165 jobs found in Newtown Square, PA

Coding Auditor The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation in the medical record. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Meets or exceeds established performance...

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs. The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services. #J-18808-Ljbffr

Position Overview Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi‑specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continued growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Coder Certification Required . The Coding Auditor is responsible for determining that ICD‑10, CPT‑4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). The role applies working knowledge of medical terminology, anatomy, CPT‑4 and ICD‑10 codes and coding...

Independence Physician Management (IPM), a UHS subsidiary, seeks a Coding Auditor to ensure ICD-10, CPT-4 and HCPCS coding is supported by medical records and meets CMS LCD guidelines. The role requires CPC certification, auditing experience, and strong knowledge of coding policies; you will review documentation, educate providers, and support front-end coding accuracy. IPM offers comprehensive benefits and opportunities within a national health system; on-site in Wayne, PA with collaboration #J-18808-Ljbffr

Responsibilities Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. POSITION OVERVIEW Coder Certification Required . The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination...

Coding Auditor The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key Responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation in the medical record. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being...

Accounts Receivable / Medical Biller Newark, NY $21.00 per Hour Monday-Friday | 8:00 AM - 4:30 PM Contract-to-Hire Opportunity Are you an experienced Accounts Receivable professional with medical billing knowledge? We are seeking a detail-oriented and organized Accounts Receivable / Medical Biller to join a growing healthcare organization in Newark, NY. This full-time, contract-to-hire opportunity offers a stable weekday schedule, competitive pay, and the potential for long-term career growth. Key Responsibilities Process medical insurance claims and troubleshoot clearinghouse rejections Research and resolve denied or outstanding claims Accurately post patient and insurance charges Process and post payments in a timely manner Monitor and maintain accounts receivable balances Communicate with insurance carriers regarding claim discrepancies and billing issues Maintain billing reports, records, and tracking spreadsheets Respond to client billing...

Coding Auditor Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. POSITION OVERVIEW Coder Certification Required. The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and...

Inpatient Coder One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. This position performs the primary function of coding inpatient or outpatient records to include Ambulatory, ER and Miscellaneous Ancillary charges. Utilizes 3M Encoder to code and classify inpatient and/or outpatient records according...

InTouch Med Supply, located in King of Prussia, PA, is seeking an AR.Collections Associate to ensure timely payments through effective billing practices. The position requires a minimum of 2 years in Medical Billing and AR Collections. The successful candidate will work closely with the Director of Billing and must demonstrate strong communication skills and attention to detail. Compensation is competitive at $20-23 per hour, with additional benefits including health insurance, paid time off, and a 401k plan. #J-18808-Ljbffr

Associate Director, Medical Affairs (Transplant and Immunology) CSL's organization is accelerating innovation to deliver greater impact for patients. With a project-led structure and a focus on collaboration, we're building a future-ready team that thrives in dynamic biotech ecosystems. Joining CSL now means being part of an agile team committed to developing therapies that make a meaningful difference worldwide. Could you be our next Associate Director, Medical Affairs (Transplant and Immunology)? The job is in our King of Prussia, PA or Waltham, MA Office. This is a hybrid position and is onsite three days a week. You will report to the Senior Director, Medical Affairs, Transplant & Immunology. You will contribute to the development of medical strategy for assigned inline products in Transplant & Immunology and drive the execution of Medical Affairs plans across the post-launch product lifecycle. Working in close collaboration with cross-functional partners and...

Associate Director, Medical Affairs Biostatistics The Associate Director, Medical Affairs Biostatistics will support product launch and life-cycle management of marketed products by generation of scientifically valid information from clinical trials and real-world data. You will contribute to the strategic and operational decisions for one or multiple therapeutical areas (TAs). You will provide statistical support to Medical Affairs, Market Access, Health Economic Outcome Research (HEOR) within the client. The Role Engage as a matrix team member on projects as a strategic partner in the evidence generation and publication strategy Execution of exploratory analyses of clinical trial data for publication, Health Technology Assessment (HTA) evaluation and payer negotiation Participate in CRO governance; Manage outsourcing operations or work with internal statistical programmers within the responsible projects Collaborate with important partners for the design and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Billing Specialist Full Time Broomall, PA, US 8 days ago Requisition ID: 1003 Salary Range: $21.00 To $24.00 Hourly Objective The Medical Billing Specialist will be expected to pre-certify, discuss costs with patients, work with the field sales team, and bill the claims accurately and quickly. The individual will also process denials and appeals to assure collections. Key Functions Full range of medical billing (electronic and hard copy) and collections activity requiring fast and thoughtful action with great accuracy, and a sensitivity that the patient is the most important element of our customer base Accurate and timely submittal of claims with VOB and pre-certification activity. Verify patient benefits, and review benefits with patient Obtain pre-certifications and post-certifications Develop and maintain...

