NewChief Medical Officer, Family Hospice UPMC Southwestern PAChief Medical Officer, Family HospiceCrafton, PAUPMC 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.
Ambulance Medical Billing and Coding Associate DocGo IncAmbulance Medical Billing and Coding AssociatePARemote$21–$25 / hourDocGo'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.
Hierarchical Condition Category (HCC) Coding Specialist Highmark IncHierarchical Condition Category (HCC) Coding SpecialistPAThis 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.
Specialist, Codes & Standards - State Adoption Eaton Corporation PlcSpecialist, Codes & Standards - State AdoptionMoon Township, PARemote$97,000–$143,000 / yearAfter 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.
Nurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/Hematology Highmark IncNurse Practitioner or Physician Assistant- Outpatient Domain - Medical Oncology/HematologyBethel Park, PAProvides 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. While exercising significant autonomy in your practice, you will have a designated physician available for direct support, consultation, and supervision, ensuring compliance with all state licensure regulations and providing expert guidance and resources for the management of complex clinical cases.
Netsmart EHR RCM Consultant enkompas Technology SolutionsNetsmart EHR RCM ConsultantSewickley, PARemoteRevenue 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.
Netsmart RCM Consultant enkompas Technology SolutionsNetsmart RCM ConsultantSewickley, PARemoteRevenue 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.
Medical Receptionist- McMurray, PA Preferred Primary Care Physicians, Inc.Medical Receptionist- McMurray, PACanonsburg, PAFull timeThe 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. Closeout procedures, gathering encounter forms, processing daily activities of coding, batching, billing and hospital visits.
Nurse Practitioner - Outpatient Domain (B) - Women's Health Highmark IncNurse Practitioner - Outpatient Domain (B) - Women's HealthSewickley, PAProvides 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.
Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Highmark IncNurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary CareBethel Park, PAProvides 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. Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Explore our jobs Nurse Practitioner or Physician Assistant - Outpatient Domain Part-Time - Primary Care Apply Open in new tab icon.
Coder - Outpatient Highmark IncCoder - OutpatientPAIn 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.
Coder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus Eligible Highmark IncCoder - Inpatient (CCS/CIC REQUIRED), Remote, Sign on Bonus EligiblePARemoteIn 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.
Hospice Nurse Practitioner, Full-Time Gentiva Health Services Inc (Inactive)Hospice Nurse Practitioner, Full-TimeWexford, PAComplete 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.
Patient Access Representative Heritage Valley Health SystemPatient Access RepresentativeSewickley, PAThey are also responsible for combining ancillary schedules for all patients and for assisting patients with the automated check-in process via our patient kiosks. They will collect and enter all necessary information to ensure accurate hospital records, including patients demographic and insurance information to facilitate the billing process.
Outpatient Coder, Medical Records Trinity Health SystemOutpatient Coder, Medical RecordsSteubenville, OHPreforms functions required under the Clinical Documentation Improvement Program, which includes interaction with the CDI monitor tool. Graduate of medical records program with either a credential of CCS/RHIT preferred or eligible to sit for credentialing exam.
PATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLE Independence Health SystemPATIENT SERVICES ASSOCIATE - PRIMARY CARE ZELIENOPLEPAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Ability to perform the Essential Functions listed on the Physical Conditions and ability to perform the Essential Functions on the Working Condition chart below.
Senior Software Engineer I RELX Group plcSenior Software Engineer IPA$86,600–$144,400 / yearThe ideal candidate has solid experience with React, Node.js, and Express.js, a practical understanding of CI/CD pipelines (preferably Jenkins), and a strong commitment to code quality, testing, and collaborating in an Agile environment. They provide online platforms like ScienceDirect, Scopus, and Mendeley, which offer access to a vast repository of scholarly articles, research papers, and other scientific content.
Credentialing Rep West Virginia EmployerCredentialing RepWheeling, WVAbility to multi-task, prioritize workload to meet deadlines, and pay meticulous attention to detail. Experience in Microsoft Office Programs such as Word, Excel and Adobe Acrobat.
Practice Management Consultant West Virginia EmployerPractice Management ConsultantWheeling, WVCollege degree or 3-4 years experience in a physicians office, payer agency, community agency or other health care environment 2. Valid drivers license 3. Previous customer service experience with exposure to claims and benefits interpretation and provider networking 4. Knowledge of medical coding 5. Computer experience with Microsoft Word, Excel, Power Point and Outlook.
Billing Associate - Neurosurgery - Washington - FT Highmark IncBilling Associate - Neurosurgery - Washington - FTPAIn 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. Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges).
Physician Faculty (full time) Lake Erie College of Osteopathic MedicinePhysician Faculty (full time)PAntttttttttnnttttttttnnttttttttnttttttttntttttttttnttttttttttnttttttttttnnttttttttttntttttttttttnttttttttttttntttttttttttnttttttttttnnntttttttttnnttttttttnnnttttttttntttttttttnttttttttttntttttttttttnttttttttttttntttttttttttttntnt ntnnttttttttttttntttttttttttnttttttttttnntttttttttnnttttttttnnnnttttttttnttttttntttttnnttttt. b'nnnnnnnnnnnnnn nnnnnnnnnnnnnnnnrnrnrnrnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnttttnttnttnttntttntttnttttnnnnnnnnnnnnnnnnnnnnnttnnnnnnnnnnnn');nnnnnnnnnnnnnnnnnnnnnnnnnnnnnt.
Coordinator - Purchasing PHS Bio-Medical ServicesCoordinator - PurchasingEast Liverpool, Ohio$10.70–$16.09 / hourFull timeOverview: Join our team of dedicated professionals who provide services and operational support to award winning hospitals through roles in supply chain, IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Hospice Nurse Practitioner, Full-Time Gentiva HospiceHospice Nurse Practitioner, Full-TimeWexford, PennsylvaniaFull timeComplete 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 .
Sr. Manager AI and Data Science CareSourceSr. Manager AI and Data SciencePA$113,000–$197,700 / yearJob Summary: The Senior Manager, AI and Data Science provides leadership for a multidisciplinary data science team that builds advanced analytics solutions using emerging Artificial Intelligence (AI) and Machine Learning (ML) technologies to enhance healthcare operations, patient care, and overall health plan performance and efficiency. This role provides strategic direction, technical oversight, and people leadership for multiple workstreams ranging from traditional predictive modeling to Agentic AI, Large Language Models (LLMs), and Natural Language Processing (NLP) solutions.
NewClaims Analyst The Health PlanClaims AnalystWheeling, WVUnder the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines.