• Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and ... descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered. JOB DUTIES AND RESPONSIBILITIES: + Conduct… more
    St. Luke's University Health Network (10/07/25)
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  • Wound Care Specialist (RN) - Wound Care…

    UPMC (Lancaster, PA)
    …to establish and maintain positive, caring relationships with executives, managers, physician , non- physician providers. + Ability to work productively and ... to establish and maintain positive, caring relationships with executives, managers, physician , non- physician providers. + Ability to work productively and… more
    UPMC (12/27/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …Full-Time, Per Departmental Needs** **Job Summary:** The Ambulatory Coding and Documentation Specialist reports to the Primary Care Service Line, Director of Quality ... accurately and timely to the highest level of specificity based upon physician documentation for ambulatory clinic visit records + Maintain current knowledge of… more
    Penn Medicine (12/24/25)
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  • Hierarchical Condition Category (HCC) Coding…

    Highmark Health (Harrisburg, PA)
    …risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. ... independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's… more
    Highmark Health (12/19/25)
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  • Medical Education Program Specialist

    Philips (Pittsburgh, PA)
    **Medical Education Program Specialist ** You will be responsible for the development, facilitation, execution, documentation, and monitoring of our customer-facing ... with business goals and product launches. Build strong HCP relationships, support contracting processes, and explore innovative technologies to expand program reach… more
    Philips (12/13/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …patient's ability to pay for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all ... medical care for appropriate reimbursement. + Work with the physician advisor in review of patient medical records identified...and apply appeal arguments and draft appeal letters to support and defend the codes assigned by the coding… more
    St. Luke's University Health Network (10/28/25)
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  • Oracle Health Physician Executive, Patient…

    Oracle (Harrisburg, PA)
    …continuous clinical risk evaluation for effective product design and certification. Support the transition from legacy Cerner software practices to Oracle's ... patient safety data. **Post-market/Product Surveillance Safety. Collaborate with, and support , Post-Market Surveillance Director and Quality and Patient Safety team… more
    Oracle (12/18/25)
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  • Clinical Service Specialist (Full-Time, Day…

    Penn Medicine (Lancaster, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and...regular travel to various sites within the region to support operational needs as listed above. + Other duties… more
    Penn Medicine (12/23/25)
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  • Clinical Service Specialist - Pulmonary…

    Penn Medicine (Lancaster, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... patient acuity. Demonstrates skill to service both hospital and physician office patients, if necessary. + Supports inbound and...regular travel to various sites within the region to support operational needs as listed above. Qualifications + Req… more
    Penn Medicine (12/13/25)
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  • Customer Service Specialist - New Holland…

    Penn Medicine (New Holland, PA)
    …verification, ordering of tests and coordination of applicable screening, diagnostic, physician office and outpatient hospital services. Capable of coordinating and ... volumes and/or high patient acuity. Demonstrates skill to service both hospital and physician office patients, as assigned. Supports inbound and outbound calls to or… more
    Penn Medicine (12/13/25)
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