- 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 ... coding guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor 's work assignments are varied and frequently require interpretation… more
- 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 ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- Humana (Harrisburg, PA)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- 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 ... in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole… more
- UPMC (Pittsburgh, PA)
- … Auditor /Analysts. + Provide new-hire training to Clinical Auditor /Analysts. Performing administrative appeals/preparing medical necessity appeals for ... production standards, and organize multiple projects and tasks. In-depth knowledge of medical terminology, ICD-10 and CPT-4 coding . Knowledge of health insurance… more
- Elevance Health (Seven Fields, PA)
- …Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the ... **Claims Auditor I, II and Senior** **Location :** This...various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary… more
- Humana (Harrisburg, PA)
- …Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is ... determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical documentation...medical documentation to ensure capture of all relevant coding . Applies clinical and coding experience to… more
- St. Luke's University Health Network (Allentown, PA)
- …meet with providers to perform education for the professional service documentation and coding audits of both office and in-patient medical records. + Maintain ... to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and... performs audits as part of the Documentation and Coding Compliance Program for professional services billed by providers… more
- Geisinger (Danville, PA)
- …audits, monitoring, and provides compliance education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a ... Job Summary The Senior Compliance Auditor ensures the integrity and accuracy of facility...scheduled facility and/or professional audits on the adequacy of medical record documentation to support coding (DRG,… more
- Datavant (Harrisburg, PA)
- …will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, ... workspace! **What You Will Do:** + Performs Inpatient Facility coding audits according to scope of work, for the...EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
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