29 jobs found in Pittsburgh, PA

Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with flexible hours and work from home option. Responsibilities: Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Perform all coding functions, based on staffing needs and/or department requirements. Refer problem accounts to appropriate coding or management personnel for resolution. Maintain daily...

UPMC Corporate Revenue Cycle is hiring a Coder I- Profee to join our Coding Department! This position will work on denials for all specialties. 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 review the physician documentation to determine the appropriate ICD-10 code and verify the CPT code, but in some cases assign basic CPT codes. Resolve basic coding edits. Complete the charging process. Ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered- 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...

ABA Billing Specialist Key Responsibilities: Submit accurate and timely claims for ABA services to private insurance, Medicaid, and other payers Verify insurance eligibility and benefits for new and existing clients Track and follow up on unpaid or denied claims; initiate appeals as needed Manage authorizations, re-authorizations, and documentation requirements for ongoing services Reconcile payments, post EOBs, and generate client invoices as needed Maintain compliance with HIPAA, payer guidelines, and ABA-specific billing codes (e.g., CPT 97151, 97153, 97155) Collaborate with BCBAs, administrative staff, and families to resolve billing issues and ensure smooth revenue cycle operations Requirements: 2+ years of medical billing experience, with a strong focus on ABA or behavioral health services Proficiency in billing software and clearinghouses (e.g., CentralReach, Office Ally, Kareo, SimplePractice) In-depth knowledge of ABA billing codes, modifiers, and...

Coding Specialist Purpose: OUTPATIENT & INPATIENT CODING OUTPATIENT: Coding diagnosis & procedure codes ICD9 & CPT codes and charging for injections, infusions, hydrations, and observation hours. INPATIENT: Codes all inpatient accounts, diagnoses, and procedures. 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-9-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. 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 participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing...

Purpose: Codes Ancillary outpatient accounts, diagnosis coding only. Codes Ancillary Service patient type (single visit service such as lab, x-ray, pathology specimen); requires ICD-9 diagnosis coding skills only. Coder reviews the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-9 code. Ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered- requires knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: 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 procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational...

Virtua Health Coding Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

Coder Trainee Position Purpose: All responsibilities of coder trainee, coder I, II plus the following: Monitors and responds to accounts on Pre-Bill edit and error reports. Assists with training other coders as requested. Performs PHC4 coding corrections; provides feedback to coders who made errors. Monitors the Daily Cirius Error report to ensure that there are 0 accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Assists with special projects as requested. Responsibilities: 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 clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective...

Job Description Job Description Description: JOB SUMMARY: The Medical Coding Specialist, Professional Fee is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow. Evaluation and management as well as surgical procedures may be assigned Abstract and enter coded data and/or charges for physician statistical...

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 Opportunity At Children's Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters. Experience 3 years of experience in a hospital inpatient setting Preferred Qualifications No preferred qualifications Education High school diploma or equivalent Certification Summary Minimum of one of the following: Registered Health Information Technologist (RHIT) Registered Health...

Job Title Knowledge of medical terminology, anatomy and physiology, coding conventions (ICD 10 CM/PC, CPT, and HCPCS), and CMS coding requirements Computer proficiency, ability to research coding questions and utilize educational resources required One of the following: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) OR Credentialed through American Academy of Professional Coders (AAPC) in one of the following: Certified Outpatient Coder (COC, COC-A) Certified Inpatient Coder (CIC) Certified Professional Coder (CPC, CPC-A) Associate degree 1 year coding experience in an acute care facility Responsibilities Assigns and sequences code for complex outpatient accounts according to established regulatory guidelines, industry best practices, and IH...

Ovation Healthcare Facility Inpatient Coder Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated...

