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JobsJobs in OhioEaston, OH JobsHealthcare Jobs in Easton, OHMedical Billing and Coding Jobs in Easton, OHCoding Jobs in Easton, OH
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Coding Jobs in Easton, OH

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    Jobs

    St. Luke's University Health Network logo
    New!

    Coding Appeals SpecialistSt. Luke's University Health Network

    Allentown, PA3 days ago

    The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.

    St. Luke's University Health Network logo
    New!

    Claims and Denial Coding AnalystSt. Luke's University Health Network

    Allentown, PA3 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.

    St. Luke's University Health Network logo
    New!

    Professional Fee CoderSt. Luke's University Health Network

    Allentown, PA3 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.

    St. Luke's University Health Network logo
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    Professional Fee Coder(Remote PA/NJ)St. Luke's University Health Network

    Allentown, PA3 days ago
    Remote

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.

    St. Luke's University Health Network logo
    New!

    Accounts Receivable Specialist ISt. Luke's University Health Network

    Sellersville, PA3 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

    St. Luke's University Health Network logo
    New!

    RN DRG Downgrades Appeals Review SpecialistSt. Luke's University Health Network

    Allentown, PA3 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers.

    St. Luke's University Health Network logo
    New!

    Oncology Data Specialist, Certified (Cancer Data Registrar) - Full TimeSt. Luke's University Health Network

    Bethlehem, PA3 days ago

    Ascertains all reportable malignant, reportable by agreement benign or borderline disease cases as defined by the American College of surgeons Commission on Cancer, FORDS Manual, PA Cancer Registry Manual, NJ Cancer Registry Manual, by reviewing pathology reports, radiation reports, and various hospital records. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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    Coding Appeals SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Part-time

    The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.

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    Claims and Denial Coding AnalystSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Relevel TCM service when not supported by the documentation or TCM has been rendered during another TCM 30-day periodAttends coding conferences, workshops, and in house sessions to receive updated coding information and changes in coding and/or regulationsAssists with training new staff in all aspects of the Analyst role. JOB DUTIES AND RESPONSIBILITIES:Maintain current knowledge of coding, compliance, and documentation guidelinesResolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding errors and MUE frequency for clean claim submissionResolve coding denials through claim correction or appeal.

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    Certified Outpatinet Coding SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA9 days ago
    • Full-time

    JOB DUTIES AND RESPONSIBILITIES:Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulationsUtilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignmentMaintains 95% data quality coding accuracy rate as measured through quarterly department quality reviewsMaintains daily productivity and turnaround times as outlined in Department’s Performance Improvement planResponsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines Maintains a working knowledge of prospective payment systems as it relates directly to coding processParticipation in department and sectional meetings, education sessional sessions and workshops as scheduledMaintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists PHYSICIAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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    Inpatient Coding Specialist, FT and Per Diem Available, Remote (PA, NJ Candidates)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. 3. Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan (attachment A) 4. Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines.

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    Summer Camp Coding, Digital Arts, or Game Development Assistant TeacherBlack Rocket Productions

    Doylestown, PA24 days ago
    • $13–$14 Per Hour

    Strong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.

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    Coding Instructor (Scratch) Part Time, After-School ProgramConcorde Education

    Allentown, PA2 days ago
    • $50–$100 Per Hour

    Concorde Education partners with schools nationwide to deliver engaging, instructor-led enrichment programs in STEM, the arts, financial literacy, esports, and other high-interest subjects. Students will explore core programming concepts by building interactive Scratch projects such as games, animations, and digital stories.

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    Building Code Enforcement Officer - (Upper Macungie Township) - Part-Time roleMidatlantic Employers' Association

    Breinigsville, PA9 days ago

    Keyword: Certified Building Code Officer, Certification 29, Commercial Building Inspector 15, Accessibility Inspector/Plans Examiner Cert 23, PA UCC, Building Inspections principles, building construction. The position is responsible for interpreting and enforcing adopted Township codes & ordinances related to building codes, property maintenance and health & safety while also providing assistance and information to property owners, residents, and businesses.

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    After-School STEM & Coding Instructor (Part-Time)Concorde Education

    Allentown, PA2 days ago
    • £50–£100 Per Hour

    Depending on the assignment and student grade level, instructors may teach introductory block-based coding or beginner text-based programming. Classes typically meet once per week after school and focus on creativity, problem-solving, and building simple digital projects.

