61 coder lll jobs found

Excited to advance your career in healthcare billing and coding? Join a reputable and forward-thinking organization as a Certified Medical Coder, where your precision and expertise will make a real difference. This role offers the flexibility of remote work combined with opportunities for in-person collaboration through meetings and training sessions. If you're meticulous, knowledgeable about medical terminology, and committed to accuracy, this could be the perfect fit for your professional journey. As a key member of the coding team, you'll play a vital part in ensuring billing processes are correctly documented, compliant, and efficient-contributing directly to quality patient care and operational success. Key Qualifications for this position: High school diploma or GED equivalent Certified as a Professional Coder (CPC or CPC-A) Previous experience in a healthcare environment is a plus Strong grasp of medical terminology, anatomy, and physiology Sound...

Occupational Therapist PRN (As Needed) Monday - Friday Varied Day/Evening Shifts Weekend and holiday rotation Includes cross-training in post-surgical, inpatient rehab, and outpatient settings General Summary Provides occupational therapy services at an entry to intermediate skills level to individual patients according to the principles and practices of occupational therapy. Directs patient participation in selected tasks to restore, reinforce and enhance performance; facilitates the learning of those skills and functions essential for adaptation and productivity. Duties and Responsibilities Essential Functions: Evaluates patient using evidence based evaluation techniques. Plans individualized occupational therapy program with a variety of sensorimotor, educational, recreational and social activities based on the individual's physical capacity, intelligence level, and interests/goals. Provides instructions in therapeutic procedures to be continued by the patient....

Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Location: Lancaster, PA Remote position. ONLY candidates residing in NJ, PA and Delaware will be considered or willing to relocate to one of these three states. Hours: Full-time, Monday through Friday - flexible start and end time/ 40 hours per week. Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and...

Salary: $45,907.00 - $69,203.00 Annually Location : Erie County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-50233-39010 Department: Department of Corrections Division: CR ALB Med Opening Date: 05/26/2026 Closing Date: 6/9/2026 11:59 PM Eastern Job Code: 39010 Position Number: 00200749 Union: AFSCME Bargaining Unit: A2 Pay Group: ST05 Bureau / Division Code: 00111230 Bureau / Division: Department of Corrections Worksite Address: State Correctional Institution at Albion Worksite Address: 10745 Route 18 City: Albion, Pennsylvania Zip Code: 16475 Contact Name: Maria Traficante Contact Phone: 717.705.9033 Contact Email: mtraficant@pa.gov THE POSITION Are you someone who pays close attention to details and takes pride in keeping information accurate and protected? The Department of Corrections, State Correctional Institution at Albion is looking for a dedicated Medical Records Supervisor. In...

A-Line staffing is hiring a Medical Billing Specialist in Harrisburg, PA. The Medical Billing Specialist would be working for a Fortune 500 Biomedical company. If interested APPLY NOW for IMMEDIATE consideration!! Medical Billing Specialist Job Details Pay Range: $22-$25/hour (based on experience) Location: Harrisburg, PA 17120 (100% Onsite to start with potential to convert to hybrid setup) Shift: Monday – Friday 8am-4pm with a 30-min lunch (37.5 hours per week) Education: High School Diploma or equivalent required. Medical Billing Specialist Responsibilities · Analyze Medical Assistance billing inquiries to determine claim accuracy and proper payment. · Investigate denied claims, identify causes, and explain denial reasons to providers based on Pennsylvania regulations and MA billing guidelines. · Review Remittance Advice statements and explain payment details, including adjustments and take-backs. · Provide proactive customer service to providers and recipients via inquiry...

Nursing Supervisor - Medical Respite 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. JOB DESCRIPTION: The Nursing Supervisor – Medical Respite will supervise nursing staff supporting clinical services in post-acute medical care to individuals released from a hospital stay following an illness, surgery, or an injury, and are too ill or frail to recover in a shelter-based setting. Participants are provided with respite-based services, including medication management, discharge planning, appointment transportation and scheduling, case coordination, and connecting clients to primary care. This individual will work closely with the Medical Director, Respite Program Administrator, and other...

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...

Senior Inpatient Coder We are currently seeking an experienced Inpatient Medical Coder to join our dynamic and fast-paced team. The successful candidate will play a crucial role in accurately coding patient records for our inpatient services. This is a fantastic opportunity to utilize your coding skills and knowledge in a challenging and rewarding environment, working with a variety of medical specialties and interacting with our dedicated healthcare professionals. This is a long term contract role with strong likelihood of converting to a permanent employee in 2027. Why join us? 100% remote work Flexible work schedule Growth opportunities Job Details Responsibilities Reviewing and analyzing patient records to accurately assign ICD-10-CM and ICD-10-PCS codes for all diagnoses and procedures. Working closely with healthcare providers to clarify ambiguous or conflicting patient information. Ensuring compliance with established coding guidelines, third-party...

