Coder III - Technical (Interventional Radiology and Cardiovascular Coding University of Pittsburgh Medical CenterCoder III - Technical (Interventional Radiology and Cardiovascular CodingPittsburgh, PARemoteMaintain 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. Licensure, Certifications, and Clearances: Certified Coding Specialist (CCS OR Certified Professional Coder (CPC OR Nationally Registered Certified Coding Specialist (NRCCS OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT required.
Coding Analyst Sr. Elevance Health IncCoding Analyst Sr.seven fields, PAWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantPittsburgh, PennsylvaniaThe 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.
NewCoding Analyst Sr. Elevance HealthCoding Analyst Sr.Seven Fields, PAWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistPittsburgh, PENNSYLVANIARemoteIf you thrive in a fast-paced environment, enjoy problem solving, and have experience working insurance denials and unpaid claims, we'd love to hear from you. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services.
Senior Hierarchical Condition Category (HCC) Coding Specialist Highmark IncSenior Hierarchical 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) through Hierarchical Condition Category (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk Adjustment Data Validation (RADV) audits. Completes analytics on providers and/or provider group coding trends and creates and delivers externally facing presentations to provider documentation and accuracy, acts as the point person for the provider office for any questions and additional trainings, as needed.20%.
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.
Coding Auditor Senior Highmark IncCoding Auditor SeniorPABachelor's Degree and Registered Health Information Administrator (RHIA) certification or ten (10) years' experience in a medical record setting and one (1) of the following certifications from a certifying body must apply: American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA). 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.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorPittsburgh, PARemote$57,400–$99,000 / yearThe 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.
NewInpatient Coding Manager Huron Consulting Group IncInpatient Coding ManagerPittsburgh, PA$90,000–$130,000 / yearREQURIED SKILLS: Effective and efficient organization and planning skills with the proven ability to manage complex multi-workstream performance improvement projects or multiple concurrent client engagements, while delegating and overseeing the work of junior team members. is directly responsible for the daily oversight of coding operational processes and workflow, including but not limited to delivering timely and accurately coded cases for facility billing and for reporting hospital and provider quality metrics.
Coder II - Technical (Inpatient Coding University of Pittsburgh Medical CenterCoder II - Technical (Inpatient CodingPittsburgh, PARemoteMaintain 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.
Patient Account & Billing Manager University of PittsburghPatient Account & Billing ManagerPittsburgh, PAIn addition to being a great place to work the University offers robust benefits including: 11 Paid Holidays in addition to paid Vacation, Sick and Personal Days Additional Paid Time Off (Winter Recess) during the period between Christmas and the New Year Paid Parental Leave Education benefits for eligible employees, their dependents and spouse/domestic partner Above-average Employer Contribution towards Medical, Prescription Drug, Vision, Life, STD, and LTD Insurance plans A robust retirement savings plan option, including 100% match on employee contributions of 3-8% (150% after vesting) and enhanced match for those nearing retirement * Free PAT bus pass. This position will be responsible for, but not limited to, the following functions: liaison between the faculty practice and 3rd-party billing agency, ensure accurate claims processing, assist in claim denials and follow ups, timely payment posting, effective resolution of billing and patient account issues, manage provider procedure entries, assist in researching/locating insurance EOBs and initiate and manage outbound calls to patients regarding outstanding balances.
Billing Specilaist Mon Vale HealthPlex Penn Highlands HealthcareBilling Specilaist Mon Vale HealthPlexPASummary: AS A BILLING SPECIALIST I, you'll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position interprets all contracts and determines the correct and timely payment and ensures the work-flow of the billing department runs smoothly.
Clinical Billing Specialist University of Pittsburgh Medical CenterClinical Billing SpecialistPittsburgh, PAAbility to communicate and work with physicians, physician office personnel, associates, care managers, third party payer review personnel, and others in order to expedite the billing and accounts receivable process. Ability to compare clinical findings with payor requirements, educate physicians regarding requirements and obtain supporting documentation from the physician or local policies that substantiate medical appropriateness as indicated.
Billing Coordinator Jackson Lewis PCBilling CoordinatorPittsburgh, PA$29.50–$33 / hourThe Billing Coordinator will liaise with attorneys and staff to make sure changes are made accurately and in a timely manner, while partnering with account services and billing to fully understand the details and make sure best practices and billing guidelines are followed. We help employers develop proactive strategies, strong policies and business-oriented solutions to cultivate high-functioning workforces that are engaged and stable, and share our clients' goals to emphasize belonging and respect for the contributions of every employee.
Billing Associate - AHN Cancer Institute / Radiation Oncology - Forbes Highmark IncBilling Associate - AHN Cancer Institute / Radiation Oncology - ForbesMonroeville, PAIn 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).
Billing Associate - AHN Cancer Institute - Allegheny General Hospital Highmark IncBilling Associate - AHN Cancer Institute - Allegheny General HospitalPittsburgh, PAIn 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).
Billing Associate - Neurosurgery - Washington - FT Highmark IncBilling Associate - Neurosurgery - Washington - FTWashington, PAIn 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).
Bill Review Supervisor I CorVel CorpBill Review Supervisor IPittsburgh, PA$22.17–$35.66 / hourPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill review department and of CorVel.
Bill Review Supervisor I CorVel Healthcare CorporationBill Review Supervisor IPittsburgh, PA$22.17–$35.66 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. This position functions as a member of the Bill Review Department leadership team, ensuring optimum team performance by providing exemplary support and assistance to achieve the organizational goals of excellent customer service of the bill review department and of CorVel.