- CVS Health (Harrisburg, PA)
- …regulations and internal policies and procedures. + Proven ability to support coding judgment and decisions using industry standard evidence and tools. + Proficient ... providers in the office and/or facility setting. + Sound knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical… more
- Highmark Health (Harrisburg, PA)
- …and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation ... and disease processes as it relates to the DRG/APC and other clinical data quality management factors. With technical direction and assistance from management,… more
- 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 ... 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 … more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the… more
- St. Luke's University Health Network (Allentown, PA)
- …validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding , billing, and documentation related ... any coding and documentation issues. + Analyzes coding data audits to identify trends within...Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality , compliance assessments, external payer reviews, coding ... Datavant is a data platform company and the world's leader in...the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma… more
- St. Luke's University Health Network (Allentown, PA)
- …The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure codes to assure ... clinical documentation improvement issues and through excellent communication with physicians, coding and CDMP leadership, Quality Dept. coordinators, and other… more
- Coinbase (Harrisburg, PA)
- …importance of controls, an effective control environment, and the role of Internal Auditor . * Promote new ideas / innovative means of executing projects and internal ... * Solid analytical and problem solving skills, with high standards for quality , accuracy and attention to detail. * Excellent written and verbal communication… more