• Compliance Auditor , Intermediate…

    UPMC (Pittsburgh, PA)
    … Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and billing ? Do you thrive in a dynamic ... Compliance ** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This...3 or more years of experience in medical coding, billing , auditing and compliance . + Extensive knowledge… more
    UPMC (09/04/25)
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  • 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… more
    UPMC (07/24/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Harrisburg, PA)
    …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... data requires an in-depth evaluation of variable factors. As the Senior Clinical Compliance Professional , you will develop and/or evaluate compliance … more
    Humana (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code… more
    Highmark Health (08/08/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers employed with St. ... office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality...and meet with providers to perform education for the professional service documentation and coding audits of both office… more
    St. Luke's University Health Network (09/04/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    …Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder ... also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality and...staff to determine data quality and accuracy of coding, billing , and documentation related to DRG's, CPT, APC's, and… more
    St. Luke's University Health Network (08/20/25)
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  • Supervisor of Coding Operations

    Datavant (Harrisburg, PA)
    …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... + Implement process improvements to enhance accuracy, efficiency, and regulatory compliance . + Ensure coding is completed within established turnaround times to… more
    Datavant (08/19/25)
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  • Claims and Denial Coding Analyst

    St. Luke's University Health Network (Allentown, PA)
    …and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network. Utilizes provider documentation ... process. JOB DUTIES AND RESPONSIBILITIES: + Maintain current knowledge of coding, compliance , and documentation guidelines + Resolve Charge Review and Claim Edit… more
    St. Luke's University Health Network (08/19/25)
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