Top 586 Senior professional, certified coding integrity Jobs in Scranton, Pa

Professional, Certified Coding Integrity
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- HIPAA
- Mid-level
- Continuous improvement
Senior Professional, Certified Coding Integrity
The Wright Center for Graduate Medical Education —Scranton, PA
- Full-time
- 7 years
- Continuous improvement
- Mentoring
Assistant Corporate Controller
Confidential —Wilkes-Barre, PA
- Full-time
- Background check
- 7 years
- CPA
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Supervisor Weekend Baylor
Eden Senior Care —Kingston, PA
- $46 - $48 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
RN - Registered Nurse Part Time - Advanced Acute Care Cardiac Telemetry Unit
Geisinger —Scranton, PA
- From $35.88 an hour
- Part-time
- Acute care
- Nursing
- Hospital
- Wellness program
- Paid parental leave
RN - Registered Nurse Per Diem - Cardiac Special Care Unit
Geisinger —Scranton, PA
- Part-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Health insurance
Clinical Team Coordinator RN - Advanced Acute Care Cardiac Telemetry Unit
Geisinger —Scranton, PA
- Full-time
- Acute care
- Nursing
- Customer service
- Wellness program
- Health savings account
(RN) Registered Nurse
Carbondale Rehabilitation and Healthcare Center LLC —Carbondale, PA
- 8 hour shift
- CPR Certification
- Skilled nursing facility
- RN License
- Paid time off
Quick Apply
RN - Registered Nurse Part Time - NEW Advanced Acute Care Unit
Geisinger —Scranton, PA
- From $39.75 an hour
- Part-time
- Acute care
- Nursing
- Hospital
- Wellness program
- Health savings account
RN - Registered Nurse - Advanced Acute Care Cardiac Telemetry Unit
Geisinger —Scranton, PA
- $40.55 an hour
- Full-time
- Acute care
- Nursing
- Hospital
- Wellness program
- Health savings account
RN - Registered Nurse - Critical Care Float - GCMC
Geisinger —Scranton, PA
- From $40.15 an hour
- Full-time
- Nursing
- Float pool
- Hospital
- Wellness program
- Health savings account
Registered Nurse Supervisor – Night Shift (Part-Time)
Eden Senior Care —Wilkes-Barre, PA
- $46 an hour
- Part-time
- Nursing
- RN License
- Mid-level
Quick Apply
RN- Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit
Geisinger —Wilkes-Barre, PA
- $41.41 an hour
- Full-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Health savings account
RN - Registered Nurse - Critical Care Float - GWV
Geisinger —Wilkes-Barre, PA
- From $41 an hour
- Full-time
- Nursing
- Float pool
- Inpatient
- Wellness program
- Health savings account
Clinical Team Coordinator Registered Nurse- NICU
Geisinger —Wilkes-Barre, PA
- Full-time
- Nursing
- RN License
- Customer service
- Wellness program
- Health savings account
Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit
Geisinger —Wilkes-Barre, PA
- Full-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Health savings account
PRN Physical Therapist
Eden Senior Care —Wilkes-Barre, PA
- $55 - $60 an hour
- Part-time
- Skilled nursing facility
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
RN- Registered Nurse- Advanced Acute Care Cardiovascular Stroke Unit
Geisinger —Wilkes-Barre, PA
- From $41.41 an hour
- Full-time
- Acute care
- Nursing
- Inpatient
- Wellness program
- Health savings account
LPN (Licensed Practical Nurse)
Eden Senior Care —Wilkes-Barre, PA
- $32.00 - $33.75 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Vital signs
- Loan repayment program
- Health insurance
Quick Apply
RN- Registered Nurse- Advanced Acute Care Surgical Telemetry Unit
Geisinger —Wilkes-Barre, PA
- From $35.88 an hour
- Full-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Paid parental leave

I want to receive the latest job alert for senior professional, certified coding integrity in scranton, pa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior professional, certified coding integrity jobs near scranton, pa

