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Coder - Outpatient

Highmark Inc
  • Pittsburgh, PA
    2 days ago
    Highmark Inc

    Job Description

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    Coder - Outpatient

    Work At Home - Pennsylvania, Home PA 90001, United States

    Full time

    Apply Now

    Job DescriptionWorking with UsBenefits & PerksHear From Our TeamHow We Hire

    Job Details

    Category Medical Records

    Type Full time

    Location(s) Work At Home - Pennsylvania, Home PA 90001, United States

    Brand Allegheny Health Network

    Posted 11/10/2026

    Req ID J287565

    Apply Now

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    Job Description

    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.

    California Consumer Privacy Act Employees, Contractors, and Applicants Notice

    Why Choose Allegheny Health Network?

    When you join AHN, you're joining a dynamic, integrated network of 16 hospitals, advanced surgery centers, and neighborhood Health + Wellness Pavilions serving Western Pennsylvania.

    We're driven by a simple promise: to get healthcare right. For us, that means constantly improving access, championing clinical quality, and putting the patient at the center of everything we do. As part of our team, you'll have the resources, the reach, and the support to make a meaningful difference every single day.

    Benefits & Perks

    Taking Care of You

    Your Benefits at a Glance

    • Health: Complete medical, dental, vision, prescription, HSA, and FSA coverage.
    • Time Off: Paid vacation, holidays, and dedicated volunteer time.
    • Finance: Employer-sponsored 401(k), life/disability insurance, and tuition reimbursement.
    • Perks: Exclusive team discounts on shopping, memberships, and events.

    Medical Coverage

    Medical, prescription drug, dental, and vision coverage

    Paid Time Off

    Vacation, holidays, volunteering

    Retirement Package

    Employer-sponsored 401(k) plan

    Insurance & Coverage

    Life, AD&D and disability insurance

    Onsite & Preventative Care

    We make staying healthy easy with 100% covered preventative exams (including flu shots) and onsite pharmacy services at major campuses. Plus, stay active with free fitness center access at major Highmark campuses, Allegheny General, and West Penn Hospital.

    Make Mindful Changes

    Secure bicycle parking at major campuses. Healthy food options at onsite cafeterias. Stress management classes including yoga, mindfulness, and meditation.

    Holistic Support, 24/7

    Work-life resources including assistance programs and financial counseling services. 24/7 telephone access to health and wellness coaching.

    Get Rewarded for Giving Back

    Health incentive program that rewards team members. Team member networks to gather in the name of health. Paid volunteer time and incentives for making a difference.

    Hear from Our Team

    Real people, real stories

    "I have met some really great people over the years at Highmark Health and the company has treated me really well. I get really good benefits. I"ve always been rewarded for working hard. That"s what keeps me here."

    Victoria T.

    Associate Strategy Analyst, enGen

    "I love participating with the PRIDE BRG. It"s an engaged, dynamic group of almost 400 people. I also love to turn on the digital hub on my computer and see what"s going on with any of the Business Resource Groups. It"s really neat to be able to support other BRGs and see others support PRIDE. Every time I go to a different BRG event, I always feel welcome, even if I"m not part of that group."

    Amanda M.

    Director of Social Determinants of Health | Vice Chair of PRIDE

    Our Hiring Process: Step-by-Step

    1. Apply

    Find a role that sparks your passion and submit your application! We'll send an immediate confirmation email, and our team will review your qualifications over the next 1-2 weeks.

    1. Interview

    If your profile is a great match, we'll reach out to schedule your interview-whether by phone, video, or in person. Don"t worry, we'll provide all the prep details in advance so you can shine.

    1. Job Offer

    The moment you've been waiting for! If selected, we'll connect to celebrate and walk you through the details: compensation, benefits, paid time off, and all the perks of joining the team.

    1. Pre-Employment

    After you accept online, we'll guide you through standard screening (including a background check and drug screen, plus health screenings for certain clinical roles). Once cleared, we"ll officially confirm your start date!

    1. Onboarding

    Welcome aboard! Before Day 1, we'll send everything you need to hit the ground running-including your schedule, location, and the required identification documents to bring with you.

    Bonus Fast-Track Tip

    Applying for EVS, Dietary, or Customer Service roles? You can skip the traditional line and chat with Bridget, our AI recruiting assistant, to find open roles and schedule an eligible interview instantly.

    Apply Now

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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 their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

    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

    Highmark Health. All Rights Reserved.

    Numbers & Facts

    LocationPittsburgh, PA
    IndustryHealthcare Services
    Company Size1,000 to 1,499 employees
    Year Founded1996
    Websitehttps://www.highmark.com/hmk2/index.shtml

    About Company

    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.

    Skills

    • Accidental Death and Dismemberment (AD&D)unmatched
    • Accounts Receivableunmatched
    • Anatomyunmatched
    • Background Investigationunmatched
    • Cash Flowunmatched
    • Certified Coding Specialist (CCS)unmatched
    • Certified Professional Coder (CPC)unmatched
    • Clinical Medicineunmatched
    • Coachingunmatched
    • Code Reviewsunmatched
    • Computer Securityunmatched
    • Corporate Policiesunmatched
    • Current Procedural Terminology (CPT)unmatched
    • Customer Support/Serviceunmatched
    • Demographicsunmatched
    • Disability Insuranceunmatched
    • English Languageunmatched
    • Federal Laws and Regulationsunmatched
    • Financial Servicesunmatched
    • Fitnessunmatched
    • Flexible Spending Accountsunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Health Information Managementunmatched
    • Health Insuranceunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Qualityunmatched
    • Hospitalunmatched
    • Hospital Systemsunmatched
    • ICD-10unmatched
    • Identify Issuesunmatched
    • Incentive Programsunmatched
    • Information Technology & Information Systemsunmatched
    • Information/Data Security (InfoSec)unmatched
    • Insuranceunmatched
    • International Classification of Diseases (ICD)unmatched
    • Internet Securityunmatched
    • Legal Standardsunmatched
    • LinkedInunmatched
    • Medical Codingunmatched
    • Medical Recordsunmatched
    • Medical Terminologyunmatched
    • Medical Treatmentunmatched
    • Network Integrationunmatched
    • On Site Supportunmatched
    • Outpatient Careunmatched
    • Pharmacyunmatched
    • Physiologyunmatched
    • Prescription Drugsunmatched
    • Registered Health Information Administrator (RHIA)unmatched
    • Registered Health Information Technician (RHIT)unmatched
    • Regulatory Complianceunmatched
    • Salesunmatched
    • Secondary Schoolunmatched
    • Security Policyunmatched
    • State Laws and Regulationsunmatched
    • Strategic Analysisunmatched
    • Treatment Planunmatched
    • Work From Homeunmatched

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