15 cpc certified professional coder jobs found in Pittsburgh, PA

Inpatient CoderIf you know inpatient coding like the back of your hand and can handle complex cases without missing a beat, keep reading. We're looking for an experienced Inpatient Coder to step into a fully remote role where your expertise actually matters. This Inpatient Coder position is designed for professionals who have worked in large hospital systems and can confidently code high-acuity cases.What's the job?Code inpatient records using ICD-10-CM and ICD-10-PCSReview detailed clinical documentation for accuracy and completenessEnsure compliance with CMS and regulatory standardsCommunicate with providers to clarify and improve documentationManage a steady volume of complex cases with precisionStay agile as workflows and priorities evolveWhat's needed?RHIT, RHIA, or CCS certification is required3+ years of inpatient coding experienceExperience in large hospitals (500+ beds preferred)Strong command of ICD-10-CM/PCS codingAbility to work independently in a remote environmentEpic...

UPMC Department Of Orthopaedic Surgery Hiring Coder IIUPMC Department of Orthopaedic Surgery is hiring a full-time Coder II to join their team! This is a Monday through Friday daylight position with no evenings or weekends. Hours are 7am to 3:30pm, but have some flexibility.Purpose: Same responsibilities as a Coder I. Review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, determine level of acuity, procedure(s) performed, billable supplies and diagnosis to substantiate medical necessity. Review and sequence all codes to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution.Responsibilities:Utilize computer applications and resources essential to completing the coding process efficiently.Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management...

Coder IIIUPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours.This position will be working on inpatient codes. As the Coder III, Technical you will code all inpatient accounts, ICD10 diagnoses, and PCS procedures. Responsibilities:Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes following review of the medical record in the electronic health record. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the EHR available at the time of coding adhering to Official Coding Guidelines.Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD10-CM and PCS codes for all record types to ensure accurate...

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...

UPMC Corporate Revenue Cycle is hiring a Coder I- Technical to join our inpatient coding team! This position will work during daylight business hours, Monday through Friday. The position will work fully remote! The position assigns ICD-10-CM diagnosis codes and ICD-CM-PCS procedure codes for all UPMC inpatient facilities. Are you looking to start your career in coding? If so, this could be the opportunity for you! Responsibilities: Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. 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...

UPMC Corporate Revenue Cycle is hiring a Coder III 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 monitor and respond to accounts on Pre-Bill edit and error reports. You will assist with training other coders as requested. The Coder III will perform PHC4 coding corrections; provide feedback to coders who made errors as well as monitor the Daily Cirius Error report to ensure that there are zero accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Additionally, you will assist with special projects as requested. We are seeking experienced Coders with a strong background in Interventional Radiology (IR) and Interventional Cardiology (IC) CPT coding. Qualified applicants should possess a minimum of three years of IR/IC CPT coding experience and demonstrate a high level of proficiency in this...

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 CERTIFIED CODER, you will code hospital inpatient records and ambulatory outpatient records with a high degree of accuracy for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, operations, and procedures using accepted classification systems. Performs data entry of statistical and medical data from records and clinical abstracts via a computer terminal (CRT). After probationary period, Certified Coders may be eligible for remote option. Other information: QUALIFICATIONS: -High School Diploma or Equivalent Required -A Certified Coding Credential is required -One year ICD-10-CM and PCS coding experience -One (1) to three (3) years experience WHAT WE OFFER: Career...

Certified CoderPenn 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 CERTIFIED CODER, you will code hospital inpatient records and ambulatory outpatient records with a high degree of accuracy for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, operations, and procedures using accepted classification systems. Performs data entry of statistical and medical data from records and clinical abstracts via a computer terminal (CRT). After probationary period, Certified Coders may be eligible for remote option.Qualifications: High School Diploma or Equivalent Required. A Certified Coding Credential is required. One year ICD-10-CM and PCS coding experience. One (1) to three (3) years experience.What We Offer:Career Advancement OpportunitiesGenerous and...

Penn Highlands Healthcare is seeking a CERTIFIED CODER to accurately code inpatient and outpatient hospital records for reimbursement and compliance. You will perform data entry from medical records and may have a remote option after the probationary period. The ideal candidate must have a High School Diploma or equivalent, a Certified Coding Credential, and one year of ICD-10-CM and PCS coding experience. Join us for generous medical benefits and career advancement opportunities! #J-18808-Ljbffr

Remote Medical Biller & CoderRooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers.We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you.ResponsibilitiesProcess and submit medical claims accurately and on timeAssign appropriate ICD-10, CPT, and HCPCS codesReview documentation for coding complianceFollow up on denied or unpaid claims as neededCommunicate with providers, payers, or clients when necessaryMaintain HIPAA compliance and data security standardsQualificationsPreferred:Experience with medical billing, coding, or claim processingFamiliarity with EHR or billing softwareStrong attention to detail and accuracyBasic...

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

JOB SUMMARY Charge Entry, Receipt Entry, including but not limited to billing and coding requiring advanced knowledge to accurately correlate proper CPT and ICD-9 Coding. Provide professional, cooperative and courteous service to patients, customers, medical staff and fellow co-workers while maintaining confidentiality of patients and employees. QUALIFICATIONS Education High School diploma or GED. Medical terminology or medical billing certificate from college or technical school preferred. Training and Experience One to three years experience in physician office and coding experience required. Health and Background Requirements Employment contingent upon successful completion of: Physical Background Check Must be physically able to perform all job duties as assigned.

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Anticipated End Date: 2026-09-25 Position Title: DRG Coding Auditor Principal Job Description: Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit...