Billing Specialist (62826) Union Community CareBilling Specialist (62826)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. This position is responsible for a variety of complex clerical and accounting functions related to medical accounts receivable (A/R), including insurance verification, insurance claim submission, along with collection, posting, and managing account payments.
Coder II - Technical (Inpatient Coding University of Pittsburgh Medical CenterCoder II - Technical (Inpatient CodingPittsburgh, PARemoteMaintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculm that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.
HB-PB Coding Spec II WVU MedicineHB-PB Coding Spec IIPennsylvaniaReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to hospital/physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives along with hospital coding.
Medical Assistant Lake Erie College of Osteopathic MedicineMedical AssistantPAb'nnnnnnnnnnnnnn nnnnnnnnnnnnnnnnrnrnrnrnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnrnrnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn nnnnnnnttttnttnttnttntttntttnttttnnnnnnnnnnnnnnnnnnnnnttnnnnnnnnnnnn');nnnnnnnnnnnnnnnnnnnnnnnnnnnnnt. ntttttttttttnttttttttttttnttttttttttttntttttttttttttnttttttttttttttntttttttttttttttApply Nownttttttttttttttnnttttttttttttttntttttttttttttnnttttttttttttnntttttttttttntntttttttttt ntttttttttnnttttttttnnttttttttnttttttttntttttttttnttttttttttnttttttttttnnttttttttttnttttttttttt.
Professional, Certified Coding Integrity THE WRIGHT CENTERProfessional, Certified Coding IntegrityScranton, PAThe Certified Coding Integrity Professional, a key position in the Revenue Cycle, facilitates the coding as well as manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and patients related to coding issues. Perform audits of the daily billing summary reviewing the quality of the clinical documentation and coded data to validate that the documentation supports services rendered while ensuring the integrity of the coding.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorPittsburgh, PARemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Accounts Receivable Specialist- Hospital Billing St. Luke's University Health NetworkAccounts Receivable Specialist- Hospital BillingAllentown, PAIndividually 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: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Accounts Receivable Specialist- Professional Radiology Billing St. Luke's University Health NetworkAccounts Receivable Specialist- Professional Radiology BillingAllentown, PARemoteIndividually 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: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
Billing Specilaist Mon Vale HealthPlex Penn Highlands HealthcareBilling Specilaist Mon Vale HealthPlexPASummary: AS A BILLING SPECIALIST I, you'll be responsible for billing and collecting patient accounts receivable balances from the insurance companies in a prompt and efficient manner. This position interprets all contracts and determines the correct and timely payment and ensures the work-flow of the billing department runs smoothly.
Medical Assistant - Orthopedics Float Independence Health SystemMedical Assistant - Orthopedics FloatDelmont, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Billing/Payer Enrollment Specialist (62781) Union Community CareBilling/Payer Enrollment Specialist (62781)Lancaster, PAWe envision vibrant and healthy communities supported by inclusive healthcare that embraces each member's unique culture, needs, and values, and emboldens them to make healthful choices that fuel their well-being and the well-being of others. Communicating with payers, providers, and other entities to quickly and accurately obtain or provide information beneficial to the credentialing or enrollment needs of the organization.
Accounts Receivable Specialist- Physician Billing St. Luke's University Health NetworkAccounts Receivable Specialist- Physician BillingAllentown, PARemoteIndividually 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: Process all UB04 and HCFA-1500 claims through the related billing system, working the related claims scrubber in a timely and efficient manner; performs all associated duties in order to ensure the completeness and accuracy of all claim information, facilitating maximum reimbursement.
NewBilling Representative Main Line Health SystemBilling RepresentativeMedia, PA$18.37–$28.47 / hourLicensures/Certifications: Certified Revenue Cycle Specialist (CRCS)/American Association of Healthcare Administrative Management (AAHAM), or Certified Revenue Cycle Representative (CRCR)/Healthcare Financial Management Association desirable. As a Billing Representative, you will play an integral role in the success of Main Line Health by ensuring third party payer claims are billed via the Epic Resolute module in an accurate and timely manner.
