- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** Responsible for performing quality inter-rater review audits of medical records coded by internal team (CDQA ... to demonstrate proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Ability… more
- 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 ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where… more
- Datavant (Harrisburg, PA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical… more
- UPMC (Pittsburgh, PA)
- …and HCPCS codes to ensure consistency and efficiency in claims processing, data collection, and quality reporting. . **Regulatory Compliance:** Conduct audits ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation 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
- UPMC (Pittsburgh, PA)
- …assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. + **Post-Audit Training:** Conduct ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and… 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 ... In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality … more
- St. Luke's University Health Network (Allentown, PA)
- …validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing, and documentation related ... any coding and documentation issues. + Analyzes coding data audits to identify trends within...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...future of healthcare from your own workspace! Preferred: Inpatient auditor with 3-5 years of experience at a Trauma… 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 ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more