- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- WelbeHealth (Harrisburg, PA)
- …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding … more
- Guthrie (Sayre, PA)
- Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... procedures and accepted guidelines for medical coding . Works closely with the Compliance Officer.... Works closely with the Compliance Officer and Compliance coding Audit Coordinator to perform audits outlined in the… more
- Cognizant (Harrisburg, PA)
- **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of...+ Perform Peer Reviews of Company Health Information Management coding auditors and coders + Assure that services provided… more
- WellSpan Health (Lewisburg, PA)
- …**Duties and Responsibilities** **Essential Functions:** + Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential ... action and performs follow up reviews where necessary. + Assists with coding compliance implementation throughout the WellSpan. + Assists in the development and… more
- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, … more
- CVS Health (Harrisburg, PA)
- …to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability ... expertise in either written or verbal forms including communication with clinical or coding staff, federal regulators and vendor coding resources. + Leads… more
- Datavant (Harrisburg, PA)
- …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
- UPMC (Pittsburgh, PA)
- **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is...role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a full time position working ... daylight hours and will be fully remote.. The Clinical Auditor /Analyst is an integral part of the Risk Adjustment...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program ... doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits… more
- St. Luke's University Health Network (Allentown, PA)
- …Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and ... serve, regardless of a patient's ability to pay for health care. The Coding Audit & Education Coordinator will be responsible for performing internal, concurrent,… more
- Datavant (Harrisburg, PA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... to help shape the future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma Level 1 facility. SMART… more
- Coinbase (Harrisburg, PA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... Google Suite or MS Excel, Word and PowerPoint. * Basic scripting experience in coding languages such as Python, Ruby, etc. *Nice to haves:* * Professional Internal… more