• Claims Case Manager II

    Guardian Life (Harrisburg, PA)
    **Position Summary** The Group Life Claims Case Manager II is responsible for paying beneficiaries of members life and AD&D claims . They will spend ... of reviewing live eligibility claims while being mentored. The Group Life Claims Case Manager II then begins to build an active claim caseload while… more
    Guardian Life (05/28/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and...works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs… more
    Highmark Health (05/09/25)
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