• Analyst, Coding Data Quality Auditor

    CVS Health (PA)
    …vendor coding resources. + Leads dispute resolution. + Acts as mentor to provide education to internal staff based on audit findings; provides general ... proficiency in the following: + Proven ability to support coding judgment and decisions using industry standard evidence and...education on ICD codes as appropriate. + Effectively communicates… more
    CVS Health (10/02/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories ( HCC ) preferred. ** Education ** + AA/AS or equivalent experience + ... **Position Summary** Responsible for performing audit and abstraction of medical records ( provider and/or vendor) to identify and submit ICD codes that are submitted… more
    CVS Health (09/27/25)
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  • Physician Educator HPL- Remote- Allegheny County

    UPMC (Pittsburgh, PA)
    …management. Identify sites within the network to offer public education on coding and documentation and provide classes on a regular basis. + Identify ... of strategic plans and coordination of all aspects of provider and practice education , including but not...the UPMC Health Plan Network. + Coordinate and present education of providers/practices related to risk adjustment, coding… more
    UPMC (09/26/25)
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