Casual Center for Community Resources Wayne County, PA WANT TO WORK FOR AN AGENCY THAT'S BEEN VOTED BEST PLACES TO WORK FOR 10 CONSECUTIVE YEARS WITH COMPETITIVE BENEFITS AND SALARY? CCR is excited to be expanding its mental health services in Wayne County. We will be opening a Crisis Stabilization Center that includes Crisis Intervention services and Crisis Residential Services!
Crisis Intervention Services include telephone, walk in and mobile assessments, crisis counseling, conflict resolution, referrals and linking to community resources. The Crisis Residential facility is an 8-bed, 24/7 facility that accommodates individuals aged 18 and older experiencing mental health crises. The program offers a structured, supportive environment conductive to recovery. We are currently seeking Certified Peer Specialists to join our Crisis Team. As a Certified Peer Specialist, you will play an integral part in the provision of Peer Support services, all within a supportive team environment while helping individuals access mental health services in Wayne County. CCR's mission is connecting people to services. And that's exactly what you'll be doing in this role. Here, you'll appreciate the support and camaraderie of a local team as you provide the community with care and support that will improve their mental health and well-being.
Starting salary for this position is $17/hr - $21.54/hr based on experience, education, and certification. We offer a shift differential of $.75/hr 2nd shift, $1.50/hr 3rd shift.
The Primary shift hours are Weekend Evenings Saturday & Sunday 4pm-12am or Weekend Overnights Friday & Saturday 12am-8am.
Essential Functions:
• Work with individuals utilizing telephone, walk-in, and mobile crisis intervention services and/or admitted to the Crisis Residential program.
• Work with individuals and the crisis team to assist in the development of recovery plans and goals.
• Assess, develop, implement and recommend modifications to a service plan that is short-term resulting from a crisis event.
• Coordinate with other members of the crisis residential multidisciplinary team to assist individuals with accessing community resources and meeting their treatment goals.
• Provide opportunities for individuals receiving service to direct their own recovery and advocacy processes. • Share personal experiences of your own path to recovery.
• Facilitate psychoeducational support groups and activities.
• Accompany crisis intervention specialists as needed on requests for mobile crisis response.
• Teach and support the acquisition and utilization of recovery-oriented skills.
• Provide supervision of individuals in treatment to ensure their safety and compliance with facility rules and requirements.
• Engage in the supervision processes required for peer support services.
• Maintain quality standards.
• Facilitate the development of a sense of wellness and self-worth
• Other duties as assigned.
Qualifications: Required:
• High school diploma or equivalent
• Has maintained at least 12 months of successful full or part-time paid or volunteer experience or has obtained at least 24 credit hours of postsecondary education.
• Successful completion of the Peer Support Specialist training will be required upon hire, if not previously obtained. • Identifies themselves as a mental health consumer in recovery or as a primary support person for an individual diagnosed with a serious mental illness.
• In recovery with at least two years sustained, current recovery history.
• Valid driver's license, proof of auto insurance, and Act 33/34 and FBI clearances. EOE/ADA.
Preferred:
• Bachelor's degree in human services or related field
Benefits:
• 403b Retirement Plan with Employer match up to 6%
• Employee Assistance Program (EAP)
Job Type: Full-time Benefits:
• 403(b)
• 403(b) matching
• Retirement plan
Education:
• High school or equivalent (Required)
License/Certification:
• Driver's License (Required)
Work Location: In person
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$17-21.5 hourly 2d ago
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EHR/EMR Principal Data Analyst
Elsevier 4.2
Medical coder job in Pennsylvania
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: $115,400 - $192,300. Geographic differentials may apply in some locations to better reflect local market rates. If performed in Maryland, the base pay range is $121,200 - $201,900.If performed in New Jersey, the base pay range is $130,284 - $208,116. This job is eligible for an annual incentive bonus.
We know your well-being and happiness are key to a long and successful career. We are delighted to offer country specific benefits. Click here to access benefits specific to your location.
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.
$121.2k-201.9k yearly Auto-Apply 40d ago
Coder/Hosp/PRN
Holy Redeemer Health System 3.6
Medical coder job in Pennsylvania
Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together.
SUMMARY OF JOB
The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA's publication CPT Assistant. Responsible for meeting quality expectations for data abstraction, coding, APC assignment, DRG assignment and meets Redeemer Health's expected productivity standards for the position. Performs assigned duties in accordance with hospital specific coding policies and procedures. The Senior Coding Specialist will conduct monthly data and coding quality assessments to determine whether coding accuracy is at the 95% rate. The Senior Coding Specialist will assist the Coding Coordinator in development of educational programs for all coding staff on an ongoing basis. Assists the Coding Coordinator with the documentation improvement programs. Responsible for remaining current with latest healthcare technology and coding advice through reading available coding literature, attendance of seminars and in-services, internet research and other educational resources. Performs duties in support of the Medical Center mission to ensure the highest quality of patient care in an economically sound and efficient manner.
