197 jobs found in Pennsylvania

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

Benefits: Hybrid working environment Employee discounts Flexible schedule Job Summary We are seeking a detail-oriented Medical Biller to manage accounts receivable for our healthcare team. This is a part-time, temp-to-hire, hybrid position at our Urgent Care Clinic in Southampton, PA. This role will be primarily responsible for working the AR: resolving denials and rejections, following up on unpaid claims, and collecting on patient balances. This is a great opportunity for a motivated candidate to grow into a permanent role with our practice. Responsibilities • Primarily work the accounts receivable, prioritizing aging claims and outstanding balances • Review, research, and resolve claim denials and rejections • Correct and resubmit denied or rejected claims in a timely manner • Appeal denied claims with payers when appropriate • Follow up with insurance companies on unpaid or underpaid claims • Identify denial trends and root causes, and flag recurring...

Additional Job Info: $1,000 Sign on Bonus! ($500 after 30 days of employment and $500 after 90 days of employment) Additional $1.50/hr. for working 10pm-6am Overview: Love meeting new people and shaking things up? Time to flex your hustle as a Multi-Store Supervisor! You'll be the secret sauce behind creating a positive, high-energy atmosphere across multiple stores in your district. No boring 9-to-5 here-every day's a new adventure as you hop from store to store! This gig? Total career glow-up material. We're growing like crazy and opening stores left and right, so you've got all the room to level up FAST. Fun fact: Over 90% of our store managers started within our company. That could be YOU next-just sayin'! Why will you love it here? Oh, let us count the ways: Competitive pay, PTO, 100% paid parental leave, 401k match, and even employee stock ownership. PLUS full medical, vision, and dental coverage. Oh, and snack discounts-because who doesn't love snacks?! And here's the...

MPOWERHealth is seeking an experienced medical billing and coding professional to review, code and submit CMS-1500 claims daily. You will verify accuracy, review records for ICD-10 and CPT codes, and coordinate with departments to resolve issues. The role requires attention to detail, the ability to multitask, and strong communication. Hybrid or on-site options may be available, with a focus on timely, compliant billing. #J-18808-Ljbffr

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 records from multiple EHR's and on-site for both hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed. Carefully reviews details of documents such as laboratory...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to those who...

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...

Job Title Medical Coding Specialist Job Description 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. Responsibilities 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...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Job Opportunity Position Overview: We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via hotline,...

Salary: $46,827.00 - $70,592.00 Annually Location : Greene County, PA Job Type: Civil Service Permanent Full-Time Job Number: CS-2026-56610-39010 Department: Department of Corrections Division: CR GRN Med Opening Date: 08/19/2026 Closing Date: 9/2/2026 11:59 PM Eastern Job Code: 39010 Position Number: 00203115 Union: AFSCME Bargaining Unit: A2 Pay Group: ST05 Bureau / Division Code: 00113630 Bureau / Division: SCI Greene Worksite Address: 169 Progress Drive City: Waynesburg, Pennsylvania Zip Code: 15370 Contact Name: Trisha Pratt Contact Phone: 717.317.5339 Contact Email: tpratt@pa.gov THE POSITION As the Medical Records Supervisor for the Department of Corrections (DOC) at the State Correctional Institution (SCI) at Greene, you step into a leadership role that keeps vital health information moving with accuracy and purpose. This position gives you the chance to use your organizational strengths to guide a dedicated...

Compliance Auditor Under general supervision, performs risk-based audits of clinical documentation, coding, and billing records to ensure that documentation supports services billed and complies with applicable regulatory and organizational requirements. This position independently validates documentation and coding compliance, identifies areas of compliance risk, and supports internal audit activities and external audit readiness across hospital-and provider-based settings. This role is outcome-driven and requires the ability to independently manage audit workload, documentation, and deadlines. • Performs risk-based audits of clinical documentation, physician, technical, and specialty billing and payment records by analyzing medical records, coding records, and health system bills to validate that documentation supports services billed and complies with applicable regulations and guidelines. • Evaluates the accuracy and appropriateness of coding, billing, and documentation...

Physician Coder St. 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...

Allentown, PA - 1110 American Parkway Full time R144556 St. 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...

Job Description Job Description Job Title: Medical Coder Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets. No prior AI experience is required—your coding expertise and attention to detail are what matter most. Key Responsibilities Review and annotate medical records to accurately assign ICD-10 and CPT codes based on clinical documentation. Apply Evaluation & Management (E&M) guidelines to assess coding levels and validate healthcare datasets. Ensure compliance with current medical coding standards and guidelines. Analyze clinical documentation and identify coding-related ambiguities or inconsistencies. Provide...

Job Description Job Description This position will begin as part-time with the expectation of transitioning to full-time based on performance and practice needs. Position Summary The Medical Billing Specialist is responsible for accurate charge entry, insurance authorizations, and patient-facing billing support. This role requires strong attention to detail, efficiency with computer systems, and the ability to communicate clearly with patients regarding financial matters. Key Responsibilities Obtain and manage insurance authorizations for MRI imaging and prescribed medications Verify insurance eligibility and coverage requirements as needed Collect copays and outstanding patient balances at the time of service Communicate with patients to explain billing, charges, and insurance-related questions in a clear and professional manner Address patient inquiries regarding statements, balances, and payment options Work closely with clinical and...

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...

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 outpatient coding CCI edits. Coding diagnosis & procedure codes ICD-10 & 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 processes....

UPMC Corporate Revenue Cycle Hiring A Coder I- Professional FeeUPMC Corporate Revenue Cycle is hiring a Coder I- Professional Fee to join our Coding Department! 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 will review the physician documentation to determine the appropriate ICD-10 code and verify the CPT code, but in some cases assign basic CPT codes. Additionally, you will resolve basic coding edits, complete the charging process and ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered. This role 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...

Quality and Compliance Auditor 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 industriesincluding industrial, medical, transportation, and defenseto 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. 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 compliance for high-reliability Electronic Manufacturing Services...