Accounts Receivable Specialist (On Site) St. Luke's Health Network, Inc.Accounts Receivable Specialist (On Site)Sellersville, 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.
Manager, Practice Operations, Quakertown/Harleysville Pediatrics St. Luke's Health Network, Inc.Manager, Practice Operations, Quakertown/Harleysville PediatricsQuakertown, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc. Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
Practice Operations Manager - Sellersville St. Luke's Health Network, Inc.Practice Operations Manager - SellersvilleSellersville, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc. Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
Senior Manager, Practice Operations - Pulmonary St. Luke's Health Network, Inc.Senior Manager, Practice Operations - PulmonarySellersville, PAFull timeMaintains strong collaboration and connectivity with Access Center operations and centralized functions (e.g., POD, Capacity Management, etc.) to enable seamless operations and optimal patient/employee experiences (e.g., transfers, triage protocols, template changes, huddles, POD/practice connectivity, etc.). Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).
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.
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.
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.
HIM Inpatient Coding Specialist I Penn MedicineHIM Inpatient Coding Specialist IBala Cynwyd, PALoading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist I Job ID: 305733 Category: Health Information Management/Coding Work Type: PT 20+ HOURS Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: share to e-mail 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. • Demonstrates a consistent level of performance and strives to maintain a steady level of productivity according to the following guidelines: • HUP - Average of 7.5-11.5 inpatient records coded daily • PPMC - Average of 7.5-11.5 inpatient records coded daily • PAH - Average of 15 inpatient med/surg charts coded daily • 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 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.
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.
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.
Bureau Chief of Building Codes City of Lancaster PABureau Chief of Building CodesLancaster, PA$100,000–$115,000 / yearThe City oversees a range of public services including fire and police, health, housing, parks, streets, as well as water and wastewater for upwards of 120,000 customers in the surrounding region. An Economy That Works - Driving equitable growth, empowering small businesses, and creating opportunities that strengthen our community.
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.
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.
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.
NewBilling Specialist (62826) Union Community CareBilling Specialist (62826)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. This position is responsible for a variety of complex clerical and accounting functions related to medical accounts receivable (A/R), including insurance verification, insurance claim submission, along with collection, posting, and managing account payments.
Coder I The Center for Orthopedic and Research ECoder IWest Chester, PARemotePart timeOur facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care. Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 150 providers across 50+ locations.
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.
Billing/Payer Enrollment Specialist (62781) Union Community CareBilling/Payer Enrollment Specialist (62781)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. Communicating with payers, providers, and other entities to quickly and accurately obtain or provide information beneficial to the credentialing or enrollment needs of the organization.
NewRevenue Integrity Recovery Coordinator Trinity HealthRevenue Integrity Recovery CoordinatorConshohocken, PAMinimum Qualifications: Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience. Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn MedicineClinical Coder Level I HIM Impatient Specialist (Full-Time, Remote)PARemoteSummary: Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. 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.
Medical Records Manager Montgomeryville Nursing&RehabMedical Records ManagerMontgomeryville, Pennsylvania$18–$22 / hourFull timeResponsibilities: The Record Management Manager is responsible for coordinating the maintenance, security, and storage of all written and electronic records within the nursing center, to include patient health information, employee/personnel files, administrative files, and business office records, in accordance with federal and state regulations and the organization's records management program. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
Accounts Receivable Coordinator Hueman PE Talent SolutionsAccounts Receivable CoordinatorChadds Ford, PAThe Accounts Receivable Coordinator is responsible for maintaining accurate accounts receivable records, posting payments, researching claim activity, and following up on outstanding insurance and patient balances. For over 40 years, Lympha Press has produced the most well-regarded dynamic compression therapy systems and helped patients all over the world with lymphedema, venous insufficiency, and lipedema manage their condition and improve their quality of life.
Chief Medical Officer, Vice President - Quality Management University Health Services IncChief Medical Officer, Vice President - Quality ManagementKING OF PRUSSIA, PAOperating 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. The Chief Medical Officer - Vice President, Quality Management provides leadership and expertise for clinical integration and alignment, hospital and clinical effectiveness, quality management, medical staff operations, physician leadership development and physician hospital relations.
Accounts Receivable Specialist I St. Luke's University Health NetworkAccounts Receivable Specialist ISellersville, 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: 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.
Community Hospital Registration Associate - Revenue Cycle Patient Access Penn State Milton S Hershey Medical CenterCommunity Hospital Registration Associate - Revenue Cycle Patient AccessLancaster, PAThis includes converting the correct visit within the billing system, verifying insurance and benefit eligibility, and reviewing regulatory requirements for admissions, observations, surgical day care visits, ED visits and outpatient services performed in a hospital setting. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
Patient Services Representative, Authorizations AOTI, Inc.Patient Services Representative, AuthorizationsExton, PA$22–$24 / hourIn addition to TWO2, we offer the NEXA NPWT System, an innovative, multi-week, multi-patient Negative Pressure Wound Therapy (NPWT) device designed to deliver the clinical benefits of traditional durable systems with the convenience and simplicity of disposable solutions. At the heart of our mission is our patented, multimodality Topical Wound Oxygen (TWO2) therapy, the only device of its kind proven effective in both Randomized Controlled Trials (RCTs) and Real-World Evidence (RWE) studies.
Medical Billing Specialist Simon Eye AssociatesMedical Billing SpecialistWilmington, DEFull timeWe 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. Simon Eye and Center for Advanced Eye Care are partner practices with a combined 27 Optometrists, 8 Ophthalmologists, and over 150 staff serving patients across the state of Delaware, Pennsylvania and Maryland.
Nurse Practitioner - NP Gentiva Health Services Inc (Inactive)Nurse Practitioner - NPChadds Ford, PAComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
NewClinical Dictionary Analyst Integrated Resources, IncClinical Dictionary AnalystMalvern, PennsylvaniaFull timeUndertake coding and review of verbatim terms when necessary to successfully meet project timelinesEnsure coders adhere to establish processes/proceduresCommunicate progress and issues related to coding assignments to Head, Dictionary Group and DML/CDM (as appropriate)Assist in identifying and implementing new dictionaries and software improvements (ds Navigator, eDM, etc.)Assist in development and maintenance of Dictionary SOPs and Working InstructionsAssist Coders in writing and resolving dictionary queriesUndertake sample based Q.C. of synonym additions. Clinical Dictionary Analyst - The Global Dictionary Analyst is responsible for facilitating Dictionary management processes, including maintaining and supporting the development of clinical dictionaries used in clinical data analysis.
AR.Collections Associate-Medical Billing InTouch Med SupplyAR.Collections Associate-Medical BillingKing of Prussia, PennsylvaniaInTouch Med Supply, a growing nationwide supplier of urological supplies, and Inc 5000 company is seeking driven, energetic people, committed to AR/Collections and ensuring timely payments with at least 2 years of experience in Medical Billing, AR and Payer Collections. The AR/Collections Associate works with the Director of Billing as well as the rest of the billing team to ensure the accurate and timely collection of billing from our payers as per contract.
Pediatric Office Manager Smilebuilderz LLCPediatric Office ManagerLancaster, PAThe ideal candidate will ensure smooth workflow, high-quality patient care, and an efficient and supportive work environment for both staff and providers. We are seeking a dedicated and experienced Pediatric Office Manager to oversee the daily operations of our pediatric dental office in Lancaster, PA.
Value & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate Director Merck & Co IncValue & Implementation (V&I) Medical Data Analytics Center Data Enablement Associate DirectorNorth Wales, PA$156,900–$247,000 / yearRequired Skills: Active Listening, Actuarial Science, Big Data, Business Acumen, Business Intelligence (BI), Database Design, Data Engineering, Data Modeling, Data Science, Data Visualization, Detail-Oriented, Health Data Analytics, Medical Insurance Coding, Object-Oriented Design (OOD), Object Oriented Modeling, Object-Oriented Programming (OOP), Software Development, Stakeholder Relationship Management, Trend Knowledge, Version Control. Bachelor's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 10 years of relevant job experience; Master's degree (computer science, physics, mathematics, actuarial science, or equivalent) with 8 years of relevant job experience; PhD (computer science, physics, mathematics, actuarial science, or equivalent) with 5 years of relevant job experience.
Windchill Developer ClifyX, INCWindchill DeveloperWest Chester, PAThe ideal candidate will have hands-on experience in implementing custom solutions, supporting PLM processes, and collaborating with cross-functional teams in an Agile/SAFe environment. We are seeking an experienced Windchill Developer with strong expertise in Windchill PLM customization, Java development, SQL, and Windchill architecture.
Medical Billing Manager Keystone Quality TransportMedical Billing ManagerSpringfield, Pennsylvania$58,000–$93,500As one of the region's leading medical transportation providers, we're growing rapidly and looking for talented professionals to help us continue delivering exceptional service to our patients and healthcare partners. Qualifications: Minimum 3-5 years of medical billing management experience, preferably in ambulance, EMS, non-emergency medical transportation (NEMT), or healthcare.
Business Development Executive (MedInsight) Milliman IncBusiness Development Executive (MedInsight)Berwyn, PARemote$120,635–$199,065 / yearMedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.
Procedure Scheduler Penn MedicineProcedure SchedulerLancaster, PAProblem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think in order to solve a problem by combining two or more elements from past experience or imaginative thought: The requirement for autonomous problem solving or creativity of thought in the position is minimal. Summary: Position Summary: The Procedure Scheduler schedules patients for surgery or specialty procedures, maintains an understanding of the procedures being performed, and schedules each procedure in accordance with the operating and or managing physician's schedule.
Service Center Clerical Support-FT Ward Transport & Logistics Corp.Service Center Clerical Support-FTChester, PA$20–$22 / hourJob Title: Service Center Clerical Support-FT Advertising Title: Req #: 12592 Company: Ward Trucking, LLC Job Code: SVCCTRCS Location: Chester Employment Status: Full Time City: Chester Area of Interest: Administrative Support State: VA Rate of Pay: $20 to $22 per hour. All linehaul driver envelopes are to include: trailer number, Pro number of one shipment on the trailer, road driver's name, tractor number, seal number, weight, driving (route) instructions and any hazardous placards that may be required (if applicable).
