- 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
- Highmark Health (Trenton, NJ)
- …, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient ... assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare or… 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
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Associate Director, Data and Reporting integrates data from multiple sources to produce requested ... within department(s) and leads multiple highly specialized professional associates. The Associate Director, Data and Reporting integrates data from multiple sources… 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
- 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
- Humana (Trenton, NJ)
- …through collaboration to address methods, patterns, standards to help engineers deliver quality , reliable software and systems for business outcomes. + Knows how to ... to listen to, understand concerns of, open the voice of and establish quality collaboration between software and system engineers and other teams to address needs… more
- Amgen (Philadelphia, PA)
- …strategic partnerships with Pharmacy Directors, Medical Directors, Pharmacoeconomists, Quality personnel, Medicare Contractors, State Medicaid personnel, and other ... necessary to drive pull through of coverage opportunities and resolve billing and coding issues related to Amgen products. Frequent Travel Required **What we expect… 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 (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
- Penn Medicine (Philadelphia, PA)
- …and direction in regards to all administrative, financial, regulatory, quality , human resources, patient/employee satisfaction, and clinical aspects for the ... - including: *patient scheduling, billing, and coordination of services/facility(ies). *providing quality care to patients; championing quality initiatives with… more
- Anywhere Real Estate (Philadelphia, PA)
- …of their own workload as well as audit the work of an Analyst I and Associate to ensure customer and client needs are met in a timely, accurate, and efficient ... payroll and year-end reports prepared by a peer or associate + Liaise with Cartus International Assignment Consultants to...relocation, tax, and compensation and benefits) + Preferred SQL coding and VBA knowledge with ability to write macros… more
- Humana (Trenton, NJ)
- …and implements solutions (hardware and software) for improvement of the high- quality automation infrastructure. The Lead Automation Engineer works on problems of ... + Bachelor's degree + 8+ years of professional experience in software quality assurance, focusing on automation in complex, large-scale systems. Demonstrated ability… more
- Humana (Trenton, NJ)
- …and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The ... relationship across such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity,… more
- Rowan University (Glassboro, NJ)
- …Reporting Specialist Department: Online Operations Division: Rowan Online Reports to: Associate Vice President of Online Operations The Online Operations Reporting ... The Online Operations Reporting Specialist position reports directly to the Associate Vice President of Online Operations. Description: Primary Responsibilities +… 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