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    Emergency Department Medical Coder (Remote PA/NJ) (Per Diem)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Part-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Emergency Department Medical Coder (Remote PA/NJ)St. Luke's Health Network, Inc.

    Allentown, PA8 days ago
    Remote
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Professional Fee CoderSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Professional Fee Coder (Radiology exp required)St. Luke's Health Network, Inc.

    Allentown, PA12 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Professional Fee Coder(Remote PA/NJ)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Part-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Certified Professional CoderIntegrated Resources, Inc

    Hopewell, NJ3 days ago
    • $35–$38 Per Hour
    • Contractor

    Key Responsibilities: Lead hospital billing and coding audits, both on-site and remote Identify and present billing discrepancies and coordinate improper claim payment referrals Analyze trends related to documentation, billing errors, and provider contract interpretation issues Compile audit reports, statistics, and findings for internal teams and regulatory agencies Review and enhance audit processes to align with clinical review innovations and cost-containment initiatives Train and mentor new staff on departmental audit procedures Ensure compliance with healthcare laws, regulations, and company policies Support special projects and additional assignments as requested by management Education & Experience: High School Diploma/GED required Bachelor’s Degree in Health Information Management preferred or equivalent relevant experience Minimum 3 years of experience in a medical records department within an acute care hospital or healthcare setting Experience with DRG validation, ICD-10-CM training, and healthcare auditing required Required Certifications & Licensure: Active RN License required CCS or RHIT/RHIA Certification required Preferred Certifications: CCS CCS-P CCA Preferred Knowledge: Experience with ACCESS Software preferred. The role involves designing audit protocols, handling special projects, and performing/finalizing per diem audits, bill verification, DRG validation (utilization review audits), and credit balance reviews.

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    Accounts Receivable Specialist- Hospital BillingSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    Records Management SpecialistPennsburg Manor

    Pennsburg, Pennsylvania25 days ago
    • $18–$22 Per Hour

    In addition, you will be accountable for accurate and current diagnostic coding to ensure appropriate billing of patient care.*Maintain forms/office supplies inventory as well as the diagnosis list/sheet in the electronic system. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.

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    Accounts Receivable Specialist -Physician BillingSt. Luke's Health Network, Inc.

    Allentown, PA23 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    Accounts Receivable Specialist- Physician BillingSt. Luke's Health Network, Inc.

    Allentown, PA23 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    Provider Services AuditorSt. Luke's Health Network, Inc.

    Allentown, PA15 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. TRAINING AND EXPERIENCE: At least 2 years of healthcare experience with background and competency in coding and documentation State and Federal regulatory requirements including Medicare, Medicaid and third-party payers as well as strong written/verbal communications skills preferred.

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    Accounts Receivable Specialist ISt. Luke's Health Network, Inc.

    Sellersville, PA30 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    RN DRG Downgrades Appeals Review SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Part-time

    Collaborate with Physician Advisors, Coding leadership, and CDI to support higher-level appeals (e.g., IRO, ALJ, payer conferences).Identify denial trends and provide structured feedback to Coding and CDI leadership to reduce future payer vulnerability. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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    Central Scheduling Specialist - Full TimePenn Medicine

    Lawrenceville, NJ30+ days ago
    • $17.75–$28.33 Per Hour

    Determines reason for patient visit and possesses and utilizes knowledge of provider’s schedule and protocols as well as scheduling guidelines to schedule accurate and complete general appointment special appointment and emergency appointments. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

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    Medical Director - Maternal-Fetal MedicineCapital Health

    Pennington, NJ2 days ago

    When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. This role ensures the delivery of evidence-based, patient-centered care, supports program growth, and leads quality, safety, and compliance initiatives across the MFM service line.

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    Site Administrator, Multispecialty, Clinton NJSt. Luke's Health Network, Inc.

