Coder
Medical coder job in Horsham, PA
Job DescriptionAI Coder
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
Apply now to help train the next generation of programming-capable AI models!
Coder Certified
Medical coder job in Philadelphia, PA
PRIMARY FUNCTION:
Abstract clinical information from Electronic Medical Record surgical reports and outpatient medical records, and assign appropriate ICD-10 and CPT codes. Educating physicians on compliance and correct coding and processing charges, review coding related denials.
ESSENTIAL FUNCTIONS:
Interacts with co-workers, visitors, and other staff consistent with the Jefferson iSCORE values
Educates new faculty members on the coding basics, as well as all university/department compliance policies
Completes all accounts receivable and claims manager edits.
Assists patients with billing and insurance related questions.
Conducts internal chart audits to ensure compliance with CPT-4 and ICD-10 coding guidelines and determines where additional physician documentation and/or signatures are required.
Ensures billing compliance with third party payor requirements and regulations.
EDUCATIONAL/TRAINING REQUIREMENTS: High School Diploma or GED required
CERTIFICATES, LICENSES, AND REGISTRATION: CPC Required through AAPC or CCS through AHIMA. Will consider someone who will obtain certification within six months.
EXPERIENCE REQUIREMENTS:
Minimum of one year of coding experience required
Experience of Medical Billing and Coding in a physician practice.
Thorough knowledge of medical coding guidelines and regulations including compliance and reimbursement requirements set forth by the Centers for Medicare & Medicaid Services.
Working knowledge of medical necessity evaluation claims denials, bundling issues and charge capture.
Knowledge of anatomy, physiology and medical terminology
Knowledge of third party billing and payment requirement, as well as requirements of managed care plans.
ADDITIONAL INFORMATION:
Electronic Charge Entry , IDX, Allscripts, EPIC Experience Preferred
Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University Hospitals, Inc.
Primary Location Address
111 S 11th Street, 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. Jefferson 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. 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. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educa tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Philadelphia, PA
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Philadelphia, PA
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyInpatient Facility Coder
Medical coder job in Wilmington, DE
Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting.
Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.
Responsibilities:
Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments
Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS.
Analyze the circumstances of admission to ensure proper sequencing, selection of discharge disposition, and Present on Admission (POA) assignment.
Appropriate capture Complications and Comorbidities.
Ensure appropriate DRG assignment.
Identify cases that require further clarification based on the clinical indicators in the record.
Communicate and work with the Clinical Documentation Specialist.
Review medical record information using Epic.
Abstract records in an accurate manner according to established procedures and guidelines.
Meet and/or exceed coding quality and productivity standards.
Review and address coding validation edits, 3M edits, and participate in Coding Prebill reviews as well as peer reviews.
Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.
Assist with coding shadowing and cross training as needed.
Qualifications:
High School Diploma required; Associate Degree is preferred.
Certified Coding Specialist Certification (CCS), Certified Inpatient Coder (CIC), or CPC is required.
Minimum one year coding experience is required.
Knowledge of the Official Coding Guidelines for ICD 10 CM and PCS is required.
Previous experience with All Patient Refined (APR) Diagnostic Related Groups (DRGs) is preferred.
Pediatric inpatient coding experience is preferred.
About Us
Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.
As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.
Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.
To learn more about Nemours Children's and how we go well beyond medicine, visit us at *************** .
Certified Medical Coder | Behavioral Health
Medical coder job in Doylestown, PA
Join Our Team
Are you ready to bring precision and purpose to your career? In this newly created role, Lenape Valley Foundation (LVF) is seeking a Certified Medical Coder who will be instrumental in ensuring accurate, compliant, and high-quality coding across our clinical operations.
At LVF, our team is united by a shared commitment to mental health, wellness, and compassionate care. If you're detail oriented, driven by purpose and ready to contribute to a team that values your expertise, we would love to meet you.
