150 jobs found

Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Remote Position...

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA's publication CPT Assistant....

Medical Billing: High School Diploma or equivalent • Minimum of 2 years of experience in medical billing and accounts receivable follow-up • Proficiency in computer systems and billing software • Experience in one or more phases of the Revenue Cycle (e.g., AR follow-up, insurance verification, charge entry, payment posting) • Familiarity with payer systems and Electronic Health Records (EHR) preferred • Ability to work collaboratively within a larger billing team. • Ability to meet the physical requirements of the role, with or without accommodation

Penn State Health - Community Medical Group Location: US:PA: Wyomissing Work Type: Full Time FTE: 1.00 Shift: Day Hours: rotation of 2 weeks 8:00a - 4:30p , 2weeks 8:45a to 5:15p Recruiter Contact: Monica Echeverri at mecheverri@pennstatehealth.psu.edu (//mecheverri@pennstatehealth.psu.edu) SUMMARY OF POSITION: Provides direct supervision of practice site clerical support staff to provide optimal clinical operations. Responsible for clerical supervision and management including; cost effective management of office supplies, high integrity adherence with organizational policies surrounding quality of patient registration, point of service cash collections and cash control, scheduling, and other clerical support functions, patient satisfaction with clerical staff experience, and clerical staff employee engagement. Abides by, and upholds in performance of direct reports, all related local, state, federal and accrediting body rules and regulations;...

divh2Coder III/h2pLocation: Bradford Regional Medical Center, US:PA:Bradford. Work Type: Full-Time./ppJob Description:/ppReview clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors./ppEducation and Credentials:/ppAssociates degree from an accredited institution or have obtained...

Coder III Location: Bradford Regional Medical Cntr Location of Job: US:PA:Bradford Work Type: Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited...

Job Description Job Description This is a leadership position responsible for the medical oversight of Penndel Mental Health Center (PMHC) programs, and for the quality of clinical work done by the prescribing staff. The Medical Director assures that treatment is offered with compassion and expertise and is responsible for ensuring all medical practices of PMHC programs follow PMHC policies. The Medical Director must be an MD or DO with at least two years clinical supervisory experience.     A. Position Location/Pertinent Information/ Qualifications: 1517 Durham Road Penndel Mental Health Center Penndel, Pa 19047   This position is on-site at a minimum of 3 days with the ability to discuss schedule.   B. Duties/Responsibilities:   * The Medical Director is responsible for the overall operation of the agency psychiatric team in tandem with the Associate Executive Directors, including but not limited to: * Daily management of prescribing staff. * Collaborative...

Job Summary Coordinates daily activities and personnel involved in performing internal operations. Uses independent judgment within the framework of established policies and objectives in decisions that influence operations. Serves as a EMS provider and a professional role model for other employees. Job Duties Assist management in formulating administrative and operational policies and procedures. Supervises and coordinates daily activities of employees. Orients new personnel. Assists in investigating, analyzing and resolving personnel and operational problems or complaints. Interprets, implements and enforces compliance with policies, procedures and regulations. Expedites workflow and examines work for quality and quantity. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are...

UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder. This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week. The ideal candidate will hold a Certified Professional Coder (CPC) credential and have at least 1 year of experience in physician coding using Physician CPT and ICD-9. This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote. Responsibilities: Query...

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply...

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...

Medical Biller & Data Coordinator Schedule: Monday-Friday, with occasional evenings/weekends based on program needs FLSA Status: Hourly / Non-Exempt Reports To: Director, PA Center for Diabetes Prevention & Education About the Role Our client, the Sight Center of Northwest Pennsylvania, is seeking a full-time Medical Biller & Data Coordinator to support their Diabetes Prevention Program (DPP). This role is responsible for accurate billing and reimbursement, high-quality data entry and reporting, and program compliance to support CDC recognition, grant reporting, and community impact. This position also serves as a DPP Lifestyle Coach, supporting participant success through evidence-based education and encouragement. What You'll Do Medical Billing & Reimbursement Process billing for DPP/Medicare DPP services (including performance-based Medicare G-codes, as applicable) and commercial payer claims Verify eligibility, coverage,...

divh2Scheduled Hours/h2p40/ph3Position Summary/h3pPosition reviews medical record documentation to determine appropriate billing codes and necessary documentation./ph3Job Description/h3pstrongPrimary Duties Responsibilities:/strong/pulliReviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment./liliCodes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code./liliMeets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up./liliActs as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required./liliAssists with efforts to increase physician awareness of documentation requirements./liliPrepares case reports and initiates follow-up for billing process./li/ulpstrongWorking...

