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Clinical Auditor/Analyst Position UPMC Health Plan has an exciting opportunity for a Clinical Auditor/Analyst position in the Fraud, Waste & Abuse department. This is a full time position working Monday through Friday daylight hours and will
Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organizations coding procedures and standards. - Accurately enter coded data in a system and validate data entered. -
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system