31 jobs found in Indiana, PA

A healthcare consulting firm in Indiana is seeking a skilled coder with expertise in ICD-10-CM and DRG systems. The ideal candidate will have at least 1 year of experience in inpatient coding and must possess relevant certifications like CIC, CCS, or CPC. This role requires strong attention to detail, independence, and effective communication with clinical staff. The position offers a comprehensive rewards package emphasizing a supportive workplace environment. #J-18808-Ljbffr

Job Family Coding IP (India) Travel Required None Clearance Required None What You Will Do Strong knowledge and experience in ICD-10-CM and ICD-10-PCS coding systems Proficiency in assigning DRGs (Both MS & APR DRG) and ensuring compliance with regulatory standards Excellent attention to detail and accuracy in reviewing patient records Effective communication and collaboration skills with clinical staff Familiarity with EHR systems and coding software Ability to work independently and adhere to deadlines What You Will Need Minimum 2 years of experience in IP DRG coding specialty. Mandatory certifications like CIC, CCS, CPC. Must be a Graduate Good communication and analytical skills are required ICD-10-PCS coding systems, ensuring accuracy and compliance with all regulatory and reimbursement requirements Day-to-day tasks include reviewing patient records, assigning appropriate DRGs, collaborating with clinical staff to gather accurate documentation, and...

A healthcare services company in Indiana is seeking a candidate with strong ICD-10 coding expertise. Responsibilities include reviewing patient records, assigning DRGs, and collaborating with clinical staff. The ideal applicant will have at least 2 years of experience in IP coding specialty, along with certifications in CIC, CCS, or CPC. Competitive compensation and flexible benefits are offered. This role supports quality improvement and compliance in patient care. #J-18808-Ljbffr

Job Responsibilities Verify all documentation. Apply appropriate ICD-10 diagnosis codes and appropriate CPT codes. Enter any applicable charges to appropriate provider and place of service. Recognize the importance of appropriate use of ICD-10 and CPT codes for medical necessity. Understand the difference of each place of service and utilize the correct CPT that corresponds with it. Utilize all available resources. Answer any calls you may get in a courteous and pleasant manner, identifying yourself and the organization. Help caller with any questions or concerns they may have. Remain current regarding federal, state, hospital, interdepartmental and third-party carriers including managed care, HCFA rules and regulations. Adheres to current guidelines. Maintain the dignity of the patient and keep confidential all patient, office and hospital information. Work cooperatively with the office staff and other members of the health care team and ancillary hospital...

A leading healthcare company is seeking a candidate for conducting audits and reviews of medical records to ensure compliance with regulations. The ideal applicant must have at least 5 years of experience in medical record documentation review and hold certifications such as CPC or CCS-P. The role emphasizes quality and effective communication with stakeholders. The position offers a competitive salary range and a comprehensive benefits package, including medical plans and 401(k). #J-18808-Ljbffr

Scope of Position The Associate Director of Outpatient Coding Services performs at an expert level sustaining responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits for The Ohio State University Wexner Medical Center (OSUWMC) including James Hospital. This position oversees the operations of denials, edits, and charge capture for reimbursement purposes. In this role, the Associate Director of Outpatient Coding Services serves as a liaison and coordinator for special projects regarding the coding of medical records. This position develops and implements policies and procedures to achieve organizational goals; and assists in the development of operational strategy. This position also re-evaluates processes to keep staff engaged and to assist in meeting department and organizational goals for OSUWMC. This position is critical to the financial and legal standing of the hospital for compliance and legal purposes. The director shall...

