• RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...that affect proper documentation and coding assignment of documented medical care for appropriate reimbursement.… more
    St. Luke's University Health Network (07/08/25)
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  • Provider Services Auditor Educator

    St. Luke's University Health Network (Allentown, PA)
    …JOB DUTIES AND RESPONSIBILITIES: + Assess, design, facilitate, develop, implement and evaluate coding and documentation efforts to ensure we achieve optimal ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...and staff to address identified issues and improve overall documentation and coding . + Develop and deliver… more
    St. Luke's University Health Network (07/31/25)
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  • Patient Support Medical/Biller Claims Processing…

    IQVIA (Philadelphia, PA)
    …announce that currently we are looking for a 100% remote (work from home -WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. ... medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against… more
    IQVIA (07/29/25)
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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 ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...needed. + Acts as a resource to staff regarding documentation and coding including education and participation… more
    St. Luke's University Health Network (07/22/25)
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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 ... management. + Focus emphasis of educational presentations on accurate and thorough documentation necessary to support the coding of diagnoses that were treated,… more
    UPMC (06/11/25)
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  • Professional Fee Coder (Remote PA/NJ) (Per diem)

    St. Luke's University Health Network (Allentown, PA)
    …specific databases. + Conducts educational sessions to the medical staff for coding and documentation compliance. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for ... the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in...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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  • Physician Advisor - Allegheny Health

    Highmark Health (Pittsburgh, PA)
    …physicians, and the rest of the multidisciplinary team. + Interacts regularly with coding and clinical documentation specialists. + The Physician Advisor is ... **Company :** Allegheny Health Network **Job Description :** The **Allegheny ...approach ensures that patients receive top-notch care close to home , supported by 14 hospitals, over 250 healthcare facilities… more
    Highmark Health (06/19/25)
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  • Physician - PACE Kinder Park

    Trinity Health (Woodlyn, PA)
    …unnecessary hospitalizations and improve the health of participants. + Complete documentation timely and uses appropriate diagnostic coding . Respond to ... the plan of care. Functions in a collegial relationship with the other health care professionals, making independent decisions regarding medical needs and health more
    Trinity Health (08/03/25)
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  • Director Compliance and Privacy - Investigations…

    Penn State Health (Hershey, PA)
    …(10) years experience in comprehensive compliance, audit, billing, coding , and documentation experience, preferably in complex health care system. + Minimum ... Nursing Facilities (SNF) and inpatient rehabilitation facilities (IRF) and home health agencies (HHA). External partners will...and perform medical record audits of electronic and manual documentation , coding , and billing for technical and… more
    Penn State Health (06/19/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …key stakeholders. . **Leadership Advising:** Advise leadership on regulatory requirements for coding documentation and billing to ensure services are submitted ... auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS-DRG, APR-DRG,… more
    UPMC (07/11/25)
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