- 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 ... teams. **In this role, you will:** + Review ICD-10 inpatient patient records for accuracy and compliance + Review...and ICD-10-PCS education and mentoring to Company's clients in coding , billing and compliance + Perform Peer Reviews of… more
- Highmark Health (Harrisburg, PA)
- …(Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... minimal direction and receives guidance where needed. Follows established guidelines/procedures. The Medical Coding Auditor confirms correct CPT coding… more
- Datavant (Harrisburg, PA)
- …and leadership skills **What You Need to Succeed:** + 5+ years of facility inpatient coding experience and/or auditing. + CCS (preferred), RHIA or RHIT preferred ... your own workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- UPMC (Pittsburgh, PA)
- …technical school diploma is preferred. + 3 or more years of experience in medical coding , billing, auditing and compliance. + Extensive knowledge of CMS, and ... Coder (CIC) + Certified Evaluation & Management Coder (CEMC) + Certified Professional Medical Auditor (CPMA) + Certified Professional Coder (CPC) + Certified … more
- Datavant (Harrisburg, PA)
- …facility. SMART software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, ... shape the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience...Recent experience in academic/level 1 trauma centers + Experience coding and auditing inpatient and outpatient records… more
- St. Luke's University Health Network (Allentown, PA)
- …AND EXPERIENCE: Minimum five (5) years RN/licensed provider experience in adult inpatient medical -surgical or critical care with thorough understanding of ... The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of...Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding… more