• Medical Coding Auditor

    CenterWell (Harrisburg, PA)
    **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 ... codes (eg, ICD-10-CM, CPT) to patient records. The ** Medical Coding Auditor ** work assignments...Specialist-Physician Based (AHIMA) + 2 or more years of outpatient coding experience (Preferably in a risk… more
    CenterWell (10/01/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Harrisburg, PA)
    …): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
    Highmark Health (09/20/25)
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  • Analyst, Coding Data Quality Auditor

    CVS Health (PA)
    …Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient ) or CPC-I (Certified Professional Coding Instructor) preferred. + ... codes required. + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience with… more
    CVS Health (10/02/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
    UPMC (09/04/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance. + Knowledge of CMS and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
    UPMC (07/24/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …review the assigned HCC diagnosis codes and apply the appropriate inpatient or outpatient coding guidelines, AHA coding clinics, ICD-10-CM or government ... standards, and organize multiple projects and tasks. + In-depth knowledge of medical terminology,ICD-10-CM and CPT-4 coding . Knowledge of health insurance… more
    UPMC (09/30/25)
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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 ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and… more
    St. Luke's University Health Network (08/20/25)
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  • Quality Senior Analyst

    CVS Health (PA)
    …Adjustment Coder) required. + CPMA (Certified Professional Medical Auditor ) **or** CDEO (Certified Documentation Expert Outpatient ) preferred. **Preferred ... Qualifications** + Minimum of 5 years recent and related experience in medical record documentation review, diagnosis coding , and/or auditing. + Experience… more
    CVS Health (09/30/25)
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