• Compliance Auditor, Intermediate (Cemc, CPC,…

    UPMC (Pittsburgh, PA)
    …services coded and billed in accordance with state and federal regulations. . ** Code Validation:** Validate ICD-10-CM, CPT, and HCPCS codes to ensure consistency and ... required: + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation & Management Coder... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) +… more
    UPMC (09/04/25)
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  • Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    …billed in accordance with appropriate state and federal regulations and standards. + ** Code Validation:** Validate the ICD-10-CM, CPT, and HCPCS codes or CPT and ... (Preferred) + Certified Coding Specialist (CCS) + Certified Inpatient Coder (CIC) + Certified Evaluation & Management Coder... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) +… more
    UPMC (07/24/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Harrisburg, PA)
    …and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according ... (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures compliance… more
    Highmark Health (09/20/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (PA)
    …in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts ... initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies… more
    Banner Health (09/06/25)
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  • Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …+ None **Preferred** + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional Coder - Hospital(CPC-H) + Certified Outpatient ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
    Highmark Health (08/22/25)
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  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is responsible for detailed analysis of out-patient medical ... and risk adjustment coding. (Required) + Certified Risk Adjustment Coder (CRC) (Required) + Additional experience could be considered...in lieu of degree. + CCS or Certified Procedural Coder - CPC (AAPC) (Required) + RHIA, RHIT (Preferred)… more
    Penn Medicine (08/07/25)
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  • Medical Abstractionist

    Advatix, Inc. (Philadelphia, PA)
    …We also need you to have one or more of the followig: + Certified Professional Coder (CPC) or + Certified Professional Coder Apprentice + (CPC-A) or + Certified ... Outpatient Coder (CPC-H) or + Certified Coding Specialist (CCS) or + Certified Coding Specialist-Physician- + Based (CCS-P) Required Education: HS diploma or GED XPDEL, Inc. is committed to an inclusive workplace that does not discriminate against race,… more
    Advatix, Inc. (07/15/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …(any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud ... standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a...is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not… more
    Highmark Health (09/10/25)
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  • Certified Risk Adjustment Coding/Audit Specialist

    Redeemer Health Home Care & Hospice (Huntingdon Valley, PA)
    …of anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses. The Certified Risk Adjustment Coding/Audit Specialist analyzes and ... and in the services we provide. RECRUITMENT REQUIREMENTS High School Graduate. Certified coder CPC or CCS-P, and AAPC CRC certification. 2+ years coding, Medicare… more
    Redeemer Health Home Care & Hospice (08/13/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …equal to approximately 5 years for CPC. + CPC (Certified Professional Coder ) **or** CCS-P (Certified Coding Specialist-Physician) and CRC (Certified Risk Adjustment ... Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient) preferred. **Preferred Qualifications** +… more
    CVS Health (09/30/25)
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