Physical Therapist- Surgery and Rehab Hospital (Inpatient Medical Rehab)- PRN WellSpan HealthPhysical Therapist- Surgery and Rehab Hospital (Inpatient Medical Rehab)- PRNYork, PAAll Sub-Categories Accounting Accreditation and Licensure Administrative and Clerical Anesthesia APP-Other Behavioral Health Billing Collections and Patient Financial Services Business Development Cardiology Care Management / Patient Care Coordination Certified Registered Nurse Anesthetists Clinical Equipment Biomed Clinical Supplies and Processing Coding Direct Nursing Emergency Services Environmental Health and Safety Environmental Services Facilities Operations Food & Nutrition Services Health Information Management Home and Community Services Human Resources Information Systems Human Resources Operations and Support Imaging Services Laboratory Language Services Logistics Neurology Nurse Education Nurse Midwife Nurse Practitioner / Physician Assistant Nursing Leadership Executive Nursing Management Nursing Operations Nursing Support Pastoral Services Pathology Patient Access Patient Safety Patient Transport Patient Wellness and Fitness Pharmacy Philanthropy Physician-Administrative Physician-Clinical Practice Management Support Public Relations Respiratory Care Security Sleep Services Strategic Sourcing Supply Chain Management Surgical / Perioperative Services Therapy and Rehab Warehouse Operations. Similar Opportunities Rehabilitation Assistant- Surgery and Rehab Hospital Inpatient Post Surgery- Day/Evening York PA | Full Time Speech Language Pathologist- Surgery and Rehab Hospital Outpatient- Day/Evening York PA | Full Time Physical Therapist- Surgery and Rehab Hospital Inpatient Post Surgery- Day/Evening York PA | Full Time Dietitian - WellSpan Surgery and Rehabilitation Hospital - Days York PA | Part Time Rehabilitation Liaison - Surgery and Rehab Hospital - PRN York PA | PRN/Per Diem View All Jobs Opportunities Search.
Emergency Department Medical Coder - per diem (PA/NJ) St. Luke's University Health NetworkEmergency Department Medical Coder - per diem (PA/NJ)Allentown, PAIndividually 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: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
Supervisor, AR Medical Payment Specialist THE WRIGHT CENTERSupervisor, AR Medical Payment SpecialistScranton, PAParties which may be contacted to resolve an outstanding balance include but are not limited to patients, responsible parties, insurance carriers, case managers, employers, referring physician, attorneys and facility personnel. Monitors Billing Staff performance and productivity and meets with Accounts Receivable & Collection Manager regarding updates on appropriate utilization and quality assurance.
Medical Receptionist-Claysville, PA Preferred Primary Care Physicians, Inc.Medical Receptionist-Claysville, PAClaysville, PAFull timeESSENTIAL RESPONSIBILITIES:Greet Patients that arrive according to the established guidelines of the officeCheck-in patients, verify and update all information in electronic medical system and collect co-paymentsCheck-out patients, scheduling necessary appointmentsMaintain computer scheduling in accordance with office protocolAnswer telephones, screen calls, take messages and provide information in accordance with established protocolCollection of payments and proper cash reconciliationProvide clerical support as neededScreen visitors and respond to routine requests for informationCloseout procedures, gathering encounter forms, processing daily activities of coding, batching, billing and hospital visitsQUALIFICATIONS:Education: High school diploma or equivalentExperience/On the Job Training:Minimum six (6) month medical front office experience. GENERAL OVERVIEW:The Medical Receptionist serves as the initial person to greet, instruct and direct all persons visiting or calling the medical practice utilizing skills of tact, diplomacy and confidentiality in a professional manner.
