• Coding Auditor & Educator

    WelbeHealth (Trenton, NJ)
    …values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate ... **Essential Job Duties:** + Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual...programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely with Coding more
    WelbeHealth (09/19/25)
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  • Coding Auditor Educator

    Highmark Health (Trenton, NJ)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (09/20/25)
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  • Profee Clinical Data Quality Admin (CDQA)…

    Virtua Health (Mount Laurel, NJ)
    …on meetings with clinicians. Job Summary: Responsible for professional fee (pro-fee) coding quality and audits, education and training, etc. for CPT, ICD-10-CM, and ... HCPCS codes for Virtua Medical Group clinicians and coding department. This includes performing internal audits, overseeing external audits, and providing education… more
    Virtua Health (07/28/25)
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