Assists with the development of education and training of physicians, coders, and CDI specialists for Accuity Healthcare and provides coding component to all education programing, which may include preparation of related educational materials and giving frequent presentations on site and virtual Assists with the orientation programs and online learning module assignments

The Patient Access Team Leader is a working resource to the patient registration teams. The responsibilities include registering patients, coordinating staffing and work assignments during the shift, real time monitoring of registration performance to ensure department standards and procedures are followed, and researching and resolving the team's insurance verification i

Collects and reviews all patient insurance information needed to complete the billing process. Completes all necessary insurance forms (i.e. HCFA 1500, Blue Cross/Blue Shield, UMWA, Medical Assistance, Medicare, etc.) to process the proper billing information in a timely manner as required by all third party payors. Transmits daily all electronic claims to third party pay

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Management Support Assists the manager of the health information systems in tasks related to administrative support (scheduling interdisciplinary team meetings, organizing shared electronic files, handling correspondence during onboarding of new team members); data analysis; technology management, regulatory compliance, and project implementation; Oversees Health Informat

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At The GIANT Company, we are passionate about building strong families and healthy communities, serving millions of neighbors across Pennsylvania, Maryland, Virginia, West Virginia, and New Jersey. We are committed to being an inclusive place to work and shop. Our shared values of care, courage, integrity, teamwork, and humor guide our work as we embrace the unique talent

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the

Under the supervision of a Credentialing Supervisor/Manager, the Credentialing Specialist II is responsible for specific aspects of Credentialing and Re credentialing processing for a managed care organization, adhering to the National Committee for Quality Assurance, State and Federal regulations. They review, investigate, and process primary source verifications for fac

Comprehensive understanding of the entire billing cycle, medical terminology, coding, charge entry, insurance adjudication, contractual agreements, payment posting, statements and collections. 3 years of multi specialty coding experience with Current Procedural Terminology (CPT), International Classification of Diseases version 10 (ICD 10), Heath Care Common Procedure Cod

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, IDs, Living Wills, and POAs and verifying and enteri

The Patient Access Rep is responsible for all aspects of the patient registration process, including verifying the patient identity and selecting the correct patient record, reviewing schedules and physician orders to register the patient for the appropriate service, scanning important documents such as insurance cards, ID's, Living Wills, and POAs and verifying and enter

The Appeals Coordinator is responsible for the investigation and documentation of member appeals and grievances in compliance with State law, applicable rules and regulations and provider and group agreements. Works closely with the Plan's Medical Directors who are responsible for all decision regarding clinical appeals/ grievances and the Appeals Manager who is responsib