12 jobs found in Harrisburg

Compliance Auditor Req number: R7829 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right-whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise. Job Summary As the Compliance Auditor you will lead strategic risk initiatives, mentor junior analysts, and interface with leadership on IT risk posture. This role is responsible for designing control frameworks, managing complex audit engagements, and driving continuous improvement in risk management practices. Job Description We are seeking a...

A-Line staffing is hiring a Medical Billing Specialist in Harrisburg, PA. The Medical Billing Specialist would be working for a Fortune 500 Biomedical company. If interested APPLY NOW for IMMEDIATE consideration!! Medical Billing Specialist Job Details Pay Range: $22-$25/hour (based on experience) Location: Harrisburg, PA 17120 (100% Onsite to start with potential to convert to hybrid setup) Shift: Monday – Friday 8am-4pm with a 30-min lunch (37.5 hours per week) Education: High School Diploma or equivalent required. Medical Billing Specialist Responsibilities · Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment. · Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines. · Review Remittance Advice statements and explain payment details, including adjustments and take-backs. · Provide proactive customer service to providers and recipients via inquiry...

Salary: $45,907.00 - $69,203.00 Annually Location : Wayne County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-50633-39010 Department: Department of Corrections Division: CR WAM Med Opening Date: 05/28/2026 Closing Date: 6/11/2026 11:59 PM Eastern Job Code: 39010 Position Number: 00031294 Union: AFSCME Bargaining Unit: A2 Pay Group: ST05 Bureau / Division Code: 00116830 Bureau / Division: SCI Waymart Worksite Address: 11 Fairview Drive City: Waymart, Pennsylvania Zip Code: 18472 Contact Name: Treina Brinkley Contact Email: tbrinkley@pa.gov THE POSITION Step into an important leadership role as a Medical Records Supervisor with the Department of Corrections (DOC), State Correctional Institution (SCI) at Waymart. This is your chance to shape the quality of health services by ensuring that medical records are dependable, complete, and managed with excellence. You play a vital part in keeping...

Salary: $45,907.00 - $69,203.00 Annually Location : Erie County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-50233-39010 Department: Department of Corrections Division: CR ALB Med Opening Date: 05/26/2026 Closing Date: 6/9/2026 11:59 PM Eastern Job Code: 39010 Position Number: 00200749 Union: AFSCME Bargaining Unit: A2 Pay Group: ST05 Bureau / Division Code: 00111230 Bureau / Division: Department of Corrections Worksite Address: State Correctional Institution at Albion Worksite Address: 10745 Route 18 City: Albion, Pennsylvania Zip Code: 16475 Contact Name: Maria Traficante Contact Phone: 717.705.9033 Contact Email: mtraficant@pa.gov THE POSITION Are you someone who pays close attention to details and takes pride in keeping information accurate and protected? The Department of Corrections, State Correctional Institution at Albion is looking for a dedicated Medical Records Supervisor. In...

Job Description Oracle Health is a comprehensive suite of healthcare technology solutions designed to help organizations advance patient care, improve operational efficiency, and enhance caregiver experiences. Building on Oracle’s global expertise in cloud technology, data management, and analytics, Oracle Health delivers integrated electronic health records (EHR), population health tools, and data-driven insights for hospitals, clinics, and health systems. By connecting data and workflows across the continuum of care, Oracle Health empowers providers to make informed decisions, streamline processes, and drive better health outcomes. The Senior Compliance Specialist provides guidance to cross-functional teams on medical device quality system compliance, with a focus on quality system support for CE marking processes and requirements under the EU Medical Device Regulation (EU MDR). Responsibilities The Senior Compliance Specialist will provide quality system support...

Job Opportunity Position Overview: We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all the while consistently meeting 92%-95% quality requirements. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (60%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (5%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing...