- 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 (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 **Senior Compliance Auditor ** to join our team! This...4 or more years of experience in medical coding, billing , auditing and compliance . + Extensive knowledge… more
- 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 (Wexford, PA)
- …be their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Medical Auditor , Compliance to support the office Remotely. Must live in the ... PA. **Purpose:** Under the direction of the Manager of Compliance , the Medical Auditor is primarily responsible...will be largely based on the documentation, coding and billing rules as set forth by CMS and other… more
- 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
- Wolters Kluwer (Philadelphia, PA)
- …industry with 3+ years as an attorney, paralegal, legal spend analyst, legal bill auditor , legal bill reviewer, or billing coordinator for law firms. + Ability ... entries, where those line-item entries violate provisions of the relevant billing guidelines and documenting justification for such adjustments. Your role supervises… more
- 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