• Manager, Fraud and Waste

    Humana (Harrisburg, PA)
    …to make an impact** **WORK STYLE:** Work at home/remote with 15-20% travel required **WORK HOURS :** Regular business hours are in EST (8 hours per day, ... organizational and project management skills + Strong Analytical skills + Core business hours align to Eastern Standard Time (EST) + Able to analyze large amount… more
    Humana (08/09/25)
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  • Consultative Coding Professional

    CenterWell (Harrisburg, PA)
    …(including IPA and Offshore coding management) + RHIA, RHIT, CCS, or CPC Certification + Ability to travel both locally and overnight. **Preferred Qualifications:** ... that the incumbent reside in AZ.** + Standard working hours required; 8:00 am - 5:00 pm. + Anticipated...for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects… more
    CenterWell (08/08/25)
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  • Senior Coding Educator

    Humana (Harrisburg, PA)
    …**Required Qualifications** + High school diploma or equivalent + Must hold AAPC CPC (Certified Professional Coder) certification + 2 years or more experience with ... for training or meetings may be required. **Scheduled Weekly Hours ** 40 **Pay Range** The compensation range below reflects...estimate of starting base pay for full time (40 hours per week) employment at the time of posting.… more
    Humana (08/08/25)
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  • Practice Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …**Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote **Entity:** CPUP ** Hours :** Mon-Fri office hours per department needs **Summary:** + ... records. **Education, Credentials, and Experience:** + HS Diploma/GED (Required) + CCS or CPC (Required) + RHIA or RHIT (preferred) + And 3-5 years coding experience… more
    Penn Medicine (08/07/25)
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  • Compliance Analyst I

    Penn Medicine (Bala Cynwyd, PA)
    …living your life's work? Entity: Corporate Services Department: Office of Billing Compliance Hours : M-F, 8 hr days, hybrid Location: 150 Monument Road, Bala Cynwyd, ... Credentials: + Certified Risk Adjustment Coder certification. (Preferred) + Certified Procedural Coder ( CPC ) at time of hire or within 3 months of hiring. (Required)… more
    Penn Medicine (08/08/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Harrisburg, PA)
    …Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of Behavioral Health policies and ... in healthcare fraud, waste, and abuse investigations and audits. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range… more
    CVS Health (08/08/25)
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  • Physician Educator Health Plan- Remote w/ travel

    UPMC (Pittsburgh, PA)
    …department. This is a full time position working Monday through Friday daylight hours and is a remote position with travel.** The Physician Educator serves as ... minimal supervision. **Licensure, Certifications, and Clearances:** Licensure/certification required CRC, CCS, CPC -P, CPMA, CPPM within 6 months of hire. + Act 34… more
    UPMC (08/08/25)
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  • HIM Coding Specialist - RAD-O-RBO Coding

    Penn Medicine (Philadelphia, PA)
    …Department: RAD-O-RBO Coding Location: Centre Square West Tower- 1500 Market Street Hours : Full Time Summary: + Performs coding and abstracting for Penn Medicine ... health system organization Credentials: + Certified Coding Specialist - CCS (AHIMA) or CPC (AAPC) + RHIT or RHIA (preferred) Education or Equivalent Experience: + HS… more
    Penn Medicine (08/07/25)
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  • Negotiator Analyst (Level I)

    CVS Health (Harrisburg, PA)
    …Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and written communication skills. + ... + Associate's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
    CVS Health (08/02/25)
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  • Manager, Special Investigation

    CVS Health (Harrisburg, PA)
    …Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and procedures **Education** + ... Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
    CVS Health (08/01/25)
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