• Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …we serve, regardless of a patient's ability to pay for health care. The Coding Appeals Specialist analyzes patient medical records, claims data and ... MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures...provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical… more
    St. Luke's University Health Network (07/08/25)
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  • Coding Audit Training Specialist

    Intermountain Health (Harrisburg, PA)
    **Job Description:** The HIM Coding Audit Training Analyst Coordinator provides advanced training to hospital coding staff, compliance, CDI, physicians, and ... subject matter expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the...compliance and the CDI team. + Audits and creates appeals for all payer and regulatory denials and downgrades… more
    Intermountain Health (08/27/25)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …after review of supporting documentation, CCI/LCD, carrier policy and utilization of coding software applications. The appeals process may include collaboration ... to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who...with the Claim Editing Manager, Physician, Specialty Coder, AR specialist or Auditor/Educator. Demonstrate the ability to formulate an… more
    St. Luke's University Health Network (08/19/25)
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  • Denials Management Specialist , Registered…

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks ... 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 (08/19/25)
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  • Accounts Receivable Specialist - Physician…

    St. Luke's University Health Network (Allentown, PA)
    …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 ... practitioner services for the St. Luke's Physician Group. The Accounts Receivable Specialist I is responsible for accurate and timely submission of claims to… more
    St. Luke's University Health Network (08/19/25)
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  • Claims Review Analyst

    WellSpan Health (York, PA)
    …Required **Licenses:** + Certified Professional Coder Upon Hire Required or + Certified Coding Specialist - Physician Based Upon Hire Required or + Certified ... **General Summary** Supports the system in charge capture, coding accuracy, and claim denials management. Conducts reviews of claim denials and submits appeals .… more
    WellSpan Health (08/19/25)
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