- 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
- 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
- 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
- Highmark Health (Harrisburg, PA)
- … as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines. Assures compliance with the coding ... (Outpatient): Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital or… more
- Geisinger (Danville, PA)
- … education for facility and professional documentation, coding , and billing. The Senior Compliance Auditor serves as a mentor for Compliance Auditors and ... Job Summary The Senior Compliance Auditor ensures the integrity and...scheduled facility and/or professional audits on the adequacy of medical record documentation to support coding (DRG,… more
- Humana (Harrisburg, PA)
- …and trending results + Comprehensive understanding of CMS regulations and knowledge of medical coding and billing + MS Office proficiency (Word, Excel, Teams, ... Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and coding for services rendered is complete,… 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 ... meet with providers to perform education for the professional service documentation and coding audits of both office and in-patient medical records. + Maintain… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... 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
- 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 (Allentown, PA)
- …for health care. The RN Clinical Review Appeals Specialist retrospectively reviews patient medical records, claims data and coding of all diagnosis and procedure ... Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding...Administrative Law Judge (ALJ) hearings and/or formal meetings with auditor or payor representatives in defense of coding… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... auditor proficient in multi-specialty including procedure and E/M coding in multiple settings **What You Will Do:** +...settings **What You Will Do:** + Performs Professional Fee coding audits of medical records and abstracts… more
- Datavant (Harrisburg, PA)
- …you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding ... the future of healthcare from your own workspace! Inpatient auditor with 3-5 years of experience at a Trauma...strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,… more