T&M Dentist ICON PlcT&M DentistBlue Bell, PAYou will collaborate with clinical, data management, and pharmacovigilance teams to ensure high-quality data that supports reliable study outcomes. ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients faster.
Optometrist - Paoli / King of Prussia Wills Eye HospitalOptometrist - Paoli / King of PrussiaPaoli, PennsylvaniaParticipates in regularly scheduled patient care activities, which includes: taking a pertinent medical history including relevant symptoms as appropriate: pertinent ocular health, family and medical history, medications, current glasses and any other data required to manage the patients’ vision and ocular health needs. Documents in a manner consistent with Medicare coding and documentation guidelines, and conforms to the requirements of PQRS and Meaningful Use and any other quality program in which Wills Eye Ophthalmology Clinic may participate in the future.
Accounts Receivable Specialist United Wound HealingAccounts Receivable SpecialistPARemote$24–$27 / hourClaims Knowledge: Strong ability to read and understand EOBs; deep understanding of insurance denials and unresolved claims resolution; knowledge of ICD-10, CPT, HCPCS, and CMS-1500 claim format. Investigate and resolve unresolved claims (denials, underpayments, delayed payments); troubleshoot claim data and submit written appeals with supporting documentation and timely follow-up.
Senior Clinical Trial Case Manager CSL Behring LLCSenior Clinical Trial Case ManagerKing of Prussia, PAResponsibilities: • Leads or plays a key role in cross-functional teams for the review of safety data or safety-related reports • Mentors and trains newer members of the functional area • Ensures functions to comply with national and international regulations, such as GxP guidelines and/or any other relevant international and national legislation(s), regulations(s), and guidance(s) as well as company policies and procedures in area of responsibility • Ensures direct reports to support and ensure QPPV's oversight on the company's Pharmacovigilance system, and identify, implement and monitor KPIs/KQIs across the company and manages cross functional CAPAs and other improvement activities on behalf of the QPPV. • Participate in ICSR reporting compliance analysis and respective CAPA • Together with Risk Management function develops and maintains Medical Concepts to support internal decision making and safety analyses for safety surveillance and provides expertise to pharmacovigilance and clinical development programs with regards to safety data/ SAE coding • Manages regular MedDRA upgrades and provides impact analysis to RM physicians and ME • Develop and provide advanced analytical outputs to global teams to support analyses and decision making based on safety data.
Nurse Practitioner, NP Heartland HospiceNurse Practitioner, NPChadds Ford, PennsylvaniaComplete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.
Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) Temple University Health SystemClinical Documentation Specialist (40 hrs/Temple Physicians Inc.)PA404507'',''true'',''404507'',''false'',''Submission for the position: Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) - (Job Number: 262999)'',''false'',''404507'',''false'',''true'',''Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.)'',''262999'',''!*!Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization. Then 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'',''404507'',''404507'',''true'',''404507'',''false'',''Submission for the position: Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) - (Job Number: 262999)'',''false'',''404507'',''false'',''true''.
Revenue Cycle Analyst - Data and Analytics University Health Services IncRevenue Cycle Analyst - Data and AnalyticsPAAs a Revenue Cycle Analyst, you'll be responsible for assessing current revenue cycle processes and workflows; identifying areas for efficiency and effectiveness enhancements, collaborating with teams (e.g., registration, billing, charging, coding, collections, and denials management) to streamline processes, reduce and recover denials, and optimize cash flow; and analyzing and monitoring revenue cycle metrics to identify trends, variances, and opportunities for improvement. Revenue Cycle Analysts performing Analytics are responsible for reviewing and manipulating raw data and leveraging data analytics to identify and communicate trends and issues, combining revenue cycle expertise with advanced analytics capabilities to transform raw data into actionable insights, supporting strategic decision-making, and monitoring key performance indicators (KPIs).
Resident Assessment Coordinator Sunrise Senior Living LLCResident Assessment CoordinatorHaverford, PAWhat You'll Do: • Coordinate and complete MDS, CAA and Care Plans per federal and state regulations • Maintain MDS schedules and ensure timely, accurate submissions • Facilitate Triple Check and weekly Medicare meetings • Review clinical documentation for accuracy and reimbursement support • Ensure Care Plans are individualized and aligned with resident goals • Monitor Quality Indicators and analyze CASPER/iQIES reports • Participate in IDT and QAPI meetings to drive quality improvement • Provide MDS and documentation training to clinical team members • Support ICD-1 coding accuracy and skilled services documentation • Collaborate with Business Office to ensure timely billing Resident Assessment Coordinator (RN/LPN) - Lead MDS Accuracy and Drive Quality Care Outcomes MDS Coordinator | Resident Assessment Coordinator | RN | LPN | Skilled Nursing | Care Planning | RAI. The Resident Assessment Coordinator (RAC) leads the Resident Assessment Instrument (RAI) process for Skilled Nursing, ensuring accurate MDS completion, individualized care planning and regulatory compliance.