- Penn Medicine (Philadelphia, PA)
- …onsite) **Location:** Centre Square West Tower- 1500 Market Street **Summary** : + The Professional Fee Coding Data Integrity Coordinator is responsible ... to further research and identify the root cause of data trends in coding and auditing performance....effective and optimal use by the CFA team Provides professional - fee coding and auditing expertise… more
- St. Luke's University Health Network (Allentown, PA)
- …flow of information. JOB DUTIES AND RESPONSIBILITIES: + Codes and abstracts professional fee hospital services performed by SLPG physicians from medical ... to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data ...RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. +… more
- St. Luke's University Health Network (Allentown, PA)
- … Manager, the ProFee Coder is responsible for the assignment of codes to the professional fee services in the hospital setting according to ICD10, CPT and HCPCS ... basic coding rules and principles to support and play a...appropriate ICD10, HCPCS/CPT codes for all diagnosis and procedure professional fee services performed in outpatient and… more
- Elevance Health (Wilmington, DE)
- …interpret CMS, CPT/AMA and other major payer policies based on healthcare correct coding and regulatory requirements. **How you will make an impact:** + Oversees the ... edits from concept to specification and then through review, testing and finally data validation. + Develops claims editing logic and content that promotes payment… more
- WSP USA (Philadelphia, PA)
- …The state of climate science research. + Experience working with tools and/or coding scripts for effective data processing, analysis, and visualization. + ... that will lead our analysis of climate and environmental data , lead research to support the determination of appropriate...a related field. + Minimum 7 years of relevant professional experience, including the analysis of downscaled climate model… more
- Penn Medicine (Bala Cynwyd, PA)
- …with productivity and incentive compensation models, external benchmarking, and professional fee reimbursement Preferred **Required Skills and Abilities:** ... addendums reflect any changes. + Research and analyze physician group market data and select appropriate aligned benchmarks comparable to Penn Medicine Medical Group… more
- St. Luke's University Health Network (Allentown, PA)
- …and supplies. + Responsible for the initial pricing of hospital and professional services utilizing various pricing methodologies established for the Network. + ... Ensures that the CDM complies with third party coding requirements regarding UB04 revenue codes, HCPCS/CPT codes. +...to the patient account. + Updates Outpatient Workers Compensation Fee Schedules on a quarterly basis. + Reviews third… more