Clinical Appeals Specialist RN ***Flexible Remote Role***

Lehigh Valley Hospital & Health
Remote or Allentown, PA
Job Summary Responsible for timeliness and compliance with all regulatory and accreditation standards pertaining to utilization management. Performs as a resource for the care navigators related to adverse benefit determinations and medical necessity related appeals. Responsible for creating and distributing reports. Primary liaison with other departments and external resources including senior leadership, representatives from external partners, vendors, and accreditation organizations. *Remote#role majority of time, with flexibility to come to office as required for business needs* Education - Required: Bachelor#s Degree Nursing Education - Preferred: Master#s Degree Nursing Experience - Required: 7 years clinical experience with 3 years in utilization management, case management, health insurance or quality roles Knowledge, Skills, and Abilities - Required: Experience with Word and Excel Licensure - Required: Registered Nurse Valid PA RN license Upon Hire Certifications - Preferred: CCM - Certified Case Manager within 3 Years or CMCN - Certified Managed Care Nurse within 3 Years

Responsible for timeliness and compliance with all regulatory and accreditation standards pertaining to utilization management. Performs as a resource for the care navigators related to adverse benefit determinations and medical necessity related appeals. Responsible for creating and distributing reports. Primary liaison with other departments and external resources including senior leadership, representatives from external partners, vendors, and accreditation organizations.
* Remote role majority of time, with flexibility to come to office as required for business needs*

Education - Required:

* Bachelor's Degree Nursing

Education - Preferred:

* Master's Degree Nursing

Experience - Required:

* 7 years clinical experience with 3 years in utilization management, case management, health insurance or quality roles

Knowledge, Skills, and Abilities - Required:

* Experience with Word and Excel

Licensure - Required:

* Registered Nurse Valid PA RN license Upon Hire

Certifications - Preferred:

* CCM - Certified Case Manager within 3 Years or

CMCN - Certified Managed Care Nurse within 3 Years

Cardiothoracic Surgery- PA/CRNP for inpatient ICU /OHU (non-surgical) - Lehigh Valley Heart & Vascular Institute

Lehigh Valley Health Network
Allentown, PA
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At Lehigh Valley Health Network (LVHN), we continually go the extra mile to further our mission to heal, comfort and care for the people of our community. Each one of our 19,000 colleagues contributes to this mission and helps make all communities we serve healthier - and better - places in which to live.
Our health care professionals provide amazing care every day! At LVHN, our core values: Compassion, Integrity, Collaboration and Excellence , guide our decision making and behaviors. We bring our values to life through our actions and commitment to an inclusive and equitable workplace in which everyone feels like they belong and utilize their full potential. That is how each of our colleagues create exceptional experiences in a safe and secure environment for our patients and their loved ones, and for one another. At Lehigh Valley Health Network, you can provide community care and impact lives of your patients! We are seeking an experienced P A/CRNP for inpatient ICU/OHU (non-surgical) who has exceptional clinical and interpersonal skills to join our cardiothoracic team in Allentown, PA. LVHN has the most experienced cardiologists and cardiac surgeons in the region. LVHN consistently ranks among the best in the nation for heart attack survival. Many of our heart specialists have trained at the nation's top heart programs. Our cardiac surgeons and thoracic surgeons are all board-certified, many having served fellowships or received additional training with leading programs. LVHN was the region's first to perform transcatheter aortic valve replacement (TAVR) and is recognized as a center for performing complex mitral valve repair surgery. We lead the region in the life-saving technology known as ECMO (extracorporeal membrane oxygenation) and have specialized programs in women's heart health, sports cardiology, advanced heart failure technologies, peripheral vascular and venous care and rhythm disturbance care. Since 2002, LVH-Cedar Crest, LVH-17th Street, LVH-Muhlenberg, LVHN-Tilghman and Home Health and Hospice Services have earned Magnet recognition from the American Nurses Credentialing Center. This designation is the highest and most prestigious distinction a health care organization can achieve for nursing excellence and quality patient care. We're the only Magnet-designated medical center in the region. We care for patients with complex cases of heart disease that many hospitals turn away. You only find this level of clinical expertise at the country's top medical centers. Job Description: 12-hour shift position for day and nighttime coverage of the 11-bed cardiothoracic surgery ICU (Open Heart Unit) Duties include managing post cardiac and thoracic surgery patients, ECMO, LVAD, bedside procedures, and assist in inpatient practice needs No call obligations Benefits & Perks: Attractive work schedule Highly Competitive Compensation with a superb benefits package Low cost health insurance for employees CME reimbursement and time outside of normal PTO to take classes, attend conferences etc. Retirement plans with employer contribution APC Mentorship Program Lehigh Valley Health Network (LVHN) is a large nonprofit health system in eastern Pennsylvania with 19,000 colleagues, over 1,300 beds across 5 full service hospital campuses, 2,900 medical staff, 200 outpatient practices, and an academic environment with 25 fully accredited, free standing residency and fellowship programs. LVHN has been consistently ranked among America's Top Hospitals for over 20 years. We are located in the beautiful Lehigh Valley, a fast growing region in eastern Pennsylvania comprised of three mid-sized cites surrounded by suburban neighborhoods with over 700,000 residents. The area has a moderate cost of living, outstanding public and private school systems, ten colleges and universities, and an abundance of cultural and recreational offerings including two symphonies, summer music festivals, an art museum, championship golf courses and minor league sport teams. Just a 60 minute drive north of Philadelphia and 90 minute drive west of New York City. To learn more about the Lehigh Valley, visit www.discoverlehighvalley.com. For consideration as a candidate, please email a CV to Kate Musser, Recruiter, at Kate.Musser@LVHN.org, or call (484) 225-2132. YourMembership. Keywords: Nurse Practitioner (NP), Location: Allentown, PA - 18101
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Physician Assistant for Inpatient Cardiothoracic Surgery (surgical position)-Lehigh Valley Heart & Vascular Institute