What We Offer
Paid onboarding and orientation
Potential for a hybrid schedule after 90-day introductory period
Comprehensive benefits package including Medical, Dental, and Vision Insurance
Credit available for Medical Opt-Out
Continuing Education Benefits
Generous PTO policy:
10 PTO Days
10 Paid Sick Days
4 Paid Personal Days
7 Paid Holidays
5 Paid Conference Days
Basic Life Insurance & Long-Term Disability
Employee Assistance Program (EAP)
Wellness Plans and more!
What You Bring
Education & Certification
High School Diploma or equivalent
Completion of a Medical Coding Program
Active coding certification required: Certified Professional Coder (CPC)
Professional Experience
Minimum of 2 years of outpatient and inpatient facility coding experience
Technical & Coding Knowledge
Proficient in ICD-10-CM/PCS coding guidelines and conventions
Understanding of Official Coding Guidelines, MS-DRG, APR-DRG, and IPPS regulatory requirements
Strong grasp of medical terminology, anatomy, pathophysiology, pharmacology, and ancillary test results
Proficient with Microsoft Office applications (Outlook, Word, Excel)
Familiarity with payer systems and Electronic Health Records (EHR)
Analytical & Communication Skills
Strong organizational, analytical, and critical thinking abilities
Ability to interpret, assess, and evaluate provider documentation
Excellent interpersonal, verbal, and written communication skills
Demonstrated teamwork and collaboration capabilities
Ability to provide coding/documentation feedback to clinicians at all levels of the organization.
Work Style & Flexibility
Self-motivated and able to work independently with minimal supervision
Ability to meet the physical requirements of the role, with or without accommodation
Your Role
Assign principal and secondary diagnosis and procedure codes using ICD-10 guidelines
Validate documentation and initiate physician queries when needed
Analyze records for complications, comorbidities, and severity indicators
Confirm and correct ADT data
Support workflow improvements and participate in quality audits
Contribute to process enhancements
About Lenape Valley Foundation
Since 1958, Lenape Valley Foundation (LVF) has been a trusted non-profit provider of essential human services in Bucks and Montgomery Counties. Our mission is to partner with individuals facing mental health, substance use, or developmental challenges as they pursue personal goals and improved quality of life. With over 30 programs and a commitment to evidence-based care, LVF continues to evolve to meet community needs.
Our Commitment To Diversity and Inclusion
LVF is an Equal Opportunity Employer. We are committed to fostering a workplace that respects and celebrates diversity. We welcome applicants of all backgrounds and ensure a discrimination and harassment free environment where everyone is treated with dignity.
Auto-ApplyCoder II PRN
Medical coder job in Camden, NJ
About Us
At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs. Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development.
Discover why Cooper University Health Care is the employer of choice in South Jersey.
Short Description
Code all diagnoses and procedures documented in the medical record for the current encounter. Enter all code information in the HealthQuest system for facility coding in a timely manner. Adhere to compliance regulations set by government, state, & the Cooper Health System to ensure guidelines are met.
Experience Required
0-2 required
3-5 preferred
Applicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to: Observation, Multi-specialty Oncology, Same Day Surgery, Endoscopy, Emergency Department, etc.
Knowledge of NCCI, OCE and LCDs mandatory
Education Requirements
HS diploma or equivalent
Health Information Management / Coding / Billing
License/Certification Requirements
One or more of the following: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA
Special Requirements
Communication - Ability to communicate with patients, visitors and coworkers
Sound knowledge of anatomy, physiology and medical terminology
Demonstrated competency of the use of computer applications, hospital information systems, encoder and Microsoft Office applications.
Salary Min ($) USD $28.00 Salary Max ($) USD $46.00
Auto-ApplyCredentialed Coder (Certified)
Medical coder job in Browns Mills, NJ
Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. Experience Preferred: 1-3 years acute care coding Education Preferred: Associates in Health Information Technology
License and Credentials
Required: RHIA, or RHIT, or CCS, or CCA
Skills
Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4
Bi-Weekly Hours: 80
Work Schedule: 8:30am - 5pm M-F
The minimum starting rate for this position is $21.44
When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).
