• Coding Auditor Educator, Inpatient

    Highmark Health (Harrisburg, PA)
    …HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. Reports findings both ... Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician...In-depth knowledge of ICD CM, ICD PCS and CPT/HCPCS coding systems. Must be proficient in DRG /APC… more
    Highmark Health (10/23/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …auditing, billing and compliance. + Knowledge of CMS and third-party payer coding , billing, and documentation compliance regulations preferred (MS- DRG , APR- ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
    UPMC (10/23/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …auditing and compliance. + Extensive knowledge of CMS, and third-party payer coding , billing, and documentation compliance regulations required (MS- DRG , APR- ... APC, APG or ICD10-CM, HCPCS, CPT, Modifiers, etc.). + Knowledge of coding /classification systems appropriate for inpatient /outpatient, DRG prospective payment… more
    UPMC (10/10/25)
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  • Inpatient Auditor Specialist PRN- 1,000…

    Datavant (Harrisburg, PA)
    …Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding -related elements using MS DRG or APR DRGs. + Provides rich and ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (11/01/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    …the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing, and documentation related to DRG 's, CPT, APC's, and HCPCS Level ... II code and modifier assignments, ICD diagnosis and procedure coding , DRG /APC structure according to regulatory requirements. JOB DUTIES AND RESPONSIBILITIES: +… more
    St. Luke's University Health Network (08/20/25)
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  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …assigned MS- DRG or APR- DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES ... RAC/MIC/QIO and other governmental or commercial payor auditors in retrospective reviews for DRG and documentation or coding -related issues. + Develop and apply… more
    St. Luke's University Health Network (10/28/25)
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  • Inpatient Audit Specialist FT - 2,500 Sign…

    Datavant (Harrisburg, PA)
    … coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate DRG and APC assignment. + Review non-CC/MCC ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
    Datavant (10/09/25)
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