    Clinton, NJ23 days ago
    • $84,000–$134,400 Per Year
    • Full-time

    Luke’s Physician Group Medical Office Building Partner and collaborate with specialty Service Line Administrators and Managers Maintain centralized registration across multiple practices within Medical Office Building Design and implement business plan for the Medical Office Building in conjunction with leadership and physician(s).Provide daily clinical and clerical support for primary and specialty patients and staffResponsible for personnel administration including recruitment, payroll oversight and approval, grievance resolution and evaluations in conjunction with Human Resources. Works with service line leadership to onboard/launch new service lines Complete Clinical and Clerical Staff performance reviews and provide feedback to colleaguesFacilitate colleague engagement initiatives to encourage ongoing teamwork and support individual professional growthPrepare presentation and report out monthly service line metrics to respective SLPG service line and hospital leadership Carry out the above responsibilities in such a way as to promote a positive, supportive and creative culture within St.

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    Insurance Verification Specialist / Specialty Billing RepresentativeMid Atlantic Retina

    Bethlehem, PA26 days ago

    Assists in general billing AR when needed including but not limited to claims follow up, calls to insurances and anything necessary to obtain payment for all specialty drugs. Recognizes, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in accounts along with system files, and initiates appropriate corrective methods.

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    Practice Prior Auth and Referral Specialist - Sleep MedicineSt. Luke's Health Network, Inc.

    Bethlehem, PA19 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.

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    Practice Prior Authorization and Referral Specialist - Radiation OncologySt. Luke's Health Network, Inc.

    Easton, PA9 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Responds to written as well as telephone inquires from patients, insurances, pharmacies, other outpatient/inpatient departments, and facilities regarding planned specialty care and/or services.

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    Oncology Data Specialist, Certified (Cancer Data Registrar) - Full TimeSt. Luke's Health Network, Inc.

    Bethlehem, PA30+ days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Will also consider Graduate of an accredited Registered Health Information Technology (RHIT) and/or Registered Health Information Administrator (RHIA) will be considered if continuing their education for their Certificate CRM or CIM from an NCRA Accredited Program with commitment to obtain ODS-C credential within 3 years of date hired.

    St. Luke's University Health Network logo

    Provider Services Auditor EducatorSt. Luke's University Health Network

    Allentown, PA30+ days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Coding and Compliance Educator position is high profile and requires a candidate who is proactive, mature, dynamic, consistent with professional appearance and demeanor, and has the ability to develop and maintain positive strong relationships through challenging situations.

    Tyndale logo

    Application Developer IIITyndale

    Pipersville, Pennsylvania30+ days ago

    The Application Developer III plays a hands-on role in designing, coding, debugging, and reviewing .NET applications, while also providing technical leadership and guidance to a team of developers. This position works closely with project managers, product owners, and other stakeholders to define project scope, ensure technical excellence, and drive successful outcomes.

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    Senior Manager, Practice Operations - PulmonarySt. Luke's Health Network, Inc.

    Sellersville, PA30+ days ago
    • Full-time

    EDUCATION: Bachelor’s Degree in health, business, or related field preferred TRAINING AND EXPERIENCE:Minimum of 4+ years of progressive office or practice operations management experience, including at least 2 years in a healthcare organizationExperience managing or supporting daily operations such as staffing coordination, scheduling, patient access, workflow management, and regulatory complianceDemonstrated experience leading large or complex practices, overseeing performance management, budgeting/financial operations, patient access, regulatory compliance, and service excellence. JOB DUTIES AND RESPONSIBILITIES: Performs all leadership and managerial functions across the employee life cycle for direct reports including hiring, onboarding/orientation, performance management, ongoing coaching and development, recognition, etc.).Ensures operational readiness for clinical and administrative operations (e.g., developing employee schedules; maintaining supply inventory, office equipment and furnishings, cleanliness; facilitating daily huddles; updating time management systems; maintaining Point of Care licensing, etc.).Manages practice operations, workflow execution, employee collaboration and overall patient experience.

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    Medical Safety Specialist II - Bilingual English/Japanese PreferredOlympus Corporation of the Americas

    Center Valley, PA30+ days ago

    QARA Processes: Develops an understanding of medical safety's role in QARA processes across the product life cycle and provides Medical Safety review and approval for PMS documentation, labeling/IFU creation, Clinical Evaluation Reports, developing responses to inquiries from regulators, Human Factors Engineering reports, non-conformance dispositions, and CAPA. + Direct patient care experience is required (Hospital, Medical or Clinical Practice, with a preference for clinical experience in the areas of Gastroenterology, Pulmonary, ENT, General Surgery, Neurological Surgery, Orthopaedic Surgery, Urology, Obstetrics/Genecology, Infectious Disease, Infection prevention and control).

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