University of Pittsburgh Physicians is hiring a full-time Medical Education Program Department Manager to join their team! This position will be part of our Department of Pediatrics Endocrinology Fellowship Program at Children's Hospital of Pittsburgh in Lawrenceville. This position will perform a wide range of administrative activities associated with the training program and the program's overall educational environment to facilitate the achievement of defined program objectives. This position will work with Pediatric Endocrinology Fellows and Program Director to discuss, schedule, and run departmental activities. You will also work with the team on recruitment, onboarding, and orientation along with other duties. This is an administrative role, so the ideal candidate is strategic, detail-oriented, organized and has excellent communication skills. Hours for this position are Monday through Friday, 7:30am to 4:00pm, with no evenings, weekends, or holidays! Previous experience...

Company Description *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...

Supervisor Advanced Practice Provider, Medical Oncology Join to apply for the Supervisor Advanced Practice Provider, Medical Oncology role at Allegheny Health Network . General Overview This job performs the clinical activities of the APP and supervises the clinical execution of other APP staff with that department and/or manages a clinical program. This is a hybrid role, with 50% patient‑facing time, and 50% administrative work that involves traveling to medical oncology clinics to meet with staff and can also include administrative work from home opportunities. Essential Responsibilities Performs duties as assigned or required within and APP role, consistent with APP scope of practice, appropriate training and knowledge as per the APP department job description. (50%) Perform management responsibilities to include, but are not limited to involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff...

Company Allegheny Health Network Job Description General Overview This job performs the clinical activities of the APP and supervises the clinical execution of other APP staff with that department and/or manages a clinical program. This is a hybrid role, with 50% patient-facing time, and 50% administrative work that involves traveling to medical oncology clinics to meet with staff and can also include administrative work from home opportunities. ESSENTIAL RESPONSIBILITIES Performs duties as assigned or required within and APP role, consistent with APP scope of practice, appropriate training and knowledge as per the APP department job description. (50%) Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and control the day-to-day operations of the department, develop and implement...

Medix is hiring an experienced Medical Billing Specialist to support a specialty Ophthalmology practice in Monroeville, PA! Please note: This is an ONSITE position! Schedule: Monday - Friday Day Shift - 40 Hours a week, 8 hours a day Pay: $19-24/hour Location: Monroeville, PA (Onsite) Position Requirements: Perform posting charges in electronic practice management system. Post electronic payments, credit card and cash payments in patient accounts in PM system. Resolve denials. Review eligibility prior to visit and updating information for clinical use. Obtain prior authorizations for branded drug falling rules of step therapy on various payer portals. Work with specialty pharmacies to receive part b drugs for patients. Submit request for foundation payments and subsequent posting of those payments. Talk to insurance companies to resolve payer issues. Answer patient invoice questions. Conduct internal audits comparing encounter forms to be...

Production Supervisor - Medical Manufacturing (Hatfield, PA) About the Role We're seeking a hands‑on Production Supervisor to lead daily plant operations at our Hatfield, PA manufacturing facility. In this key leadership role, you'll oversee CNC and general machining departments to ensure the timely production of high‑quality machined components. Your focus will be on driving safety, quality, delivery, and cost performance to meet company objectives. What You’ll Do Lead and motivate machine operators and skilled trades to achieve production goals. Champion a strong safety culture , ensuring compliance with all guidelines and standards. Maintain strict adherence to ISO/AS quality standards , ensuring processes and training are up to date. Develop, coach, and evaluate team members to support growth and accountability. Manage capacity planning, production scheduling, and resource allocation to meet delivery deadlines. Drive continuous improvement initiatives to enhance...

A growing manufacturing company in Hatfield, PA, seeks a hands-on Production Supervisor to lead daily operations at their facility. You'll manage CNC and machining departments, focusing on safety, quality, delivery, and cost performance. The ideal candidate has 3-5 years of experience in a manufacturing environment and proven supervisory success. You'll drive continuous improvement initiatives and ensure adherence to quality standards. If you're a results-driven leader passionate about process improvement, we’d love to meet you. #J-18808-Ljbffr

Physician CoderSt.Luke's is proud of the skills, experience and compassion of its employees.The employees of St.Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives.Must assure data quality through quarterly reviews.Performs data entry of physician services statistics into specialty-specific databases.Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.Job Duties and Responsibilities :Codes and abstracts professional fee hospital services performed by...

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...