Medical Assistant- Thoracic Surgery Independence Health SystemMedical Assistant- Thoracic SurgeryLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Senior Field Reimbursement Specialist- Cell and Gene Therapy/Rare Disease Cencora IncSenior Field Reimbursement Specialist- Cell and Gene Therapy/Rare DiseasePA$93,500–$187,000 / yearProgressively responsible experience in field reimbursement, patient access, market access, revenue cycle, managed care, provider support, pharmaceutical/biologic support programs, or a related healthcare access role, with demonstrated experience working directly with health systems, hospitals, academic medical centers, authorized treatment centers, and/or large institutional accounts. This role will act as a liaison to patient assistance, reimbursement support, and access services offered by the client, with a focus on helping institutional stakeholders understand product acquisition pathways, CGT-specific prior authorization requirements, site-of-care considerations, coding and billing requirements, denial and appeal processes, and operational logistics that may affect timely access for patients with rare diseases.
Medical Assistant I Family First HealthMedical Assistant ILebanon, PAFamily First Health Center makes a difference in the health and quality of life of the people and communities we serve by: providing quality, compassionate primary medical and dental care and social services to those who need it most; coordinating care and working with other providers to provide the full range of services our patients need; promoting and supporting healthy lifestyles; collaborating with others to improve access and break down the barriers of affordability, language and culture; and. Mental/Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with a Medical Assistant-Medical Receptionist position such as: Frequent and prolonged work at a computer and/or on the phone for extended periods of time with repetitive typing, arm and hand motion.
Medical Assistant Family First HealthMedical AssistantYork, PAFamily First Health Center makes a difference in the health and quality of life of the people and communities we serve by: providing quality, compassionate primary medical and dental care and social services to those who need it most; coordinating care and working with other providers to provide the full range of services our patients need; promoting and supporting healthy lifestyles; collaborating with others to improve access and break down the barriers of affordability, language and culture; and. Mental/Physical Requirements: Must possess the physical and mental abilities to perform the tasks normally associated with a Medical Assistant-Medical Receptionist position such as: Frequent and prolonged work at a computer and/or on the phone for extended periods of time with repetitive typing, arm and hand motion.
Scribe/Medical Writer | Oncology University of Pittsburgh Medical CenterScribe/Medical Writer | OncologyCarlisle, PAMaintains an awareness of the patient's verbal and non-verbal communication when the physician is providing instructions as it may necessitate the writer repeating information, providing written instructions, and/or patient educations materials for the patient to review at home. UPMC Hillman Cancer Center is looking for a Scribe/Medical Writer to support a medical oncology physician at our Carlisle outpatient center.
MEDICAL ASSISTANT IHMG - FAMILY MEDICINE Independence Health SystemMEDICAL ASSISTANT IHMG - FAMILY MEDICINEGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
MEDICAL ASSISTANT - PHYSICIAN OFFICE, PRIMARY CARE Independence Health SystemMEDICAL ASSISTANT - PHYSICIAN OFFICE, PRIMARY CAREGreensburg, PAof force) Carry Transfer/Push/Pull Patients Seeing Near with Acuity Feeling (Sensation) Color Vision Hearing Clearly Pulling/Pushing Objects Overhead Reaching Above Shoulder Level Reaching Forward Lifting Floor to Knuckle Lifting Seat Pan to Knuckle Lifting Knuckle to Shoulder Lifting Shoulder to Overhead When lift requirement is in excess of 50#, lift assistance (2 person) and/or transfer device is required. Bending (Stooping) Sitting Walking Climbing Stairs Climbing Ladders Standing Kneeling Squatting (Crouching) Twisting/Turning Keyboard/Computer Operation Gross Grasp Fine Finger Manipulation Hand/Arm Coordination Pushing/Pulling (lbs.
