Coder - Outpatient

Highmark Inc

Working at Home, PA

JOB DETAILS
SKILLS
Accounts Receivable, Anatomy, Cash Flow, Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Code Reviews, Computer Security, Corporate Policies, Current Procedural Terminology (CPT), Demographics, English Language, Facebook, Federal Laws and Regulations, HIPAA (Health Insurance Portability and Accountability Act), Health Information Management, Health Insurance, Healthcare, Hospital Systems, ICD-10, Identify Issues, Information Technology & Information Systems, Information/Data Security (InfoSec), International Classification of Diseases (ICD), Internet Security, Legal Standards, LinkedIn, Medical Coding, Medical Records, Medical Terminology, Medical Treatment, Outpatient Care, Physiology, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Regulatory Compliance, Sales, Secondary School, Security Policy, State Laws and Regulations, Treatment Plan, Work From Home, YouTube
LOCATION
Working at Home, PA
POSTED
3 days ago

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Medical Records

Coder - Outpatient

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Coder - Outpatient

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PA, Working at Home - Pennsylvania

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 and implementing these updates in daily work. (5%)

  • Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

  • High School/GED

  • Successful completion of coding courses in anatomy, physiology and medical terminology

  • 1 year of Hospital and/or Physician Coding

  • 1 year coding at mid-level facilities or clinics

  • 1 year coding major surgeries, observations and/or E/Ms

  • Medical Terminology

  • Strong data entry skills

  • An understanding of computer applications

  • Ability to work with members of the health care team

  • Any of the following:

  • Registered Health Information Technician (RHIT)

  • Registered Health Information Associate (RHIA)

  • Certified Coding Specialist Physician (CCS-P)

  • Certified Professional Coder (CPC)

  • Certified Outpatient Coder (COC)

  • CPC-A Certified Professional Coder - Apprentice

Preferred

  • Associate"s Degree in Health Information Management or related field

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum:

$21.97

Pay Range Maximum:

$34.39

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice

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Job Details

  • Job category Medical Records
  • Position Type Full Time
  • Posted 06/04/2026
  • Location(s) PA, Working at Home - Pennsylvania
  • Line of Business
  • Entity
  • Recruiter
  • Hiring Manager
  • Experience Level
  • Job Family Coding-AHN
  • Req ID J282205

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Highmark Health is an independent licensee of the Blue Cross Blue Shield Association.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org.

2026 Highmark Health. All Rights Reserved.

About the Company

H

Highmark Inc

Highmark provides millions of people with the security of quality health insurance

Our history of helping families and companies with their health insurance needs dates to the 1930s, when our predecessor companies were established to help Pennsylvania's residents pay for health care.

Highmark was created in 1996 by the consolidation of two Pennsylvania licensees of the Blue Cross and Blue Shield Association — Pennsylvania Blue Shield (now Highmark Blue Shield) and Blue Cross of Western Pennsylvania (now Highmark Blue Cross Blue Shield). We are now one of the largest health insurers in the United States.

Highmark's officers and board of directors set the company's strategic direction and corporate policies. They are guided by our mission, vision and values.

COMPANY SIZE
1,000 to 1,499 employees
INDUSTRY
Healthcare Services
FOUNDED
1996
WEBSITE
https://www.highmark.com/hmk2/index.shtml