• DRG Specialist

    UPMC (Pittsburgh, PA)
    …department for appropriate reimbursement. + Coordinate DRG reimbursement issues among coding , nursing administration, Patient Business Services, medical staff, ... accurate. + Prepare and present in-service training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing… more
    UPMC (06/11/25)
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  • Compliance Analyst I

    Penn Medicine (Bala Cynwyd, PA)
    …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... your life's work? Entity: Corporate Services Department: Office of Billing Compliance Hours: M-F, 8 hr days, hybrid Location:...ensure that documentation supports all billed services by the medical staff. + Performs focused medical reviews… more
    Penn Medicine (08/08/25)
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  • Professional Fee Coder (Remote PA/NJ) (Per diem)

    St. Luke's University Health Network (Allentown, PA)
    …data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate ... information into specialty- specific databases. + Conducts educational sessions to the medical staff for coding and documentation compliance. PHYSICAL AND… more
    St. Luke's University Health Network (07/23/25)
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  • Director Compliance and Privacy - Investigations…

    Penn State Health (Hershey, PA)
    …and perform medical record audits of electronic and manual documentation, coding , and billing for technical and professional services. + Develop formal ... degree + Minimum ten (10) years experience in comprehensive compliance, audit, billing , coding , and documentation experience, preferably in complex health care… more
    Penn State Health (06/19/25)
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  • Quality Reviewer (Aetna SIU)

    CVS Health (Harrisburg, PA)
    …years of Medicaid Fraud, Waste, and Abuse review experience. + Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA). + Knowledge of ... in researching information and identifying relevant resources. + Knowledge of CPT/HCPCS/ICD coding . **Education** + A Bachelors degree or three years of experience… more
    CVS Health (08/08/25)
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  • Manager, Special Investigation

    CVS Health (Harrisburg, PA)
    …New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/01/25)
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