• Insurance Specialist II - Corporate Patient AR…

    Guthrie (Sayre, PA)
    …school diploma or equivalency required. CPC , CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: ... Minimum 3 years experience in insurance billing or CPC certified. Must demonstrate current...to the team environment. Must maintain a knowledge of medical terminology, CPT and IC D‐10 Coding more
    Guthrie (09/11/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality ... to perform education for the professional service documentation and coding audits of both office and in-patient medical...auditing software program. + Is a resource to the coding department, SLPG practices, providers, and billing more
    St. Luke's University Health Network (09/04/25)
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  • Insurance Specialist I - Corporate Patient AR Mgmt…

    Guthrie (Towanda, PA)
    …& Cert: High school diploma required; CPC , CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong ... follows up with appropriate parties as needed to ensure billing invoice is correct. Follows up with payers on...on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge… more
    Guthrie (09/23/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …degree or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance. + Knowledge of CMS ... role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet...Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder ( CPC more
    UPMC (07/24/25)
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  • Coder III - OP (Cath Lab-Circc)

    Baylor Scott & White Health (Harrisburg, PA)
    …**Essential Functions of the Role** + Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and ... codes and charges in the applicable documentation system to generate appropriate coding and billing . + Communicates with providers for missing documentation… more
    Baylor Scott & White Health (08/08/25)
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  • DRG Specialist II

    UPMC (Pittsburgh, PA)
    …and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines. + Review billing data when conducting ... management. Prepare and present in-service training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing… more
    UPMC (09/25/25)
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  • Certified Oncology Coder

    Redeemer Health Home Care & Hospice (Meadowbrook, PA)
    …of the Charge Master to design the capture of associated coding and billing for radiation and medical oncology. Works cooperatively as a team with revenue ... Set. This position will need to remain current on coding and billing regulations as it pertains...service we provide. RECRUITMENT REQUIREMENTS Successful completion of Certified Coding Exam required; CCS or CPC . Oncology… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Per Diem Professional Fee PA/NJ Remote Coder

    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 (09/26/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have understanding of technical ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
    Highmark Health (08/22/25)
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  • Special Investigation Unit Lead Review Analyst…

    CVS Health (Harrisburg, PA)
    …years Medicaid Fraud, Waste and Abuse investigatory experience. * Billing and Coding certifications such as CPC (AAPC)and/or CCS (AHIMA) * Knowledge of ... waste, and abuse investigatory and audits required. * Knowledge of CPT/HCPCS/ICD coding *Proficiency in Word, Excel, MS Outlook products, Database search tools, and… more
    CVS Health (09/20/25)
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