Billing Compliance Analyst I - Hybrid CMS & Coding
Penn Family Medicine
Penn Medicine is hiring a Compliance Analyst (CA) I responsible for audits and education regarding professional fee billing. You will oversee the accuracy of documentation for billed services, prepare training materials, and ensure compliance with healthcare regulations. The ideal candidate has a H.S. Diploma with 3+ years of related experience and must hold a Certified Procedural Coder certification within 3 months of hire. This position offers a hybrid work model in Bala Cynwyd, PA. #J-18808-Ljbffr Penn Medicine
- The Compliance Analyst (CA) I is responsible for audits, reviews, and education... ...to professional fee billing for UPHS providers. The CA... ...PA Hours: M-F, 8 hr days, hybrid Responsibilities Performs... ...congruent with standards of CMS, Correct Coding guidelines as well as National...CmsWork at officeLocal area
$19.24 - $31.04 per hour
...Description Job Description The Bill Review Analyst is responsible for reviewing,... ...lines of business. This is a Hybrid Role. ESSENTIAL FUNCTIONS &... ...schedules Knowledge of CPT/ICD/HCPS coding Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred...CmsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$19.24 - $31.04 per hour
...Bill Review Analyst II The Bill Review Analyst is responsible for reviewing, auditing... ...lines of business. This is a Hybrid Role. ESSENTIAL FUNCTIONS &... ...schedules Knowledge of CPT/ICD/HCPS coding Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred...CmsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$81.67k - $104.13k
...discriminatory means. A Brief Overview This role is responsible for reviewing and analyzing billing processes, conducting documentation, coding, and billing audits, and ensuring compliance with applicable healthcare regulations for the Children's Hospital of Philadelphia...CmsFull timePart timeFor contractorsWork at officeShift work- ...organization, apply now. We are currently seeking a Business Analyst (Onsite Hybrid) to join our team in King Of Prussia, Pennsylvania (US-PA),... ...Requirement Gathering expertise. 3+ years of experience with a coding software like SQL or Python. Preferred Skills: User...Suggested
- ...Lead / Payment Integrity Analyst Hybrid – Philadelphia, PA (3... ..., and regulatory compliance. The ideal candidate... ...clinical experience and deep coding knowledge, with a... ...provider or facility billing. This individual will... .... Familiarity with CMS, Medicare regulations,...Cms3 days per week
$60k - $75k
Job Family Regulatory Compliance About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor... ...software such as Power BI preferred Working Conditions: Hybrid office environment: 3 days in office (Baltimore, Cedar Rapids,...Full timeContract workRemote workWorldwideVisa sponsorship- ...Position: Business Analyst Location: Philadelphia, PA (Hybrid Role - onsite in the PA office Tues, Wed... ...policy criteria, and medical coding rules, to assess systems capabilities... ...teams regarding adherence to compliance requirements (e.g. CMS, BlueCard processing rules,...CmsFor contractorsWork experience placementWork at office
- ...Self Funded Billing Analyst The Self Funded Billing Analyst is responsible for the billing, account maintenance, and collection of accounts... ...systems knowledge. Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days...Work at officeRemote workMonday to Friday2 days per week3 days per week
- firstPRO, Inc is seeking two Financial Analysts for long-term contract opportunities with a large organization in Bryn Mawr, PA. These... ...is a plus. The work schedule is primarily Monday-Friday with a hybrid setup after the initial training period. #J-18808-Ljbffr firstPRO...Remote jobLong term contractMonday to Friday
- ...Medical Coder The Medical Coding Specialist is responsible for abstracting and coding... ...in physician office medical records using CMS, ICD-10 and/or Department defined criteria... ...document ICD-10 codes or medical record compliance issues using computer software. The Medical...CmsWork at office
- Universal Hospital Services Inc. is seeking a Compliance Analyst to join their dynamic organization. This hybrid role requires 3 days in the office and 2 days remote. You will support the Chief Compliance and Privacy Officer in ensuring compliance with laws and company...Work at officeRemote work
$47.79k - $81.09k
...one family and one community at a time./ppPosition Summary/ppThe Hybrid Field Sales Representative (HFSR) is responsible for driving... ...retention, and performance goals while adhering to state, federal, and CMS Medicare sales requirements, including secret shopper and...CmsHourly payFull timeWork at officeLocal area- ...Provider Reimbursement Analyst leads the development,... ...reimbursement methodologies, CMS policies, and emerging... ...of utilization trends, billing patterns, and provider... ...structures to ensure compliance with internal policies,... ...-functional teams. Hybrid Independence has implemented...CmsContract workWork at officeRemote workMonday to Friday2 days per week3 days per week
