18 jobs found in Pittsburgh

UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This position will be working on inpatient codes. As the Coder II, Technical you will code all inpatient accounts, ICD10 diagnoses, and PCS procedures. Responsibilities: Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes following review of the medical record in the electronic health record. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the EHR available at the time of coding adhering to Official Coding Guidelines. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD10-CM and PCS codes for all record types to ensure...

CAREER OPPORTUNITY OFFERING:   Bonus Incentives   Paid Certifications   Tuition Reimbursement   Comprehensive Benefits   Career Advancement   This position will pay between $29 .75   and $ 3 2 . 7 0 / hr   based on experience   Specialized Coders Wanted —$3,000 Sign‑On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.   The   Specialized Coder   is a certified coder with expert knowledge in physician coding   for  Cardiology,   Cardiovascular Thoracic Surgery or Vascular Surgery . This position  is responsible for   reviewing physician charges to accurately code encounters, correct coding edits, and  assist   with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.   Job Responsibilities:    Code claims directly from the medical record/operative...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job Description Job Description Medical Billing Specialist 100% Remote $1822/hour | Full-Time | Permanent Opportunity We're growing and looking for experienced Medical Billing Specialists to join our fully remote team! In this role, you will focus on back-end A/R follow-up, denial resolution, and aged account remediation for Hospital and/or Physician Billing accounts. Our team partners with healthcare providers and hospital organizations to deliver revenue cycle and accounts receivable support services. If 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. Why Join Us? 100% Remote Flexible Schedule Health, Dental, Vision, and Life Insurance PTO, Paid Sick Leave, and Paid Holidays Career Growth Opportunities What Youll Do: Perform second-tier insurance account follow-up on outstanding A/R balances Resolve denied, underpaid, and unresolved...

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...

Inpatient Coder If you know inpatient coding like the back of your hand and can handle complex cases without missing a beat, keep reading. We're looking for an experienced Inpatient Coder to step into a fully remote role where your expertise actually matters. This Inpatient Coder position is designed for professionals who have worked in large hospital systems and can confidently code high-acuity cases. What's the job? Code inpatient records using ICD-10-CM and ICD-10-PCS Review detailed clinical documentation for accuracy and completeness Ensure compliance with CMS and regulatory standards Communicate with providers to clarify and improve documentation Manage a steady volume of complex cases with precision Stay agile as workflows and priorities evolve What's needed? RHIT, RHIA, or CCS certification is required 3+ years of inpatient coding experience Experience in large hospitals (500+ beds preferred) Strong command of ICD-10-CM/PCS coding Ability to work...

Operations Support Compliance Auditor Reporting to the Director of Operations Support, this individual will evaluate, inspect, audit, and determine the effectiveness of compliance and store operational tasks. This individual will visit store locations daily and perform regularly scheduled audits. They must effectively establish strong credibility with the Monro Field Teammates and Field Leadership. Maintaining a positive and constructive attitude is critical as this role sits at the crossroads between the Store Support Center and Field Management. Compensation: The salary range for this role is $68,000 - $85,000. This role is eligible for additional compensation and incentives. Pay will be determined based on experience level. Essential Functions: Participates in the following areas of focus, including but not limited to Monro Forward initiatives, DM onboarding, inventory subject matter expert, inventory analysis, safety compliance, building and equipment maintenance, and...

Candidate should ideally be located in Pittsburgh, PA Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes to shape...

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. 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. This is a full-time position that works Monday through Friday during normal business hours. The role follows a hybrid work model, with a combination of remote work and on-site attendance at UPMC's USX office. If this sounds like the role for you, apply today! Responsibilities: Must have knowledge of medical terminology, HIM coding, and reimbursement methodologies. Has working knowledge of internal policies and external regulatory requirements (e.g., Medicare,...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience 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. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience * We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. * The Forensic Coder is a certified coder with expert knowledge in front and back end coding.  This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.       Job Responsibilities: Complete root cause analysis of...

CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines .  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.   Job Responsibilities: Quality Review - Monitors and audits inpatient...

Position Overview The Medical Billing and Coding Specialist is responsible for ensuring accurate coding, billing, claim submission, payment posting, denial management, and reimbursement of healthcare services. This position serves as a key member of the revenue cycle team by ensuring compliance with payer regulations, maximizing reimbursement, and supporting financial sustainability while maintaining excellent customer service. This position will report to the Chief Financial Officer. Mission To improve health and well-being, Allies provides integrated medical care, supportive human services, and community-based education for individuals living with, or at risk of HIV, viral hepatitis, and sexually transmitted infections. Vision Allies envisions a healthier community whereby people access integrated medical care and supportive human services in a respectful setting, free of stigma and discrimination. Key Responsibilities • Review clinical documentation for...

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be handling outpatient coding CCI edits. Coding diagnosis & procedure codes ICD-10 & CPT codes and charging for injections, infusions, hydrations, and reconciling NCCI edits. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. Adhere to internal department policies and procedures to ensure efficient work processes. Actively...

UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position, working Monday through Friday during business hours. In this role. you will monitor and respond to accounts on Pre-Bill edit and error reports. You will assist with training other coders as requested. The Coder III will perform PHC4 coding corrections; provide feedback to coders who made errors as well as monitor the Daily Cirius Error report to ensure that there are zero accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Additionally, you will assist with special projects as requested. We are seeking experienced Coders with a strong background in Interventional Radiology (IR) and Interventional Cardiology (IC) CPT coding. Qualified applicants should possess a minimum of three years of IR/IC CPT coding experience and demonstrate a high level of proficiency in this...

If you know inpatient coding like the back of your hand and can handle complex cases without missing a beat, keep reading. We're looking for an experienced Inpatient Coder to step into a fully remote role where your expertise actually matters. This Inpatient Coder position is designed for professionals who have worked in large hospital systems and can confidently code high-acuity cases. What's the job? Code inpatient records using ICD-10-CM and ICD-10-PCS Review detailed clinical documentation for accuracy and completeness Ensure compliance with CMS and regulatory standards Communicate with providers to clarify and improve documentation Manage a steady volume of complex cases with precision Stay agile as workflows and priorities evolve What's needed? RHIT, RHIA, or CCS certification is required 3+ years of inpatient coding experience Experience in large hospitals (500+ beds preferred) Strong command of ICD-10-CM/PCS coding Ability to work...

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this position, you will be working on edits. We are looking for individuals with a strong understanding of Evaluation and Management codes. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution. Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding...