20 jobs found in Pittsburgh, PA

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our team! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. We are looking for coders with prior experience in cardiology coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: Utilize computer applications and resources essential 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...

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...

Clinical Coding Auditor & Trainer Location: Remote (U.S.) Must be willing to travel to New York twice annually Position Type: Full Time The Clinical Coding Auditor & Trainer is responsible for conducting clinical documentation and coding audits to ensure compliance with federal regulations, payer requirements, and company policies. This position focuses on DRG validation, inpatient...

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...

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...

Purpose: OUTPATIENT SDS CODING, with IR/IC Experience: Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and observation hours. 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 participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines...

Purpose: OUTPATIENT SDS CODING, with IR/IC Experience: Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and observation hours. 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 participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant...

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...

100% Remote!  Pay: $18-22/hour     We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing.    Our team assists healthcare providers and hospital entities with the remediation of 3rd party accounts receivable, and a variety of revenue outsource capabilities. The primary role is to resolve assigned accounts by following up with commercial and government payers on denied, underpaid, or otherwise unresolved accounts and collecting insurance claim balances for the client. This position will require in-depth research and problem solving to get the resolution on these claims, while maintaining productivity and quality outputs for the assigned client.     Some of the additional benefits you will have working with us include:  Permanent position  Flex Schedule  Excellent Health, Dental, Vision, Life Packages  PTO, paid sick leave, paid holidays  Opportunity for...

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...

Medix - 300 Oxford Dr [Billing Clerk / Invoice Creator] As a Medical Billing Specialist at Medix, you'll: Process insurance claims and patient billing efficiently; Ensure accurate coding and data entry for medical procedures; Communicate with healthcare providers to resolve billing discrepancies; Maintain patient confidentiality and adhere to HIPAA regulations; Update patient accounts and manage payment collections; Collaborate with team members to improve billing processes and reduce errors...Hiring Immediately >>

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...

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider. Summary: AS A BILLING SPECIALIST I, you'll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position requires an expert in determining the optimal combination off re-billing, collecting, and required payments follow up activities. This position provides pertinent and timely education to medical practice office staff to assure accurate claims submission. This position interprets all contracts and determines the correct and timely payment and ensures the work-flow of the billing department runs smoothly. Other information: -High School Diploma or Equivalent, Required -Computer skills in Microsoft with emphasis in Excel -Associates Degree in Business...

Quality and Compliance Auditor About Intervala, LLC 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 industries-including industrial, medical, transportation, and defense-to 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. Job Summary & Essential Functions 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...

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...

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...