• Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record… more
    St. Luke's University Health Network (08/13/25)
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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 (07/24/25)
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  • Senior Clinical Coder (40 hours/week)

    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 (08/13/25)
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  • Clinical Coder (40 hours/week)

    Penn Medicine (Lititz, PA)
    coding , medical terminology, anatomy and physiology. + Certification as a Certified Coding Specialist CCS or Certified Coding Specialist -Physician ... + Position Summary: : Codes and abstracts information from inpatient and outpatient records by careful analysis...Certified Professional Coder CPC , or Certified Professional Coder-Hospital Outpatient COC . If not certified, coding more
    Penn Medicine (08/13/25)
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  • Coder III - OP (Cath Lab-Circc)

    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 ... Summary** The Coder III is skilled in high acuity inpatient , hospital-based outpatient , or Profee. This includes...uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding . Coding references ensure accurate coding more
    Baylor Scott & White Health (08/08/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …and with other departments. **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient / outpatient , DRG prospective… more
    UPMC (07/24/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …**Licensure, Certifications, and Clearances:** One of the following is required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient / outpatient , DRG prospective… more
    UPMC (07/11/25)
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  • Medical Abstractionist

    Advatix, Inc. (Philadelphia, PA)
    …Apprentice + (CPC-A) or + Certified Outpatient Coder (CPC-H) or + Certified Coding Specialist (CCS) or + Certified Coding Specialist -Physician- + ... claim submission by departmental productivity and accuracy standards + Review of inpatient data and reconciliation of billable services, including review of system… more
    Advatix, Inc. (07/15/25)
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  • Referral Coordinator

    ChenMed (Philadelphia, PA)
    …the physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures ... approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location,… more
    ChenMed (08/08/25)
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  • Referral Coordinator

    ChenMed (Philadelphia, PA)
    …the physicians/clinicians needs or outstanding items regarding to patients. + Enters all Inpatient and Outpatient elective procedures in HITS tool. + Ensures ... approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location,… more
    ChenMed (07/31/25)
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