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JobsJobs in PennsylvaniaFairview Heights, PA JobsHealthcare Jobs in Fairview Heights, PAMedical Billing and Coding Jobs in Fairview Heights, PACoding Jobs in Fairview Heights, PA
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Coding Jobs in Fairview Heights, PA

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    Jobs

    St. Luke's University Health Network logo
    New!

    Coding Appeals SpecialistSt. Luke's University Health Network

    Allentown, PA4 days ago

    The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.

    St. Luke's University Health Network logo
    New!

    Claims and Denial Coding AnalystSt. Luke's University Health Network

    Allentown, PA4 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission and timely review and resolution of coding related claim denials for professional services, FQHC, MSO, and ASCs across the network.

    St. Luke's University Health Network logo
    New!

    Professional Fee Coder(Remote PA/NJ)St. Luke's University Health Network

    Allentown, PA4 days ago
    Remote

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.

    St. Luke's University Health Network logo
    New!

    Professional Fee CoderSt. Luke's University Health Network

    Allentown, PA4 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.

    St. Luke's University Health Network logo
    New!

    RN DRG Downgrades Appeals Review SpecialistSt. Luke's University Health Network

    Allentown, PA4 days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The RN DRG Downgrades Appeals Review Specialist is responsible for the retrospective clinical review and defense of inpatient DRG downgrades, clinical validation denials, and medical necessity determinations issued by governmental and commercial payers.

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    Coding Appeals SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Part-time

    The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.

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    Claims and Denial Coding AnalystSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Relevel TCM service when not supported by the documentation or TCM has been rendered during another TCM 30-day periodAttends coding conferences, workshops, and in house sessions to receive updated coding information and changes in coding and/or regulationsAssists with training new staff in all aspects of the Analyst role. JOB DUTIES AND RESPONSIBILITIES:Maintain current knowledge of coding, compliance, and documentation guidelinesResolve Charge Review and Claim Edit CCI/LCD edits, diagnosis coding errors and MUE frequency for clean claim submissionResolve coding denials through claim correction or appeal.

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    Certified Outpatinet Coding SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA10 days ago
    • Full-time

    JOB DUTIES AND RESPONSIBILITIES:Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulationsUtilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignmentMaintains 95% data quality coding accuracy rate as measured through quarterly department quality reviewsMaintains daily productivity and turnaround times as outlined in Department’s Performance Improvement planResponsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines Maintains a working knowledge of prospective payment systems as it relates directly to coding processParticipation in department and sectional meetings, education sessional sessions and workshops as scheduledMaintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists PHYSICIAL AND SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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    Inpatient Coding Specialist, FT and Per Diem Available, Remote (PA, NJ Candidates)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. 3. Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan (attachment A) 4. Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines.

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    Coding Instructor (Scratch) Part Time, After-School ProgramConcorde Education

    Allentown, PA3 days ago
    • $50–$100 Per Hour

    Concorde Education partners with schools nationwide to deliver engaging, instructor-led enrichment programs in STEM, the arts, financial literacy, esports, and other high-interest subjects. Students will explore core programming concepts by building interactive Scratch projects such as games, animations, and digital stories.

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    Building Code Enforcement Officer - (Upper Macungie Township) - Part-Time roleMidatlantic Employers' Association

    Breinigsville, PA10 days ago

    Keyword: Certified Building Code Officer, Certification 29, Commercial Building Inspector 15, Accessibility Inspector/Plans Examiner Cert 23, PA UCC, Building Inspections principles, building construction. The position is responsible for interpreting and enforcing adopted Township codes & ordinances related to building codes, property maintenance and health & safety while also providing assistance and information to property owners, residents, and businesses.

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    New!

    After-School STEM & Coding Instructor (Part-Time)Concorde Education

    Allentown, PA3 days ago
    • £50–£100 Per Hour

    Depending on the assignment and student grade level, instructors may teach introductory block-based coding or beginner text-based programming. Classes typically meet once per week after school and focus on creativity, problem-solving, and building simple digital projects.

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    Emergency Department Medical Coder (Remote PA/NJ) (Per Diem)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Part-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Emergency Department Medical Coder (Remote PA/NJ)St. Luke's Health Network, Inc.

    Allentown, PA9 days ago
    Remote
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote)Penn Medicine

    East Petersburg, PA6 days ago
    Remote

    Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling. Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine.

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    Professional Fee Coder (Radiology exp required)St. Luke's Health Network, Inc.

    Allentown, PA13 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Professional Fee Coder(Remote PA/NJ)St. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    Remote
    • Part-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Professional Fee CoderSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains daily productivity as outlinedResponsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.

