- St. Luke's University Health Network (Allentown, PA)
- …denials for experimental, coding or other issues that may require record review . Provides billing with information needed to obtain payment of claims. Remote ... eg no appeal, appeal level and final decision with revenue impact. + Assists Case Management as necessary to...EDUCATION: Graduate of an accredited professional nursing program. Registered nurse with current license to practice in the state… more
- UPMC (Pittsburgh, PA)
- …+ Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/ Utilization review background is highly preferred. + Ability to ... UPMC Corporate Revenue Cycle is looking to hire several Senior...audits on staff to ensure quality indicators are met. Review findings with appropriate personnel. Provide education-related sessions on… more