- GE HealthCare (NJ)
- **Job Description Summary** As a Clinical Applications Specialist - Labor & Delivery you will be working within the MIC national team. You will deliver ... and training support for the Maternal Infant Care product portfolio to clinical end-users. You will facilitate evidence-based practice and support the customer's… more
- St. Luke's University Health Network (Allentown, PA)
- …regardless of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data ... DUTIES AND RESPONSIBILITIES: + Conduct retrospective medical record reviews for clinical validation of diagnosis and procedure code assignment and MS-DRG/APR-DRG… more
- Highmark Health (Harrisburg, PA)
- …to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC , ZPIC, etc. Determine appeal action, prepare appeal letter follow up and ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more