Lehigh Valley Health Network
Allentown, PA
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At Lehigh Valley Health Network (LVHN), we continually go the extra mile to further our mission to heal, comfort and care for the people of our community. Each one of our 19,000 colleagues contributes to this mission and helps make all communities we serve healthier - and better - places in which to live.
Our health care professionals provide amazing care every day! At LVHN, our core values: Compassion, Integrity, Collaboration and Excellence , guide our decision making and behaviors. We bring our values to life through our actions and commitment to an inclusive and equitable workplace in which everyone feels like they belong and utilize their full potential. That is how each of our colleagues create exceptional experiences in a safe and secure environment for our patients and their loved ones, and for one another. At Lehigh Valley Health Network, you can provide community care and impact lives of your patients! We are seeking an experienced surgical Physician Assistant who has exceptional clinical and interpersonal skills to join our cardiothoracic team in Allentown, PA. LVHN has the most experienced cardiologists and cardiac surgeons in the region. LVHN consistently ranks among the best in the nation for heart attack survival. Many of our heart specialists have trained at the nation's top heart programs. Our cardiac surgeons and thoracic surgeons are all board-certified, many having served fellowships or received additional training with leading programs. LVHN was the region's first to perform transcatheter aortic valve replacement (TAVR) and is recognized as a center for performing complex mitral valve repair surgery. We lead the region in the life-saving technology known as ECMO (extracorporeal membrane oxygenation) and have specialized programs in women's heart health, sports cardiology, advanced heart failure technologies, peripheral vascular and venous care and rhythm disturbance care. Since 2002, LVH-Cedar Crest, LVH-17th Street, LVH-Muhlenberg, LVHN-Tilghman and Home Health and Hospice Services have earned Magnet recognition from the American Nurses Credentialing Center. This designation is the highest and most prestigious distinction a health care organization can achieve for nursing excellence and quality patient care. We're the only Magnet-designated medical center in the region. We care for patients with complex cases of heart disease that many hospitals turn away. You only find this level of clinical expertise at the country's top medical centers. Job Description: First assist in cardiothoracic surgery for a full range of cardiac and thoracic surgical procedures not including transplant. This includes CABG, valve surgery, aneurysm/dissection, LVAD, ECMO, TEVAR, redo-sternotomies, bedside procedures, and others. Also includes assisting in the ICU, and with other inpatient practice needs Team shares call coverage Job Qualifications: Proficient in endoscopic harvesting and radial artery harvesting Surgical cardiothoracic experience required Must be Board Eligible or Board Certified A Valid Pennsylvania Medical License or ability to obtain one is required Graduate from accredited educational program for Physician Assistants Benefits & Perks: Attractive work schedule Highly Competitive Compensation with a superb benefits package Low cost health insurance for employees CME reimbursement and time outside of normal PTO to take classes, attend conferences etc. Retirement plans with employer contribution APC Mentorship Program Lehigh Valley Health Network (LVHN) is a large nonprofit health system in eastern Pennsylvania with 19,000 colleagues, over 1,300 beds across 5 full service hospital campuses, 2,900 medical staff, 200 outpatient practices, and an academic environment with 25 fully accredited, free standing residency and fellowship programs. LVHN has been consistently ranked among America's Top Hospitals for over 20 years. We are located in the beautiful Lehigh Valley, a fast growing region in eastern Pennsylvania comprised of three mid-sized cites surrounded by suburban neighborhoods with over 700,000 residents. The area has a moderate cost of living, outstanding public and private school systems, ten colleges and universities, and an abundance of cultural and recreational offerings including two symphonies, summer music festivals, an art museum, championship golf courses and minor league sport teams. Just a 60 minute drive north of Philadelphia and 90 minute drive west of New York City. To learn more about the Lehigh Valley, visit www.discoverlehighvalley.com. Interested candidates, please email a CV to Kate Musser, Recruiter, at Kate.Musser@LVHN.org, or call (484) 225-2132. YourMembership. Keywords: Surgical Physician Assistant, Location: Allentown, PA - 18101
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Physician Assistant for Inpatient Cardiothoracic Surgery (surgical position)-Lehigh Valley Heart ...

