- Geisinger (Danville, PA)
- Job Summary The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, ... research support to physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the… more
- 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 ... for medical coding . Works closely with the Compliance Officer and Compliance coding ...training providers and staff in relation to coding , billing and compliance issues + Assists… more
- Humana (Harrisburg, PA)
- …of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and ... (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex...that focuses on the well-being of their consumers and staff , and rewards performance, then you should strongly consider… more
- CVS Health (Harrisburg, PA)
- …clinical expertise in either written or verbal forms including communication with clinical or coding staff , federal regulators and vendor coding resources. + ... + Acts as mentor to provide education to internal staff based on audit findings; provides general education on...the office and/or facility setting. + Thorough knowledge of coding guidelines and regulations to meet compliance … more
- WellSpan Health (Lewisburg, PA)
- …employees. **Duties and Responsibilities** **Essential Functions:** + Performs proactive or reactive coding compliance reviews as needed to identify or quantify ... performs follow up reviews where necessary. + Assists with coding compliance implementation throughout the WellSpan. +...reports, and files as required. + Participates in administrative staff meetings and attends other meetings as assigned. +… more
- 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 ... In doing so, works with providers and their office staff , as well as the Coding and...+ Assisting with the development of training materials for compliance education and training modules. Provides training classes to… more
- St. Luke's University Health Network (Allentown, PA)
- …The incumbent will also review and validate coded medical records of the Professional Coding (PC) staff to determine data quality and accuracy of coding ... with network Coding Director to provide departmental education to PC staff following each audit conducted. + Develops audit detail summary spreadsheets and… more
- Datavant (Harrisburg, PA)
- …commitment to excellence, and commitment to the profession. + Conduct audits on external coding staff as needed and provides reports to the manager as directed. ... you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding … more