- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** The Certified Professional Coder (CPC) will perform medical claim reviews to ensure ... and potential to testify **Required Qualifications** + AAPC Coding certification - Certified Professional Coder (CPC) + 3+ years of experience in medical… more
- Highmark Health (Harrisburg, PA)
- …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... of new staff, performing audits and research related to special projects and providing coverage for coding manager(s). (10%)...Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital… more
- Penn Medicine (Bala Cynwyd, PA)
- …position is to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of ... experience including ambulatory outpatient and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional experience… more
- Highmark Health (Pittsburgh, PA)
- …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations… more
- WellSpan Health (York, PA)
- …Degree Required **Work Experience:** + 3 years Coding/Auditing experience. Required **Licenses:** + Certified Professional Coder Upon Hire Preferred or + ... to determinations and recommendations resulting from routine audits and/or assigned special projects. Presents report to appropriate managers and boards. + Provides… more
- UPMC (Pittsburgh, PA)
- …**Licensure, Certifications, and Clearances:** + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Certified Registered ... timely, accurate reimbursement. + Function as a resource person to respond to special audits and projects assigned by Management or requested by other departments.… more
- Highmark Health (Harrisburg, PA)
- …Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** + Demonstrated ability ... SUMMARY** This job requires the ability to identify issues related to professional and facility provider claims data including determining appropriateness of code… more