Lehigh Valley Health Network
Allentown, PA
Opens new tabopen new tab
At Lehigh Valley Health Network (LVHN), we continually go the extra mile to further our mission to heal, comfort and care for the people of our community. Each one of our 19,000 colleagues contributes to this mission and helps make all communities we serve healthier and better places in which to live.
Our health care professionals provide amazing care every day! At LVHN, our core values: Compassion, Integrity, Collaboration and Excellence , guide our decision making and behaviors. We bring our values to life through our actions and commitment to an inclusive and equitable workplace in which everyone feels like they belong and utilize their full potential. That is how each of our colleagues create exceptional experiences in a safe and secure environment for our patients and their loved ones, and for one another. At Lehigh Valley Health Network, you can provide community care and impact lives of your patients! We are seeking an experiencedsurgical Physician Assistant who has exceptional clinical and interpersonal skills to join ourcardiothoracic team in Allentown, PA. LVHN has the most experienced cardiologists and cardiac surgeons in the region. LVHNconsistently ranksamong the best in the nation for heart attack survival. Many of our heart specialists have trained at the nations top heart programs. Our cardiac surgeonsand thoracic surgeonsare all board-certified, many having servedfellowships or receivedadditional training with leading programs. LVHN was the regions first to performtranscatheter aortic valve replacement(TAVR)and is recognized as a center for performing complex mitral valve repair surgery. We lead the region in the life-saving technology known as ECMO (extracorporeal membrane oxygenation) and have specialized programs inwomens heart health,sports cardiology,advanced heart failure technologies,peripheral vascular and venous careandrhythm disturbance care. Since 2002,LVHCedar Crest,LVH17th Street,LVHMuhlenberg,LVHNTilghmanandHome Healthand Hospice ServiceshaveearnedMagnetrecognitionfrom the American Nurses Credentialing Center. This designation is the highest and most prestigious distinction a health care organization can achieve for nursing excellence and quality patient care. Were the only Magnet-designated medical center in the region. We care for patients with complex cases of heart disease thatmany hospitals turn away. You only find this level of clinical expertise at the countrys top medical centers. Job Description: First assist in cardiothoracic surgery for a full range of cardiac and thoracic surgical procedures not including transplant. This includes CABG, valve surgery, aneurysm/dissection, LVAD, ECMO, TEVAR, redo-sternotomies, bedside procedures, and others. Also includes assisting in the ICU, and with other inpatient practice needs Team sharescall coverage Job Qualifications: Proficient in endoscopic harvesting and radial artery harvesting Surgical cardiothoracic experience required Must be Board Eligible or Board Certified A Valid Pennsylvania Medical License or ability to obtain one is required Graduate from accredited educational program for Physician Assistants Benefits & Perks: Attractive workschedule Highly Competitive Compensation with a superb benefits package Low cost health insurance for employees CME reimbursement and time outside of normal PTO to take classes, attend conferences etc. Retirement plans with employer contribution APC Mentorship Program Lehigh Valley Health Network (LVHN) is a large nonprofit health system in eastern Pennsylvania with 19,000 colleagues, over 1,300 beds across 5 full service hospital campuses, 2,900 medical staff, 200 outpatient practices, and an academic environment with 25 fully accredited, free standing residency and fellowship programs. LVHN has been consistently ranked among Americas Top Hospitals for over 20 years. We are located in the beautiful Lehigh Valley, a fast growing region in eastern Pennsylvania comprised of three mid-sized cites surrounded by suburban neighborhoods with over 700,000 residents. The area has a moderate cost of living, outstanding public and private school systems, ten colleges and universities, and an abundance of cultural and recreational offerings including two symphonies, summer music festivals, an art museum, championship golf courses and minor league sport teams. Just a 60 minute drive north of Philadelphia and 90 minute drive west of New York City. To learn more about the Lehigh Valley, visitwww.discoverlehighvalley.com. Interested candidates, please email a CV to Kate Musser, Recruiter, at Kate.Musser@LVHN.org, or call (484) 225-2132. YourMembership. Keywords: Surgical Physician Assistant, Location: Allentown, PA - 18101
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Cardiothoracic Surgery- PA/CRNP for inpatient ICU /OHU (non-surgical) - Lehigh Valley Heart & Vas...

