• DRG Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home ... necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG... Specialist and assist in correcting deficiencies in DRG assignment. + Prepare monthly productivity reports of … more
    UPMC (06/11/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... sequenced in order of their clinical significance to accurately assign the appropriate DRG /APC/ASC or payment tier under the Prospective Payment system or DSM IV… more
    UPMC (07/12/25)
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  • Coder II - Technical

    UPMC (Pittsburgh, PA)
    …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... in order of their clinical significance to accurately assign the appropriate DRG to guarantee accurate reimbursement on UPMC patients. + Identify incomplete… more
    UPMC (07/12/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... facility-based medical coding (clearly reflected in your attached resume);** + ** DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;**… more
    Banner Health (06/15/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for Penn Medicine… more
    Penn Medicine (04/29/25)
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  • HIM Inpatient Coding Specialist I

    Penn Medicine (Philadelphia, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... Are you living your life's work? **HIM Inpatient Coding Specialist I** Job Summary: + Performs all coding and...procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement… more
    Penn Medicine (06/21/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS-...assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
    St. Luke's University Health Network (05/19/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... diagnosis and procedure codes to assure properly assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance… more
    St. Luke's University Health Network (07/08/25)
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  • Clinical Documentation Improvement…

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Improvement Specialist to join our coding team. This position will be a work-from-home position ... through Friday during normal business hours. The Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent… more
    UPMC (07/19/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS- DRG and coding changes by insurance providers or their auditors.… more
    St. Luke's University Health Network (07/08/25)
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