Medical Assistant - Orthopedics - Casual Independence Health SystemMedical Assistant - Orthopedics - CasualGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Medical Assistant - Weldon Family Medicine Independence Health SystemMedical Assistant - Weldon Family MedicineLatrobe, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
MEDICAL ASSISTANT - SPORTS MEDICINE & CONCUSSION Independence Health SystemMEDICAL ASSISTANT - SPORTS MEDICINE & CONCUSSIONGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Medical Assistant - Neurosurgery Independence Health SystemMedical Assistant - NeurosurgeryUnity Township, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
NewMedical Assistant- Pulmonology Independence Health SystemMedical Assistant- PulmonologyGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
MEDICAL ASSISTANT 1971C - Cardiopulmonary Rehab - Casual Independence Health SystemMEDICAL ASSISTANT 1971C - Cardiopulmonary Rehab - CasualClarion, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Medical Assistant- Women's Health Independence Health SystemMedical Assistant- Women's HealthNorth Huntingdon, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Medical Assistant Ihmg - Urgent Care Independence Health SystemMedical Assistant Ihmg - Urgent CareGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
MEDICAL ASSISTANT - NEUROSURGERY Independence Health SystemMEDICAL ASSISTANT - NEUROSURGERYGreensburg, PAStrong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice. The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration.
Medical Office Manager - Pennsylvania The Dermatology SpecialistsMedical Office Manager - PennsylvaniaPhiladelphia, PennsylvaniaKnowledge of health insurance policies, guidelines- including copays, coinsurances, referrals, verification of insurances; handling patients' records discretely, updating demographic and financial information; Protecting and securing medical records. Program graduates are guaranteed a position to join our clinical team, creating a clear pathway from education to long-term career growth with us.
Medical Assistant - Endocrinology Independence Health SystemMedical Assistant - EndocrinologyClarion, PAFULL-TIME: $2,500 SIGN ON BONUS * The Medical Assistant performs basic direct patient care activities, such as lab tests, treatments, and medication/immunization administration. Actively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements.
Medical Assistant - Infectious Disease Independence Health SystemMedical Assistant - Infectious DiseaseButler, PAActively promotes a Lean work culture by performing team member duties to encourage consistent use of LEAN principles and processes, including continually seeking work process improvements. Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
Assistant Medical Director - Hospital Medicine - Mercy Fitzgerald Hospital CEP America LLCAssistant Medical Director - Hospital Medicine - Mercy Fitzgerald HospitalDarby, PAStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Develop relationships with appropriate outpatient resources such as skilled nursing facilities, sobering centers, urgent care centers, primary care physicians, and mental health crisis centers.
Chief Medical Officer (CMO) Philadelphia FightChief Medical Officer (CMO)Philadelphia, PA$275,000–$300,000 / yearFull timeEnsures legal and regulatory compliance across all clinics (e.g., HIPAA, OSHA, CLIA, HRSA, VFC, Title X, informed consent, etc.).Hires, trains, evaluates and develops staff in support of core FIGHT values and policies, practices and principles; address and monitor the specific goals and assignments of each staff member by facilitating one/one supervisory meetings and conducting annual competency assessments; assigns providers to ensure appropriate coverage is available. Provides comprehensive primary care at the clinic, including obtaining medical history, performing physical examinations, diagnosing medical conditions, implementing treatment plans (prescribing appropriate medications, etc.) and preventative care plans (immunizations, etc.).Orders and interprets laboratory results; reviews labs/records with patients and recommends treatment based on guidelines and medication management/dosing.
Physiatrist – General Rehabilitation and Consultative Services Thomas Jefferson UniversityPhysiatrist – General Rehabilitation and Consultative ServicesPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. 5501 Old York Road, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value.
Physiatrist - General Rehabilitation and Consultative Services Thomas Jefferson UniversityPhysiatrist - General Rehabilitation and Consultative ServicesPhiladelphia, PAJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.
Physical Therapist Assistant - Coudersport and surrounding areas University of Pittsburgh Medical CenterPhysical Therapist Assistant - Coudersport and surrounding areasCoudersport, PAGraduated from a physical therapist assistant curriculum approved by the Commission on Accreditation in Physical Therapy Education of the American Physical Therapy Association; or if educated outside the United States or trained in the United States military, graduated from an education program determined to be substantially equivalent to physical therapist assistant entry level education in the United States by a credentials evaluation organization approved by the American Physical Therapy Association or identified at 8 CFR 212.15(e; and2 Passed a national examination for physical therapist assistants'. On or before December 31, 2009, meets one of the following 1. Is licensed, or otherwise regulated in the State in which practicing.2 In States where licensure or other regulations do not apply, graduated on or before December 31, 2009, from a 2-year college-level program approved by the American Physical Therapy Association and, effective January 1, 2010, meets the requirements of paragraph (a of this definition.
