• Investigations Consultant

    Highmark Health (Pittsburgh, PA)
    …Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Professional Coder - Hospital(CPC-H) + Certified Outpatient Coder (COC) + Accredited ... specific to professional, hospital, ambulatory surgical center, home health and durable medical equipment to identify key areas of risk exposure and develop plans… more
    Highmark Health (08/22/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    …**Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited ... to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for… more
    Highmark Health (09/10/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    …coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality ... teams. PHYSICAL AND SENSORY REQUIREMENTS: Sitting up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use for retrieving/viewing computerized patient … more
    St. Luke's University Health Network (08/20/25)
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