• Coding Auditor Educator

    Highmark Health (Harrisburg, PA)
    …OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality ... and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs...Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or physician… more
    Highmark Health (01/15/25)
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  • Risk Adjustment Auditor I

    Baylor Scott & White Health (Harrisburg, PA)
    …Federal Register, and sharing knowledge with co-workers, as directed + Assists Risk Adjustment Auditor 2 or Manager with educator duties in the clinics on ... identifies trends and deficiencies for follow-up + Researches complex coding HCC issues and keeps abreast of coding... coding HCC issues and keeps abreast of coding and compliance changes as communicated by CMS, HHS,… more
    Baylor Scott & White Health (01/30/25)
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