• Senior Clinical Coder - (Remote, Flexible…

    Penn Medicine (Lititz, PA)
    …the American Health Information Management Association AHIMA . Assigns codes based upon clinical coding guidelines. + Perform SMART audits on 100% flagged ... from various internal and external departments, in coordination with Clinical Coding Trainer and or CDI ...coding principles guidelines. + Certification as a Certified Coding Specialist CCS or Certified Coding more
    Penn Medicine (08/13/25)
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  • Coder Specialist III

    Saint Francis Health System (OK)
    …Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 ... score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities:...it prohibit the assignment of additional duties. Health Information Clinical Coding - Yale Campus Location: Virtual… more
    Saint Francis Health System (10/04/25)
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  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    … Sr. Analyst will be responsible for developing prospective claims auditing and clinical coding and reimbursement edits and necessary coding configuration ... Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary coding more
    Commonwealth Care Alliance (08/26/25)
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  • Clinical Coder (40 hours/week)

    Penn Medicine (Lititz, PA)
    …American Health Information Management Association AHIMA . Assigns codes based upon clinical coding guidelines. + Assigns ICD-10-CM diagnostic, procedure codes ... productivity record on a daily basis and submits to Clinical Coding Coordinator monthly. + Assists with...terminology, anatomy and physiology. + Certification as a Certified Coding Specialist CCS or Certified Coding more
    Penn Medicine (08/13/25)
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  • Health Information Specialist (HIM…

    Saratoga Hospital (Saratoga Springs, NY)
    …of clinical documentation for the Albany Med Health System's (AMHS) inpatient and outpatient facilities. The HIM Specialist ensures compliance with legal, ... Health Information Specialist (HIM Specialist ) Location: Saratoga Hospital,...+ Assist the HIM Operations Manager to ensure all clinical documentation is available to coding /billing and… more
    Saratoga Hospital (09/12/25)
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  • Denials Management Specialist (RN…

    St. Luke's University Health Network (Allentown, PA)
    …regardless of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity ... appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing… more
    St. Luke's University Health Network (08/13/25)
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  • Authorization Specialist

    UPMC (Wexford, PA)
    …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... UPMC Community Medicine Incorporated is hiring a full-time Authorization Specialist to assist Tri-Rivers Musculoskeletal Centers located in Wexford. The… more
    UPMC (10/04/25)
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  • Authorization Specialist - Part-time,…

    UPMC (Pittsburgh, PA)
    …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... University of Pittsburgh Physicians is hiring an Authorization Specialist to help support Plastic Surgery. This position is a part-time position with daylight hours,… more
    UPMC (09/25/25)
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  • Authorization Specialist , Digestive Health…

    UPMC (Pittsburgh, PA)
    …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... UPMC Digestive Health Care is hiring a full-time Authorization Specialist to join their team at Shadyside Medical Building, Pittsburgh! In this position, you will… more
    UPMC (08/26/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mendota Heights, MN)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... an accommodation is granted as required by law. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records… more
    Elevance Health (10/16/25)
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