136 jobs found in Pennsylvania

Specialized Coder Opportunity Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Opportunity: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29.75 and $32.70/hr based on experience Specialized Coders Wanted —$3,000 Sign-On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic...

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

Servpro Industries, Inc. is seeking a detail-oriented Job Coordinator/Auditor to manage and audit tasks within our National Account Programs for restoration and mitigation projects nationwide. You will oversee job files, perform audits, and ensure timely, accurate documentation and billing. The role requires strong analytics, communication skills, and proficiency with job management tools (Xactimate, Symbility, and MS Office). #J-18808-Ljbffr

FHAS Federal Hearings & Appeals Services, Inc. is seeking a Nurse Reviewer RN for a full-time on-site role in Wilkes-Barre, PA. The position focuses on timely review and determination of medical claims, appeals, and prior authorizations, with emphasis on accurate coding review and adherence to Medicare regulations. The ideal candidate holds an active RN license, has 1+ years of clinical experience, and preferably a coding certification. #J-18808-Ljbffr

UPMC's Logan Medical Center is seeking a Phlebotomy Supervisor to join their team! This full-time position will work day-shift, Monday through Friday. This role supervises three outpatient phlebotomy teams and will require travel to other locations on a regular basis, including BMA Express Lab and Ebensburg Medical Center. Prior leadership experience is preferred. What Can UPMC Do for You? A career path that provides you with the right experience to be successful in the position you want to obtain now and, in the future Health and welfare benefits like medical, vision, dental, and life and disability, and an exceptional retirement program Work life balance to help manage other important aspects of your life such as: PTO, wellness programs, paid parental leave Competitive pay for the work that you do Responsibilities: Maintains a schedule to provide coverage to meet patient care needs. Procures appropriate specimens by venipuncture, heelstick and fingerstick following...

EMS Provider 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 not intended to be...

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 not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department‑specific orientation will be considered essential to the performance of the job related to that position. #J-18808-Ljbffr

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit. The CPC will ensure coding practices meet state, federal, and company requirements, reviewing records for accuracy and identifying billing issues. Required CPC certification, 3+ years of coding or auditing experience, and proficiency with CPT/HCPCS/ICD-10; strong Excel/Word skills are essential. #J-18808-Ljbffr

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...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

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. The Medical Case Management Supervisor shall oversee the staffing and performance of Medical Case Managers (MCM) and HIV/PrEP Patient Navigators across the PHMC Health Network. This person shall possess a strong knowledge of the Philadelphia Division of HIV Health (DHH) Medical Case Management and PrEP standards and shall serve as a liaison to DHH around MCM activities. The Medical Case Manager Supervisor will ensure that regular, ongoing, and high-quality supervision is provided and appropriately documented, and that all staff are connected to and complete all required trainings. The Medical Case Manager Supervisor will additionally ensure that...

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...

Job Title: Occupational Therapist (OT) - PRN (Medical) Pay Range: Based upon experience. Job Description: Nyman Associates, providing exceptional therapy services since 1978, is seeking a skilled Occupational Therapist for a hospital-based, inpatient OT role. This is a per diem position, and candidates must have prior medical experience. Job Details: Provide evaluation and treatment in the hospital settings. Consult with medical, and allied health personnel Independently evaluate patients with known using both non-standardized and standardized evaluation tools Develop an individual therapy plan for each assigned patient, which includes goals of treatment Instruct family members and caregivers on in-home therapy programs Nyman Associates is a company that supports a variety of educational and medical settings. As a member of the Team, you would have the opportunity to explore the field to find the setting that best suits you. Qualifications: Master's degree in occupational therapy...

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

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 in a timely manner. Run 837 files according to established procedures and resolve any validation issues. Accurately and timely enter data 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 payments 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 them. Identify and communicate to up‑line delays affecting balancing issues, new codes, or adjustments....

Coding Auditor The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation in the medical record. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Meets or exceeds established performance...

Description Summary/Objective This position is responsible for coding and entering into the EMR procedures, infusion, pathology, and professional charges for US Digestive Health. Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Coding and charge entry within 48 hours from date of service. Review of documentation for physician services. Assign CPT and ICD-10 codes to services rendered from physician documentation. Enter charges in practice management system. Research edits /holds placed on claims as a result of coding issues. Remain current in knowledge of billing, coding, and insurance guidelines. Field coding and billing questions from coworkers and patients. Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. Participates in Clinical Quality measures established by facility, including all documentation...

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs. The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services. #J-18808-Ljbffr

Position Overview Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi‑specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continued growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Coder Certification Required . The Coding Auditor is responsible for determining that ICD‑10, CPT‑4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). The role applies working knowledge of medical terminology, anatomy, CPT‑4 and ICD‑10 codes and coding...