• Clinical Assessment Specialist - (RN, PT, OT, SLP)

    Select Medical (Hummelstown, PA)
    …with the field Clinical Liaisons,Senior Clinical Liaison, or Director of Business Development. Review and analyze medical records and history that are ... State Health Rehabilitation Hospital** A joint venture partnership with Select Medical and Penn State Health Hummelstown, PA **Clinical Assessment Specialist (RN,… more
    Select Medical (07/22/25)
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  • Senior Clinical Coder (40 hours/week)

    Penn Medicine (Lititz, PA)
    …compliance with regulations, and accuracy for clinical care analysis and provider profiling. Review coded medical records for coding and DRG accuracy ... leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across… more
    Penn Medicine (08/13/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …+ Quality Assurance on RPM Programs coding results: Lead team of coder/ clinicians to review member medical records to validate 100% of new diagnoses submit ... programs that deliver measurable, actionable solutions resulting in improved accuracy of medical record documentation and coding. Promotes the strategy and… more
    Highmark Health (08/08/25)
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  • Senior Medical Coding Reviewer

    Centene Corporation (Harrisburg, PA)
    …guidelines through a comprehensive review and analysis of claims, medical records , claims history, state regulations, contractual obligations, corporate ... and health plan provider calls. + Develop and maintain review guidelines for Corporate medical coding reviews....Medical Coding Experience required:** Experience in provider education, medical record auditing, and in a managed… more
    Centene Corporation (08/28/25)
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  • Medical Abstractionist

    Advatix, Inc. (Philadelphia, PA)
    …involves timely charge submissions and/or data entry for the coded services + Systematically review and analyze patient medical records to determine all ... Hybrid) Job Duties: + This role will be responsible for reviewing medical record documentation, including procedure reports, and assigning appropriate CPT… more
    Advatix, Inc. (07/15/25)
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  • Quality Improvement Coord 1

    Baylor Scott & White Health (Harrisburg, PA)
    …prior experience. **Essential Functions of the Role** + Performs concurrent and retrospective medical record review to investigate quality and/or patient ... and disseminates ongoing and ad hoc reports to ensure clinicians, administrators, medical staff committees, and corporate teams receive timely and accurate data to… more
    Baylor Scott & White Health (08/29/25)
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  • Utilization Review RN Case Manager - Penn…

    Penn Medicine (Philadelphia, PA)
    …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... and health care teamDocuments ongoing assessments and plan of care in patient record (Canopy)Successfully assists patient in moving to the next level of care with… more
    Penn Medicine (08/19/25)
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  • Urgent Care Technician, Full-Time, Center Valley…

    St. Luke's University Health Network (Center Valley, PA)
    …Accompanies patient to the exam room and collects patient information, past medical history, medication review and overall health screening* Obtains vital ... to read, write, speak, and understand English requiredSuccessful completion of Medical Assistant program or equivalent hospital program (LPN/EMT/PCT, etc.) or… more
    St. Luke's University Health Network (08/22/25)
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  • Claims Review Analyst

    WellSpan Health (York, PA)
    …CPT, HCPCS and ICD-10 codes as well as modifiers. + Conducts reviews comparing medical record documentation to validate charge capture, medical necessity, ... and work queues, due to potentially inappropriate documentation, coding, medical necessity or charge entry. Communicates with departments, including Compliance… more
    WellSpan Health (08/19/25)
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  • Special Investigation Unit Lead Review

    CVS Health (Harrisburg, PA)
    …providers, claimants, etc. - Researches and prepares cases for clinical and legal review . - Documents all appropriate case activity in case tracking system. - ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
    CVS Health (08/20/25)
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