At Deborah, healthcare is still about caring...for patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted positions of at least 30 hours per week. The benefits package also includes generous paid time-off, 401K matching contribution, tuition assistance, short and long term disability benefits, life insurance, meal discount, dependent care subsidy, adoption assistance and free parking.
Medical Coder
Medical coder job in Philadelphia, PA
BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana.
Job Description
Position: Medical Coder
Location: PHILADELPHIA PA 19103
Duration: 3+months
Rate: $14.80/Hr on W2
Contractor will sign on daily chart review application to review medical records for risk adjustment coding. The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional coder with at least 2 years of experience. The coder will meet 3x a week with a coding manager to review metrics and progress to-date.
Additional Information
Namratha Gandavarapu
Sr. Recruiter
Direct: ************
Barcoder Trainee Full Time
Medical coder job in Maple Shade, NJ
Job Details Maple Shade Store - Maple Shade, NJ Full Time None $16.25 - $16.25 Hourly None Any RetailDescription
The Barcoder Trainee prices and tags items to achieve the highest dollar return for donations processed. The position is a member of the Retail Team.
SPECIFIC DUTIES
Follow all Goodwill policies and safety procedures. Must possess professional etiquette.
Responsible to process all incoming softline and hardline goods as assigned, including clothing, household, and furniture items. Maintains high quality in processing goods.
Effectively and accurately barcode and scanning of garment brand label. Must complete 2 Racks every hour (input/tagged/branded).
40% of all units must be branded to be bonus eligible.
Must generate $7,500.00 in store sales from items barcoded during every two week production period to be bonus eligible.
Maintains accurate and consistent prices for selected items or housewares. Empties containers and separates acceptable clothing, wares, collectables/antiques, and bin items.
Will receive cross-training as Processor Trainee and Donation-Utility Associate to promote individual employee growth and maintain company productivity. If working at Benigno Retail Operations Center, will receive cross-training as Processor Trainee, Material Handler, Baler, and Warehouse Helper.
Stocking sales floor as assigned.
Keeps work area and surrounding area neat, clean, and orderly.
Follows all customer service guidelines; strives to provide exceptional customer service at all times.
Assist customers/donors as required, including accepting donations and selling merchandise.
Regular attendance is required.
All other duties as assigned.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Customer Service - Ability to meet customer needs, understand their concerns, and resolve issues in a friendly and efficient manner.
Honesty/Integrity - Ability to be truthful and be seen as credible in the workplace.
Technical - Must be proficient in using current production software to complete the duties of the position.
Sound and Timely decisions - Using knowledge and experience to make sound decisions that will impact business goals and strategies; creates an environment where other Leaders and/or Team Members are empowered to make decisions.
Reliability - The trait of being dependable and trustworthy.
Enthusiastic - Ability to bring energy to the performance of a task.
Accuracy - Ability to perform work accurately and thoroughly.
Ability to communicate and understand instructions, both verbal and written, in English.
Must be able to work a flexible schedule on short notice, including night, weekends and occasionally long hours.
Physical Demands and Work Environment
Ability to be flexible and assist other areas of the store when needed.
Vision corrected to within normal limits.
Ability to work well in a hectic work environment with occasional periods of high stress.
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Trenton, NJ
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
Activities include:
- Conduct a comprehensive medical record review to ensure billing is consistent with medical record.
- Provide detailed written summary of medical record review findings.
- Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
- Review and discuss cases with Medical Directors to validate decisions.
- Assist with investigative research related to coding questions, state and federal policies.
- Identify potential billing errors, abuse, and fraud.
- Identify opportunities for savings related to potential cases which may warrant a prepayment review.
- Maintain appropriate records, files, documentation, etc.
