18 jobs found in Philadelphia

Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. A Brief Overview This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Read all the information about this opportunity carefully, then use the application button below to send your CV and application. Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and...

Medical Case Management Supervisor PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent — managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. The Medical Case Management Supervisor shall oversee the staffing and performance of Medical Case Managers (MCM) and HIV/PrEP Patient Navigators across the PHMC Health Network. This person shall possess a strong knowledge of the Philadelphia Division of HIV Health (DHH) Medical Case Management and PrEP standards and shall serve as a liaison to DHH around MCM activities. The Medical Case Manager Supervisor will ensure that regular, ongoing, and high-quality supervision is provided and appropriately documented, and that all staff are connected to and complete all required trainings. The Medical Case Manager...

STAND 8 provides end to end IT solutions to enterprise partners across the United States and with offices in Los Angeles, New York, New Jersey, Atlanta, and more including internationally in Mexico and India. The Warranty Compliance Auditor is responsible for ensuring dealership adherence to warranty, service, and operational policies and procedures. This role conducts detailed compliance audits, analyzes cost and operational data, and provides actionable recommendations to improve dealership performance. The position plays a critical role in maintaining compliance standards through reporting, training, and ongoing monitoring. Significant travel is required to support in-dealership evaluations and stakeholder engagement. Location & Work Type Location: Philadelphia, PA Work Type: Onsite Key Responsibilities Conduct dealership audits covering warranty, parts, labor rates, sales, and service operations to ensure compliance with established policies and procedures. Perform...

Certified Outpatient Coder Cardiac Surgery We are seeking an experienced Certified Outpatient Coder specializing in cardiac surgery to support accurate coding, billing, compliance, and revenue cycle integrity for a high-volume cardiovascular surgical program. This role is responsible for reviewing outpatient medical records and assigning appropriate ICD-10-CM, CPT, HCPCS, and modifier codes related to cardiac surgery procedures, diagnostic testing, and associated clinical services. The ideal candidate has advanced knowledge of cardiovascular anatomy, cardiac surgical procedures, outpatient facility and/or professional fee coding guidelines, and payer-specific requirements. This position works collaboratively with physicians, APPs, clinical staff, billing teams, and revenue cycle leadership to ensure coding accuracy, optimize reimbursement, and maintain regulatory compliance. Essential Responsibilities Review and accurately code outpatient cardiac surgery encounters,...

Sr. Coder REMOTE Job Description Sr. Certified Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC. Experience: Typically requires a minimum of 2-3 years of experience in medical...

The Associate Director Medical Science Liaison is a manager-leader within the Medical Affairs department. Direct and indirect responsibilities include solid tumor oncology HCP engagement, investigator-initiated studies, support of company sponsored trials, scientific congress support, development of MSL plans, and management of a regional MSL team as assigned.Essential Duties And Responsibilities:Responsible for providing direction, guidance, and support to a team of MSLs in an assigned regionResponsible for direct territory responsibilities in situations when no MSL coverage availableAssessment, recognition, and improvement of MSL performance at the individual and group levelEnsure the successful execution of MSL strategic, operational, and tactical plansKeep the executive director of MSLs informed about key information in a timely mannerRepresent Exelixis Medical Affairs as managers in the fieldRepresent Medical Affairs management as a cross-functional partner within the...

Occupational Therapist (OT) PRN (Medical) Nyman Associates, providing exceptional therapy services since 1978, is seeking a skilled Occupational Therapist for a hospital-based, inpatient OT role. This is a per diem position, and candidates must have prior medical experience. Job Details: Provide evaluation and treatment in the hospital settings. Consult with medical, and allied health personnel Independently evaluate patients with known using both non-standardized and standardized evaluation tools Develop an individual therapy plan for each assigned patient, which includes goals of treatment Instruct family members and caregivers on in-home therapy programs Qualifications: Master's degree in occupational therapy from an accredited program. Certification from the National Board for Certification in Occupational Therapy (NBCOT) or eligibility for certification. State licensure or eligibility for licensure as an occupational therapist. Nyman Associates Team members...

Nursing Supervisor Medical Respite PHMC serves as both a direct service provider to individuals, families, and communities across the region and as an intermediary agent managing large-scale contracts, government and philanthropic partnerships, and multidisciplinary initiatives that require operational sophistication, strategic leadership, and deep mission alignment. The Nursing Supervisor Medical Respite will supervise nursing staff supporting clinical services in post-acute medical care to individuals released from a hospital stay following an illness, surgery, or an injury, and are too ill or frail to recover in a shelter-based setting. Participants are provided with respite-based services, including medication management, discharge planning, appointment transportation and scheduling, case coordination, and connecting clients to primary care. This individual will work closely with the Medical Director, Respite Program Administrator, and other respite staff to support daily...

Associate Director Medical Science Liaison The Associate Director Medical Science Liaison is a manager-leader within the Medical Affairs department. Direct and indirect responsibilities include solid tumor oncology HCP engagement, investigator-initiated studies, support of company sponsored trials, scientific congress support, development of MSL plans, and management of a regional MSL team as assigned. Essential Duties And Responsibilities: Responsible for providing direction, guidance, and support to a team of MSLs in an assigned region Responsible for direct territory responsibilities in situations when no MSL coverage available Assessment, recognition, and improvement of MSL performance at the individual and group level Ensure the successful execution of MSL strategic, operational, and tactical plans Keep the executive director of MSLs informed about key information in a timely manner Represent Exelixis Medical Affairs as managers in the field Represent Medical...

Job Description Job Description This position will begin as part-time with the expectation of transitioning to full-time based on performance and practice needs. Position Summary The Medical Billing Specialist is responsible for accurate charge entry, insurance authorizations, and patient-facing billing support. This role requires strong attention to detail, efficiency with computer systems, and the ability to communicate clearly with patients regarding financial matters. Key Responsibilities Obtain and manage insurance authorizations for MRI imaging and prescribed medications Verify insurance eligibility and coverage requirements as needed Collect copays and outstanding patient balances at the time of service Communicate with patients to explain billing, charges, and insurance-related questions in a clear and professional manner Address patient inquiries regarding statements, balances, and payment options Work closely with clinical and...

Medical Assistant Supervisor The Medical Assistant Supervisor hires, trains, supervises, and evaluates department medical assistants. He/she assists physicians as they assess, examine, and treat patients and updates electronic medical record (EMR). Responsibilities include patient flow management, and assisting with medical and/or minor surgical procedures and tests on patients. Tests may include allergy patch tests, biopsies, and phlebotomy. Acts as the liaison to physicians to assure patient satisfaction with their visit. In addition, maintains and orders the clinical and non-clinical supplies for their area. Essential Functions: Supervises department medical assistants including hiring, training, and performance evaluation. Establishes schedule for medical assistants in clinic. Escorts patients to exam rooms and ensures proper identification by confirming name, and date of birth. Performs and documents vital signs as needed, clinical care quality measures, and...

Medical Billing Specialist (Revenue Cycle Management) – Bilingual Spanish Preferred This is not a Remote position; it is in the Office Monday - Friday. This is not an entry-level role and requires independent ownership of revenue cycle processes. Position Summary Reliant Healthcare Group is seeking an experienced Medical Billing Specialist with demonstrated Revenue Cycle Management (RCM) expertise. This role is responsible for managing AR, payer follow-ups, and claim resolution to ensure timely reimbursement. Essential Duties & Responsibilities Manage full Revenue Cycle Management (RCM) processes Verify insurance eligibility and benefits for commercial and Medicaid MCO payers Follow up on Accounts Receivable exceeding 30 days Review AR aging reports and resolve outstanding balances Post payments and perform account reconciliations Obtain and manage insurance authorizations Review and correct claims to prevent denials Interpret payer contracts and...

Medical Assistant Supervisor The Medical Assistant Supervisor hires, trains, supervises, and evaluates department medical assistants. He/she assists physicians as they assess, examine, and treat patients and updates electronic medical record (EMR). Responsibilities include patient flow management, and assisting with medical and/or minor surgical procedures and tests on patients. Tests may include allergy patch tests, biopsies, and phlebotomy. Acts as the liaison to physicians to assure patient satisfaction with their visit. In addition, maintains and orders the clinical and non-clinical supplies for their area. Essential Functions: Supervises department medical assistants including hiring, training, and performance evaluation. Establishes schedule for medical assistants in clinic. Escorts patients to exam rooms and ensures proper identification by confirming name, and date of birth. Performs and documents vital signs as needed, clinical care quality measures, and medical history...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Medical Coder The Medical Coding Specialist is responsible for abstracting and coding diagnosis information and/or medical conditions documented in physician office medical records using CMS, ICD-10 and/or Department defined criteria and guidelines. The Specialist will receive and review medical records electronically and document ICD-10 codes or medical record compliance issues using computer software. The Medical Coding Specialist is responsible for meeting average daily production goals while maintaining a minimum 91% accuracy rate on a consistent basis. Must be AAPC or AHIMA certified. Skills: Required to be certified by AACP or AHIMA. Required successful completion of at least one AHIMA or AAPC certification program with achievement correlating professional credential (RHIT, CCS, CPC, etc.) active and in good standing. Required ICD-10 proficiency validation. Required 1- 3 years hands on production abstracting or auditing medical records for diagnosis/ medical...