- R1 RCM (Jenkintown, PA)
- The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases for coding completeness and accuracy. This person will identify ... and relays needed coding educational topics to the Regional Manager, IP Coding Quality . This role will report to the Regional Manager of Inpatient Coding … more
- Penn Medicine (Philadelphia, PA)
- …why the data is trending the way it is and regularly communicates any potential coding quality issues. The Coordinator oversees coding denials and appeals in ... Square West Tower- 1500 Market Street **Summary** : + The Professional Fee Coding Data Integrity Coordinator is responsible for validating data to further research… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities for the North East region to improve provider ... an education plan tailored to each assigned provider. The Coding Educator 2 for the North East region reviews...records and arranges educational sessions with providers aimed at quality of care and documentation improvements. + **Virtual and… more
- Cengage Group (Philadelphia, PA)
- …. The **Program & Curriculum Manager, Medical Billing and Coding ** will help to craft the design and direction of ... the successful candidate will help the team deliver innovative, high- quality products and provide timely support to internal and...and Credo. **Skills you will need here:** Required + Associate 's degree + At least one of the following… more
- Merck (Trenton, NJ)
- …further differentiate our portfolio. We are seeking a Growth and Improvement minded Associate Director of Data Science that can help drive our strategic operating ... They are a Competitive Advantage for Us **Summary, Focus and Purpose:** The Associate Director of Data Science Data Science assists the Global Medical and Scientific… more
- J&J Family of Companies (Spring House, PA)
- Johnson & Johnson is currently seeking an Associate Director, Clinical Development to join our Interventional Oncology team in North America (Spring House or ... and unique routes of administration for investigational cancer therapies. The Associate Director, Clinical Development will actively participate and may lead aspects… more
- United Therapeutics (Trenton, NJ)
- …and pulmonary diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management ... safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality , and compliance impacts. This role is critical in ensuring that… more
- Highmark Health (Trenton, NJ)
- …Solution Architects, and Project Managers to design, develop, and maintain high- quality solutions. This requires a self-starter with a demonstrated ability to ... software applications and programs. Responsible for writing code that adheres to coding standards. Perform code reviews. + Responsible for idea generation, exploring… more
- CGI Technologies and Solutions, Inc. (Philadelphia, PA)
- **Passport Support Associate II** **Category:** Administration **Main location:** United States, Pennsylvania, Philadelphia **Position ID:** J0424-1113 **Employment ... distributing to applicants, print and review passport books for accuracy and quality . * Process refund/reimbursement requests. * Generate a credit card payment from… more
- NASCO (Trenton, NJ)
- …needs + Performs Estimates and Designs on product roadmap backlog + Participates in quality assurance and code reviews + Serves as a team lead on application ... + Codes changes in accordance with the technical design documentation and coding standards + Promotes code into appropriate systems while validating and monitoring… more
- Highmark Health (Trenton, NJ)
- …for one or many of the following tasks: analyzing, designing, coding , testing andimplementingtechnical solutions, as well as providing general production monitoring ... ensure solution alignment to enterprise goals and standards + Mentor other associate and intermediate technical engineers as needed + Perform technical analysis and… more
- Penn Medicine (Pennington, NJ)
- …co-payment, enter patient services to patient's ledger with proper CPT/ICD9 coding and modifiers. Schedule follow up appointment and coordinate physician notes ... for improving patient care through adherence to all patient safety and quality standards, regulations, and best practices. + Any other duties, as assigned.… more
- Penn Medicine (Plainsboro, NJ)
- …co-payment, enter patient services to patient's ledger with proper CPT/ICD9 coding and modifiers. Schedule follow up appointment and coordinate physician notes ... for improving patient care through adherence to all patient safety and quality standards, regulations, and best practices.Any other duties, as assigned. Credentials:… more
- Penn Medicine (Philadelphia, PA)
- …and direction in regards to all administrative, financial, regulatory, quality , human resources, patient/employee satisfaction, and clinical aspects for the ... + patient scheduling, billing, and coordination of services/facility(ies) + providing quality care to patients; championing quality initiatives with the… more
- Humana (Trenton, NJ)
- …and implements solutions (hardware and software) for improvement of the high- quality automation infrastructure. This role will focus on leveraging RPA technology ... to a team of RPA developers, ensuring adherence to best practices, coding standards, and RPA governance. Enable multiple active development teams by establishing… more
- Colliers Engineering & Design (Mount Laurel, NJ)
- …professionals have the expertise to achieve highly accurate results while maintaining quality control over data collected, from field to office, and precision of ... sound analysis and reason for accurate property line location. + Perform Quality Control review on reports, plans, specifications, cost estimates, and other contract… more
- Humana (Trenton, NJ)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more
- Intermountain Health (Trenton, NJ)
- …ensure medical necessity, payer policies, appeals and reconsideration needs. Promotes the quality and cost effectiveness of patient care using clinical acumen in ... Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2… more
- Humana (Trenton, NJ)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home… more