- Ability to travel for meetings and potential to testify
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
+ Experience with researching coding, state regulations and policies. Working experience with Microsoft Excel
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 2 years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Prior auditing experience
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data
+ Excellent communication skills
**Education**
+ GED or equivalent
+ AAPC Certified Professional Coder Certification (CPC)
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$43,888.00 - $102,081.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Urgent Requirement - Certified Professional Coder
Medical coder job in Ewing, NJ
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success.
Job Description:
Title: Certified Professional Coder
Location: Ewing, NJ
Duration: Full Time
Job Summary:
This position is accountable for the review, interpretation and codification of Medical Policies and Legislative Mandates utilizing CPT-4, HCPC and ICD-9/ICD-10 coding parameters.
Responsibilities:
• Reviews and interprets current Medical Policies for systematization.
• Translates written policy interpretation into CPT, HCPC, ICD-9/ICD-10 codes for input into systems.
• Translates Legislative Mandates into CPT, HCPC, ICD-9/ICD-10 codes for input into systems.
• Maintains a database for all policies and mandates that is updated each time new/revised/deleted CPT/HCPC/ICD-9/ICD-10 are released.
• Monitor compliance with policies and procedures relevant to clinical data reviewed.
• Perform updates to the criteria file to include adds/deletes/revisions of CPT-4 and HCPC codes. Review all codes for accuracy; review database to criteria file before implementation of policy.
• Handle internal and external areas requests to investigate current state and historical of changes made to a particular CPT-4/HCPC/Diagnosis code such as effective dates, messages used, parameter limitations.
• Review and analyze BRD/TRD/Summary to ensure accuracy of implementation of policies.
• Review of scripts concerning Edits in criteria file. Review logic concerning implementation of policies.
• Assist benefit file on criteria loading to best accommodate implementation of benefits.
• Ensure files (provider/criteria) are loaded correctly in order to receive proper Edits 405/406.
• Perform other related tasks as assigned.
Knowledge:
• Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding.
• Requires knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms.
• Requires knowledge of the health care delivery system.
Skills and Abilities:
• Requires the ability to utilize a personal computer and applicable software ( e.g. proficiency in Word, Excel, Access).
• Must have effective verbal and written communication skills and demonstrate the ability to work well within a team.
• Demonstrated ability to deliver highly clinical information to technical individuals.
• Must demonstrate professional and ethical business practices, adherence to company standards and a commitment to personal and professional development.
• Proven ability to exercise sound judgment and strong problem solving skills.
• Proven ability to ask probing questions and obtain thorough and relevant information.
• Must have the ability to organize/prioritize/analyze complex tasks.
• Use of CMS website for CCI rules and regulations.
• Use of other approved websites for research.
Qualifications
Education/Experience:
• Bachelor's Degree preferred.
• Requires experience with McKesson ClaimsXten
• Requires a clinical medical background (Clinical editing).
• Requires a minimum of 3 years clinical experience.
• Requires 3 - 5 years of Medical Coding experience.
• Requires a minimum of 2 years' experience in Health Insurance/Claims Processing and/or Utilization Review.
• Prefer knowledge/experience with computer processing systems.
• Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA).
Additional Information
Thanks,
Nishit
732-429-1639
PGA Certified STUDIO Performance Specialist
Medical coder job in Cherry Hill, NJ
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyCertified Peer Specialist-HOPE
Medical coder job in Philadelphia, PA
Full-time Description
At COMHAR, it's our mission to provide health and human services that empower individuals, families and communities to live healthier, self-determined lives. We are currently looking for an Certified Peer Specialist for our HOPE program.
The HOPE (Helping Opportunities for People's Empowerment) program is a site and community based psychiatric rehabilitation program that is part of COMHAR's CIRC (Community Integrated Recovery Center) model for adults and seniors.
Responsibilities:
Act as a role model to persons in recovery to inspire hope, share life experiences and lessons learned as a person in recovery
Engage individuals who may be at-risk and provide stage-appropriate recovery education and supports, e.g., usage of the leveling system and evidence based practice
Assist in the orientation process for persons who are new to receiving mental health and substance use disorders services
Assist in development and implementation of educational and support groups, activities deemed beneficial by the program community, e.g., warm line, calendar of events, etc.
