- WellSpan Health (Ephrata, PA)
- Clinical Documentation Integrity Specialist II - Day Location: WellSpan Health, Ephrata, PA Schedule: Full Time Schedule Full Time: 40 Hours/Week Hours: ... of autonomy. + Flexible in work assignments. + Demonstrates proficiency of the Clinical Documentation Integrity Specialist I role. Common Expectations: +… more
- Penn State Health (Hershey, PA)
- …**SUMMARY OF POSITION:** Researches, obtains authorizations, insurance verifications, clinical documentation , prescription information and financial ability ... in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, SKILLS, & ABILITIES:** Ability to...exhibit every day. Through our core values of Respect, Integrity , Teamwork, and Excellence, our employees are a team… more
- Penn State Health (Lancaster, PA)
- …registration for the services the patient will be receiving, maintaining encounter integrity by selecting the appropriate billing number to produce the visit, ... working closely with the provider/clinic staff to collect specific clinical information required for obtaining authorizations. Insurance Verification includes… more
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for the review of clinical documentation in the Electronic Medical Record (EMR), ... Masters Degree in Nursing required + 3 years advanced clinical experience in a hospital setting required. + Currently...exhibit every day. Through our core values of Respect, Integrity , Teamwork, and Excellence, our employees are a team… more
- Highmark Health (Harrisburg, PA)
- …Inc. **Job Description :** JOB SUMMARY The Associate Medical Record Retrieval Specialist is responsible for requesting and obtaining medical records from healthcare ... providers to ensure accurate documentation of members' health conditions and optimize risk adjusted...(EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of… more
- Highmark Health (Harrisburg, PA)
- …and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted revenue for ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
- HealthEdge Software Inc (Harrisburg, PA)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare ... the industry narrative, providing a more holistic approach to payment integrity that focuses on comprehensive reimbursement, agile editing, and integrated analytics.… more
- AmeriHealth Caritas (Harrisburg, PA)
- …the appropriate level of intervention based upon the member's needs and clinical progress. + Schedules follow up calls as necessary, makes appropriate referrals. ... Navigator, and member, member care giver as appropriate, PCP, Specialist , and Facility/Vendor Providers. **Education/Experience:** . Bachelor's Degree in Nursing… more