• 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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  • HIM Clinical Documentation Specialist

    Penn Medicine (Philadelphia, PA)
    …Philadelphia, PA + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving ... 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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  • HIM ProFee Auditing Specialist FT

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. As a Profee Auditing Specialist , you will be instrumental in addressing consulting and educational needs related ... to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews.… more
    Datavant (09/13/25)
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  • Outpatient Audit Specialist

    Datavant (Harrisburg, PA)
    …vision for healthcare. **What We're Looking For:** As an Outpatient 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 (09/13/25)
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  • Inpatient Audit Specialist

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. 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 offer… more
    Datavant (08/13/25)
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  • Inpatient Audit Specialist

    Datavant (Harrisburg, PA)
    …to realize our bold vision for healthcare. 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 offer… more
    Datavant (07/29/25)
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  • Denials Prevention Specialist PRN

    Datavant (Harrisburg, PA)
    … practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding , billing, utilization ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
    Datavant (09/30/25)
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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 (08/21/25)
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  • Charge Entry Specialist -Cardiology

    St. Luke's University Health Network (East Stroudsburg, PA)
    …of a patient's ability to pay for health care. The Charge Review Specialist is responsible for ensuring accurate and timely revenue capture for physician practices. ... Charge Review and Claim Edit Practice work queues, patient registration, coding diagnoses, insurance verification, and charge entry to maximize reimbursement as… more
    St. Luke's University Health Network (08/13/25)
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  • RN/ Clinical Documentation Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the ... 2 or more diagnoses meet definition of PDX; reconciles correctly after coding to reflect highest severity and relative weight; ensures documented conditions,… more
    St. Luke's University Health Network (09/17/25)
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