Nursing Supervisor jobs in Scranton, PA

Registered Nurse Acute Care jobs in Wilkes-Barre, PA

Licensed Practical Nurse jobs in Wilkes-Barre, PA

Physical Therapist jobs in Wilkes-Barre, PA

Registered Nurse Nicu jobs in Wilkes-Barre, PA

Registered Nurse jobs in Scranton, PA

Nursing Supervisor jobs in Wilkes-Barre, PA

Registered Nurse jobs in Napa, CA

Registered Nurse jobs in Los Angeles International Airport, CA

Registered Nurse jobs in Greenwood, IN

Nurse Practitioner jobs in Waterloo, IA

Registered Nurse jobs in Columbia, SC

Nurse For Pharmaceutical Companies jobs in Virginia

Psychiatric Nurse jobs in Detroit, MI

New Grad Psychiatric Nurse Practitioner jobs in Massachusetts

Clinical Supervisor jobs in Phoenix, AZ

Nursing Supervisor jobs in Old Saybrook, CT

Nursing Supervisor jobs in Greenville, NC

Nursing Supervisor jobs in Wichita, KS

Nursing Home Administrator In Training Program jobs in Tennessee

Professional, Certified Coding Integrity

The Wright Center for Graduate Medical Education
Scranton, PA

Apply Now

Job Details

Full-time

Qualifications

Team leadership
Patient management software
Electronic health record (EHR) management for billing and coding
Medical explanation of benefits reviews
Productivity software
Medical terminology

Full Job Description

Description:

POSITION SUMMARY

The Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations.

Requirements:

ESSENTIAL JOB DUTIES and FUNCTIONS

While living and demonstrating our Core Values, the Certified Coding Integrity Professional will:

Perform accurate and timely multi-specialty coding for daily claims submission.
Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution.
Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding.
Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission.
Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders.
Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements.
Assist in provider and learner education to ensure coding quality.
Participate in clinical huddles/didactics and other clinical meetings as requested.
Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training.
Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review.
Serve as a resource and for all billing and coding matters.
Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers.
Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding.
Understand the considerations of coding in Value Based payment contracts.
Responsible for reviewing and implementing changes from payor bulletins.
Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations.
Serve as a coach and mentor for billing team & education team.
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations

REQUIRED QUALIFICATIONS

Bachelor or Associate degree in any Healthcare related field or equivalent experience.
Must be a Certified Professional Coder or 5 years equivalent minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification – CPCO (not required but a plus).
Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes.
Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent.
Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice).
Knowledge of Microsoft Office software.
Must possess team leadership skills and have a positive disposition.
Must be focused, self-directed, & organized, with problem-solving abilities.
Accurate and precise attention to detail.
Excellent verbal and written communication skills.

REQUIRED LICENSES/CERTIFICATIONS

Certified Professional Coder-CPC (not required but a plus)
Certified Risk Adjustment Coder-CRC (not required but a plus)
Certified Professional Compliance Officer Certification – CPCO (not required but a plus)
FQHC billing helpful (not required but a plus).
General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.

Apply Now

Refine Your Search

senior professional, certified coding integrity jobs in scranton, pa

Professional, Certified Coding Integrity

Senior Professional, Certified Coding Integrity

Assistant Corporate Controller

Registered Nurse Supervisor Weekend Baylor

RN - Registered Nurse Part Time - Advanced Acute Care Cardiac Telemetry Unit

RN - Registered Nurse Per Diem - Cardiac Special Care Unit

Clinical Team Coordinator RN - Advanced Acute Care Cardiac Telemetry Unit

(RN) Registered Nurse

RN - Registered Nurse Part Time - NEW Advanced Acute Care Unit

RN - Registered Nurse - Advanced Acute Care Cardiac Telemetry Unit

RN - Registered Nurse - Critical Care Float - GCMC

Registered Nurse Supervisor – Night Shift (Part-Time)

RN- Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit

RN - Registered Nurse - Critical Care Float - GWV

Clinical Team Coordinator Registered Nurse- NICU

Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit

PRN Physical Therapist

RN- Registered Nurse- Advanced Acute Care Cardiovascular Stroke Unit

LPN (Licensed Practical Nurse)

RN- Registered Nurse- Advanced Acute Care Surgical Telemetry Unit

I want to receive the latest job alert for senior professional, certified coding integrity in scranton, pa

Related Searches

Explore jobs in more locations

REQUIRED QUALIFICATIONS

REQUIRED LICENSES/CERTIFICATIONS

Job Seeker Tools

Employer Tools

Browse

Stay Connected