• Medical Coding Auditor Evaluation…

    Humana (Harrisburg, PA)
    …part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ... direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding assignments.… more
    Humana (11/18/25)
    - Related Jobs

  • Compliance Coding Auditor…

    Guthrie (Sayre, PA)
    Option to be Hybrid/Remote. Summary: A senior level compliance coding auditor conducting assessments in accordance with The Guthrie Clinic's policies and ... guidelines, payer guidelines and requirements. + Minimum 1-year experience in Physician coding and billing and/or compliance field required 5 year of clinical… more
    Guthrie (09/13/25)
    - Related Jobs

  • 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. ... OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality… more
    Highmark Health (10/23/25)
    - Related Jobs

  • Compliance Auditor - Medical Coding…

    Geisinger (Danville, PA)
    Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, ... Accurately audits and provides compliance research support to physicians, non- physician practitioners, leadership, and administrative staff on documentation and … more
    Geisinger (10/18/25)
    - Related Jobs

  • Coding Auditor

    WellSpan Health (York, PA)
    …or + Certified Coding Specialist Upon Hire Preferred or + Certified Coding Specialist - Physician Based Upon Hire Preferred **Knowledge, Skills, and ... **Duties and Responsibilities** **Essential Functions:** + Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential… more
    WellSpan Health (10/17/25)
    - Related Jobs

  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC Corporate ... Finance** is looking for a dedicated and meticulous **Compliance Auditor , Associate** to join our team. This role is...role is crucial in maintaining the integrity of our coding and billing processes, ensuring they meet state and… more
    UPMC (10/23/25)
    - Related Jobs

  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and Coding Compliance Program ... professional services billed by providers employed with St. Luke's Physician Group (SLPG). In doing so, works with providers...providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES:… more
    St. Luke's University Health Network (09/04/25)
    - Related Jobs

  • RN Clinical Review Appeals Specialist

    St. Luke's University Health Network (Allentown, PA)
    …+ Participate in Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding appeals, as needed. ... Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure properly assigned… more
    St. Luke's University Health Network (10/28/25)
    - Related Jobs