• Compliance Analyst I

    Penn Medicine (Bala Cynwyd, PA)
    …+ 3+ years of related experience (eg, nursing, health information management, physician assistant, fee abstraction/ coding , patient accounting) or other pertinent ... 0-1 years of related experience (eg, nursing, health information management, physician assistant, fee abstraction/ coding , patient accounting) or other pertinent… more
    Penn Medicine (08/08/25)
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  • Dispute Repricing Analyst

    CVS Health (Harrisburg, PA)
    …environment. + 2+ years experience working with medical terminology, claim forms, and physician billing coding . + 1+ years of experience with provider disputes. ... + Computer proficiency with Microsoft Office Applications. + Strong basic math, communication, analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. + DG system… more
    CVS Health (07/26/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation. Promptly ... day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all ...1. Missing Operative Notes 2. Missing Pathology Report 3. Physician Query Needed 4. Mortality Review 5. Discharge Disposition… more
    Penn Medicine (08/07/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and ... coding of all diagnosis and procedure codes to assure...the appropriate clinical staff, including but not limited to Physician Advisor, Chief of Services, CDMP leadership team, etc.,… more
    St. Luke's University Health Network (05/19/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …strategy to achieve continuous improvements as it relates to Quality and Coding for the Highmark Health Enterprise. Ensures that Highmark's Risk Adjustment programs ... actionable solutions resulting in improved accuracy of medical record documentation and coding . Promotes the strategy and capabilities to develop risk management and… more
    Highmark Health (08/08/25)
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  • HIM Inpatient Coding Specialist I

    Penn Medicine (Philadelphia, PA)
    …vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for the needed documentation. + ... employees shape our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** Job Summary: + Performs all coding and abstracting by… more
    Penn Medicine (08/07/25)
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  • Client Success Manager

    Datavant (Harrisburg, PA)
    …field + Knowledge of healthcare industry, payment models, risk adjustment, medical coding , physician workflow, and/or electronic health record systems + Advanced ... resources working closely with all internal teams including: data integrations, coding management, engineering, sales, and executive teams. + Ensure smooth… more
    Datavant (08/02/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on ... assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most… more
    St. Luke's University Health Network (07/08/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …Hospice- 150 Monument Road** **Hours: Full-Time** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, ... of this position is to improve the accuracy of coding , compliance and clinical documentation. The Certified coder (CPC...timely to the highest level of specificity based upon physician documentation for ambulatory clinic visit records . Maintain… more
    Penn Medicine (08/07/25)
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  • Practice Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …each day. Are you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote ... ICD-10 as well as completing day-to-day administrative tasks. The main focus of the Practice Coding Specialist II is to oversee coding processes and serve as a… more
    Penn Medicine (08/07/25)
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