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JobsJobs in PennsylvaniaJobs in Butler, PAHealthcare Jobs in Butler, PAMedical Billing and Coding JobsCoding Jobs in Butler, PA
94 Results for

Coding Jobs in Butler, PA

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    New

    Chief Medical Officer, Family Hospice UPMC Southwestern PA

    Chief Medical Officer, Family Hospice
    Bellevue, PA

    UPMC Family Hospice partners closely with UPMC hospitals, service lines, and the UPMC Palliative and Supportive Institute (PSI) to deliver high?quality, patient?centered care across inpatient, outpatient, and community settings. The work environment involves high risks with exposure to potentially dangerous situations or unusual environmental stress, including exposure to blood or body fluids which requires the use of Personal Protective Equipment (PPEs), such as safety eyeglasses, face shield, surgical mask, gloves and/or gowns.

    5 days ago

    Manager, Coding University of Pittsburgh Medical Center

    Manager, Coding
    Pittsburgh, PA
    Remote

    The Manager, Coding is a mid-level professional position that is responsible for handling routine, day-to-day coding and rate inquiries from provider practices and hospitals. Bachelor's Degree in health care administration, business and/or other related discipline; OR graduate of an approved Health Information program or Medical Insurance Certificate Program preferred.

    12 days ago

    Ambulance Medical Billing and Coding Associate DocGo Inc

    Ambulance Medical Billing and Coding Associate
    PA
    Remote
    • $21–$25 / hour

    DocGo's proprietary, AI-powered technology, logistics network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. About Ambulnz by DocGo: Ambulnz by DocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services.

    25 days ago

    Coder II - Technical (Inpatient Coding University of Pittsburgh Medical Center

    Coder II - Technical (Inpatient Coding
    Pittsburgh, PA
    Remote

    Maintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculm that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.

    12 days ago

    Coder II, Profee (ENT Coding University of Pittsburgh Medical Center

    Coder II, Profee (ENT Coding
    PA
    Remote

    Graduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.

    30+ days ago
    Highmark Inc logo

    Hierarchical Condition Category (HCC) Coding Specialist Highmark Inc

    Hierarchical Condition Category (HCC) Coding Specialist
    PA

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals.

    12 days ago

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture Plc

    Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321
    Pittsburgh, PA

    In addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.

    30+ days ago

    Physician Coding Auditor Ensemble Health Partners

    Physician Coding Auditor
    PA
    Remote
    • $57,400–$99,000 / year

    The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.

    30+ days ago
    PricewaterhouseCoopers LLP logo

    Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLP

    Managed Services - Revenue Cycle Coding - Senior Manager
    PA
    • $124,000–$280,000 / year

    PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.

    30+ days ago

    Technology Engineer - JAVA/.NET/Security Code Review The PNC Financial Services Group Inc

    Technology Engineer - JAVA/.NET/Security Code Review
    Pittsburgh, PA
    • $86,250–$158,125 / year

    In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.

    12 days ago

    Security Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group Inc

    Security Testing Specialist - Code Review/Java, .NET, Python Developer
    Pittsburgh, PA
    • $91,000–$185,900 / year

    In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).

    12 days ago
    Eaton Corporation Plc logo

    Specialist, Codes & Standards - State Adoption Eaton Corporation Plc

    Specialist, Codes & Standards - State Adoption
    Moon Township, PA
    Remote
    • $97,000–$143,000 / year

    After making a conditional offer and running a background check, if Eaton is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. d) Stay current with emerging technology and regulatory trends and update product/marketing teams for potential new product opportunities or product updates.

    26 days ago

    Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark) PNC Bank

    Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark)
    Pittsburgh, Pennsylvania

    Amazon SageMaker, Amazon Web Services (AWS), Apache Spark, Application Development, Business Management, Customer Solutions, Design, Group Problem Solving, Process Improvements, Release Management, Software Solutions, User Experience (UX) Design Competencies . PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.

    14 days ago

    Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark) The PNC Financial Services Group Inc

    Software Engineer Principal - Data and Automation (Sagemaker, AWS CDK, Infrastructure as Code (IaC), Python, Pyspark)
    Pittsburgh, PA

    PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions. In addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service.

    30+ days ago

    Medical Billing Assistant - Entry Level Vitalsearchgroup

    Medical Billing Assistant - Entry Level
    Pittsburgh, Pennsylvania

    The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.