Sr. Manager AI and Data Science CareSourceSr. Manager AI and Data SciencePA$113,000–$197,700 / yearJob Summary: The Senior Manager, AI and Data Science provides leadership for a multidisciplinary data science team that builds advanced analytics solutions using emerging Artificial Intelligence (AI) and Machine Learning (ML) technologies to enhance healthcare operations, patient care, and overall health plan performance and efficiency. This role provides strategic direction, technical oversight, and people leadership for multiple workstreams ranging from traditional predictive modeling to Agentic AI, Large Language Models (LLMs), and Natural Language Processing (NLP) solutions.
Administrative Director Reaching Beyond LimitsAdministrative DirectorWilkes-Barre, PAFull timeKnowledge, Skills, and CompetenciesPennsylvania IBHS regulatory knowledgeBehavioral-health billing and revenue-cycle managementMedical Assistance and managed care billingClinical documentation auditingService authorization monitoringClaims submission and denial resolutionAccounts receivable monitoringCompliance investigationsLicensing and audit preparationCorrective action planningPolicy and procedure developmentStaff trainingData analysis and reportingConfidentiality and ethical decision-makingStrong attention to detailEffective communication across clinical, administrative, billing, and leadership teamsRequired Clearances and ScreeningsThe selected candidate must obtain and maintain all clearances and screenings required for employment with a Pennsylvania child-serving behavioral-health organization, which may include:Pennsylvania State Police Criminal History ClearancePennsylvania Child Abuse History ClearanceFBI Criminal History ClearanceFederal and state healthcare exclusion screeningsAny additional background, credentialing, or payer-required screeningsWork RequirementsThis position primarily involves office-based administrative work and may require prolonged computer use, participation in meetings, review of electronic and paper records, and occasional travel to agency service locations. Position SummaryReaching Beyond Limits is seeking an experienced IBHS Compliance and Billing Officer to oversee regulatory compliance, quality assurance, clinical documentation, billing operations, and revenue-cycle processes for its Pennsylvania Intensive Behavioral Health Services program.
Coder I The Center for Orthopedic and Research ECoder IWest Chester, PARemotePart timeOur facilities include state-of-the-art MRI centers, outpatient surgery centers, physical therapy clinics, and orthopedic urgent care centers to ensure timely access to high-quality, patient-focused care. Premier Orthopaedics delivers expert treatment for orthopedic injuries, joint disease, interventional spine care, regenerative medicine, and comprehensive physical therapy services, supported by more than 150 providers across 50+ locations.
Senior Compliance Audit & Education Specialist Temple HealthSenior Compliance Audit & Education SpecialistPhiladelphia, PATemple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike.
Revenue Integrity Recovery Coordinator Trinity HealthRevenue Integrity Recovery CoordinatorConshohocken, PAMinimum Qualifications: Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience. Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
Revenue Integrity Analyst - Laboratory HNL Lab MedicineRevenue Integrity Analyst - LaboratoryAllentown, PennsylvaniaWhile this position may offer remote flexibility, we are seeking candidates who reside within the local area and can reliably attend onsite meetings, training sessions, team events, or other in-person business needs as required. Conduct routine audits of laboratory charges, coding accuracy, and billing workflows to identify missing charges, errors, or compliance risks.
Revenue Integrity Recovery Coordinator Trinity Health CorporationRevenue Integrity Recovery CoordinatorConshohocken, PAMinimum Qualifications: Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience. Knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).
Sr. Coder Thomas Jefferson UniversitySr. CoderPhiladelphia, PennsylvaniaJefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University , home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students.
Charge Master Analyst Sutter HealthCharge Master AnalystHarrisburg, PA$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.