• Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements....or works with external resources to create and monitor inpatient case mix reports and the top 25 assigned… more
    Highmark Health (07/16/25)
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  • Coding Auditor I

    Baylor Scott & White Health (Harrisburg, PA)
    …+ CERTIFICATION/LICENSE/REGISTRATION - + Cert Coding Specialist (CCS) + Cert Coding Spec Physician Bas (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv ... Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist more
    Baylor Scott & White Health (07/30/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply… more
    St. Luke's University Health Network (07/08/25)
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  • HIM Clinical Documentation Specialist

    Penn Medicine (Philadelphia, PA)
    …Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
    Penn Medicine (07/18/25)
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  • HIM Retrospective Clinical Documentation…

    Penn Medicine (Philadelphia, PA)
    …and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care ... 8a-4:30p, Remote The Health Information Management (HIM) Clinical Documentation Specialist will oversee organization-wide system for improving clinical documentation… more
    Penn Medicine (06/17/25)
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  • Clinical Documentation Improvement…

    Baylor Scott & White Health (Harrisburg, PA)
    …Information Technologist (RHIT) + May require one of these certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist ... years of nursing Acute Care, Quality, or Case Management or 4 years of inpatient coding . + Knowledge of ICD-10, Complications/Comorbid Conditions, and how each… more
    Baylor Scott & White Health (07/30/25)
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  • RN - Registered Nurse Clinical Documentation…

    Geisinger (Danville, PA)
    …population; identifies opportunity for improvement. + Promotes a partnership with the inpatient coding professionals to ensure the accuracy of principal ... information in the medical record. Job Duties + Reviews inpatient medical records within twenty four to fourty eight...every three days to support and assign a working DRG assignment upon discharge. + Formulates queries when it… more
    Geisinger (06/11/25)
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  • CDQI Nurse Specialist - Full Time - Remote

    Datavant (Harrisburg, PA)
    …risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG . + Improve coding specificity by educating physicians and caregivers on ... healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist , you will play a pivotal role in elevating the impact of… more
    Datavant (07/26/25)
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  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …associates, and visitors to Geisinger. + Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation ... the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately...uses highly trained staff members to perform a concurrent inpatient review of the record. This allows the record… more
    Geisinger (06/19/25)
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  • Senior Specialist of Contract…

    Organon & Co. (Plymouth Meeting, PA)
    …in billing, coding , and reimbursement processes. + In-depth knowledge of inpatient and maternal health settings. + Proven track record in strategy development ... highly skilled and experienced professional to join our team as the Senior Specialist of Contract and Reimbursement Strategy. This role is essential in developing… more
    Organon & Co. (06/07/25)
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