Company :Highmark Inc. Job Description : JOB SUMMARY This job will deliver value to the Health Plan and its beneficiaries enrolled in risk-adjusted government programs (MA and ACA) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology
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Analyst, Clinical Content Development 3M Health Care is now Solventum At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers
St. Lukes University Health Network St. Lukes is proud of the skills, experience and compassion of its employees. The employees of St. Lukes are our most valuable asset! Individually and together, our employees are dedicated to
Job Opportunity This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office
Clinical Auditor/Analyst Position UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste & Abuse department. This is a full time position working Monday through Friday daylight hours and will
Claim Payment Policy Lead Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the
Accounts Receivable Specialist The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs.
Accounts Receivable Specialist This role requires a 3 month training period in office and must be within commuting distance to the King of Prussia, PA headquarters. Independence Physician Management (IPM), a subsidiary of UHS, was formed
Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) 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
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide. As a key member of our
This is a remote position. Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the home office is based