail • Comfortable multitasking across billing, administrative, and operational priorities.
Emergency Department Coder St. Luke's University Health NetworkEmergency Department CoderAllentown, 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. JOB DUTIES AND RESPONSIBILITIES: 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.
NewProfessional Fee Coder St. Luke's University Health NetworkProfessional Fee CoderAllentown, 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. JOB DUTIES AND RESPONSIBILITIES: 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.