• 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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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    … of documented medical care for appropriate reimbursement. + Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO ... a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data...Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure… more
    St. Luke's University Health Network (07/08/25)
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  • Practice Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …foster staff development, satisfaction, and achievement. This role will also act as a liaison between coding personnel and other staff groups - from clinicians, ... each day. Are you living your life's work? **Job Title:** Practice Coding Specialist II **Department:** Surgery Outpatient Chair Billing **Location:** Fully Remote… more
    Penn Medicine (08/07/25)
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  • Physician Educator Health Plan- Remote w/…

    UPMC (Pittsburgh, PA)
    …working Monday through Friday daylight hours and is a remote position with travel.** The Physician Educator serves as a liaison between the Health Plan and the ... of workflow processes and identification of barriers that impact correct coding documentation. The Physician Educator is responsible for implementation… more
    UPMC (08/08/25)
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  • Practice Consultant Liaison (work from home…

    Geisinger (Danville, PA)
    Job Summary Primary liaison between a designated Institute(s), their Financial Managers and the clinicians for all items related to Revenue Management. Works closely ... with Institute, Physician , Advanced Practitioners, and Hospital / Clinical Operational leadership....workflows and tools, process, and Institute specific billing and coding requirements. This role will provide the Institutes and… more
    Geisinger (08/02/25)
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  • Physician - Pathologist

    Veterans Affairs, Veterans Health Administration (Pittsburgh, PA)
    …surgical pathology gross, microscopic, and final diagnosis rendering along with coding of surgical reports with pathology in rotation with other pathologists. ... needs arise. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Authorized Education Debt Reduction… more
    Veterans Affairs, Veterans Health Administration (07/31/25)
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  • Director, Operations- Surgical Oncology

    UPMC (Pittsburgh, PA)
    …support growth initiatives across surgical oncology services.** **Responsibilities:** + Supervise coding and charge entry staff (where applicable). Work with staff ... and disseminate regulatory information pertaining to changes in reimbursement and/or coding while ensuring regulatory compliance. + Manage the human resources… more
    UPMC (07/02/25)
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  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …rather provides a methodology in which to clarify existing documentation. Acts as a liaison between the clinical and coding functions. Provides education to the ... and accuracy of Case Mix Index. Acts as documentation liaison to physician staff as a means...to Geisinger. + Promotes a partnership with the Inpatient Coding staff, to provide clinical education, to assure documentation… more
    Geisinger (06/19/25)
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  • Supervisor - PA or CRNP - University OB/GYN

    UPMC (Pittsburgh, PA)
    …management. Primary contact for patient complaints or other clinical issues on behalf of the physician in his/her absence Act as a liaison to and preceptor for ... + Sign-on Bonus available if applicable **Purpose:** The Supervisor, APP is a Physician Assistant or Certified Registered Nurse Practitioner and a member of the care… more
    UPMC (07/30/25)
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  • Neonatal Advanced Practice Provider Manager…

    UPMC (Pittsburgh, PA)
    …of Neonatology are seeking an experienced Neonatal Nurse Practitioner or Neonatal Physician Assistant to lead our Advanced Practice Provider (APP) team. Hours: ... neonatal specialists. This team includes neonatologists, neonatal nurse practitioners, physician assistants, registered nurses, nutritionists, developmental specialists, pharmacists, physical… more
    UPMC (06/18/25)
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