• Quality Senior Analyst

    CVS Health (PA)
    …and CRC ( Certified Risk Adjustment Coder ) required. + CPMA ( Certified Professional Medical Auditor) **or** CDEO ( Certified Documentation Expert ... Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the...equal to approximately 5 years for CPC. + CPC ( Certified Professional Coder ) **or** CCS-P ( Certified… more
    CVS Health (09/30/25)
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  • Medical Coding Auditor

    CenterWell (Harrisburg, PA)
    …**ONE** of the certifications from AAPC or AHIMA from the list below: * CPC - Certified Professional Coder (AAPC) * CCS - Certified Coding Specialist (AHIMA) ... **Become a part of our caring community and help us put health first** The Medical Coding Auditor extracts clinical information from a variety of medical records… more
    CenterWell (10/01/25)
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  • Investigator

    Highmark Health (Harrisburg, PA)
    … Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) ... 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)
    …Registered Health Information Administrator (RHIA); Certified Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified ); Certified ... coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality… more
    St. Luke's University Health Network (08/20/25)
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