divh2Remote Coding Professional/h2pWe are seeking a highly motivated and dedicated coding professional to join our team. This position is remote. The ideal candidate must have at least five years of coding experience for physician practices, with various surgical specialties as well as E/M. The position requires one to be resourceful, organized, and extremely driven./ppThe ideal candidate will possess the following:/pulliMinimum five years of coding experience/liliExtensive coding in multiple specialties including: all primary care specialties, ENT, cardiology, GYN, rheumatology, urology, endocrinology, and orthopedics, etc./liliExcellent written and verbal communication skills/liliDetail oriented and deadline driven attitude/liliSound knowledge of medical terminology/liliStrong computer skills (Excel, Word, and internet)/liliAbility to multitask and keep a sense of urgency/liliExcellent customer service skills/liliStrong time management, organization skills, and work...

Join a purpose-driven team at Caron Treatment Centers, where for nearly 70 years, we’ve been helping people find a path to recovery from addiction and rebuild their lives. We offer real careers with real opportunities for growth, comprehensive training, and a commitment to work-life balance. Our benefits include generous paid time off, company-paid life and disability insurance, professional growth and development, tuition reimbursement, a competitive 401(k) plan, and robust medical, dental, and vision plans. We’re proud to foster a diverse and inclusive environment, with a culture of teamwork, compassion, and dedication to our mission. Start a career that saves lives at a company that values yours! Position will be full time, working Monday-Friday 8:30-5pm. Candidates can work a hybrid schedule, with a few days in office each week at our Wernersville or Delray Beach campus. Must also be available on-site during audits. Duties and Responsibilities: Conduct audits in areas...

Job Summary Coordinates daily activities and personnel involved in performing internal operations. Uses independent judgment within the framework of established policies and objectives in decisions that influence operations. Serves as a EMS provider and a professional role model for other employees. Job Duties Assist management in formulating administrative and operational policies and procedures. Supervises and coordinates daily activities of employees. Orients new personnel. Assists in investigating, analyzing and resolving personnel and operational problems or complaints. Interprets, implements and enforces compliance with policies, procedures and regulations. Expedites workflow and examines work for quality and quantity. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are...

General Summary Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes. Duties and Responsibilities Essential Functions: Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes ( CPT-4), and other services (HCPCS) for final billing. Research and process invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Meets WellSpan Coding Compliance...

Manchester, PA People want to work at Capstone because of our high-performance culture. We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities. Through transparency and open lines of communication, we do the right thing and deliver on our promises. Think you have what it takes? Job Summary: Taking pictures of compliance violations Working in the multi temp environments Multiple software applications for data entry Log and report findings to manager Strong communication skills needed Detailed oriented Timely & Accurate observation reporting Generate reports from various software applications for review and process improvement Requirements: Experience with data entry Good communication skills needed Detail oriented Process Driven High-energy individual with a strong work ethic Self-motivated with ability to work with limited supervision Independent decision maker as...

divh2Join a Top Healthcare Facility in South-Central Pennsylvania as a General Lab Supervisor for Permanent, Direct Hire!/h2pShift: Full-Time, Evening Hours/ppType: Permanent/Direct Hire/ppTop healthcare facility looking for an experienced and dedicated General Lab Supervisor to join our team. The Lab Supervisor will oversee the daily operations of the General Lab, ensuring compliance with regulatory requirements and maintaining the highest standards of quality and safety. Key responsibilities include:/pulliManaging a team of lab technicians and ensuring adequate staffing level/liliImplementing and monitoring quality control procedures/liliTraining staff on lab procedures and safety protocols/liliParticipating in departmental meetings and contributing to strategic planning initiatives/li/ulpRequirements:/pulliBachelors degree in Medical Technology, Clinical Laboratory Science, or related field./liliCertification through ASCP is strongly preferred./liliMinimum of 1 years of...

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Long-Term Care Medical Biller About Garden Spot Communities Garden Spot Communities has evolved into a community that thrives on purpose, opportunity and living life to its fullest. While others in our market space talk about seniors and retirement, here we talk about people and opportunity. Our heritage, mission and core values play a fundamental role as they ground us in the present and shape our future. Discover Garden Spot’s benefits and how you can experience Life with Purpose™ Health insurance 401K program with company match Tuition assistance First-time home-buyer program $22/hr Overview: Garden Spot Village is seeking a detail-oriented and experienced Long-Term Care Medical Biller to assist in the completion of the billing cycle for our long-term care facilities. This role is responsible for ancillaries, claims submission, payment posting, trust accounts, account reconciliation, and diligent follow-up on unpaid claims to ensure timely and...

Physician Coder 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 SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling. Maintains a 95% coding accuracy rate as measured through quality reviews. Maintains daily productivity as outlined. Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical...