• Certified Risk Adjustment Coding /Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding , Medicare Risk Adjustment/Medicare Advantage and/or clinical . Plans experience. ... We invite you to apply today. SUMMARY OF JOB The Certified Risk Adjustment Coding /Audit Reviewer is a physician facing position and must have extensive knowledge in… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Physician Advisory Services Auditor

    Intermountain Health (Harrisburg, PA)
    …of the complexity and severity of illness of patients through improved clinical documentation and diagnostic coding practices. Job Essentials Reviews medical ... **Job Description:** The goal of the Clinical Documentation Specialist-Auditor is to improve the accuracy...coding staff. Minimum Qualifications Bachelor's degree in a clinical field (eg RN, RRT, PT, OT, SLP, LCSW).… more
    Intermountain Health (10/01/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …strategy to achieve continuous improvements as it relates to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs ... to deliver the highest quality of care to Highmark members and improve clinical documentation accuracy and completeness. Creates a culture focused on Compliance and… more
    Highmark Health (08/08/25)
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  • Compliance Coding Auditor - Integrity…

    Guthrie (Sayre, PA)
    Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and procedures ... and accepted guidelines for medical coding . Works closely with the Compliance...and billing and/or compliance field required 5 year of clinical experience and/or knowledge and understanding of Medical Records… more
    Guthrie (09/13/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... day. Are you living your life's work? HIM Inpatient Coding Specialist II Job Summary: + Performs all ...knowledge of medical terminology, human anatomy and physiology, and clinical disease processes + Extensive knowledge of ICD-10-CM and… more
    Penn Medicine (09/03/25)
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  • Coding / Revenue Cycle Specialist

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …professional journey. We invite you to apply today. SUMMARY OF JOB The Coding Specialist assigns diagnostic and procedural codes consistent with ICD-10 and CPT-4 ... guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • HIM Coding Specialist - RAD-O-RBO…

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
    Penn Medicine (08/07/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn ... day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all ...knowledge of medical terminology, human anatomy and physiology, and clinical disease processes + Extensive knowledge of ICD-10-CM and… more
    Penn Medicine (08/07/25)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and ... timely review and resolution of coding related claim denials for professional services, FQHC, MSO,...the ability to formulate an appeal rationale based on clinical documentation, application of LCD, relative carrier policy and… more
    St. Luke's University Health Network (10/01/25)
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  • Profee Coding Consultant (IR…

    Datavant (Harrisburg, PA)
    …our bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the ... field of medical coding . You will provide essential consulting services and educational...Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Demonstrate strong written and… more
    Datavant (09/30/25)
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