• DRG Specialist

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a DRG Specialist to work on inpatient auditing within our Coding Department. This position will be a work-from-home ... necessary in coordination with the Coding Manager and/or Coding Specialist and assist in correcting deficiencies in DRG... Specialist and assist in correcting deficiencies in DRG assignment. + Prepare monthly productivity reports of … more
    UPMC (05/21/25)
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  • Coder II - Technical (Inpatient Coding)

    UPMC (Pittsburgh, PA)
    …documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process. + High School ... or GED equivalent. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program. + Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding… more
    UPMC (05/21/25)
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  • Facility Coding Inpatient DRG Quality Coder

    Banner Health (PA)
    …quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. **Requirements:** + **5 ... years recent experience** **in acute-care Inpatient facility-based medical coding;** + ** DRG and PCS experience** + **Bachelors degree in HIMS or equivalent;** +… more
    Banner Health (04/13/25)
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  • HIM Inpatient Coding Specialist II

    Penn Medicine (Philadelphia, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... our future each day. Are you living your life's work? **HIM Inpatient Coding Specialist II** **Job Summary:** + Performs all coding and abstracting for Penn Medicine… more
    Penn Medicine (04/29/25)
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  • HIM Inpatient Coding Specialist I

    Penn Medicine (Philadelphia, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... each day. Are you living your life's work? **HIM Inpatient Coding Specialist I** **Corporate Services/ Health Information Management** Job Summary: + Performs all… more
    Penn Medicine (04/12/25)
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  • HIM Inpatient Coding Specialist I

    Penn Medicine (Philadelphia, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... Are you living your life's work? **HIM Inpatient Coding Specialist I** Job Summary: + Performs all coding and...procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement… more
    Penn Medicine (03/22/25)
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  • HIM Coder III

    WellSpan Health (York, PA)
    …improvement program using 3M software and communicating with Clinical Documentation Specialist regarding DRG assignment. + Performs other duties that ... or + Certified Coding Associate Upon Hire Required or + Certified Coding Specialist Upon Hire Required or + Registered Health Information Technician Upon Hire… more
    WellSpan Health (05/21/25)
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  • Coding Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Coding Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis ... and procedure codes to assure properly assigned MS- DRG for the purposes of appealing proposed MS-...assigned to support the services/treatment rendered. The Coding Appeals Specialist also prepares appeal arguments and/or letters to support… more
    St. Luke's University Health Network (05/19/25)
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  • Clinical Documentation Improvement…

    UPMC (Pittsburgh, PA)
    UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Improvement Specialist to join our coding team. This position will be a work-from-home position ... through Friday during normal business hours. The Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent… more
    UPMC (05/21/25)
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  • Health Information Management Coder

    Penn Medicine (West Chester, PA)
    …charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician ... diagnoses, principal procedure, and secondary procedures accurately. Performs analysis of the DRG assigned to produce the highest level of reimbursement to which the… more
    Penn Medicine (05/16/25)
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  • RN Clinical Documentation Specialist

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Clinical Documentation Specialist is responsible for the review of inpatient medical records to facilitate the ... rate of 94% or greater in identifying correct concurrent initial and possible DRG when 2 or more diagnoses meet definition of PDX; reconciles correctly after… more
    St. Luke's University Health Network (05/22/25)
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  • RN - Registered Nurse- Clinical Documentation…

    Geisinger (Danville, PA)
    …of care of the patient. The role of the Clinical Documentation Improvement Specialist (CDIS) is to assist the providers with accurately identifying and documenting ... principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness; and...every 3 days to support and assign a working DRG assignment upon discharge. + Formulates queries when it… more
    Geisinger (05/22/25)
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  • RN - Registered Nurse Clinical Documentation…

    Geisinger (Danville, PA)
    …subsequent review of records every three days to support and assign a working DRG assignment upon discharge. + Formulates queries when it is determined there is ... procedures and completeness of supporting documentation to determine the working and final DRG , severity of illness and risk of mortality. + Acts as a resource… more
    Geisinger (03/13/25)
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  • Drug & Alcohol Case Management Specialist

    Commonwealth of Pennsylvania (PA)
    Drug & Alcohol Case Management Specialist (Local Government) - Luzerne-Wyoming County D&A Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4892947) Apply  Drug & Alcohol Case Management Specialist (Local Government) - Luzerne-Wyoming County D&A Salary $40,284.08… more
    Commonwealth of Pennsylvania (05/23/25)
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  • Drug & Alcohol Prevention Program…

    Commonwealth of Pennsylvania (PA)
    Drug & Alcohol Prevention Program Specialist (Local Government) - Northumberland County D&A Print ... (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4936011) Apply  Drug & Alcohol Prevention Program Specialist (Local Government) - Northumberland County D&A Salary $41,000.00… more
    Commonwealth of Pennsylvania (05/22/25)
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  • RN - Registered Nurse - Senior Clinical…

    Geisinger (Danville, PA)
    …the principal diagnosis, relevant secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, severity of illness Formulates queries when ... hold one of the following certifications- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) Geisinger… more
    Geisinger (03/20/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …II code and modifier assignments, ICD diagnosis and procedure coding, DRG /APC structure according to regulatory requirements. Reports findings both verbally and ... systems, missed secondary diagnoses and procedures and ensures compliance with DRG /APC structure and regulatory requirements. Performs periodic claim form reviews to… more
    Highmark Health (05/09/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …the ICD-10-CM, CPT, and HCPCS codes or CPT and HCPCS ICD-10-CM-PCD and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data ... CMS and third-party payer coding, billing, and documentation compliance regulations preferred (MS- DRG , APR- DRG , APC, APG or ICD10-CM, HCPCS, CPT, Modifiers,… more
    UPMC (04/24/25)
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  • Consulting Utility Arborist

    The Davey Tree Expert Company (Philadelphia, PA)
    **Position Overview** We are currently looking to add a dynamic UVM Specialist to our passionate team of environmental professionals. **Job Duties** Inspect ... with stability and growth opportunities?** **The Davey Resource Group ( DRG ) is currently hiring certified arborists, professional foresters, horticulturalists,… more
    The Davey Tree Expert Company (03/18/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …CMS, and third-party payer coding, billing, and documentation compliance regulations required (MS- DRG , APR- DRG , APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, ... etc.). + Knowledge of coding/classification systems appropriate for inpatient /outpatient, DRG prospective payment system or office setting E/M codes. + Experience… more
    UPMC (04/11/25)
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