• Insurance Specialist I - Corporate…

    Guthrie (Sayre, PA)
    …& Cert: High school diploma required; CPC, CCA, RHIA, RHIT certification in medical billing and coding or Associates degree preferred. Experience: Strong ... on unresponded claims. Works denied claims by following correct coding and payer guidelines resulting in appeal or charge...in appeal or charge correction. Teams with Insurance Billing Specialist II and Denial Resolution staff to work projects,… more
    Guthrie (07/01/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and ... you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG… more
    Banner Health (06/15/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates ... (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified… more
    Highmark Health (08/08/25)
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  • Coder II - OP Physician Coding

    Baylor Scott & White Health (Harrisburg, PA)
    …Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional ... diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and...of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist more
    Baylor Scott & White Health (08/12/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …programs that deliver measurable, actionable solutions resulting in improved accuracy of medical record documentation and coding . Promotes the strategy ... management and physician / member initiatives that support provider documentation and coding accuracy. Executes audits performed...of internal coder / clinicians that perform Risk Adjustment coding of medical records. Track production … more
    Highmark Health (08/08/25)
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  • Coder III - OP Physician Coding

    Baylor Scott & White Health (Harrisburg, PA)
    …Functions of the Role** + Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional ... diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and...this Coder II opportunity + CERTIFICATION/LICENSE/REGISTRATION - + Cert Coding Specialist (CCS) + Cert Coding more
    Baylor Scott & White Health (08/08/25)
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  • HIM Retrospective Clinical Documentation

    Penn Medicine (Philadelphia, PA)
    Specialist will oversee organization-wide system for improving clinical documentation in the medical record. Plan, organize, design, implement and ... and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding...Required Skills and Abilities Strong knowledge of MS-DRG's and medical record documentation requirements are essential Ability… more
    Penn Medicine (08/07/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (PA)
    …operations, or an Associate's degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified ... coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding . CORE FUNCTIONS 1. Analyzes medical information from medical more
    Banner Health (07/10/25)
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  • HIM Clinical Documentation

    Penn Medicine (Philadelphia, PA)
    …Center- 51 N 39th St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for ... improving clinical documentation in the medical record by prompting...care teams and the Corporate HIM teams, the Clinical Documentation Specialist will educate and utilize compliant… more
    Penn Medicine (08/07/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …**Required Qualifications** + Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + ... for CPC. + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. **Preferred Qualifications** + Computer proficiency… more
    CVS Health (08/09/25)
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