- Conviva (Harrisburg, PA)
- …and has a dotted line reporting to divisional clinical educators. Clinical Coding Educator identifies opportunities to improve provider documentation and creates ... of the role are:** + Under the guidance of AD, Coding Education, the clinical coding educator partners with several key stakeholders and departments… more
- Geisinger (Danville, PA)
- …to clarify documentation within the patient's record to facilitate complete and accurate coding . + Assists in decision making relevant to physician coding ... the patient's record is appropriate in order to facilitate accurate and complete coding . + Assumes a supporting co-educating role with regard to Risk Adjustment… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... timely review and resolution of coding related claim denials for professional services, FQHC, MSO,...Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/ Educator . Demonstrate the ability to formulate an appeal rationale… more
- Geisinger (Danville, PA)
- Job Summary A clinical concurrent reviewer applies clinical and coding knowledge to concurrently evaluate the clinical indicators, diagnoses, and treatment plan for ... be provided to the CDI for their delivery and follow-up) and collaborate with coding -on- coding opportunities. The CDI SLR will also respond to concurrent review… more
- Baylor Scott & White Health (Harrisburg, PA)
- …tracks results and identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding and compliance changes ... + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on occasional based, as...**KEY SUCCESS FACTORS** + Knowledge of ICD-10-CM and CPT coding conventions, and clinical documentation + Knowledge of and… more
- Geisinger (Danville, PA)
- …Medicare/Medicaid policy experience to join the reimbursement services team. (medical coding certification required) Job Duties Serves as the lead consultant and ... educator to staff and administration for related reimbursement, strategic...and administration for related reimbursement, strategic savings initiatives and coding compliance issues. Assesses existing and prospective reimbursement practices.… more
- Wesley Enhanced Living (Philadelphia, PA)
- …would: + Ensure accuracy of all sections of Multiple Data Set (MDS) coding to maximize company reimbursement consistent with the levels of treatment delivered and ... of treatment delivered and required for appropriate patient / resident care. + Nursing Educator : - Serve as a primary trainer to the nursing department to ensure… more
- WellSpan Health (York, PA)
- …or more approved activities Ex: committees, radiation safety officer, coding . Attends offsite training/educational conferences. Provides formal presentation of ... services, the department education committee, and the department specific Educator . + Demonstrates proficient inter-departmental communication and interaction within… more