• RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively...Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure… more
    St. Luke's University Health Network (07/08/25)
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  • Inpatient DRG Quality Auditor

    Humana (Harrisburg, PA)
    …initiatives and develop educational materials. This is a full-time, remote/work-from- home position. **Description** The Inpatient Medical Coding Auditor ... part of our caring community and help us put health first** In this role, you will conduct quality...home position.** **Required Qualifications** + 7+years of DRG Coding + 5 years of Quality Auditing + Medical… more
    Humana (07/25/25)
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  • Per Diem Diagnosis/Oasis Specialist

    St. Luke's University Health Network (Bethlehem, PA)
    …A bachelor's degree in specific discipline preferred. TRAINING AND EXPERIENCE: Two years Home Health experience within the past five years required. Experience ... as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless… more
    St. Luke's University Health Network (07/22/25)
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  • Professional Fee Coder (Remote PA/NJ) (Per diem)

    St. Luke's University Health Network (Allentown, PA)
    …as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless ... of a patient's ability to pay for health care. The Physician Coder dodes and abstracts physician...RVUs and CPT-4 procedure unbundling. + Maintains a 95% coding accuracy rate as measured through quality reviews. +… more
    St. Luke's University Health Network (07/23/25)
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  • Sr Analyst, Scope Management

    Evolent (Harrisburg, PA)
    …PowerPoint to create compelling presentations. + Active credential or professional coding certification, such as: + Registered Health Information Technician ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes... plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs.… more
    Evolent (07/18/25)
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  • DRG Specialist

    UPMC (Pittsburgh, PA)
    …Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from- home position working during ... To be considered, this role requires three years of coding experience. In this role, you will review clinical...an expanded knowledge of DRG's; OR completion of Registered Health Informations Administration program (RHIA) or Registered Health more
    UPMC (06/11/25)
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  • Medical Assistant - Occupational Health

    LifePoint Health (Roaring Spring, PA)
    …Nason Medical Center is seeking a full-time Medical Assistant for our Occupational Health department. They will be responsible for off-site and on-site tasks as well ... on-call and off shift hours. Will support the Occupation Health Coordinator and Director with operations of the department....range of inpatient and outpatient cardiac services close to home when every minute matters. The hospital provides 24/7… more
    LifePoint Health (07/10/25)
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  • Physician Advisor - Allegheny Health

    Highmark Health (Pittsburgh, PA)
    **Company :** Allegheny Health Network **Job Description :** The **Allegheny Health Network (AHN)** is recruiting a full-time **Physician Advisor** to join our ... . **General Overview:** This job assures the most cost-effective, appropriate use of health care services for patients treated at Allegheny Health Network while… more
    Highmark Health (06/19/25)
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  • Physician - PACE Kinder Park

    Trinity Health (Woodlyn, PA)
    …the plan of care. Functions in a collegial relationship with the other health care professionals, making independent decisions regarding medical needs and health ... continuity plan. Which may include working at another location, remotely from home , and maintaining constant contact with key personnel. + Attend and participate… more
    Trinity Health (05/04/25)
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  • Junior Statistical Analyst (Department of Family…

    University of Pennsylvania (Philadelphia, PA)
    …and wide variety of atmospheres, Philadelphia is the perfect place to call home for work and play. The University offers a competitive benefits package that ... professional development opportunities, supportive work and family benefits, a wealth of health and wellness programs and resources, and much more. Posted Job Title… more
    University of Pennsylvania (06/13/25)
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