Introduce and link individuals to community resources and peer supports outside of the facility to promote community integration, e.g., public transportation training, computer educational/G.E.D. classes, vocational services, (OVR, job training), health and wellness, banking, and financial entitlements, etc.
Actively participate in team meetings and promote a recovery perspective as a key component of all discussions
Requirements
Requirements:
HS/GED + Certified Peer Specialist (CPS) Certification, Experience working with people who have co-occurring challenges, Mental Health, and Substance Abuse
1 year experience of MH direct service
This can be paid or volunteer work experience in MH direct care. Forensic training is a plus
We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace. COMHAR, Inc. is a not-for-profit community based health and human service organization founded in 1975. We do not discriminate in services or employment on the basis of race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, age, disability, past or present receipt of disability-related services or supports, marital status, veteran status, or any other class of persons protected by federal, state or local law.
EHR/EMR Principal Data Analyst
Medical coder job in Trenton, NJ
Are you a collaborative Data Engineer with a EHR/EMR background looking to work for a mission driven global organization? Do you consider yourself a SME in the EHR/EMR Data Analytics space? About the role - We are seeking a Principal Data Analyst with an EHR/EMR expertise to provide the technical and operational expertise that supports ClinicalPath's sales, implementation, and product teams. This role combines a deep understanding of EHR integrations with hands-on technical skills in SQL, reporting, and automation. You will be a key partner in customer-facing technical discussions-helping clarify integration requirements, supporting security and compliance assessments, and ensuring a seamless handoff into implementation. This position is ideal for someone who thrives at the intersection of technology, healthcare workflows, and customer engagement.
About the team - ClinicalPath is a clinical decision-support system used mainly in cancer care. It gives doctors evidence-based treatment pathways so they can choose the best possible care plan for each patient.
Requirements
+ Possess extensive and current SQL skills for query writing, optimization, and troubleshooting.
+ Have a deep familiarity with EHR/EMR systems and integration workflows, including HL7, FHIR, and ADT message formats.
+ Experience supporting or executing technical assessments, security reviews, or RFPs.
+ Possess the ability to easily communication with both technical and clinical stakeholders.
+ Proven ability to manage and maintain technical documentation and customer-facing collateral.
+ Experience in technical or customer-facing role (product operations, solutions engineering, or technical account management).
+ Understanding of cloud infrastructure (AWS, Azure) and healthcare data security best practices.
Responsibilities
Customer & Sales Support
+ Participating in customer-facing technical and sales discussions to assess EHR integration needs, data exchange requirements, and clinical workflows.
+ Providing expert guidance on interoperability standards (HL7, FHIR, ADT, API integrations) and their application within the ClinicalPath platform.
+ Supporting the completion of technical documentation, risk/security questionnaires, and compliance assessments (HIPAA, ISO 27001).
+ Maintaining and refresh demo environments (Figma-based and live) to ensure technical accuracy and consistency with current product capabilities.
+ Serving as a technical liaison during the contracting and pre-implementation phase, ensuring accurate documentation and clear communication of requirements.
Technical Execution & Operations
+ Writing, optimizing, and troubleshooting SQL queries to support reporting, analytics, and data-driven product operations.
+ Developing and maintaining recurring reporting and extract processes, including payer, client, and internal data feeds.
+ Maintaining up-to-date technical documentation, architecture diagrams, and internal FAQs to support consistency and knowledge sharing.
Cross-Functional Collaboration & Improvement
+ Partnering closely with product, implementation, and customer success teams to translate customer requirements into clear, actionable specifications.
+ Identifying opportunities to streamline demo, handoff, and documentation processes for greater operational efficiency.
+ Contributing to product and process improvements based on recurring customer feedback or integration challenges.
+ Supporting data analysis and technical insights for leadership teams across sales, product, and operations.