Lehigh Valley Health Network
Allentown, PA
Opens new tabopen new tab
At Lehigh Valley Health Network (LVHN), we continually go the extra mile to further our mission to heal, comfort and care for the people of our community. Each one of our 19,000 colleagues contributes to this mission and helps make all communities we serve healthier and better places in which to live.
Our health care professionals provide amazing care every day! At LVHN, our core values: Compassion, Integrity, Collaboration and Excellence , guide our decision making and behaviors. We bring our values to life through our actions and commitment to an inclusive and equitable workplace in which everyone feels like they belong and utilize their full potential. That is how each of our colleagues create exceptional experiences in a safe and secure environment for our patients and their loved ones, and for one another. At Lehigh Valley Health Network, you can provide community care and impact lives of your patients!We are seeking an experienced P A/CRNP for inpatient ICU/OHU (non-surgical) who has exceptional clinical and interpersonal skills to join ourcardiothoracic team in Allentown, PA. LVHN has the most experienced cardiologists and cardiac surgeons in the region. LVHNconsistently ranksamong the best in the nation for heart attack survival. Many of our heart specialists have trained at the nations top heart programs. Our cardiac surgeonsand thoracic surgeonsare all board-certified, many having servedfellowships or receivedadditional training with leading programs. LVHN was the regions first to performtranscatheter aortic valve replacement(TAVR)and is recognized as a center for performing complex mitral valve repair surgery. We lead the region in the life-saving technology known as ECMO (extracorporeal membrane oxygenation) and have specialized programs inwomens heart health,sports cardiology,advanced heart failure technologies,peripheral vascular and venous careandrhythm disturbance care. Since 2002,LVHCedar Crest,LVH17th Street,LVHMuhlenberg,LVHNTilghmanandHome Healthand Hospice ServiceshaveearnedMagnetrecognitionfrom the American Nurses Credentialing Center. This designation is the highest and most prestigious distinction a health care organization can achieve for nursing excellence and quality patient care. Were the only Magnet-designated medical center in the region. We care for patients with complex cases of heart disease thatmany hospitals turn away. You only find this level of clinical expertise at the countrys top medical centers. Job Description: 12-hour shift position for day and nighttime coverage of the 11-bed cardiothoracic surgery ICU (Open Heart Unit) Dutiesinclude managing post cardiac and thoracic surgery patients, ECMO, LVAD, bedside procedures, and assist in inpatient practice needs No call obligations Benefits & Perks: Attractive workschedule Highly Competitive Compensation with a superb benefits package Low cost health insurance for employees CME reimbursement and time outside of normal PTO to take classes, attend conferences etc. Retirement plans with employer contribution APC Mentorship Program Lehigh Valley Health Network (LVHN) is a large nonprofit health system in eastern Pennsylvania with 19,000 colleagues, over 1,300 beds across 5 full service hospital campuses, 2,900 medical staff, 200 outpatient practices, and an academic environment with 25 fully accredited, free standing residency and fellowship programs.LVHN has been consistently ranked among Americas Top Hospitals for over 20 years. We are located in the beautiful Lehigh Valley, a fast growing region in eastern Pennsylvania comprised of three mid-sized cites surrounded by suburban neighborhoods with over 700,000 residents. The area has a moderate cost of living, outstanding public and private school systems, ten colleges and universities, and an abundance of cultural and recreational offerings including two symphonies, summer music festivals, an art museum, championship golf courses and minor league sport teams. Just a 60 minute drive north of Philadelphia and 90 minute drive west of New York City. To learn more about the Lehigh Valley, visitwww.discoverlehighvalley.com. For consideration as a candidate, please email a CV to Kate Musser, Recruiter, at Kate.Musser@LVHN.org, or call (484) 225-2132. YourMembership. Keywords: Nurse Practitioner (NP), Location: Allentown, PA - 18101
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HIM Sr Analyst Coding Data Qual-Facil Based Remote

