• Certified Risk Adjustment Coding/Audit…

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …one another and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years ... becoming part of an inclusive, supportive team where your professional growth is valued. Our strength comes from bringing...AAPC or AHIMA Certification (CPC, CRC, CCS) REQUIRED + Certified Risk Adjustment Coder - PREFERRED Knowledge… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Coding Specialist (40 hours/week on 1st Shift)

    Penn Medicine (East Petersburg, PA)
    …equivalent GED + Certification as Certified Coding Specialist for Physicians CCS-P or a Certified Professional Coder CPC . If not certified , coding ... Coder -Apprentice , COC Certified Outpatient Coder , Formerly CPC-H Certified Professional Coder -Hospital , or CIC Certified Inpatient … more
    Penn Medicine (09/23/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …- 5 years in Operational Excellence **LICENSES AND CERTIFICATIONS** **Required** + AAPC, Certified Professional Coder (CPC) **Preferred** + AAPC, ... Certified Risk Adjustment Coder (CRC) **SKILLS** + CMS Regulations + Presentation Delivery...information, cardholder data, or other confidential customer information that must be protected at all times. In connection with… more
    Highmark Health (08/08/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder ... **Licensure, Certifications, and Clearances:** (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation &… more
    UPMC (07/24/25)
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  • Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified Medical Coder ... Microsoft Excel, Word and PowerPoint is strongly preferred. + Must be able to demonstrate a high degree of...required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified… more
    UPMC (09/04/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    … Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder ... + **DRG and PCS Coding, Auditing experience;** + **Bachelors degree or equivalent;** + ** Must be currently certified through AAPC or Ahima, as defined in minimum… more
    Banner Health (09/06/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …CERTIFICATIONS** **Required** + None **Preferred** + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional ... for investigations providing guidance and mentoring to investigative team. Must be able to testify in a court of... Coder - Hospital(CPC-H) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS**… more
    Highmark Health (08/22/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Harrisburg, PA)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital...of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG/APC structure, National Correct Coding… more
    Highmark Health (09/20/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …+ None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... money related to fraud, waste and abuse. The incumbent must be able to testify in a court of...hospital or health insurance setting + 1 year in professional billing, facility Patient Financial Services, HIM, Internal Audit,… more
    Highmark Health (09/10/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …experience in medical record documentation review, diagnosis coding, and/or auditing. + CPC ( Certified Professional Coder ) or CCS-P ( Certified Coding ... Specialist-Physician) required. + CRC ( Certified Risk Adjustment Coder ) + Computer proficiency including experience with Microsoft Office products (Word, Excel,… more
    CVS Health (09/27/25)
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