Elsevier is a global leader in advanced information and decision support for science and healthcare. We believe that by working together with the communities we serve, we can shape human progress to go further, happen faster, and benefit all. For more than 140 years, we've helped impact makers to advance science and healthcare to advance human progress, and that same mission drives us today.
U.S. National Base Pay Range: $113,100 - $188,500. Geographic differentials may apply in some locations to better reflect local market rates.
If performed in Maryland, the pay range is $118,700 - $197,900.
This job is eligible for an annual incentive bonus.
We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer to our US full- and part-time employees working at least 20 hours or more per week:
● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits
● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan
● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs
● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity
● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits
● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts
● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice
We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form or please contact **************.
Criminals may pose as recruiters asking for money or personal information. We never request money or banking details from job applicants. Learn more about spotting and avoiding scams here .
Please read our Candidate Privacy Policy .
We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law.
USA Job Seekers:
EEO Know Your Rights .
RELX is a global provider of information-based analytics and decision tools for professional and business customers, enabling them to make better decisions, get better results and be more productive.
Our purpose is to benefit society by developing products that help researchers advance scientific knowledge; doctors and nurses improve the lives of patients; lawyers promote the rule of law and achieve justice and fair results for their clients; businesses and governments prevent fraud; consumers access financial services and get fair prices on insurance; and customers learn about markets and complete transactions.
Our purpose guides our actions beyond the products that we develop. It defines us as a company. Every day across RELX our employees are inspired to undertake initiatives that make unique contributions to society and the communities in which we operate.
Part-Time Certified Peer Specialist
Medical coder job in Philadelphia, PA
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put our heart and soul into everything we do. We seek a Part-Time Peer Engagement Specialist (Certified Peer Specialist) to join our Behavioral Health Urgent Care (BHUCC) team in Philadelphia, Pa. This posting is Part-Time, Saturdays and Sundays 10:30am - 7:00pm EST).
Earn $28.09/hr.!
We are a mental health urgent care/walk-in center for adults in need of same-day care that is not an emergency in Philadelphia. We serve individuals experiencing emotional distress, mental health concerns, and/or substance use concerns. Individuals will participate in triage, resolution-focused services, and aftercare planning to prepare for long-term recovery and connection to ongoing care. We serve individuals regardless of income or insurance status. Our services do not replace the need for ongoing mental health care; rather, we aim to reduce avoidable visits to crisis centers and emergency rooms by helping people get the care they need when they need it.
Position Details
The Peer Engagement Specialist provides a welcoming, safe, and supportive environment for entrants into the BHUCC. They greet visitors upon arrival to begin the engagement process and leverage lived experience with Mental Health (MH)/Substance Use (SU) challenges to offer hope, guidance, and understanding to individuals. The Peer Engagement Specialist is an integral part of the multi-disciplinary team and will facilitate groups, workshops, and events, as well as provide transportation coordination, information and referral, linkage to other BHUCC supports, and caring outreach contact calls.
Benefits
Merakey offers benefits tailored to support your unique work arrangements.
* DailyPay -- access your pay when you need it!
* Retirement plan -- both pre-tax and Roth (after-tax) options available for employee contributions.
* Voluntary limited benefits offered through the American Worker. Offerings include limited* medical, dental, vision, disability and life insurance. (*not a substitute for major medical insurance)
* Confidential counseling, legal, and financial services through our Employee Assistance Program (EAP).\
* Enjoy our On the Goga well-being platform, featuring self-care tools and resources.
* Employee discounts and savings programs on entertainment, travel, and lifestyle.
* Access to Pryor Online Learning for free online personal development classes.
About Merakey
Merakey is a non-profit provider of developmental, behavioral health, and education services. More than 8,000 employees provide support to nearly 40,000 individuals and families throughout 12 states across the country each year. Click here to watch a video about Merakey.
Merakey strictly follows a zero-tolerance policy for abuse.
