- Geisinger (Danville, PA)
- … requirements. Determines the adequacy of medical record documentation, coding , and billing, using established compliance auditing and research guidelines ... Job Summary The Compliance Auditor position is responsible for... compliance audits to determine the adequacy of medical record documentation, billing, and coding , utilizing… more
- Highmark Health (Harrisburg, PA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- Humana (Harrisburg, PA)
- …about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and ... validate the mitigation of compliance risk across the organization. This team ensures that...healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring...Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder… more
- UPMC (Pittsburgh, PA)
- …degree or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance . + Knowledge of CMS ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC… more
- UPMC (Wexford, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of ... be their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office Remotely. Must live in… more
- Humana (Harrisburg, PA)
- …materials. This is a full-time, remote/work-from-home position. **Description** The Inpatient Medical Coding Auditor extracts clinical information from ... Quality Team is looking is an experienced and well-grounded medical coding auditor to quality...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Penn State Health (Hershey, PA)
- …+ Bachelor's degree + Minimum ten (10) years experience in comprehensive compliance , audit, billing, coding , and documentation experience, preferably in complex ... work requiring travel to various sites **SUMMARY OF POSITION:** The Director of Compliance and Privacy (Investigation and Guidance) will report directly to the Vice… more
- UPMC (Pittsburgh, PA)
- …of root cause. + Coordinate payor audits, conduct post-audit to validate auditor findings and identify previously unbilled services. + Serve as a clinical ... related to the retrospective appeal/3rd party audit process to ensure regulatory compliance . + Assist the Health Services Division in responding to billing… more