Inpatient Coding Lead (CCS) JobotInpatient Coding Lead (CCS)Philadelphia, PARemote$40–$50 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals.
NewBilling 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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemotePhiladelphia, PARemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
Vice President, Medical Larimar TherapeuticsVice President, MedicalPhiladelphia, PAD.O.) required; neurology or cardiology background preferred; 10+ years of pharmaceutical industry experience with demonstrated progressive increase in management responsibilities; Prior experience in neurology and/or rare disease preferred; Experience with activities related to Medical Affairs a plus but not required; Track record of meaningful and substantial support of Phase 2 and Phase 3 studies, such as medical monitoring activities (data, coding, and protocol deviation review), contribution to and review of documents (protocols, informed consent forms, clinical study reports), and interactions with relevant external stakeholders (key opinion leaders, investigators, data monitoring committee); Proven excellent writing, presentation, communication, leadership, organization, and problem-solving skills; Established understanding of good clinical practices (GCP) and best practices related to evidence generation and scientific communications; Demonstrated appreciation of the needs and culture of a small company environment; Robust knowledge of clinical development, regulatory requirements, and healthcare compliance. Specific responsibilities include: Lead the medical guidance and support of clinical development programs, ensuring prompt, facilitative, and high value collaboration with Clinical Operations and the cross-functional study teams; In coordination with Statistics and Quantitative Sciences, review data and assist with interpretation of data from clinical studies; Partner with Safety and Pharmacovigilance to ensure provision of medical input as needed; Support Medical Affairs activities; Review and approve documents related to the clinical development program; Represent Medical at internal meetings and provide definitive guidance and direction; Supervise direct reports and external contractors; Ensure compliance with relevant regulatory law and guidance; Present medical and scientific information at study site visits and congresses; Represent Larimar Medical in engaging with external partners, regulatory bodies, and other external stakeholders; Perform other duties as appropriate at the direction of the Chief Medical Officer.
Accounts Receivable Lead SarnovaAccounts Receivable LeadPhiladelphia, PAThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
Senior Principal Software Developer Waters CorporationSenior Principal Software DeveloperNew Castle, DEAt TA Instruments, were looking for creative and innovative engineers who bring fresh ideas from all areas, including data processing, distributed computing, large-scale system design, networking and data storage, security, UI design and mobile—the list goes on and is growing every day. • 5+ years of proven experience designing and architecting SaaS solutions, including multi-tenant architecture, CI/CD pipelines, and cloud-native services with major cloud service providers such as AWS, Azure, or Google.
Billing Manager - Digitech SarnovaBilling Manager - DigitechPhiladelphia, PAAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
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.
Coding Quality Reviewer Educator - Remote Cooper University HospitalCoding 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. One or more of the following 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.
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.
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 Coordinator IV - (Remote) Christiana Care Health SystemCoding Coordinator IV - (Remote)Newark, DERemote$32.77–$52.43 / 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 and much more! • Communicate with physicians or other providers to validate diagnoses, clinical indicators and appropriately prompts for documentation utilization AHIMA/ACDIS best practice query principles, if necessary, either verbally or written.
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.
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.
Medical Billing & Coding/Receptionist Chestnut Hill Allergy & AsthmaMedical Billing & Coding/ReceptionistWyndmoor, PAThis role combines front desk responsibilities with medical billing and coding duties to help provide a smooth and positive patient experience from check-in through claim processing. The ideal candidate is professional, detail-oriented, able to multitask in a fast-paced environment, and has experience with insurance verification, medical billing, and customer service.
HIM Coding Specialist Penn MedicineHIM Coding SpecialistPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
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.
NewHIM Inpatient Coding Specialist I Penn MedicineHIM Inpatient Coding Specialist IPhiladelphia, PAPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Refers charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation.
HIM Inpatient Coding Specialist III Penn MedicineHIM Inpatient Coding Specialist IIIPhiladelphia, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist III Job ID: 303888 Category: Health Information Management/Coding Work Type: FT Location: Philadelphia, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: - Missing Operative Notes - Missing Pathology Report - Physician Query Needed - Death Review - Discharge Disposition - Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
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.
Practice Coding Specialist II Radiation Oncology Penn MedicinePractice Coding Specialist II Radiation OncologyPhiladelphia, PARemoteThe main focus of the Practice Coding Specialist II is to oversee coding processes and serve as a resource to other practice coders, helping to foster staff development, satisfaction, and achievement. Summary: This position reports to the Supervisor of Billing, and is responsible for converting diagnoses and procedures- specifically for professional or clinic services into appropriate codes using ICD-10 as well as completing day-to-day administrative tasks.