- ...integrations with Sanity.io headless CMS for structured, multilingual,... ...principles and healthcare compliance considerations, including... ...pods. Establish and enforce coding standards, architectural governance... ...Exposure to Flutter or legacy hybrid mobile frameworks....CmsTemporary workWork at officeLocal areaVisa sponsorship
- ...actuarial analysis to drive meaningful client outcomes. This is a hybrid role (3 days a week in office, 2 days a week remote). We will... ...tools. Excellent verbal and written communication skills. Coding experience in programming languages such as Alteryx, R, Python,...Work at officeRemote work2 days per week3 days per week
- ...Job Details Senior Payer Contract Analyst is responsible for performing scenario... ...- Friday, 8:00 am - 4:30 pm. Hybrid: Travel to the location quarterly... ...and rate tracking grids). Ensures compliance with all CMS Price Transparency requirements relating...CmsDaily paidFull timeContract workTemporary workPart timeMonday to FridayFlexible hoursShift work
- ...that are 100% remote or hybrid, you must have access... ...medical record acquisition, coding, QA, and vendor... ...Operations, and Legal/Compliance to translate regulatory... ...Actuarial Managers and Analysts and build leadership and... ...Knowledge of CDPS Rx, CMS-HCC, and/or HHS-HCC required...CmsContract workWork experience placementWork at officeRemote workFlexible hours
- ...to Naval Surface Warfare Center, Philadelphia Division (NSWCPD) Code 418 Information Technology Operations. These duties include but... ...utilizing DoD, Navy, and NAVSEA approved tools such as Assured Compliance Assessment Solution (ACAS), Security Content Automation...Cms
- Responsibilities The Sr. Application Analyst - Patient Accounting... ...outcomes, and maintains regulatory compliance. Monitors the resolution of... ...Classes, Insurance Plan Codes and Transaction Codes and confirms... ...Cycle and experience with CMS billing and reimbursement guidelines,...CmsDaily paidContract workLocal area
- ...member-level drug utilization, cost sharing, plan liability, and CMS payments. Translate Part D benefit designs, formularies, and... ...deadline-driven environment. Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days...CmsWork at officeRemote workMonday to Friday2 days per week3 days per week
- ...Job Description Job Description SENIOR STAFF ACCOUNTANT - HYBRID, FLEXIBLE SCHEDULE POSITION SUMMARY: Generates financial... ...budgets Monitor procedures and internal controls to ensure compliance with Company policies and make recommendations for improvements...Full timeWork at officeFlexible hours
$27.35 - $34.19 per hour
...assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely... ...produce coded abstract for physician billing. Submission of coded services for... ...requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed....CmsHourly payFull timePart timeFor contractorsApprenticeshipWork at officeShift work- ...Sr. Coder Key Responsibilities: Coding Medical Records: Review patient medical... ...claims to insurance companies, ensuring compliance with regulations and accuracy in coding... ...Work closely with healthcare providers, billing specialists, and other staff to clarify...CmsDaily paidFull timeTemporary workPart timeFlexible hoursShift work
$37.99 - $42.73 per hour
...Medical Coder The Coding and Clinical Documentation Integrity Department at Children's Hospital of Philadelphia (CHOP), which provides... ..., as warranted. ~ Maintains reference library. ~ Assures compliance with the national Correct Coding Initiatives. ~ Correctly...CmsHourly payFull timePart timeRemote workMonday to FridayDay shift- ...recognized for its innovative approach to the delivery of services in a community setting. Currently, we are seeking a full-time Billing Analyst to work in our Information Services and Technology Department. Some duties include: Responsible for maintaining the day-...Full time
$60k - $130k
...consulting engagements involving coding audits, disputes, claims... .... * Identify risks related to billing, coding, and reimbursement, including... ..., reimbursement systems, and compliance.What You'll DoHere, you'll... ...regulatory frameworks (e.g., CMS, HIPAA, False Claims Act). * Proficiency...CmsWork at officeLocal areaFlexible hours- ...Senior Payer Contract Analyst Senior Payer Contract Analyst is responsible for performing scenario modeling and analytics... ...monitoring tools (e.g.contract and rate tracking grids). Ensures compliance with all CMS Price Transparency requirements relating to development,...CmsFull timeContract workFlexible hoursShift work
- ...with Choice programme offers a hybrid working model, empowering you... ...and/or defining workflows Coding and/or data manipulation skills... ...is necessary to ensure GSK's compliance to all federal and state US Transparency... ...the Centers for Medicare and Medicaid Services (CMS) website atCmsWork at officeLocal areaRemote work
$90k - $110k
The Judge Group, INC. is seeking a Senior Financial Analyst with over 5 years of experience in financial analytics. This hybrid role requires expertise in tools like Power BI, SAP Analytics Cloud, and S/4 HANA, along with a bachelor’s degree in Finance or a related field...
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