Lehigh Valley Hospital & Health
Remote or Allentown, PA
Job Summary:#REMOTE OPPORTUNITY## BONUS UP TO $5,000.00 # HIM SR ANALYST CODING DATA QUALITY FACILITY BASED # Incumbent is responsible for developing, implementing, and maintaining a coding and reimbursement quality management plan for assigned area of responsibility at the network level . Responsible for training and education of coding and clinical staff. Serves as a Coding Resource for the organization. The output of the HIM Coding Department is used for financial and billing purposes, to meet licensure requirements, network quality initiatives, for statistics, and for public hospital and physician reporting. Areas of responsibility may include either inpatient or outpatient facility coding or a variety of provider based services. Minimum Requirements: Associates Degree or work experience in a complex coding environment equivalent to Associates Degree. AHIMA/AAPC coding certification required. # 4#years experience in coding/abstracting of complex patient encounters required. As applicable to role assigned (either hospital based or provider based venue) - expert knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC, or wRVUs). Strong knowledge of medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation. Strong PC and Microsoft Office Skills. Demonstrated leadership and interpersonal skills and excellent communication and presentation skills required Preferred Qualifications: Bachelor#s Degree preferred Licensure and Certifications: AHIMA or AAPC credential # Rich Text Editor, Posting_FacilityDescriptionEditor toolbars Document#Source#Preview#PrintClipboard/Undo#CutKeyboard shortcut Ctrl+X#CopyKeyboard shortcut Ctrl+C#PasteKeyboard shortcut Ctrl+V#Paste as plain text Keyboard shortcut Ctrl+Shift+V#Paste from Word#UndoKeyboard shortcut Ctrl+Z#RedoKeyboard shortcut Ctrl+YEditing#Find#Replace#Select All#Spell Check As You TypeBasic Styles#BoldKeyboard shortcut Ctrl+B#ItalicKeyboard shortcut Ctrl+I#UnderlineKeyboard shortcut Ctrl+U#Strikethrough#Subscript#Superscript#Copy FormattingKeyboard shortcut Ctrl+Shift+C#Remove FormatParagraph#Insert/Remove Numbered List#Insert/Remove Bulleted List#Decrease Indent#Increase Indent#Align Left#Center#Align Right#Justify#Text direction from left to right#Text direction from right to left Links#LinkKeyboard shortcut Ctrl+K#Unlink#AnchorInsert#Image#Table#Insert Horizontal Line#Insert Special Character#Insert Page Break for PrintingStylesStylesStylesFormatFormatFontFontSizeSizeColors#Text Color#Background ColorTools#Maximizeabout#About CKEditor 4Press ALT 0 for helpâ-¢Elements path###No #LI-ML1
HIM SR ANALYST CODING DATA QUALITY FACILITY BASED

Incumbent is responsible for developing, implementing, and maintaining a coding and reimbursement quality management plan for assigned area of responsibility at the network level . Responsible for training and education of coding and clinical staff. Serves as a Coding Resource for the organization. The output of the HIM Coding Department is used for financial and billing purposes, to meet licensure requirements, network quality initiatives, for statistics, and for public hospital and physician reporting. Areas of responsibility may include either inpatient or outpatient facility coding or a variety of provider based services.

Minimum Requirements: Associates Degree or work experience in a complex coding environment equivalent to Associates Degree. AHIMA/AAPC coding certification required.

4 years experience in coding/abstracting of complex patient encounters required. As applicable to role assigned (either hospital based or provider based venue) - expert knowledge of ICD-10-CM/PCS, HCPCs/CPT, modifiers, charge applications, and reimbursement methodologies (DRG, APC, or wRVUs). Strong knowledge of medical terminology, anatomy and physiology, pathophysiology, regulatory agency requirements, severity of illness classification, and health care statistics computation. Strong PC and Microsoft Office Skills. Demonstrated leadership and interpersonal skills and excellent communication and presentation skills required

Preferred Qualifications: Bachelor's Degree preferred

Licensure and Certifications: AHIMA or AAPC credential

Rich Text Editor, Posting_FacilityDescriptionEditor toolbars Document Source Preview PrintClipboard/Undo CutKeyboard shortcut Ctrl+X CopyKeyboard shortcut Ctrl+C PasteKeyboard shortcut Ctrl+V Paste as plain text Keyboard shortcut Ctrl+Shift+V Paste from Word UndoKeyboard shortcut Ctrl+Z RedoKeyboard shortcut Ctrl+YEditing Find Replace Select All Spell Check As You TypeBasic Styles BoldKeyboard shortcut Ctrl+B ItalicKeyboard shortcut Ctrl+I UnderlineKeyboard shortcut Ctrl+U Strikethrough Subscript Superscript Copy FormattingKeyboard shortcut Ctrl+Shift+C Remove FormatParagraph Insert/Remove Numbered List Insert/Remove Bulleted List Decrease Indent Increase Indent Align Left Center Align Right Justify Text direction from left to right Text direction from right to left Links LinkKeyboard shortcut Ctrl+K Unlink AnchorInsert Image Table Insert Horizontal Line Insert Special Character Insert Page Break for PrintingStylesStylesStylesFormatFormatFontFontSizeSizeColors Text Color Background ColorTools Maximizeabout About CKEditor 4Press ALT 0 for helpâ-¢Elements path No

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HIM Sr Analyst Coding Data Qual-Provid Based - Remote Opportunity

Lehigh Valley Hospital & Health
Remote or Allentown, PA
Summary Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. Utilizes output for financial and billing purposes to meet licensure requirements, network quality initiatives, statistics, and for public hospital and physician reporting.
Develops, implements, and maintains a coding and reimbursement quality management plan at the network level. Utilizes output for financial and billing purposes to meet licensure requirements, network quality initiatives, statistics, and for public hospital and physician reporting.

Coding Integrity Analyst - Remote Opportunity

Lehigh Valley Hospital & Health
Remote or Allentown, PA
Job Summary: Maintains the coding integrity for network-wide provider-based services and conducts critical data analysis and research on complex documentation and coding issues. Assimilates data and reports results that help set direction for coding education and focused projects. Resolves claim and charge review edits for all practices and provides new or revised guidance on billing of new services. Education - Required: Associate#s Degree in a Healthcare related field or Coding curriculum to include medical terminology, A#P, ICD-10, and coding guidelines. Education - Preferred: Bachelor#s Degree in a Healthcare related field Experience - Required: 3 years Experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting or 3 years AR background Experience - Preferred: 5 years Experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting Knowledge, Skills, and Abilities - Required: Knowledge of Evaluation and Management Coding. Knowledge of medical terminology, anatomy and physiology, and pathophysiology. Knowledge of statistical methods and tools. Knowledge of CPT and ICD-10 CM coding classification systems. Skill in analyzing and organizing technical data. Problem solving ability. Certifications - Required: CPC - Certified Professional Coder or CCS-P - Certified Coding Specialist-Physician based or Certified Expert Coder-AHIMA or AAPC

Maintains the coding integrity for network-wide provider-based services and conducts critical data analysis and research on complex documentation and coding issues. Assimilates data and reports results that help set direction for coding education and focused projects. Resolves claim and charge review edits for all practices and provides new or revised guidance on billing of new services.
Education - Required:

* Associate's Degree in a Healthcare related field or
* Coding curriculum to include medical terminology, A&P, ICD-10, and coding guidelines.

Education - Preferred:

* Bachelor's Degree in a Healthcare related field

Experience - Required:

* 3 years Experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting or
* 3 years AR background

Experience - Preferred:

* 5 years Experience in CPT, ICD-10, and HCPCS coding in a physician office setting or in a hospital outpatient setting

Knowledge, Skills, and Abilities - Required:

* Knowledge of Evaluation and Management Coding.
* Knowledge of medical terminology, anatomy and physiology, and pathophysiology.
* Knowledge of statistical methods and tools.
* Knowledge of CPT and ICD-10 CM coding classification systems.
* Skill in analyzing and organizing technical data.
* Problem solving ability.

Certifications - Required:

* CPC - Certified Professional Coder or
* CCS-P - Certified Coding Specialist-Physician based or
* Certified Expert Coder-AHIMA or AAPC

Care Manager***Flexible Remote Role***

Lehigh Valley Hospital & Health
Remote or Allentown, PA
Job Summary: Facilitates a proactive partnership with patients to enhance and personalize the management of health-related needs across the care continuum. Coordinates input from all health professionals, conducts assessments of patient/family needs, and formulates a documented plan to ensure the continuity of care for the highest risk patients or those patients at risk for poor outcomes. Education - Required: Bachelor#s Degree Nursing or Experience in lieu of Bachelor#s degree may be considered (Populytics) Education - Preferred: Master#s Degree Nursing Experience - Required: 5 years Progressive experience working as an RN with chronic illness management. and 3 years Experience in Case Management, Disease Management, Home Health Care, or an office setting. or 3 years Clinical nursing experience (HealthWorks). or 3 years Commensurate Occupational Health experience (HealthWorks). Experience - Preferred: 1 year Experience working in electronic medical record (EMR) Knowledge, Skills, and Abilities - Required: Sets priorities to coordinate care plan efficiently. Ability to exercise sound judgment in making critical decisions. Ability to use effective behavioral and educational strategies such as motivational interviewing, teach-back method, and self-management support. Knowledge of computer applications and analytical tools. Must be able to work a flexible schedule in order to meet departmental needs. Knowledge, Skills, and Abilities - Preferred: Bi-lingual skills if defined practice/population requires. Licensure - Required: Registered Nurse Pennsylvania Upon Hire Certifications - Required: CCM - Certified Case Manager (Populytics Care Coordination) within 2 Years or ACM - Accredited Case Manager (Populytics Care Coordination) within 2 Years Licensure - Preferred: CCM - Certified Case Manager (HealthWorks) within 2 Years

Facilitates a proactive partnership with patients to enhance and personalize the management of health-related needs across the care continuum. Coordinates input from all health professionals, conducts assessments of patient/family needs, and formulates a documented plan to ensure the continuity of care for the highest risk patients or those patients at risk for poor outcomes.
Education - Required:

* Bachelor's Degree Nursing or
* Experience in lieu of Bachelor's degree may be considered (Populytics)

Education - Preferred:

* Master's Degree Nursing

Experience - Required:

* 5 years Progressive experience working as an RN with chronic illness management. and
* 3 years Experience in Case Management, Disease Management, Home Health Care, or an office setting. or
* 3 years Clinical nursing experience (HealthWorks). or
* 3 years Commensurate Occupational Health experience (HealthWorks).

Experience - Preferred:

* 1 year Experience working in electronic medical record (EMR)

Knowledge, Skills, and Abilities - Required:

* Sets priorities to coordinate care plan efficiently.
* Ability to exercise sound judgment in making critical decisions.
* Ability to use effective behavioral and educational strategies such as motivational interviewing, teach-back method, and self-management support.
* Knowledge of computer applications and analytical tools.
* Must be able to work a flexible schedule in order to meet departmental needs.

Knowledge, Skills, and Abilities - Preferred:

* Bi-lingual skills if defined practice/population requires.