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    Accounts Receivable Specialist- Hospital BillingSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    Records Management SpecialistPennsburg Manor

    Pennsburg, Pennsylvania26 days ago
    • $18–$22 Per Hour

    In addition, you will be accountable for accurate and current diagnostic coding to ensure appropriate billing of patient care.*Maintain forms/office supplies inventory as well as the diagnosis list/sheet in the electronic system. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.

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    Accounts Receivable Specialist- Physician BillingSt. Luke's Health Network, Inc.

    Allentown, PA24 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    Accounts Receivable Specialist -Physician BillingSt. Luke's Health Network, Inc.

    Allentown, PA24 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. JOB DUTIES AND RESPONSIBILITIES:Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.

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    HIM Clinical Documentation SpecialistPenn Medicine

    Lancaster, PA4 days ago

    The CD Specialist will utilize presentation, general instruction, and a compliant query discussion to instruct the clinical teams in appropriate documentation as suggested by CMS coding guidelines and to ensure that the clinical chart is the true and reflective document of the patient, their related prioritized diagnostic portrait, severity of illness, and treatment related. Working under the leadership and moderate supervision of the Corporate Manager of Clinical Documentation and in close concert with both the clinical care teams and the Corporate HIM teams, the Clinical Documentation Specialist will educate and utilize compliant questions and tools toward a complete, reflective record.

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    Provider Services AuditorSt. Luke's Health Network, Inc.

    Allentown, PA16 days ago
    • Full-time

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. TRAINING AND EXPERIENCE: At least 2 years of healthcare experience with background and competency in coding and documentation State and Federal regulatory requirements including Medicare, Medicaid and third-party payers as well as strong written/verbal communications skills preferred.

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    RN DRG Downgrades Appeals Review SpecialistSt. Luke's Health Network, Inc.

    Allentown, PA30+ days ago
    • Part-time

    Collaborate with Physician Advisors, Coding leadership, and CDI to support higher-level appeals (e.g., IRO, ALJ, payer conferences).Identify denial trends and provide structured feedback to Coding and CDI leadership to reduce future payer vulnerability. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

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    Procedure SchedulerPenn Medicine

    Lancaster, PA11 days ago

    Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think in order to solve a problem by combining two or more elements from past experience or imaginative thought: The requirement for autonomous problem solving or creativity of thought in the position is minimal. Summary: Position Summary: The Procedure Scheduler schedules patients for surgery or specialty procedures, maintains an understanding of the procedures being performed, and schedules each procedure in accordance with the operating and or managing physician’s schedule.

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    Procedure Scheduler- ABBCI (Full Time/Day Shift)Penn Medicine

    Lancaster, PA30+ days ago

    Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jobholder to think in order to solve a problem by combining two or more elements from past experience or imaginative thought: The requirement for autonomous problem solving or creativity of thought in the position is minimal. Summary: Position Summary: The Procedure Scheduler schedules patients for surgery or specialty procedures, maintains an understanding of the procedures being performed, and schedules each procedure in accordance with the operating and or managing physician’s schedule.

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    Clinical Services Associate (Medical Assistant)Penn Medicine

    Limerick, PA5 days ago

    Patient Care Accountabilities: Promptly rooms patients, using EMR to alert provider that patient is ready: reviews past medical, surgical, family, smoking history, allergies, medications; notes corrections in EMR, notes medication refills needed for the physician to review, initiates self-management goal setting where appropriate, obtains patient’s vital signs and documents in EMR, prepares chart for patient visit, understands insurance restrictions for lab work, referral needs, precertification requirements, etc. Specimen management: obtain specimens for testing if applicable (including performing phlebotomy and anterior nares nasal swab collections), performs laboratory and screening tests, records results in EMR and reconciles with logs where appropriate, documents and reports findings to providers, performs all quality controls as per Point of Care Testing guidelines, prepares specimens for transport as necessary.

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    Patient Access SpecialistGlobus Medical, Inc.

    Collegeville, PA30+ days ago

    HFX iQ, Nevro’s latest innovation, is the first and only SCS System that uses Artificial Intelligence to optimize and maintain pain relief using each patient's response1.Nevro’s unique support services provide every patient with an HFX Coach™ throughout their pain relief journey and every physician with HFX Cloud™ insights for enhanced patient and practice management. Reporting to the Supervisor, Patient Access, the Patient Access Specialist will focus on providing payer coverage support to customers from the initial processing of received documentation through prior authorization, appeals support, detailed claims review, and hotline support.

    St. Luke's University Health Network logo

    Provider Services Auditor EducatorSt. Luke's University Health Network

    Allentown, PA30+ days ago

    Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Coding and Compliance Educator position is high profile and requires a candidate who is proactive, mature, dynamic, consistent with professional appearance and demeanor, and has the ability to develop and maintain positive strong relationships through challenging situations.

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