10 jobs found in Pittsburgh

UPMC Corporate Revenue Cycle is hiring a Coder I- Professional Fee to join our Coding Department! This will be a work-from-home position working Monday through Friday during business hours. In this role, you will assign ICD and limited CPT codes. Coders will review the physician documentation to determine the appropriate ICD-10 code and verify the CPT code, but in some cases assign basic CPT codes. Additionally, you will resolve basic coding edits, complete the charging process and ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered. This role requires knowledge of billing and coding guidelines. Utilize coding resources (CCI edits, 3M, ICD and CPT Publications) along with any other applicable specialty reference material to ensure accurate coding. Responsibilities: Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement....

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...

UPMC Department Of Orthopaedic Surgery Hiring Coder IIUPMC Department of Orthopaedic Surgery is hiring a full-time Coder II to join their team! This is a Monday through Friday daylight position with no evenings or weekends. Hours are 7am to 3:30pm, but have some flexibility.Purpose: Same responsibilities as a Coder I. Review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, determine level of acuity, procedure(s) performed, billable supplies and diagnosis to substantiate medical necessity. Review and sequence all codes 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 productivity standards within the time frame established by management...

Coder IIIUPMC 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 III, 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 accurate...

UPMC Corporate Revenue Cycle is hiring a Coder I- Technical to join our inpatient coding team! This position will work during daylight business hours, Monday through Friday. The position will work fully remote! The position assigns ICD-10-CM diagnosis codes and ICD-CM-PCS procedure codes for all UPMC inpatient facilities. Are you looking to start your career in coding? If so, this could be the opportunity for you! Responsibilities: Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their...

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...

Summary Responsible for assisting with the planning, organizing, directing, and controlling of the activities of personnel engaged in providing medical diagnostic imaging, nuclear radiologic, and/or ultrasound procedures for patients of various ages. Minimum Qualifications Depending on area of specialty, Registration by American Registry of Radiologic Technologists (A.R.R.T), Certified Nuclear Medicine Technologist (CNMT) or registration by the American Registry of Radiologic Technologist (ARRT(N)), or registration by the American Registry of Diagnostic Medical Sonographers (RDMS) required. Minimum of three years' experience in applicable specialty area. Basic Life Support (BLS) certification. Preferred Qualifications Three to five years of previous supervisory experience.

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 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...