Licensure - Required:

* Registered Nurse Pennsylvania Upon Hire

Certifications - Required:

* CCM - Certified Case Manager (Populytics Care Coordination) within 2 Years or
* ACM - Accredited Case Manager (Populytics Care Coordination) within 2 Years

Licensure - Preferred:

* CCM - Certified Case Manager (HealthWorks) within 2 Years

Medical Assistant Physicians Practice - Family Medicine

Lehigh Valley Hospital & Health
Remote or East Stroudsburg, PA
#Ask us about our Sign-On Bonus for Experienced Medical Assistants!*You may be eligible to receive up to a $2,000.00 sign on bonus* We also have exciting new compensation structures available!# Remote work may be possible for colleagues, post orientation.## Job Summary: Functions as part of the clinical team providing clinical care under the direction of an LPN, RN, or provider. Assists with administrative, clinical, and clerical duties which could include taking a patient#s history and personal information, scheduling appointments, responding to patient communications, and rooming patients. Education - Required: Specialized Diploma as a Medical Assistant Education - Preferred: Associate#s Degree from a Medical Assistant Program Experience - Required: Experience - Preferred: 1 year recent experience in a Physician office practice setting Knowledge, Skills, and Abilities - Required: Ability to accept and adapt to constant change within a healthcare setting. Ability to take initiative and function independently as well as collaboratively. Excellent computer skills including EMR, word processing, and Excel. Certifications - Required: Health Services\BCLS - Basic Life Support within 30 Days Licensure - Preferred: CCMA - Certified Clinical Medical Assistant - NHA or CMA - Certified Medical Assistant - AAMA or CMAC - Clinical Medical Assistant Certification - AMCA or MAC - Medical Assistant Certified - AMCA or NCMA - National Certified Medical Assistant - NCTT or NRCMA - National Registered Certified Medical Assistant - NAHP or Registered Medical Assistant (RMA)-American Medical Technologists

Ask us about our Sign-On Bonus for Experienced Medical Assistants!*You may be eligible to receive up to a $2,000.00 sign on bonus* We also have exciting new compensation structures available!
Remote work may be possible for colleagues, post orientation.

Job Summary:

Functions as part of the clinical team providing clinical care under the direction of an LPN, RN, or provider. Assists with administrative, clinical, and clerical duties which could include taking a patient's history and personal information, scheduling appointments, responding to patient communications, and rooming patients.

Education - Required:

* Specialized Diploma as a Medical Assistant

Education - Preferred:

* Associate's Degree from a Medical Assistant Program

Experience - Required:

Experience - Preferred:

* 1 year recent experience in a Physician office practice setting

Knowledge, Skills, and Abilities - Required:

* Ability to accept and adapt to constant change within a healthcare setting.
* Ability to take initiative and function independently as well as collaboratively.
* Excellent computer skills including EMR, word processing, and Excel.

Certifications - Required:

* Health Services\BCLS - Basic Life Support within 30 Days

Licensure - Preferred:

* CCMA - Certified Clinical Medical Assistant - NHA or
* CMA - Certified Medical Assistant - AAMA or
* CMAC - Clinical Medical Assistant Certification - AMCA or
* MAC - Medical Assistant Certified - AMCA or
* NCMA - National Certified Medical Assistant - NCTT or
* NRCMA - National Registered Certified Medical Assistant - NAHP or
* Registered Medical Assistant (RMA)-American Medical Technologists

Office Coord (Phys Prac)

Lehigh Valley Hospital & Health
Rogersville, PA

Customer Supp Analyst

Lehigh Valley Hospital & Health
Allentown, PA

Nursing Assistant

Lehigh Valley Hospital & Health
East Stroudsburg, PA

Cardiothoracic Surgery- PA/CRNP for inpatient ICU /OHU (non-surgical) - Lehigh Valley Heart & Vascular Institute

Lehigh Valley Health Network
Allentown, PA
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Physician - Pediatrics - Lehigh Valley Health Network is hiring Per Diem General Pediatricians in the beautiful Allentown, PA area - PRIME LOCATION!!!

Lehigh Valley Health Network
Allentown, PA
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Physician - Endocrinology - Endocrinology Physician - Eastern PA - 1 hour from Philadelphia, 1.5 hours from NYC

Lehigh Valley Health Network
Allentown, PA
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