A healthcare provider in Indiana is seeking a CPC coder to apply ICD-10 and CPT codes accurately. The ideal candidate must be a high school graduate with CPC certification and possess excellent communication skills. Responsibilities include managing medical coding, ensuring compliance with healthcare regulations, and contributing to team efforts for departmental improvement. This full-time position offers a chance to work within a collaborative health care environment while maintaining patient confidentiality. #J-18808-Ljbffr

A healthcare support organization is seeking a Medical Billing Specialist (Tech I) to join their Revenue Cycle Management team in a fully remote position. This role focuses on payment posting, processing various billing tasks, and ensuring optimal revenue collection for health centers. A strong background in medical billing, along with knowledge of ICD-10 and CPT coding, is required. Candidates should possess excellent communication skills and be ready to work in a collaborative environment. #J-18808-Ljbffr

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

If you are a current Jazz employee please apply via the Internal Career site.Jazz Pharmaceuticals is a global biopharma company whose purpose is to innovate totransform the lives of patients and their families.We are dedicated to developinglife-changing medicines for people with serious diseases -- often with limited or notherapeutic options.We have a diverse portfolio of marketed medicines, including leadingtherapies for sleep disorders and epilepsy, and a growing portfolio of cancer treatments.Our patient-focused and science-driven approach powers pioneering research and developmentadvancements across our robust pipeline of innovative therapeutics in oncology andneuroscience.Jazz is headquartered in Dublin, Ireland with research and developmentlaboratories, manufacturing facilities and employees in multiple countries committed toserving patients worldwide.Please visitwww.jazzpharmaceuticals.comfor more information.Brief Description :The Associate Director, Medical Communications...

Ntt Data ServicesAt NTT DATA, we know that with the right people on board, anything is possible.The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence.By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here..

Job Title : Home Health & Hospice Coder - Contractor / ConsultantReports To : Administrator / Clinical DirectorLocation : RemoteEmployment Type : Independent Contractor / ConsultantOverview :The Home Health & Hospice Coder (Contractor / Consultant) is responsible for reviewing clinical documentation and assigning accurate ICD-10 codes to ensure proper reimbursement and compliance with CMS regulations.This role supports agencies in maintaining compliant, efficient, and accurate coding processes for both Home Health and Hospice claims.Key Responsibilities :Review OASIS, clinical notes, and plans of care to ensure accurate ICD-10 coding.Assign appropriate diagnosis codes based on documentation and CMS guidelines.Collaborate with clinicians and QA staff to clarify documentation when needed.Verify alignment between codes, clinical documentation, and billed services.Maintain knowledge of Medicare, Medicaid, and commercial payor coding requirements.Identify documentation...

A leading automotive service provider seeks an Operations Compliance Manager in Cheswick, PA. The candidate will audit and evaluate store operations, communicating closely with field leadership. Requires strong analytical and interpersonal skills, with over 4 years of retail management experience. Responsibilities include compliance audits, training teammates, and enhancing operational efficiencies. Benefits include health and dental insurance, 401K plan, and growth opportunities through training and certifications. #J-18808-Ljbffr

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an experienced Medical Billing Specialist with a strong background in submitting claims, possessing knowledge of ICD and HCPCS codes, chart review, and editing. The ideal candidate should have practical billing experience, focusing on billing responsibilities rather than A/R. Key Responsibilities Secure prior authorizations for injectable medications. Check insurance eligibility before visits. Post electronic payments, credit card payments, and window payments. Post charges and work through denials. Manage collections through the Medicaid portal. Work with specialty pharmacies to acquire injectables. Perform posting charges in the electronic practice management system. Resolve payer issues and answer patient invoice questions. Conduct internal audits comparing encounter forms with medical...

Quality and Compliance Auditor Intervala is a full-service electronics manufacturing services (EMS) provider, delivering high-quality, complex printed circuit board assemblies, cable and harness assemblies, and electromechanical systems. We partner with customers in diverse industriesincluding industrial, medical, transportation, and defenseto bring innovative products to life. At Intervala, we combine advanced technology, engineering expertise, and a collaborative culture to ensure reliability, flexibility, and exceptional customer service. Responsible for conducting systematic audits of the Quality Management System (QMS) to ensure compliance with ISO 13485:2016 (Medical Devices) and AS9100D (Aerospace) standards. Supports a high-precision contract manufacturing environment specializing in Printed Circuit Board Assemblies (PCBA), full-box builds, and complex cable and harness assemblies. Primary guardian of compliance for high-reliability Electronic Manufacturing Services...