Merakey is proud to be an Equal Opportunity Employer! We deeply value diversity and do not discriminate on the basis of race, religion, color, national origin, ethnic background, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, genetic information, or disability status. Moreover, we are committed to creating teams that reflect the diversity of the communities we serve and encourage applicants from underrepresented backgrounds to apply. Merakey welcomes all Veterans to apply!
The ideal candidate will possess the following qualifications:
* Certification as a Certified Peer Specialist (CPS) or Certified Recovery Specialist (CRS) with lived experience in mental health and/or substance use challenges.
* Strong commitment to providing peer support, advocacy, and empowerment to individuals seeking behavioral health services.
* Knowledge of local behavioral health resources and community-based services.
* Experience facilitating support groups or wellness workshops is preferred.
* Excellent communication and interpersonal skills to engage effectively with individuals and colleagues.
* Empathy, compassion, and nonjudgmental attitude in supporting individuals seeking BHUCC services.
* Ability to work collaboratively in a multidisciplinary team environment.
Medical Coder
Medical coder job in Camden, NJ
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. Join us to start Caring. Connecting. Growing together.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
* Codes medical records using coding classifications to ensure data integrity and proper assignments
* Analyzes medical records to ensure accurate coding and sends provider feedback to improve the quality of documentation
* Collects and abstracts data elements per CMS, AMA, local FI's
* Addresses unbilled and incomplete records
* Identifies and suggests areas of improvement in high compliance risk coding areas
* May guide work of associate staff
* Working through work queues as assigned
* Duties as assigned
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* High School Diploma/GED (or higher)
* Professional coder certification with credentialing from AHIMA and/or AAPC (CCS, RHIA, RHIT, CIC, CPC, COC, CPC-P) to be maintained annually
* 2+ years of coding experience
* Must be 18 years of age OR older
Preferred Qualifications:
* Bachelor's Degree in Health Information Administration
* Associate's or Vocational degree in Health Information Technician
* Coding experience for credentialed RHIT or RHIA
* Experience in ICD10 and CPT
* Epic experience
* All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
Certified Peer Specialist
Medical coder job in Philadelphia, PA
Job Description
Purpose: To promote and contribute to a culture of recovery within and outside JFK by creating hope and optimism for their peers, demonstrated through peer relationships, sharing personal achievements, and exposure to successful experiences.
Responsibilities:
Assist in the development of a culture of recovery and self-determination by:
Engaging with persons in recovery, identifying their strengths and existing supports and linking them with community resources.
Creating a partnership with peers and family members by sharing information about support services and resources available through the community.
Providing education for persons in recovery, staff, and family members through the facilitation of a
Wellness Recovery Action Plan
(WRAP) sessions for persons in recovery and Self-help/mutual support groups for persons in recovery.
Co-facilitate meetings to nurture a peer support culture, e.g., community meeting, peer council, etc.
Accompany and support persons in recovery in social/leisure, education and occupational skills and provide hands-on support to teach self-advocacy skills.
Complete all required program documentation.
Attend team and other required meetings, contribute to case conferences.
Attend trainings, and continuing education courses as recommended.
Adhere to all JFK policies and procedures including confidentiality, HIPAA, compliance, etc.
Assist in handling peer crisis situations at JFK and in the community.
Perform outreach activities to re-engage peers in program activities, in person or by telephone.
Requirements:
Peer Specialist Certification [
Must take CEU credits to maintain
certification]
Current or former recipient of mental health, and/or co-occurring services with a willingness to share personal recovery experiences.
High school diploma or GED.
Complete WRAP training and WRAP Facilitator training within 12 months of hire
Schedule: Part time, 18-hours/week
Location: Center City Philadelphia
Certified Peer Specialist-RP
Medical coder job in Philadelphia, PA
GENERAL OVERVIEW OF KEY ROLES & RESPONSIBILITIES:
The Certified Peer Specialist position is designed with recovery as the core value. The Certified Peer Specialist will provide peer support for individuals in the community who live independently. As a team member of the Program, the Certified Peer Specialist provides a personal level of engagement in an atmosphere that is conducive to learning the fundamental principles of recovery. The Certified Peer Specialist is fully mobile and offers specialized therapeutic interaction to individuals on their terms, be it in their homes, a coffee shop or any location in the community that is comfortable for both parties.