Job Description Job Description Objective The Medical Billing Specialist will be expected to pre-certify, discuss costs with patients, work with the field sales team, and bill the claims accurately and quickly. The individual will also process denials and appeals to assure collections. Key Functions Full range of medical billing (electronic and hard copy) and collections activity requiring fast and thoughtful action with great accuracy, and a sensitivity that the patient is the most important element of our customer base Accurate and timely submittal of claims with VOB and pre-certification activity. Verify patient benefits, and review benefits with patient Obtain pre-certifications and post-certifications Develop and maintain relationships with insurance companies and other third party payers Work closely with patients to address payment questions and resolve collection issues Work closely with management and field sales force as needed Competencies...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Billing Specialist Full Time Broomall, PA, US 8 days ago Requisition ID: 1003 Salary Range: $21.00 To $24.00 Hourly Objective The Medical Billing Specialist will be expected to pre-certify, discuss costs with patients, work with the field sales team, and bill the claims accurately and quickly. The individual will also process denials and appeals to assure collections. Key Functions Full range of medical billing (electronic and hard copy) and collections activity requiring fast and thoughtful action with great accuracy, and a sensitivity that the patient is the most important element of our customer base Accurate and timely submittal of claims with VOB and pre-certification activity. Verify patient benefits, and review benefits with patient Obtain pre-certifications and post-certifications Develop and maintain...

Coder I Job Category: Clinic Support Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development. This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective communication. This is a full time remote Monday-Friday position. Key Responsibilities:...

Coder Location: Remote Organization: Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder Overview Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely . As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development. Position Summary This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance,...

Candidate should ideally be located in Philadelphia or Pittsburgh 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...

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...

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...

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 careand 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 CPT...

Lead Inpatient Coder Summary The Lead Inpatient Coder is a Health Information Management Professional possessing significant prior coding experience and a high level of coding proficiency, responsible for assisting management with daily coding activities, department priorities and initiatives, precepting new staff, suggesting workflow enhancements, resolving billing edits and testing EHR updates. The Lead Inpatient Coder is also responsible for collaborating with the Coding staff, CDI and Quality Reviewers to facilitate accurate coding and timely completion. Serves as source for the following: coding questions, remote onboarding training, education, quality & productivity guidelines and workflows. Serves as a lead with other ancillary departments as directed to resolve coding / operations issues. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Performs ICD-10-CM /CPT coding and data abstraction within minimum...

Revenue Cycle Outpatient Coder The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Performs ICD-10-CM and CPT-4 coding and data abstraction within established minimum accuracy and productivity rates. Attends mandatory staff education sessions and department meetings. Refers coding issues to supervisor in a timely manner for determination and guideline development. Complete and submit a weekly productivity log. Minimum Qualifications 3 years experience coding outpatient medical records. Knowledge and ability to translate...

Job Details The Lead Inpatient Coder Job Description Summary The Lead Inpatient Coder is a Health Information Management Professional possessing significant prior coding experience and a high level of coding proficiency, responsible for the assisting manangement with daily coding activities, department priorities and initiatives, precepting new staff, suggesting workflow enhancements, resolving billing edits and testing EHR updates. The Lead Inpatient Coder is also responsible for collaborating with the Coding staff, CDI and Quality Reviewers to facilitate accurate coding and timely completion. Serves as source for the following: coding questions, remote onboarding training, education, quality & productivity guidelines and workflowsServes as a lead with other ancillary departments as directed to resolve coding / operations issues Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Performs ICD-10-CM /CPT...