The Position Embark on this rewarding opportunity to use your medical records experience with the Pennsylvania Department of Corrections! We are seeking an energetic and enthusiastic Medical Records Supervisor to lead our staff at the State Correctional Institution (SCI) at Laurel Highlands. Your work in this role will help us maintain medical records of the inmates housed at the institution. If you are looking forward to becoming an integral member of our team, apply today! Description of Work In this position, you will oversee the development and maintenance of inmate medical records. This will include managing and reviewing the work of subordinate staff. Your work will involve maintaining and updating patient health records and reviewing the records for completeness and accuracy to ensure their applicability for patient treatment, research, and case study. You will also regulate the release of medical information, as well as ensure that all materials shared between state...

Medical Billing Specialist SPECIFIC RESPONSIBILITIES: Generate primary and secondary paper bills according to established procedures. Edit paper claims before mailing. Perform claim follow up on denials quickly and accurately from assigned payers to ensure revenues are received timely. Run 837 files according to established procedures. Resolve any validation issues Accurate and timely data entry into payer websites for original claim submissions and/or corrected claims submissions. Verify and post remittance from assigned payers. Re-bill accounts as necessary to ensure an open insurance receivable against which a payment can be applied. Thoroughly research questionable/unidentified payment in order to post properly or refund to payer per payer guidelines. Work with payers and subscribers to resolve issues and facilitate prompt payment of claims. Verify NAP issues and work to resolve. Identify and communicate to up-line delays effecting balancing issues, new codes, or adjustments....

THE POSITION Embark on this rewarding opportunity to use your medical records experience with the Pennsylvania Department of Corrections! We are seeking an energetic and enthusiastic Medical Records Supervisor to lead our staff at the State Correctional Institution (SCI) at Laurel Highlands. Your work in this role will help us maintain medical records of the inmates housed at the institution. If you are looking forward to becoming an integral member of our team, apply today! DESCRIPTION OF WORK In this position, you will oversee the development and maintenance of inmate medical records. This will include managing and reviewing the work of subordinate staff. Your work will involve maintaining and updating patient health records and reviewing the records for completeness and accuracy to ensure their applicability for patient treatment, research, and case study. You will also regulate the release of medical information, as well as ensure that all materials shared between...

UPMC Corporate Revenue Cycle is hiring a Coder II- Technical 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 same-day surgery and observation coding. Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and reconciling NCCI edits. Ideally, we are looking for someone with experience with interventional radiology and cardiology coding. 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...

Refer problem accounts to appropriate coding or management personnel for resolution. Meet appropriate coding productivity and quality standards within the time frame established by management staff. Adhere to internal department policies and procedur Technical, Coder, Healthcare, Medical

Coder II- Technical UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This is a Coding Denials position only. In this role you will assign ICD and limited CPT codes. The Coder will review the physician documentation to determine the appropriate ICD-10 code and primarily verify the CPT code, but in some cases you may assign basic CPT codes. You will resolve basic coding edits, complete charging process, and ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered. This will require knowledge of billing and coding guidelines. Additionally, you will 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...

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...

Medical Billing Specialist Pittsburgh, PA 15219 | Onsite Monday-Friday $55,000-$60,000 Our client is seeking a Medical Billing Specialist to join their finance team following a planned retirement. This is a stable, long-term opportunity for someone who enjoys detailed billing work and supporting day-to-day financial operations in a structured healthcare environment. What You'll Do as the Medical Billing Specialist Process and post medical billing transactions, including patient invoices, payments, and insurance reimbursements The Medical Billing Specialist will track accounts receivable, follow up on past-due balances, and ensure accurate billing for patients and insurance providers Assist with coding medical claims and entering data into the billing system Generate routine billing and financial reports for management review The Medical Billing Specialist will support audits, insurance claim research, and spreadsheet data entry...