• RN Clinical Review Appeals Specialist (CDI/…

    St. Luke's University Health Network (Allentown, PA)
    Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that ... the coding professionals and be able to refute the clinical validation or coding determination made by the government or commercial payors, or their auditor… more
    St. Luke's University Health Network (10/28/25)
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  • Hierarchical Condition Category (HCC)…

    Highmark Health (Harrisburg, PA)
    …using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers ... for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits....identify and deliver high quality and accurate risk adjustment coding . Supports all Remote Patient Monitoring (RPM) risk adjustment… more
    Highmark Health (12/19/25)
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  • Senior Clinical Coder - (Remote, Flexible…

    Penn Medicine (Lititz, PA)
    …the American Health Information Management Association AHIMA . Assigns codes based upon clinical coding guidelines. + Perform SMART audits on 100% flagged ... issues and questions from various internal and external departments, in coordination with Clinical Coding Trainer and or CDI Coding Liaison. + Refer … more
    Penn Medicine (11/12/25)
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  • Inpatient Coding Specialist, FT and Per…

    St. Luke's University Health Network (Allentown, PA)
    … documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only). 7. ... all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of… more
    St. Luke's University Health Network (12/19/25)
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  • Outpatient Coding Specialist

    St. Luke's University Health Network (Allentown, PA)
    … documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only) PHYSICAL AND ... serve, regardless of a patient's ability to pay for health care. The Coding Specialist codes and abstracts all pertinent patient medical information according to… more
    St. Luke's University Health Network (11/22/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that ... Draft appeal letters, including the coding argument, to support network coding . + Identify clinical documentation improvement issues and through excellent… more
    St. Luke's University Health Network (10/07/25)
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  • Revenue Cycle Clinical Operations Analyst

    UPMC (Pittsburgh, PA)
    …operations experience. Apply today! Responsibilities: + Serve as a bridge between clinical departments and revenue cycle teams (billing, coding , authorization, ... and synthesis of feedback from providers and operational stakeholders related to clinical documentation, coding accuracy, billing workflows, and compliance. +… more
    UPMC (01/01/26)
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  • RN - Registered Nurse - Clinical

    Geisinger (Danville, PA)
    …methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and ... Job Duties The RN CDI Specialist acts as a liaison between the clinical and coding functions. Provides education to the medical staff and other clinical more
    Geisinger (12/28/25)
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  • RN - Registered Nurse - Senior Clinical

    Geisinger (Danville, PA)
    …methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the medical staff and ... to Geisinger. + Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation of discharge diagnosis and any… more
    Geisinger (10/29/25)
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  • Healthcare Clinical Documentation…

    Deloitte (Philadelphia, PA)
    …Monitor diagnoses, treatments, and follow-up entries in medical records to lead to coding accuracy + Identify gaps in clinical documentation and request missing ... + Keep up to date with advancements changes in regulations pertaining to coding , clinical documentation and health information technology The Team: Our… more
    Deloitte (11/21/25)
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