• Ambulatory Coding and Doc Specialist

    Penn Medicine (Bala Cynwyd, PA)
    …healthcare, or related field (Required) + 2+ years of relevant coding medical professional services experience including ambulatory outpatient and risk ... the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and...comfort and reassurance. Our employees shape our future each day . Are you living your life's work? **Entity: Clinical… more
    Penn Medicine (08/07/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …Risk Adjustment Coder ) required. + CPMA (Certified Professional Medical Auditor) **or** CDEO (Certified Documentation Expert Outpatient ) preferred. ... we do it all with heart, each and every day . **Position Summary** Responsible for conducting complex audits, reviews...Responsible for conducting complex audits, reviews and assessments of medical records coded by internal teams prior to the… more
    CVS Health (09/30/25)
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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 ... maintain annual anti-fraud program which includes facilitating fraud training and fraud awareness day , as well as filing annual fraud plans and reports according to… more
    Highmark Health (09/10/25)
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  • Compliance Audit Manager

    Cardinal Health (Harrisburg, PA)
    …of documentation and coding related to physician or hospital (inpatient and outpatient ) billing and/or medical necessity reviews. + Manages focused audits ... detection and correction of documentation, coding, and billing errors and/or medical necessity of services billed. Particular areas of focus include: evaluation… more
    Cardinal Health (08/27/25)
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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 ... coding 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… more
    St. Luke's University Health Network (08/20/25)
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