- Highmark Health (Harrisburg, PA)
- …categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing ... **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health… more
- Penn State Health (Hershey, PA)
- …**SUMMARY OF POSITION:** Researches, obtains authorizations, insurance verifications, clinical documentation , prescription information and financial ability ... when a prescriber writes a Specialty (high price, high risk and high touch) medication, so that the patient...in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, SKILLS, & ABILITIES:** + Ability… more
- 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 (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