• Compliance Coding Auditor…

    Guthrie (Sayre, PA)
    … systems and guidelines, payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 ... Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with...educating and training providers and staff in relation to coding , billing and compliance issues + Assists… more
    Guthrie (09/13/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Harrisburg, PA)
    …Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician coding and/or auditing, as well as, education techniques and methods. ... activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II… more
    Highmark Health (09/20/25)
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  • Inpatient Medical Coding Auditor

    Cognizant (Harrisburg, PA)
    **About the role** As an Inpatient Medical Coding Auditor , you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant ... + Provide ICD-10-CM and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of Company Health… more
    Cognizant (09/23/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …to join our team. This role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and federal regulations. **Key ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about...found during audits and will be based on documentation, coding , and billing rules set forth by… more
    UPMC (07/24/25)
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  • Risk Adjustment Clinical Auditor /Analyst

    UPMC (Pittsburgh, PA)
    …AHA coding clinics, ICD-10-CM or government regulations. + Review provider coding / billing trends, and government audit outcomes to identified HCC coding ... has an exciting opportunity for a Risk Adjustment Clinical Auditor /Analyst position in the Medicare department. This is a...are supported within the audit year, and utilize AHA Coding clinics, ICD-10-CM Coding Guidelines, CPT … more
    UPMC (09/30/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …In doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and...auditing software program. + Is a resource to the coding department, SLPG practices, providers, and billing … more
    St. Luke's University Health Network (09/04/25)
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