• CDI Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Monument Road, Bala Cynwyd, PA Hours: M-F, 8hr days, hybrid Summary: + The CDI Physician Advisor is a key member of the healthcare organization's leadership team ... (approximately 80%) with a clinical component (approximately 20%).The CDI Physician Advisor will act as a resource...staff, and all areas of clinical documentation improvement, CEQI, denials management , coding, utilization management more
    Penn Medicine (10/17/25)
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  • Penn Medicine Physician Advisor

    Penn Medicine (Philadelphia, PA)
    …Our employees shape our future each day. Are you living your life's work? The Physician Advisor is a key member of the healthcare organization's leadership team ... effective and efficient utilization of health care services. The Physician Advisor is a physician ...on cases placed in Observation * Participate in the denials management process * Be a leader… more
    Penn Medicine (12/06/25)
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  • RN, Case Manager (Part time), Forbes

    Highmark Health (Monroeville, PA)
    …for denial trends with the care coordination teams, performance improvement teams, physicians/ physician advisor and third party payers. + Maintains a working ... coordination of care in accordance with recognized standards of practice for Care Management . Professional role model utilizing expertise in care management to… more
    Highmark Health (01/06/26)
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  • RN Clinical Review Appeals Specialist (CDI/Coding…

    St. Luke's University Health Network (Allentown, PA)
    …assignment of documented medical care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified by ... of diagnosis and procedure code assignment and MS-DRG/APR-DRG accuracy based on denials or audit findings from government and commercial payers. Meet or exceed… more
    St. Luke's University Health Network (10/28/25)
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