Connecting To Mission:
All individuals within the scope of their position are responsible to perform their job in light of the Mission & Values of the Health System. Regardless of the position, every job contributes to the challenge of providing healthcare. There is an ongoing responsibility for ensuring the values of Respect, Compassion, Justice, Hospitality, Holistic Approach, Stewardship, and Collaboration are present in our interactions with one another and in the service we provide.
RECRUITMENT REQUIREMENTS
Registered Health Information Technician, Registered Health Information Administrator preferred or equivalent experience. Certified Coding Specialist required or agreement to sit and successfully pass the examination within one year of hire date. Must have a minimum of 1 year coding experience utilizing ICD-9-CM and CPT-4 in an acute care setting. Internal progression from Coding Specialist to Sr. Coding Specialist I may occur less than 1 year coding experience when the internal candidate has demonstrated consistency in meeting the quality and quantity standards for the Sr. Coding Specialist I job position and has obtained the CCS credential. A strong background in Anatomy, Physiology, Clinical Medicine and Medical Terminology. A graduate of an accredited hospital based coding program with certification of completion or successful completion of college credited course work in Medical Terminology, Anatomy & Physiology and Pathophysiology/Disease Processes/Pharmacology required. Requires the ability to read and interpret medical terminology and apply coding skills utilizing knowledge of anatomy, physiology and disease processes. Must be detail oriented and have basic computer skills. Experience with computerized encoders and abstracting systems preferred.
EQUAL OPPORTUNITY
Redeemer Health is an equal opportunity employer. We prohibit discrimination in employment due to race, color, gender, religion, creed, national origin, age, sex, sexual orientation, gender identity or expression, disability veteran status or any other protected classification required by law.
$32k-42k yearly est. Auto-Apply 60d+ ago
Medical Records Specialist
Vital Care Infusion Services 4.8
Medical coder job in Monroeville, PA
Recognized as a “Best Place to Work Modern Healthcare” - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters. Vital Care (****************** is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations. What we offer:
Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
Paid time off, personal days, and company-paid holidays.
Paid Paternal Leave.
Volunteerism Days off.
Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
401(k) matching and tuition reimbursement.
Employee assistance programs include mental health, financial and legal.
Rewards programs offered by our medical carrier.
Professional development and growth opportunities.
Employee Referral Program.
Job Summary:
The role of the Medical Records Specialist is to review and respond to insurance correspondences and provide medical documentation to support accurate reflection of a patient's clinical status. Perform functions to safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information comply with the request, authorization, company policy, and HIPAA regulations.
Duties/Responsibilities:
Timely produce and deliver medical records in response to third-party payer requests, communicate with franchise partners, and outline needs of any missing documentation to satisfy requests.
Responsible for processing all release of information requests in a timely and efficient manner, ensuring accuracy, and providing customers with the highest quality product and customer service.
Validate requests and authorizations for releasing medical information according to established procedures.
Apply knowledge of medical terminology and clinical expertise to evaluate clinical documents.
Serve as a resource and communicate with franchises and other team members to facilitate or obtain comprehensive medical record documentation to reflect treatment.
Perform quality checks on all work to ensure the accuracy of the release and confidentiality.
Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future documentation discrepancies.
Provide excellent customer service by being attentive and respectful; ensure understanding of customer requests and follow-through as promised; and proactively identify client concerns or problems.
May receive incoming requests, including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs of the business.
Maintain working knowledge of the existing state laws.
Works independently to meet or exceed productivity and accuracy goals.
Carry out responsibilities of all Vital Care policies and procedures, including HIPAA and state/federal regulations.
Maintain confidentiality, security, and standards of ethics with all information.
Document actions taken within the systems in accordance with Vital Care processes.
Perform other related duties as assigned.
Required Skills/Abilities:
Excellent communication skills: listening, speaking, understanding, and writing English to advance reimbursement and collection efforts.
Strong organizational skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
Proven knowledge and skill in utilizing the MS Office suite of software and pharmacy applications.
Advanced data entry skills.
Preferred Skills/Abilities:
Understanding anatomy and physiology, disease process, medical terminology, and pharmacology.
Proficiency in reading and interpreting medical records, clinical documentation, and insurance correspondence.
Demonstrates ability to research clinical criteria, evaluate them for accuracy and quality, and ensure they meet accepted standards.
Demonstrate ability to appropriately apply clinical criteria to various claims and effectively utilize audit tools.
Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology.