ESSENTIAL & CORE FUNCTIONS:
1. Crisis Intervention
2. Problem Solving
3. Conflict Resolution
4. The Cycle of Engagement
5. Cultural Competence
6. Facilitate Peer Support Groups
Certified Peer Specialist
Medical coder job in Philadelphia, PA
ABOUT PATH INC.
PATH (People Acting to Help) Inc. is a comprehensive Community Behavioral Health and Intellectual Disability Center. We offer a wide of array of services and supports to meet the needs of our community in Northeast Philadelphia. PATH regularly achieves the highest levels of accreditation including a 5 Star Provider Rating by CBH, Philadelphia's Managed Care Entity, and recognition and awards related to our high-quality, innovative programs and staff accomplishments and contributions.
Our Mission? To Help Individuals Achieve a More Independent and Fulfilling Life.
WHY WORK AT PATH?
A Career with Meaning
At PATH, our team members are at the heart of what we do, so we work hard to give them the best reasons to work here - and to stay here.
In addition to the satisfaction of making a real difference in people's lives, we offer:
• Competitive pay
• Annual increases
• Performance and longevity bonuses
• Comprehensive benefits package for staff and family
• Generous number of paid holidays, vacation, sick, and personal time
• No-cost pension plan
• Ongoing professional development opportunities, including licensure supervision
• Cutting-edge treatment facility, resources, and treatment modalities
• Opportunities for advancement and growth within the organization
• Eligible for the Federal Public Student Loan Forgiveness (PSLF) program
• Referral bonus for referring a friend who accepts employment
JOB SUMMARY:
To promote the mission of PATH to help individuals achieve a more independent and fulfilling life by being an effective team member. To work as a team member to provide crisis intervention, support, safety plans and linkages to youth and families in Northeast Philadelphia, Region 1. As a CPS, will provide support and perspective as an individual with lived experience. The program operates 365 days/year, 24 hours/day.
QUALIFICATIONS:
High School Diploma or GED.
1 year experience in the Behavioral Health system.
PA Peer Specialist Certification.
Valid Driver's License and personal vehicle required.
Ability to use an Electronic Health Record.
Good interpersonal and communication skills.
SPECIFIC DUTIES:
Provide crisis assessment, intervention, education, and support in person, with assigned team member, within a designated time frame to referrals received by DBH/CBH.
As a CPS, share lived experience to connect with and provide support to individuals in crisis and aid in developing a crisis support plan.
Utilize approved evidence-based practices and tools when providing crisis assessment and intervention, including SAMHSA crisis intervention guidelines and resolution models.
Assure all interventions are person-centered and driven by the individual and their family/supports.
Assist the family/supports, if release of information allows, in the understanding of the events that led to the crisis from everyone's perspective.
Assist the individual in obtaining and maintaining culturally appropriate basic living needs including but not limited to housing, food, medical care, recreation, and education through linkage to resources and additional supports.
To provide follow-up care and/or transfer to other levels of care from the moment that an assessment is completed, and the plan has been developed.
Assure appointments are scheduled at a time and place convenient for the individual.
To complete or assist others in completing involuntary commitment petitions.
To arrange and follow through with voluntary or involuntary hospitalization admissions.
To follow all procedures regarding the initiation of a commitment.
Link the individual to the CRC or other 24/7 crisis staff and remain with them until the connection and collaboration is completed.
Develop with the individual and their family/supports, if available, a safety/ crisis plan obtaining everyone's perspective, strengths and ideas.
Be knowledgeable of local community resources and services and provide care coordination.
Provide up to 72 hours of intervention by scheduling follow up appointments at a time convenient for the individual, which includes evening and weekend appointments in the home and community.
Other duties as assigned.
PHYSICAL DEMANDS:
Minimal in nature.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
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