• Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …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 (08/08/25)
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  • Coding Auditor

    Fresenius Medical Center (Malvern, PA)
    …and or Eastern United States_ **Must Have Vascular Surgical and Intervential Coding Experience** PURPOSE AND SCOPE: Conducts data quality audits of outpatient ... encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates… more
    Fresenius Medical Center (09/09/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Harrisburg, PA)
    …years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and ... monitoring of healthcare records + Must be able to work core business hours on EST time between (9am-5pm). + Willingness to travel up to 10% to conduct audits at site locations. + Ability to manage multiple or competing priorities and meet deadlines + Must be… more
    Humana (08/23/25)
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  • Supervisor of Coding Operations

    Datavant (Harrisburg, PA)
    …coding experience with ICD-10-CM/PCS and MS-DRGs. + Minimum 1-2 years in a coding lead, auditor , or supervisory role. + Associate's degree in Health ... bold vision for healthcare. **What We're Looking For** A Coding Supervisor capable of overseeing the daily operations of...overseeing the daily operations of the inpatient and outpatient coding team to ensure timely, accurate, and compliant … more
    Datavant (08/19/25)
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  • Auditor , HCC Risk Adjustment Coding…

    Datavant (Harrisburg, PA)
    …educational and life experiences to realize our bold vision for healthcare. As an Auditor , HCC Risk Adjustment Coder, you will review medical records to identify and ... to the table:** + Minimum 3 years of HCC coding experience + Minimum 2 years of HCC Auditing...CPC-H, COC, CIC or CRC). + Proficient in ICD-10 coding . + Experienced in HCC coding across… more
    Datavant (08/08/25)
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  • Compliance Auditor , Intermediate (Cemc,…

    UPMC (Pittsburgh, PA)
    **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring accuracy and compliance in healthcare documentation and ... **UPMC Corporate Compliance** is seeking a dedicated and detail-oriented **Intermediate Compliance Auditor ** to join our team! This position will be based out of… more
    UPMC (09/04/25)
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  • 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 (07/24/25)
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  • 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 ... doing so, works with providers and their office staff, as well as the Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits… more
    St. Luke's University Health Network (09/04/25)
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  • HCC Risk Adjustment Auditor - Full Time…

    Datavant (Harrisburg, PA)
    …for healthcare. **What We're Looking For:** As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a ... a diagnosis level + Answer rebuttals entered on the auditor by coders and or auditors + Participate in...by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked… more
    Datavant (08/01/25)
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  • Claims Auditor Senior

    Elevance Health (Seven Fields, PA)
    **Claims Auditor Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... employment, unless an accommodation is granted as required by law._ The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop… more
    Elevance Health (09/09/25)
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