124 jobs found in Pennsylvania

FM Approvals is an international leader in third-party testing and certification services. We test property loss prevention products and servicesfor use in commercial and industrial facilitiesto verify they meet rigorous loss prevention standards of quality, technical integrity and performance. How? By employing a worldwide certification process thats backed by scientific research and testing, and over a century of experience. The FM APPROVED mark is recognized and respected worldwide. Our certification instills confidence and commands respect in your marketplace. Visit our website to learn more about FM Approvals and the amazing work our team does! FM Approvals Website Summary A mid-level auditor position within the Auditing and Quality Assurance department. The role of the Quality Auditor is expected to independently schedule and conduct conformity assessment audits at customer locations. Audits include various manufacturers responsible for producing products for...

Overview Are you looking for an opportunity to take your medical records career up a notch? Do you have the ability to lead a team that ensures medical records accuracy and patient privacy? The Department of Corrections (DOC), State Correctional Institution (SCI) Laurel Highlands is seeking a motivated and self-directed Medical Records Supervisor. This is an exciting opportunity to lead a busy Medical Records Department and play a key role in supporting medical services. If you want to collaborate with medical staff, mentor a team, and enjoy new professional challenges, then this job was made for you! Apply today! Responsibilities As a Medical Records Supervisor, you will oversee the development and maintenance of inmate medical records, lead and participate in operational duties, and review work assignments to ensure timely and accurate completion. You will establish unit plans and goals, as well as provide unit training and support. This role requires strong organizational...

Zerbe Retirement Community is a family-owned and operated 5-Star rated community, proudly serving our residents and families since 1958. We take pride in providing exceptional care in a warm, supportive, and team-oriented environment. We are an Equal Opportunity Employer and welcome all qualified applicants. Overview We are seeking a detail-oriented, experienced Long-term Care Medical Billing Specialist to oversee and manage the daily operations of our long-term care billing and receivables processes. This role is vital in ensuring accurate resident billing, timely collections, and compliance with applicable regulations. The Long-Term Care Medical Billing Specialist will also provide guidance and support to the business office team, working closely with residents, their families, and insurance providers. Key Responsibilities: Manage all aspects of  long-term care resident billing , including private pay,  Medicare ,  Medicaid/CHC , and  third-party insurance . Review and...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews 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. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job Location/Working Conditions Normal...

Geisinger Wyoming Valley Courier Hub Rotation (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No 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 an 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...

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...

General Summary Performs clinical documentation audits, evaluations and other reviews for the System to ensure and assess compliance with applicable laws and regulations. Prepares and presents written and oral reports summarizing audit work, issues identified and recommendations to correct issues to management. Develops and disseminates education and training programs to employees. Duties and Responsibilities Essential Functions: Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential issues. Investigates and recommends action to be taken when compliance issues are found. Monitors implementation of recommended corrective action and performs follow up reviews where necessary. Assists with coding compliance implementation throughout the WellSpan. Assists in the development and dissemination of education and training processes for the employees regarding coding compliance related activities. Assists...

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for "Outstanding Patient Experience" by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for...

Job Description Job Description 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...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

Gameday Men's Health is hiring a General Lab Supervisor for its Mechanicsburg location. The position is ideal for someone interested in being a part of a pioneering health program for men (www.gamedaymenshealth.com/mechanicsburg). Gameday was created for one simple reason: To give men a world-class experience while overcoming low testosterone so they can reclaim their life. Set in a man-cave environment - plush with flat screen TV's, comfortable chairs, hardwood floors, and sports memorabilia - Gameday is revolutionizing the way men get effective treatment. We have hundreds of patients who receive testosterone replacement therapy and other men's services throughout our many locations. Are you passionate about patient care? If so, we'd like to meet you! General Supervisor The general supervisor is responsible for day-to-day supervision or oversight of the laboratory operation and personnel performing testing and reporting test results. Duties & Responsibilities  Must...

Become a part of our caring community and help us put health first 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. 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...

Accountemps - JobID: 03750-9504266983-usen [ Accountemps' industry expertise will help you find positions well-matched to your unique skill set and requirements. Above all, we want to help you find a job that makes you happy and allows you to thrive while ensuring you top pay, great benefits and free ongoing training courses...Land This Job Today >>

Caring. Connecting. Growing Together. Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Schedule: This position is full-time (40 hours/week). Employees will work Monday - Friday with flexible hours. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for Professional Multis-specialty E/M and Surgical services while adhering to the official coding guidelines and...

Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Job Description Job Description Location: Philadelphia, PA 19122 Date Posted: 12/30/2025 Category: Clinical Education: None One of our clients, a well-known hospital in Philadelphia, is urgently seeking a Medical Coder! Delta-T Group has been in business for over 35 years, and connects professionals with client opportunities within the special education, social service, behavioral health, and disability sectors. CLIENT'S AVAILABLE HOURS *Flexible Scheduling & Create your own schedule! *Work up to 10 hours each week! MUST BE CERTIFIED OR REGISTERED! *AHIMA (American Health Information Management Association) *CCS (Certified Coding Specialist) *RHIT (Registered Health Information Technician) *RHIA (Registered Health Information Administrator) ROLE RESPONSIBILITIES *Complies with legal requirements regarding coding procedures and practices *Assigns and sequences all codes to diagnoses and procedures, using ICD (International Classification of...

Medix is hiring an experienced Medical Billing Specialist to support a specialty Ophthalmology practice in Monroeville, PA! Please note: This is an ONSITE position! Schedule: Monday - Friday Day Shift - 40 Hours a week, 8 hours a day Pay: $19-24/hour Location: Monroeville, PA (Onsite) Position Requirements: Perform posting charges in electronic practice management system. Post electronic payments, credit card and cash payments in patient accounts in PM system. Resolve denials. Review eligibility prior to visit and updating information for clinical use. Obtain prior authorizations for branded drug falling rules of step therapy on various payer portals. Work with specialty pharmacies to receive part b drugs for patients. Submit request for foundation payments and subsequent posting of those payments. Talk to insurance companies to resolve payer issues. Answer patient invoice questions. Conduct internal audits comparing encounter forms to be...

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...

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...

Coding Auditor Specialist Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric careand your career. CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means. Reporting to the Coding Operations and Compliance Manager, the Coding Auditor Specialist plays a key role in ensuring the accuracy and integrity of our...