1,023 Medical Coding And Billing jobs in Pennsylvania

Supervisor, Physician Billing

star icon

Holy Redeemer

location iconHuntingdon Valley

SUMMARY OF JOB: Responsible for the daily management functions for the HR Physician Services physician hospital-based department(s). Responsible for the registration of patient encounters through complete resolution of receivables. Responsible for the accurate and timely ICD-10/CPT coding of patient encounters and charge entry of services. Responsible for the resolution of claim holds to ensure the timely submission of claims. Monitors the daily workflow, quality and productivity of staff and establishes relationships with third-party payers responsible for claims adjudication. Collaborates with staff and Health System departments to achieve the Redeemer Health CBO key performance metric targets established by Senior Leadership. CONNECTING TO MISSION: All individuals, within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of position, every job contributes to the challenge of providing health care. There

Billing Coordinator - Orthopedics

star icon

Allegheny Health Network

location iconPittsburgh

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job processes and resolves all billing issues. Assists with day to day functions of billing department and ensures daily duties are completed per established guidelines. ESSENTIAL RESPONSIBILITIES: Troubleshoots billing issues and takes appropriate actions. (35%) Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%) Maintains current knowledge of federal and state reimbursement policies/regulations and system policies. Ensures compliance with regulatory requirements. (10%) Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%) Verifies insurance information via hospital and insurance carrier systems. (10%) Performs all other duties as assigned, including but not limited to supporting front end office processes. QUALIFICATIONS: Minimum High scho

Dental Billing Clerk- STAR Community Health

star icon

St. Luke's University Health Network

location iconBethlehem

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. JOB DUTIES AND RESPONSIBILITIES: Manages all Star Community Health dental billing work ques. Codes and abstracts professional fee services performed by SLPG dentists. 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 dental billing. Performs data entry of abstracted physician information into specialty- specific databases. Conducts educational sessio

Medical and Dental Billing Specialist (Remote)

star icon

OCHIN

location iconPhiladelphia

Location: Remote/VirtualMAKE A DIFFERENCE AT OCHINOCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.OCHIN provides leading-edge technology, data analytics, research, and support services to more than 500 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structur

Coding Operations Manager - Physician Coding

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Health Information Coding Operations Manager shall report directly to

Billing Associate - Radiation Oncology - Greensburg - Full Time

star icon

Highmark Health

location iconGreensburg

**Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: This job processes pro-fee billing activities. ESSENTIAL RESPONSIBILITIES: + Posts co-payments, patient payments, and insurance company payments (paper and electronic), and denials. Performs reconciliation of payments. Prepares and deposits payments received. (25%) + Uses CPT, ICD-9, and payer specific codes and modifiers to prepare and enter charges for entry (includes office, hospital, and outpatient charges). (20%) + Assists customers with patient billing inquiries. Identifies unpaid balances (insurance and patient) through A/R reports and takes appropriate actions. (25%) + Obtains and enters patient demographic, insurance, and referral/precertification information in the billing system. (10%) + Verifies insurance information via hospital and insurance carrier systems. Ensures that electronic and paper claims are sent to insurance carriers in a timely manner. (10%) + Maintains current knowledge

Remote Pro Fee Medical Coder- E&M (PRN- Part Time)

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. Responsibilities Th Pro Fee Medical Coder- E&M (Part Time/PRN) must be proficient in E/M coding for all places of services. Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated sta

Outpatient Medical Coder / HIM Coder

star icon

Post Acute Medical

location iconEnola

Overview Outpatient Coder HIM Coder This position has responsibility for performing coding and abstracting of outpatient medical records in accordance with ICD-10-CM and CPT coding rules, guidelines, and conventions following hospital and Post Acute Medical (PAM) system procedures. The ICD-10-CM codes will accurately reflect the reason for admission, extent of care received, and level of severity of illness. Responsibilities Coding Duties * Outpatient Rehab Therapy and Wound Care Services * Codes all outpatient therapy and wound care records by the third day after admission according to ICD-10-CM and CPT guidelines with 95% accuracy, to include Physical Therapy, Occupational Therapy, Speech Therapy, and Wound Care services * All Record Types * Query Medical staff and midlevel providers when code assignments are not straightforward or documentation in the medical record is conflicting, ambiguous, inadequate, incomplete or unclear for coding purposes. Keep medical providers informe

Pro Fee Medical Coder- E&M

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. Responsibilities The Pro Fee Medical Coder- E&M must be proficient in E/M coding for all places of services. Will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets

Remote Medical Coder- Hospital Inpatient

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading management consulting firm serving the public and commercial markets. We guide our clients forward towards new futures that build trust in society and your professional skills along the journey. Join us at Guidehouse. Responsibilities The Remote Medical Coder - Hospital Inpatient will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This is a 100% full time remote position. + Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles,

Remote Pro Fee Medical Coder-ENT (PRN- Part Time)

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Pro Fee Medical Coder- ENT must be proficient in multispecialty coding

Pro Fee Medical Coder- Radiation Oncology

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Pro Fee Medical Coder- radiation oncology must be proficient in radiat

Remote Pro Fee Medical Coder - Cardiovascular

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Remote Pro Fee Medical Coder- Cardiovascular must be proficient in car

Lead, Medical Coder - HIM

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Health Information Lead Coder is responsible for accessing and coding

