• Compliance Auditor - Medical…

    Geisinger (Danville, PA)
    … requirements. Determines the adequacy of medical record documentation, coding , and billing, using established compliance auditing and research guidelines ... Job Summary The Compliance Auditor position is responsible for... compliance audits to determine the adequacy of medical record documentation, billing, and coding , utilizing… more
    Geisinger (10/18/25)
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  • Inpatient Medical Coding…

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of ... codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/24/25)
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  • 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 ... procedures and accepted guidelines for medical coding . Works closely with the Compliance Officer and Compliance coding Audit Coordinator to perform… more
    Guthrie (09/13/25)
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  • Coding Data Quality Auditor

    CVS Health (Harrisburg, PA)
    …+ Thorough knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity. + In depth knowledge ... process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor ), CDEO (Certified Documentation Expert Outpatient) or… more
    CVS Health (10/16/25)
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  • Inpatient Medical Coding…

    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 ... and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer...Federal, state and payer regulations + Capable of interpreting medical records reports and chart entries + Able to… more
    Cognizant (10/14/25)
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  • Coding Auditor & Educator

    WelbeHealth (Harrisburg, PA)
    …is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring ... reviews + Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines + Work closely… more
    WelbeHealth (09/19/25)
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  • Compliance Auditor , Intermediate…

    UPMC (Pittsburgh, PA)
    …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance . + Extensive knowledge of ... **Join UPMC Corporate Compliance as an Intermediate Compliance Auditor !** Are you passionate about ensuring...Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder… more
    UPMC (10/10/25)
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  • Compliance Auditor , Associate

    UPMC (Pittsburgh, PA)
    …degree or comparable technical school diploma is preferred. + 1 year of experience in medical coding , auditing, billing and compliance . + Knowledge of CMS ... **Join UPMC Corporate Finance as a Compliance Auditor , Associate!** Are you detail-oriented and passionate about ensuring compliance in healthcare? **UPMC… more
    UPMC (07/24/25)
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  • Provider Services Auditor

    St. Luke's University Health Network (Allentown, PA)
    …Services Auditor performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers employed with ... meet with providers to perform education for the professional service documentation and coding audits of both office and in-patient medical records. + Maintain… more
    St. Luke's University Health Network (09/04/25)
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  • Coding Audit & Education Coordinator

    St. Luke's University Health Network (Allentown, PA)
    … coding audit activities. The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality ... Professional Auditor (CPMA); Certified Professional Coder (CPC); Certified); Certified Coding Specialist (CCS); In-depth knowledge of ICD CM, ICD PCS and… more
    St. Luke's University Health Network (08/20/25)
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