• 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 (Denver, CO)
    …(CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. + ... Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the… more
    Elevance Health (09/23/25)
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  • Behavioral Health Utilization Management…

    Common Ground (Flint, MI)
    Exciting Career Opportunity! The Behavioral Health Utilization Management (UM) Specialist is responsible for reviewing and evaluating mental health and substance use ... to ensure they are medically necessary, cost-effective, and aligned with clinical guidelines. This role supports quality care delivery while managing behavioral… more
    Common Ground (10/17/25)
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  • Infusion Billing and Denials Specialist

    Robert Half Accountemps (Fort Worth, TX)
    …systems is highly preferred: + CareTend (patient accounting) + eClinicalWorks (ECW) ( clinical documentation) + Waystar (clearinghouse) + PMD ( inpatient billing) ... Description We're seeking an experienced Infusion Billing and Denials Specialist to join a growing healthcare organization. This role will play a key part in… more
    Robert Half Accountemps (10/18/25)
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  • Authorization Specialist

    UPMC (Pittsburgh, PA)
    …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... to be part of our team as an Authorization Specialist at UPMC Hillman Cancer Center! At UPMC, we're...patient's illness, injury, or disease. + 3. Ensures accurate coding of the diagnosis, procedure, and services being rendered… more
    UPMC (09/11/25)
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  • Authorization Specialist (Children's…

    UPMC (Pittsburgh, PA)
    …or state laws and regulations to determine medical necessity or the clinical appropriateness for inpatient admissions, outpatient facility, office services, ... Pediatric Ophthalmology, Strabismus, and Adult Motility is hiring a full-time Authorization Specialist to support their team located at UPMC Children's Hospital of… more
    UPMC (07/24/25)
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  • Patient Access Specialist - Primary Care…

    Saratoga Hospital (Ballston Lake, NY)
    Patient Access Specialist Employment Type: Per Diem Shift/Schedule: Days Department: Primary Care at Scotia Glenville Salary Range: $17.79 - $26.65 About Saratoga ... with exceptional people. About the Role We're looking for a dedicated Patient Access Specialist to join our team and help us continue delivering the level of care… more
    Saratoga Hospital (10/16/25)
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  • RN Clinical Documentation Education…

    Banner Health (AZ)
    …coaching and mentoring builds CDI's comfort in the role from both a clinical perspective and coding knowledge perspective. Provides for ongoing support of ... CDI Staff. Requires a proficiency level typically attained with 5 years acute-care, inpatient hospital clinical experience and 2 years of CDI experience. Must… more
    Banner Health (10/19/25)
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  • HIM Clin Doc Integrity Specialist NE - CFH

    Carle Health (Champaign, IL)
    Overview Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care ... Regulation (IDFPR), Education: Associate's Degree: Related Field, Work Experience: Clinical bedside; CDI Responsibilities Conducts the initial concurrent review… more
    Carle Health (09/18/25)
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