• Compliance Auditor, Associate

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Finance as a Compliance Auditor, Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC ... Corporate Finance** is looking for a dedicated and meticulous ** Compliance Auditor, Associate** to join our team. This role is crucial in maintaining the integrity… more
    UPMC (07/24/25)
    - Related Jobs
  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …documentation accuracy and completeness. Creates a culture focused on Compliance and Core Behaviors. Builds strong partnerships with Highmark cross-functional ... teams including Care Management, STARS, Compliance , clinical leadership of health systems, physicians and vendors to develop programs that deliver measurable,… more
    Highmark Health (08/08/25)
    - Related Jobs
  • Medical Records Technician (Clinical Documentation…

    Veterans Affairs, Veterans Health Administration (Lebanon, PA)
    …Health Information Management (HIM) section at the Lebanon VA Medical Center. MRTs ( Coder ) are skilled in classifying medical data from patient health records in the ... of health services and the organizational structure to ensure proper code selection. Reviews clinical documentation and provides education to clinical staff… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
    - Related Jobs
  • Coding Specialist (40 hours/week on 1st Shift)

    Penn Medicine (East Petersburg, PA)
    …to official coding guidelines for the purpose of assuring accuracy and compliance when billing insurance carriers. This position is responsible for the performance ... hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory… more
    Penn Medicine (09/23/25)
    - Related Jobs
  • 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 ... with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts… more
    Highmark Health (09/20/25)
    - Related Jobs
  • *Quality Assurance Specialist for Command Level…

    Orbis, Inc. (Philadelphia, PA)
    Quality Assurance Specialist for Command Level I Program NSWCPD Code 00Q Philadelphia, PA Responsibilities: Position is for the Quality Assurance Specialist, NSWCPD ... Code 00Q support, to be part of team supporting...issued command Level I training to ensure NSWCPD workforce compliance , and report status back to the LIPM. Maintain… more
    Orbis, Inc. (09/22/25)
    - Related Jobs
  • Engineering Technician I - V - Nswcpd Code

    KMS Solutions, LLC (Philadelphia, PA)
    Engineering Technician I - V - NSWCPD Code 316 Salary Grade/Level/Family/Range Technician I: $19.13/hour Technician II: $21.47/hour Technician III: $24.02/hour ... submarines, military watercraft, and unmanned vehicles. This position supports NSWCPD Code 316, which is responsible for the Planned Maintenance System (PMS)/Class… more
    KMS Solutions, LLC (09/22/25)
    - Related Jobs
  • Compliance Audit Manager

    Cardinal Health (Harrisburg, PA)
    **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & Compliance promotes a culture that encourages ethical conduct and a commitment to ... compliance . This function implements strategies and processes to ensure...physician leadership, senior leadership, management, and staff; physician and coder education; and the making of recommendations for corrective… more
    Cardinal Health (08/27/25)
    - Related Jobs
  • 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)
    - Related Jobs
  • Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …The primary objective of this position is to improve the accuracy of coding, compliance and clinical documentation. The Certified coder (CPC or CCS-P) is ... . Work in coordination with other members of the Physicians' Billing & Compliance Office as necessary . Recommend new approaches, policies, and procedures to… more
    Penn Medicine (08/07/25)
    - Related Jobs