HIM Inpatient Coding Spec II Penn MedicineHIM Inpatient Coding Spec IIBala Cynwyd, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Spec II Job ID: 304173 Category: Health Information Management/Coding Work Type: FT Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr day shift, remote Share: Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: • Missing Operative Notes • Missing Pathology Report • Physician Query Needed • Mortality Review • Discharge Disposition • Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Philadelphia, PAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Clin Documentation Spec III, RN & Coding Certification Required - Remote Cooper University HospitalClin Documentation Spec III, RN & Coding Certification Required - RemoteCamden, NJRemoteFacilitates modifications to clinical documentation through concurrent interaction with physicians, nursing staff, other patient caregiver and Health Information coding staff to support that appropriate reimbursement and clinical severity is captured for the level of service rendered to all inpatients. Ability to sit for very long periods of time, manual dexterity and mobility for extensive use of computer screen, keyboard, copy and facsimile machines, reader/printer and other office equipment.
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 TeacherMedia, 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.
NewBilingual Elementary Teacher Grade 5 NJDOE Endorsement Code #1001 or #1000 Required Bilingual Endorsement Preferred Trenton Public SchoolsBilingual Elementary Teacher Grade 5 NJDOE Endorsement Code #1001 or #1000 Required Bilingual Endorsement PreferredNJ$71,525–$117,475 / yearid='p9393_'>Bilingual Elementary Teacher Grade 5 NJDOE Endorsement Code #1001 or #1000 Required Bilingual Endorsement Preferred JobID: 9393. 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 - 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.
Billing Specialist Philadelphia FightBilling SpecialistPhiladelphia, PAConducts 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.
NewCharge Capture Specialist Neurosurgery Outpatient Billing Penn MedicineCharge Capture Specialist Neurosurgery Outpatient BillingPhiladelphia, PAThe Charge Capture Specialist reports to the Supervisor of Billing; this individual performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details are complete. This positions supports billing activities by working charge review work queue to ensure that claims are clean and should be paid promptly by insurers without requiring additional information.
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.
Compliance Auditor - Billing Thomas Jefferson UniversityCompliance Auditor - BillingPhiladelphia, 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. 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value.
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.
NewMedical 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.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorPA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Specalist Brandywine Urology ConsultantsBilling SpecalistNew Castle, DEFull timePost all payments, by line-item, received for physician's professional services into the practice management system including co-payments, insurance payments, and patient payments in accordance with practice protocol with an emphasis on accuracy to ensure maximum patient satisfaction and profitability. ESSENTIAL DUTIES & RESPONSIBILITIES: Input all charges related to the assigned physician's professional services into the practice management system including office and hospital charges in accordance with practice protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction.
Sr. Coder Thomas Jefferson UniversitySr. CoderPhiladelphia, PAJefferson 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.
Compliance Auditor Thomas Jefferson UniversityCompliance AuditorPhiladelphia, PACERTIFICATES, LICENSES, AND REGISTRATION: One or more of the following certifications required: CPC (Certified Procedural Coder) CCS-P (CertifiedCoding Specialist - Physician) RHIA (Registered Health Information Management Administrator) RHIT (Registered Health Information Management Technician) COC (Certified Outpatient Coder) CIC (CertifiedInpatient Coder) additional certifications in specialty areas is highly encouraged Epic certification or experience with Epic. Jefferson 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 tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research.
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.
NewSenior 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.
Sr Charge Master Analyst Cooper University Health CareSr Charge Master AnalystCamden, NJAdvises 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.
IP Facility Coder with CCS Presbyterian Healthcare ServicesIP Facility Coder with CCSPAWith minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Provides support via auditing and training the enterprise-wide corrective action plans for coding, audit, physician and clinician personnel identified as low performers; perform medical record and billing reviews of denied and appealed claims and takes appropriate action to ensure accurate payment of claims; coordinate review and tracking of appealed claims including the communication process with affected payers; research and interpret all regulatory agency regulations.
Charge Capture Specialist Penn MedicineCharge Capture SpecialistPhiladelphia, PASummary: The Charge Capture Specialist reports to the Supervisor of Billing; this individual performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details are complete. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.
Sr Charge Master Analyst Cooper University HospitalSr Charge Master AnalystCamden, New JerseyFull timeAdvises 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. 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.
Associate Director, Market Access Training Incyte CorporationAssociate Director, Market Access TrainingChadds Ford, PennsylvaniaExhibit deep technical knowledge, including patient insurance benefit design, coverage, coding and payment methodologies, prior authorizations process, levels of appeals process, new drug exception process, patient affordability, and medical and pharmacy benefit designs. Cross-Department Collaboration: · Collaborate as needed with overlapping internal stakeholders to identify, prioritize, and address access and affordability challenges while following internal compliance guidelines; and synchronize and engage with overlapping stakeholders based on communication preferences.
Health Economics Manager, Peripheral Vascular Stryker CorpHealth Economics Manager, Peripheral VascularPhiladelphia, PARemote$118,000–$196,700 / yearThe Area HEMA Manager works independently, supporting the reimbursement and market access development to improve access for patients, providers, and payors to the organization's technology and product portfolio, as well as the primary expert in the field in all areas related to reimbursement of the company's products. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.