Coder Coder Certification Required. The Coder provides coding services and support to assigned Independence Physician Management Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely...

Job Description Job Description Description: Status: Non-Exempt, Hourly Shift: Part-time, 20-25 hrs/week Department: Billing Reports To: Accounting Manager Job Family: Finance Job Classification: 04 SUMMARY: The Medical Billing Specialist is a key position in the Revenue Cycle focusing on Denials withing the Revenue Cycle. They manage the claims process, including verification of insurance benefits, acquisition of authorizations, accurate/timely claim creation, follow-up and correspondence/inquiries with clients/providers/insurance companies. They manage the claims process, including verification of insurance benefits, acquisition of authorizations, accurate/timely claim creation, follow-up and correspondence/inquiries with clients/providers/insurance companies. This position will assure payments are recorded and reconciled in a timely manner to maximize cash flow/reimbursement, assist in the clarification and development of process...

Salary $45,907.00 - $69,203.00 Annually Location Erie County, PA Job Type Civil Service Permanent Full-Time Job Number CS-2026-50233-39010 Department Department of Corrections Division CR ALB Med Opening Date 05/26/2026 Closing Date 6/9/2026 11:59 PM Eastern Job Code 39010 Position Number 00200749 Union AFSCME Bargaining Unit A2 Pay Group ST05 Bureau / Division Code 00111230 Bureau / Division Department of Corrections Worksite Address State Correctional Institution at Albion Worksite Address 10745 Route 18 City Albion, Pennsylvania Zip Code 16475 Contact Name Maria Traficante Contact Phone 717.705.9033 Contact Email mtraficant@pa.gov THE POSITION Are you someone who pays close attention to details and takes pride in keeping information accurate and protected? The Department of Corrections, State Correctional Institution at Albion is looking for a dedicated Medical Records Supervisor. In this important role, you...

Job Details Sr. Coder Job Description Key Responsibilities: Coding Medical Records : Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3...

UPMC is hiring a full-time Certified Professional Coder to support their Women's Health Departments! This position is a remote position, but will be required to work onsite at an office location during our training period. Candidates must be located within a 60-mile radius of Pittsburgh or willing to relocate to the area. Our Women's Health decentralized coding team provides specialized coding support across multiple subspecialties, ensuring accurate and compliant claim submission for a diverse range of services. The team is experienced in handling complex subspecialty claims and coding scenarios unique to the Women's Health service line, including OB/GYN, Uro-gynecology, and Minimally Invasive Surgeries. With a focus on quality, collaboration, and operational efficiency, the team supports timely charge capture and revenue integrity across multiple practice locations across Western PA. The Certified Professional Coder supports Women's Health services by reviewing and releasing...

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...

Certified Coder The Atlantic Region Central Billing Office (CBO) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Certified Coder. The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key responsibilities include: Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the documentation and...

AR Medical Payment Specialist Supervisor The AR Medical Payment Specialist Supervisor is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Accounts Receivable & Collection Manager. Monitors Billing Staff performance and productivity and meets with Accounts Receivable & Collection Manager regarding updates on appropriate utilization and quality assurance. Work is typically performed in an office environment, but this position may have the option to work from home. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered...

Sr. Coder Key Responsibilities: Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures. Claims Processing: Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement. Collaboration: Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices. Auditing and Compliance: Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards. Training and Support: Provide training and support to healthcare staff on coding practices and documentation requirements. Required Qualifications: Certification: Must hold a certification from recognized organizations such as AAPC (CPC) Experience: Typically requires a minimum of 2-3 years of experience in medical...

UPMC Corporate Revenue Cycle is hiring a Coder II 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. 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...

Coder Coder Certification Required. The Coder provides coding services and support to assigned Independence Physician Management Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely...

Job Summary Responsible for supervision of staff in respective modality and includes staffing, Kronos, performing annual reviews, disciplines, new hires, training and orienting. Will also perform all duties of the staff technologist. Will cover inpatient Echo procedures and Transesophageal procedures. This position coordinates preventative maintenance, service calls and continues to document the necessary statistics for accreditation. Hours: Monday through Friday Benefits Generous time off, tuition assistance, and comprehensive benefits Instant access throughout the pay period with Tower Advance Pay, ensuring financial flexibility and convenience Employee Assistance Program, Retirement Savings Program, Life Insurance, and more! Qualifications Education Requirements 2 year/Associate Degree - OR - combination of relevant education & experience may be considered in lieu of Associate Degree Completes and maintains all competencies and trainings as required for role....

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

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....