Medical Coder - Physician Practice

star icon

Children's Hospital of Philadelphia

location iconPhiladelphia

Location:LOC_1300_MKT-Wanamaker BuildingReq ID:133722Shift: DaysEmployment Status:Regular - Full TimeJob SummaryThis role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services.Job Responsibilities• Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing.• Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards.• Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies.• Review and resolution of coding related edit

Medical Assistant - Palmyra

star icon

Penn State Health

location iconPalmyra

Job Description Penn State Health Milton S. Hershey Medical Center Location: US:PA:Palmyra Work Type: Full Time FTE: 1.0 Shift: Varied Hours: 4 10 hour shifts per week, 7:30a - 6:00p SUMMARY OF POSITION: ***Sign on bonus*** Perform administrative and certain clinical duties under the direction of a provider. Administrative duties may include scheduling appointments, maintaining medical records, billing, and coding information for insurance purposes. Clinical duties may include taking and r

Certified Oncology Coder

star icon

Holy Redeemer Health System

location iconMeadowbrook

SUMMARY OF JOB:# The Certified Medical Oncology Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all Outpatient Medical Oncology Unit (MOU) injections, infusions, transfusions, chemotherapy and radiation oncology claims.# Accurate abstraction and or validation of data pertaining to each encounter in accordance with Uniform Hospital Discharge Data Set.# This position will need to remain current on coding and billing regulations as it pertains to Oncology, Hematology, and Radiology as well as any CPT, ICD10 or HCPCS updates. Supports the department in coordination of the Charge Master to design the capture of associated coding and billing for radiation and medical oncology.# Works cooperatively as a team with revenue cycle, hospital and management associates. Provides courteous and professionals assistance with coding questions from physician, clinical team and other departments.# The successful candidate must have exceptional computer, communicat

Inpatient Medical Coder - Skilled Nursing Facility (Remote)

star icon

Guidehouse

location iconHarrisburg

Overview Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges and navigate significant regulatory pressures with a focus on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that prepare our clients for future growth and success. The company has more than 10,000 professionals in over 50 locations globally. Guidehouse is a Veritas Capital portfolio company, led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies. For more information, please visit: www.guidehouse.com. Responsibilities The Inpatient Medical Coder – Skilled Nursing Facility will review clinica

Certified Oncology Coder

star icon

Holy Redeemer Health System

location iconMeadowbrook

SUMMARY OF JOB: The Certified Medical Oncology Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all Outpatient Medical Oncology Unit (MOU) injections, infusions, transfusions, chemotherapy and radiation oncology claims. Accurate abstraction and or validation of data pertaining to each encounter in accordance with Uniform Hospital Discharge Data Set. This position will need to remain current on coding and billing regulations as it pertains to Oncology, Hematology, and Radiology as well as any CPT, ICD10 or HCPCS updates. Supports the department in coordination of the Charge Master to design the capture of associated coding and billing for radiation and medical oncology. Works cooperatively as a team with revenue cycle, hospital and management associates. Provides courteous and professionals assistance with coding questions from physician, clinical team and other departments. The successful candidate must have exceptional computer, communication a

Medical Assistant / Patient Services Representative - Gerontology

star icon

Einstein

location iconPhiladelphia

Job ID #: 27730 Employment Type: Full - Time Location: Einstein Medical Center Philadelphia Weekends Required? No Rotation Required? No On-Call Required? No Entity: EPPI Professional Fund Department: Geriatric Prof Fund - PF Shift: day Biweekly Hours: 80 Experience Required: 1 - 3 Years City: Philadelphia State: PA Zip Code: 19141-3018 Position Description In this role you will be responsible for: Direct patient care and assisting other clinical staff with direct patient care in a professional manner according to established policies, procedures and standards of care Handling sensitive, confidential medical and social information among patients, caregivers, their primary care physician, nurse practitioner and social worker Coordinates the scheduling of patient appointments, referrals and medical record preparation Supports clinicians with medical management of patients Obtains precertifications and referrals for requested procedures Prepares billing for charge entry and enters charges i

Physician Billing Rep (Full time) Abington Jefferson

star icon

Abington Hospital - Jefferson Health

location iconPhiladelphia

Reporting to the Office Manager, and under the general supervision of the Business Operations Manager/Office Manager performs billing and reimbursement services to patients ranging in age from 18 - 100 +. Qualifications Experience: 1+ years medical...

Clinical Access Coordinator Neurology Full Time

star icon

Allegheny General Hospital

location iconPittsburgh

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW:This job completes one or more of the following processes (scheduling, pre-registration, financial...

Coding Acct Analyst

star icon

Lehigh Valley Health Network

location iconAllentown

Job Summary:Reconciles charges and code edits to ensure that accounts are processed in accordance with regulatory guidelines. Expedites accounts through the DNB cycle. When necessary, performs ICD-10-CM and CPT coding and procedural charging for all...

CCT Paramedic in Philadelphia, PA

star icon

American Medical Response

location iconPhiladelphia

More Information about this JobJob Description Summary : JOB SUMMARYCompassionately responds to emergent and non-emergent calls for medical assistance, and transportation. Delivers high-quality basic and advanced patient care to the level...

Primary Care Sales Specialist / Senior CRM PHILADELPHIA Remote

star icon

Novartis

location iconPhiladelphia

Job DescriptionOver 200 new sales positions are being added to our Cardiovascular, Renal & Metabolism team. At Novartis we are committed to reducing the global burden of cardiovascular, renal, and metabolic diseases on patients, families, and their...

Popular Job Markets for Medical Coding and Billing