• 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 ... laws established by the Centers for Medicare and Medicaid Services (CMS), the Department of Health and Human ...resulting in improved accuracy of medical record documentation and coding . Promotes the strategy and capabilities to develop risk… more
    Highmark Health (08/08/25)
    - Related Jobs
  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …(Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified ... (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods.… more
    Highmark Health (08/08/25)
    - Related Jobs
  • Accounts Receivable Specialist

    St. Luke's University Health Network (Allentown, PA)
    …for physician and advanced practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and ... of a patient's ability to pay for health care. The Accounts Receivable Specialist I is responsible for the billing and collection of the accounts receivable… more
    St. Luke's University Health Network (07/08/25)
    - Related Jobs
  • DRG Specialist

    UPMC (Pittsburgh, PA)
    …+ Prepare and present in- service training on accurate DRG assignment for coding personnel, the medical staff, physician extenders (PAs, CRNPs), nursing case ... as necessary. + Counsel/train coders on problems when necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting… more
    UPMC (06/11/25)
    - Related Jobs
  • HIM Retrospective Clinical Documentation…

    Penn Medicine (Philadelphia, PA)
    …and/or HIM or related field. 1+ years of Clinical Documentation Improvement (CDI) Specialist and/or coding quality experience 1+ years of CCU/ICU acute care ... our future each day. Are you living your life's work? Entity: Corporate Services Department: Corp HIM CDI Location: 1500 Market Street Hours: M-F 8a-4:30p, Remote… more
    Penn Medicine (08/07/25)
    - Related Jobs
  • HIM Clinical Documentation Specialist

    Penn Medicine (Philadelphia, PA)
    …Spruce St + Hours: 8hr Days Summary: + The Clinical Documentation Specialist will be responsible for supporting an organization-wide system for improving clinical ... and other clinicians for complete and accurate documentation. The CD Specialist will utilize presentation, general instruction, and a compliant query discussion… more
    Penn Medicine (08/07/25)
    - Related Jobs
  • CDI Specialist

    UPMC (Pittsburgh, PA)
    …and diplomatic manner required. **Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR ... UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This...appropriate clinical severity is captured for the level of services rendered to all inpatients. If you are ready… more
    UPMC (08/13/25)
    - Related Jobs
  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …Clinical Documentation Improvement Program (CDI) is designed to improve the physician 's documentation in the patient's medical record, supporting the appropriate ... of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting… more
    Geisinger (06/19/25)
    - Related Jobs
  • Physician - PACE Kinder Park

    Trinity Health (Woodlyn, PA)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** **Primary Care Physician ** Shift: Monday - Friday 8 am to 5:00 pm Status: Full time Location: ... Purpose:** Under the supervision of the medical director, the Primary Care physician (PCP) provides primary medical care to PACE Organization (PO) participants,… more
    Trinity Health (08/03/25)
    - Related Jobs
  • Central Insurance Referral Specialist II

    UPMC (Lancaster, PA)
    services as available. + Communicates with insurance offices to authorize services . + Takes referral requests from patient, specialist , and primary care ... Our Central Referral team is looking for a Central Insurance Referral Specialist to join their fast-paced team in the Lancaster area! The ideal candidate is able to… more
    UPMC (08/13/25)
    - Related Jobs