• Authorization Specialist

    UPMC (Mechanicsburg, PA)
    …pm, no weekends or holidays! Purpose: To perform authorization activities of inpatient , outpatient and emergency department patients, denial management and all ... regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical… more
    UPMC (12/12/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Harrisburg, PA)
    …1500). + Experience with coding , clinical validation, and medical necessity for outpatient and inpatient stays. + Knowledge of third-party payor rules and ... burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators… more
    Oracle (12/11/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, durable medical ... Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of… more
    UPMC (12/12/25)
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  • Senior Clinical Coder - (Remote, Flexible…

    Penn Medicine (Lititz, PA)
    …analysis and or CPT coding principles guidelines. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician CCS-P ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis....Must meet one of the following criteria: + Certified Coding Specialist CCS and or AAPC Certifications… more
    Penn Medicine (11/12/25)
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  • Medical Coder

    WellSpan Health (Chambersburg, PA)
    …entails. Qualifications and Standards Education: Formal Education and Training - - Certified Coding Specialist (CCS) with at least one year of acute care ... coding turnaround. 5. Selects the most accurate DRG for each inpatient account, maintaining compliance based on approved coding guidelines and conventions.… more
    WellSpan Health (11/17/25)
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