• Per Diem Diagnosis/Oasis Specialist

    St. Luke's University Health Network (Bethlehem, PA)
    …a patient's ability to pay for health care. The Diagnosis and OASIS Specialist is responsible for coding pertinent medical information on patient classifications ... according to coding guidelines, OASIS Item Guidance and CMSdirectives. This person...referral source, Medical Director and admitting clinician. Utilizing standard coding conventions makes recommendations related to diagnoses codes, sequencing… more
    St. Luke's University Health Network (07/22/25)
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  • Sr. Epic Analyst/Builder - HIM, Full Time

    St. Luke's University Health Network (Allentown, PA)
    …or Healthcare Administration or equivalent work experience is required. Certified Coding Specialist or Certified Inpatient Coder required. TRAINING & ... Cycle experience is preferred. Two to four years of experience in Inpatient coding is required. MS Office experience is required. Overall 3rd party troubleshooting… more
    St. Luke's University Health Network (05/30/25)
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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 ... actionable solutions resulting in improved accuracy of medical record documentation and coding . Promotes the strategy and capabilities to develop risk management and… more
    Highmark Health (08/08/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query ... is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position...hours. In this role, you will be handling outpatient coding which will mainly include Same Day Surgeries and… more
    UPMC (08/08/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query ... is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position...hours. In this role, you will be handling inpatient coding . You will review clinical documentation within the medical… more
    UPMC (08/08/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of ... APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
    St. Luke's University Health Network (07/08/25)
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  • HIM Clinical Documentation Specialist

    Penn Medicine (Philadelphia, PA)
    …Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
    Penn Medicine (08/07/25)
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  • Inpatient Audit Specialist

    Datavant (Harrisburg, PA)
    …vision for healthcare. **What We're Looking For:** As an Inpatient Auditing Specialist , you will be instrumental in addressing consulting and educational needs ... related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this role, you will… more
    Datavant (07/29/25)
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  • Billing Specialist

    Community Health Systems (Kingston, PA)
    **Job Summary** The Billing Specialist I is responsible for performing insurance claim processing, billing, and follow-up to ensure timely and accurate ... maintaining compliance with billing regulations and organizational policies. The Billing Specialist I works closely with internal teams, including clinic staff and… more
    Community Health Systems (05/22/25)
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  • Research Specialist A, Center for Social…

    University of Pennsylvania (Philadelphia, PA)
    …and wellness programs and resources, and much more. Posted Job Title Research Specialist A, Center for Social Norms and Behavioral Dynamics Job Profile Title ... Research Specialist A Job Description Summary The Center for Social...Javascript is strongly preferred * Familiar with designing or coding online experiments (using platforms like jsPsych, Psychopy, or… more
    University of Pennsylvania (08/08/25)
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