• Peer Specialist - York - Days

    WellSpan Health (York, PA)
    …to maintain services (ie POC, ORS, C-SSRS, Initial Engagement and other clinical documentation ). + Acquires knowledge or resources in assigned county/counites ... Peer Specialist - York - Days Location: WellSpan Philhaven,...goals on the Individual Recovery Plan. + Completes necessary documentation for each peer encounter (ie MA 91's and… more
    WellSpan Health (01/03/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Harrisburg, PA)
    …**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and compliance with standards of ethical ... + Conducts provider audits and creates provider scorecards to offer feedback on Risk Adjustment Methodology + Interprets health record documentation to code and… more
    Baylor Scott & White Health (01/18/25)
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  • Associate Medical Record Retrieval…

    Highmark Health (Harrisburg, PA)
    …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
    Highmark Health (01/01/25)
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  • Medical Record Retrieval Specialist

    Highmark Health (Harrisburg, PA)
    …requesting and obtaining medical records from healthcare providers to ensure accurate documentation of members' health conditions and optimize risk adjusted ... Health Record (EHR) systems preferred. + Proficiency in navigating and retrieving clinical information from EMR/HER systems + Working knowledge of HIPAA requirements… more
    Highmark Health (12/18/24)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more
    Highmark Health (01/15/25)
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  • BCBA Behavior Analyst - Children's Services - Days…

    WellSpan Health (York, PA)
    …history, present status, diagnoses, and treatment plan. + Maintains appropriate written documentation of direct and in direct service with the patient and family. ... + Provides complete, timely, clear, and legible documentation in the appropriate format and on the appropriate forms. + Attends treatment team meetings, supervision… more
    WellSpan Health (01/09/25)
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  • RN Medicare Compliance-Proactive Reduction…

    Sedgwick (Harrisburg, PA)
    …Reduction Outreach **PRIMARY PURPOSE** **:** To perform initial and ongoing clinical assessment through provider outreach, specialized document review, and analysis ... RESPONSIBILITIES** + Contacts providers and attorneys to obtain clarification of documentation needed to support the preparation of Medicare Set-Aside allocations. +… more
    Sedgwick (01/22/25)
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