• Registered Nurse Auditor

    Intermountain Health (Harrisburg, PA)
    …To review medical records retrieved from provider offices and abstract medical information for HEDIS (Health Effectiveness Data Information Set) annual audits. ... Interprets relevant clinical criteria through review of medical records annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS, CMS, and STARS performance measures. **Job Essentials** + Work collaboratively with Select… more
    Intermountain Health (10/28/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) + OR Licensed Professional Nurse (LPN) + Registered Nurse (RN) Required: + Act 34 ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and… more
    UPMC (10/10/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …Administrator (RHIA) + Registered Health Information Technician (RHIT) + Licensed Professional Nurse (LPN) or + Registered Nurse (RN) + Act 34 ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is… more
    UPMC (10/23/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …departmental staff and outside vendors as necessary to address issues and concerns. + Registered Nurse (RN), or Bachelor of Science in Nursing (BSN). + Five ... (Excel, Access, and Word).Licensure, Certifications, and Clearances:CPC Designation preferred. + Registered Nurse (RN) *Current licensure either in the state… more
    UPMC (09/30/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …Works inside with adequate lighting, comfortable temperature and ventilation. EDUCATION: Registered Nurse required, BSN preferred. Current license required. . ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more
    St. Luke's University Health Network (10/28/25)
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