    30+ days ago

    Hospital Billing Coordinator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Coordinator
    PA
    • $50,000–$60,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    30+ days ago
    Highmark Inc logo

    Supervisor Strategic Risk Adjustment and Quality Highmark Inc

    Supervisor Strategic Risk Adjustment and Quality
    PA

    Oversee the teams' processes to conduct multiple type of audits, government and internal, identify gaps, repeating issues and communicate results in provider office sites with data analysis from office site and/or medical record reviews to (a) continually improve the care, service to members and patient satisfaction; (b) coordination with other Highmark programs for credentialing, quality improvement programs, value based programs, care management programs, to achieve high caliber results, and (c) ensure medical records meet regulatory requirements. Contribute to the department's strategic planning efforts by identifying tactical opportunities for improvement, recommending solutions, and developing materials especially directed at Risk Adjustment, Quality/HEDIS, and Medical Record Documentation projects related to the development and implementation of educational opportunities.

    12 days ago

    Netsmart EHR RCM Consultant enkompas Technology Solutions

    Netsmart EHR RCM Consultant
    Sewickley, PA
    Remote

    Revenue Cycle Management Integration: Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection. Training and Support: Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.

    30+ days ago

    Netsmart RCM Consultant enkompas Technology Solutions

    Netsmart RCM Consultant
    Sewickley, PA
    Remote

    Revenue Cycle Management Integration: Ensure Netsmart EHR systems are fully integrated with revenue cycle management processes, from patient registration through billing and collection. Training and Support: Develop training materials and conduct training sessions for healthcare providers, clinical staff, and administrative staff on Netsmart EHR and RCM system usage.

    30+ days ago

    Coder I - Technical University of Pittsburgh Medical Center

    Coder I - Technical
    PA

    Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures.

    30+ days ago
    Highmark Inc logo

    Physician Assistant - Outpatient Domain - Cardiac/Oncology Program Highmark Inc

    Physician Assistant - Outpatient Domain - Cardiac/Oncology Program
    Pittsburgh, PA

    Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings (20%). 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.

    30+ days ago
    Highmark Inc logo

    Physician Assistant or Nurse Practitioner - Inpatient - Hospitalist Highmark Inc

    Physician Assistant or Nurse Practitioner - Inpatient - Hospitalist
    Pittsburgh, PA

    Skip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.

    30+ days ago

    Ophthalmic Technician Pearle Vision

    Ophthalmic Technician
    Pittsburgh, Pennsylvania

    The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships.

    30+ days ago

    Medical Receptionist-Scott Township Preferred Primary Care Physicians, Inc.

    Medical Receptionist-Scott Township
    Pittsburgh, PA
    • Full time

    The Medical Receptionist serves as the initial person to greet, instruct and direct all persons visiting or calling the medical practice utilizing skills of tact, diplomacy and confidentiality in a professional manner. Preferred Primary Care Physicians is currently recruiting for a full-time Medical Receptionist for a practice located in the Scott Township area.

    30+ days ago
    New

    Epic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu Ltd

    Epic Resolute Hospital Billing Associate Analyst
    Pittsburgh, PA
    • $50,000–$60,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    4 days ago

    Hospital Billing Operator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Operator
    PA
    • $70,000–$90,000 / year

    Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    30+ days ago

    Field Reimbursement Manager - Mid-Atlantic Heartflow Inc

    Field Reimbursement Manager - Mid-Atlantic
    PA
    Remote
    • $90,000–$120,000 / year

    Exceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers. Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource.

    30+ days ago
    Highmark Inc logo

    Physician Assistant or Nurse Practitioner- Inpatient Critical Care Highmark Inc

    Physician Assistant or Nurse Practitioner- Inpatient Critical Care
    Pittsburgh, PA

    Skip to main content Careers Working here Our Companies Career Areas Early Careers Interns Talent Community Team Member Stories Veterans Explore Jobs Direct Patient Care Providers Physician Assistant or Nurse Practitioner- Inpatient Critical Care Explore our jobs Physician Assistant or Nurse Practitioner- Inpatient Critical Care Apply Open in new tab icon. This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.

    30+ days ago
    Highmark Inc logo

    Nurse Practitioner or Physician Assistant- Outpatient Domain - Digestive Health Highmark Inc

    Nurse Practitioner or Physician Assistant- Outpatient Domain - Digestive Health
    Pittsburgh, PA

    Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. 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.

    30+ days ago
    Highmark Inc logo

    Physician Assistant or Nurse Practitioner - Inpatient Domain (A) Part-Time - Hospitalist Highmark Inc

    Physician Assistant or Nurse Practitioner - Inpatient Domain (A) Part-Time - Hospitalist
    PA

    National Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), National Certification Corporation (NCC), or Pediatric Nursing Certification Board (PNCB). This includes conducting thorough daily rounds, performing advanced medical history and physical assessments, formulating, and implementing patient-centered treatment plans, interpreting diagnostic test results, and facilitating safe and effective discharge planning.

    30+ days ago
    Highmark Inc logo

    Nurse Practitioner - Outpatient Domain (B) - Women's Health Highmark Inc

    Nurse Practitioner - Outpatient Domain (B) - Women's Health
    Sewickley, PA

    Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings. 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.

    23 days ago
    Highmark Inc logo
    New

    Nurse Practitioner or Physician Assistant - Outpatient Domain (A) - Cardiology Highmark Inc

    Nurse Practitioner or Physician Assistant - Outpatient Domain (A) - Cardiology
    Pittsburgh, PA

    Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning and providing accurate medical record documentation for patients in physician office(s) and non- acute based settings (30%). 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.

    5 days ago
    Highmark Inc logo

    Physician Assistant or Nurse Practitioner - Outpatient Domain, Neurology, Neuromuscular Division Highmark Inc

    Physician Assistant or Nurse Practitioner - Outpatient Domain, Neurology, Neuromuscular Division
    Pittsburgh, PA

    Provides appropriate patient care to include recording patient medical history and physical assessment, developing therapeutic care plan, ordering diagnostic tests, interpreting test results, discharge planning, and providing accurate medical record documentation for patients in physician offices and non-acute based settings. National Board Certification for Nurse Practitioners through the American Academy of Nurse Practitioners (AANP), American Nurses Credentialing Center (ANCC), National Certification Corporation (NCC), or Pediatric Nursing Certification Board (PNCB).

    30+ days ago

    Healthcare Compliance Auditor, Senior I University of Pittsburgh Medical Center

    Healthcare Compliance Auditor, Senior I
    Pittsburgh, PA

    Leveraging expertise in healthcare operations, reimbursement methodologies, and regulatory requirements, this position conducts auditing and monitoring activities and collaborates with clinical, operational, revenue cycle, and compliance stakeholders to promote adherence to regulatory requirements. The Healthcare Compliance Auditor Senior I plays a key role in supporting UPMC's compliance and regulatory oversight activities through the identification, assessment, and mitigation of healthcare compliance risks.

    18 days ago

    Medical Records Clerk University Health Services Inc

    Medical Records Clerk
    PA

    Responsibilities The Medical Records Clerk manages, organizes, and maintains patient health records, ensuring accuracy, confidentiality, and accessibility for healthcare providers; Retrieve medical records for Providers, Patients, External sources and Staff; Ensure all records comply with HIPAA and other federal regulations, maintaining confidentiality and security of patient information. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

    20 days ago
    Highmark Inc logo

    Provider Contract Analyst Highmark Inc

    Provider Contract Analyst
    PA

    The analyst will be heavily involved in provider-facing activities such as assisting with the Helion Provider Help Desk to answer questions related to Utilization Management and claims processing, collaborating with the development team to draft agreements, and assisting with health plan contract negotiations. 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.

    30+ days ago

    Patient Services Representative - University OB/GYN - Magee Women's Hospital University of Pittsburgh Medical Center

    Patient Services Representative - University OB/GYN - Magee Women's Hospital
    Pittsburgh, PA

    Purpose: A Patient Services Representative is responsible for welcoming patients upon arrival, promoting the usage of new and emerging consumer-friendly technologies, educating patients on their copayments and financial obligations and collecting payments when applicable, scheduling subsequent appointments within the continuum of care, connecting patients to financial advocacy resources when appropriate, updating patient's demographics and insurance coverage information, and promoting an overall culture of service excellence. Patient Services Representative display strong customer service skills that ensure that patients and family members have the desired UPMC Experience at UPMC physician practices, hospitals, and outpatient surgery departments.

    30+ days ago
    Highmark Inc logo

    Coder - Outpatient Highmark Inc

    Coder - Outpatient
    PA

    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. 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.

    30+ days ago
    New

    Technology Engineer Sr - Full Stack Lead PNC Bank

    Technology Engineer Sr - Full Stack Lead
    Pittsburgh, Pennsylvania

    Agile Methodology, Artificial Intelligence Technologies, Competitive Advantages, Customer Solutions, Design, Enterprise Architecture Framework, Generative AI, Machine Learning (ML), Risk Assessments, Software Testing, Spring Boot, Technical Knowledge Competencies . Drive the adoption of Generative AI and AI-assisted software development capabilities throughout the Software Development Lifecycle (SDLC), including requirements analysis, solution design, development, test automation, documentation, code reviews, release readiness assessments, troubleshooting, and production support.

    4 days ago
    New

    Accounts Receivable Analyst Deloitte Touche Tohmatsu Ltd

    Accounts Receivable Analyst
    Pittsburgh, PA
    • $70,000–$90,000 / year

    As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

    5 days ago

    Payment Accuracy Analyst, Senior - Hybrid University of Pittsburgh Medical Center

    Payment Accuracy Analyst, Senior - Hybrid
    Pittsburgh, PA

    Here's what your day-to-day will look like: Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align edits with clinical and financial goals. Bachelor's degree and 4 years of relevant experience OR equivalent combination of education & work within healthcare payers/claims payment processing will be considered.

    16 days ago
    New

    Technology Engineer Sr - Full Stack Lead The PNC Financial Services Group Inc

    Technology Engineer Sr - Full Stack Lead
    Pittsburgh, PA

    Drive the adoption of Generative AI and AI-assisted software development capabilities throughout the Software Development Lifecycle (SDLC), including requirements analysis, solution design, development, test automation, documentation, code reviews, release readiness assessments, troubleshooting, and production support. Agile Methodology, Artificial Intelligence Technologies, Competitive Advantages, Customer Solutions, Design, Enterprise Architecture Framework, Generative AI, Machine Learning (ML), Risk Assessments, Software Testing, Spring Boot, Technical Knowledge.

    3 days ago
    Highmark Inc logo

    Coder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus Eligible Highmark Inc

    Coder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus Eligible
    PA
    Remote

    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. 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.

    30+ days ago

    Hospice Nurse Practitioner, Full-Time Gentiva Health Services Inc (Inactive)

    Hospice Nurse Practitioner, Full-Time
    Pittsburgh, PA

    Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.

    12 days ago
    Highmark Inc logo

    Advanced Practice Provider - Pittsburgh, PA Highmark Inc

    Advanced Practice Provider - Pittsburgh, PA
    Pittsburgh, PA

    The role proactively manages symptoms, guides advance care planning, and supports members with chronic or life-limiting illnesses to ensure optimal quality of life and health outcomes. 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.

    30+ days ago

    Patient Access Representative Heritage Valley Health System

    Patient Access Representative
    PA

    They are also responsible for combining ancillary schedules for all patients and for assisting patients with the automated check-in process via our patient kiosks. Preferred: Healthcare background and/or bachelor or associates degree, knowledge of ICD-9 or ICD-10 coding, medical terminology, billing, and health insurance rules/processes.

    9 days ago

    Dir, Rev Cycle Financial Rptg. University of Pittsburgh Medical Center

    Dir, Rev Cycle Financial Rptg.
    Pittsburgh, PA

    Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC agreement, a multistate license issued by a participating NLC state. Possess in-depth knowledge of medical terminology, third party payer eligibility requirements, registration, scheduling, charge processing, third party payer billing requirements and reimbursement practices, regulatory guidelines, and in-depth knowledge of coding as it relates to physician billing.

    27 days ago
    PricewaterhouseCoopers LLP logo

    Applied AI Health Data System Engineer-Senior Manager PricewaterhouseCoopers LLP

    Applied AI Health Data System Engineer-Senior Manager
    PA
    • $124,000–$280,000 / year

    Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients; Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows; Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases; Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards; Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases; Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes; Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases; Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams; Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps; Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and, Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.

    30+ days ago

    Location Manager - West Mifflin, PA Advanced Dermatology & Cosmetic Surgery

    Location Manager - West Mifflin, PA
    Pittsburgh, PA

    Benefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week). Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services.

    12 days ago
    UnitedHealth Group Inc logo

    Per Diem- Nurse practitioner - Butler Beaver Lawrence Counties UnitedHealth Group Inc

    Per Diem- Nurse practitioner - Butler Beaver Lawrence Counties
    Ellwood City, PA

    Clinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individuals physical mental and social needs - helping patients access and navigate care anytime and anywhere.

    30+ days ago
    12

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