Education and Experience:
High school diploma or equivalent and additional specialized training (Required).
Healthcare experience: +2 years (Preferred).
Licensed practical nurse (Preferred).
Clinical experience and knowledge of complex diseases (Preferred).
Experience in reviewing and interpreting medical records (Preferred).
Physical Requirements:
Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
Keyboarding: Frequent use of a keyboard for typing and data entry.
Reaching: Occasionally reaching for items such as files, documents, or office supplies.
Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork.
Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.
Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify.
This position is full-time.
$29k-38k yearly est. 21d ago
Coder I
Healthcare Outcomes Performance Company 4.2
Medical coder job in Newtown, PA
Coder
Premier Orthopaedics, in partnership with Philadelphia Hand to Shoulder, is seeking a dedicated and skilled Coder to join our team remotely. As two of the region's most respected providers of orthopedic and upper extremity care, we offer a collaborative, patient-focused environment that prioritizes clinical excellence, innovation, and ongoing professional development.
Position Summary
This role is responsible for accurately reviewing medical records and assigning ICD-10 and CPT codes in compliance with all applicable policies and regulations. It manages patient demographics, clinical documentation, and billing data across practice management systems and hospital records to ensure proper coding and reimbursement. The position also supports and educates clinical staff and providers on documentation and coding standards to promote compliance, accuracy, and effective communication. This is a full time remote Monday-Friday position.
Key Responsibilities
Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes.
Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines.
Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures.
Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues.
Qualifications
Education:
High school diploma/GED or equivalent working knowledge preferred.
Licenses & Certifications
Accredited by the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC).
Experience:
Newly obtained coding certification to three years experience in provider coding and medical terminology with extensive knowledge of ICD-10, CPT, and HCPC coding required.
Preferred specialty experience in areas of Orthopedics, Neurology, Physical Medicine, and Rehabilitation or Pain Management.
Compensation & Benefits
Comprehensive benefits package including medical, dental, and vision plans
100% employer-paid life insurance
401(k) with employer match
Benefits begin the first of the month following hire date (for full-time employees)
Generous paid sick and vacation time
7 paid holidays annually
Opportunities for growth and advancement
Employee referral reward program
About Premier Orthopaedics & Philadelphia Hand to Shoulder
Premier Orthopaedics and Philadelphia Hand to Shoulder Center (PHSC) are leading providers of comprehensive musculoskeletal care throughout Pennsylvania, New Jersey, and Delaware.
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. Our 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.
Philadelphia Hand to Shoulder Center (PHSC), a division of Premier Orthopaedics, has been nationally recognized for more than 50 years for its specialized care of the hand, wrist, elbow, arm, and shoulder. Our fellowship-trained surgeons and certified Hand and Occupational Therapists collaborate to provide seamless care-from diagnosis and treatment to post-operative and rehabilitative recovery. With 14 convenient locations across Pennsylvania and New Jersey, PHSC offers advanced, integrated care to restore function, mobility, and quality of life for patients with upper extremity conditions.
$36k-51k yearly est. 5d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Pittsburgh, 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.
$98.1k-123.9k yearly Auto-Apply 59d ago
Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Pittsburgh, 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.
$98.1k-123.9k yearly Auto-Apply 58d ago
Hospital Inpatient Coder
Francisan Health
Medical coder job in Homestead, PA
Work From Home Work From Home Work From Home, Indiana 46544 The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
* Accurately review and code patient records in the following clinical areas: hospital acute inpatient services.
* Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines.
* Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines.
* Notify coding leadership of trends and topics for education and feedback to physicians and departments.
* Identify and enter data elements for abstracting.
* Participate actively in performance improvement teams, projects, and committees.
* Serve as a Superuser and assist with system testing.
* Serve as a backup to coding reimbursement specialist.
QUALIFICATIONS
* High School Diploma/GED - Required
* Associate's degree - Preferred
* 2 years Coding - Required
* CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required
* RHIT, Registered Health Information Technician from the American Health Information Management Association (AHIMS) - Preferred
* RHIA, Registered Health Information Administrator from the American Health Information Management Association (AHIMA) - Preferred
TRAVEL IS REQUIRED:
Never or Rarely
JOB RANGE:
Coder VI Specialist - Hospital Inpatient $22.70-$33.77
INCENTIVE:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
$41k-62k yearly est. 22d ago
Inpatient Coder
E4Health 3.8
Medical coder job in Pittsburgh, PA
Job DescriptionDescription:
At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do:
Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth.
Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day.
WE GROW: We believe in win/win outcomes-when our customers win, we win.
GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions.
Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully.
Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our solutions streamline clinical, financial, and health information workflows, optimize coding, quality, and clinical documentation integrity processes, and address health IT operational challenges to deliver material results for healthcare organizations across the country. Learn more about us at **************
POSITION TITLE:
Inpatient Coder
ROLE TYPE:
Full Time / Part Time
EMPLOYMENT TYPE:
Non-Exempt
JOB SUMMARY:
The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding, UHDDS guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client's information system. Assigns Present on Admission (POA) indicators according to AHA POA guidelines. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Assigns appropriate ICD-10-CM/PCS codes to inpatient accounts as per designated workflow
Abstracts and enters coded data for hospital statistical and reporting requirements
Assigns present on admission indicators and discharge dispositions
Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
Maintains required productivity and quality requirements
Maintains coding credential requirements
BENEFITS:
We offer an excellent salary, full benefits package including 401(k) with company match, medical, dental, vision, life, short/long term disability insurance, and PTO policy.
PHYSICAL DEMANDS OF THE ESSENTIAL FUNCTIONS:
This role requires prolonged periods of desk working on a computer
Talking, hearing, and near vision are required to perform computer-based tasks and virtual communications
Sensory perception (visual, auditory, and tactile) is essential for computer and phone use
WORKING CONDITIONS WHILE PERFORMING ESSENTIAL FUNCTIONS:
This is a remote role; work is performed in a home office environment.
e4health is an equal opportunity employer and will consider all applications without regard to race, color, religion, national origin, ancestry, marital status, veteran status, age, disability, pregnancy, genetic information, gender, sexual orientation, gender identity or any other legally protected category.
Applicants for U.S. based positions with e4health must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.
Requirements:
REQUIRED QUALIFICATIONS:
Candidate must possess an approved AHIMA or AAPC coding credential
3+ years of Inpatient coding in an acute care setting required
5+ years and/or Trauma Level 1/Academic Teaching facility experience preferred
Must be proficient in ICD-10-CM and ICD-10-PCS coding
KEY SUCCESS ATTRIBUTES:
Integrity, passion, and ethics are required
Demonstrates strong collaboration skills
Has strong analytic and problem-solving abilities and techniques
Exhibit consistent initiative with strong drive for results and success
Demonstrate commitment to a team environment?
Demonstrate excellent interpersonal skills
Well-developed written, verbal, and presentation communication skills including deep listening and attention to detail
Ability to self-motivate and self-direct
Possess strong time management and organizational skills
Commitment and adherence to company Core Values
CORE COMPETENCIES:
High level of integrity & ethical judgement
Communication
Consistency and Reliability
Meeting Standards
$33k-46k yearly est. 3d ago
Senior Professional, Certified Coding Integrity
Wright 4.2
Medical coder job in Scranton, PA
The Senior Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The Senior 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. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations.
Requirements
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Senior Certified Coding Integrity Professional will:
Perform accurate and timely multi-specialty coding for daily claims submission.
Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution.
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.
Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission.
Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders.
Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements.
Assist in provider and learner education to ensure coding quality. Must have capacity to attend meetings day/evening as needed within assigned areas.
Participate in clinical huddles/didactics and other clinical meetings as requested.
Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training.
Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review.
Serve as a resource and subject matter expert for all billing and coding matters.
Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers.
Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding.
Understand the considerations of coding in Value Based payment contracts.
Responsible for reviewing and implementing changes from payor bulletins.
Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations.
Serve as a coach and mentor for billing team & education team.
REQUIRED QUALIFICATIONS
Bachelor or Associate degree in any Healthcare related field or equivalent experience.
Must be a Certified Professional Coder with 7-10 years minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus).
Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes.
Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent.
Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice).
Knowledge of Microsoft Office software.
Must possess team leadership skills and have a positive disposition.
Must be focused, self-directed, & organized, with problem-solving abilities.
Accurate and precise attention to detail.
Excellent verbal and written communication skills.
REQUIRED LICENSES/CERTIFICATIONS
Certified Professional Coder-CPC
Certified Risk Adjustment Coder-CRC (not required but a plus)
Certified Professional Compliance Officer Certification - CPCO (not required but a plus)
PREFERRED QUALIFICATIONS
FQHC billing helpful (not required but a plus).
General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.
$54k-63k yearly est. 60d+ ago
Medical Records Specialist
Edgar Snyder & Associates 3.8
Medical coder job in Pittsburgh, PA
Full-time Description
At our law firm, Edgar Snyder & Associates, we help victims. We have represented over 75,000 injured people, and recovered over a billion dollars on behalf of our clients.
We are excited to add a new Medical Records Specialist to our Medical Records Department! This is an exciting opportunity for an experienced individual to join a successful, growing team.
Working at ESA, our employees enjoy a hybrid work arrangement, a generous benefits package, professional development, a company dedicated to D&I, and a fast-paced environment where we care for our clients. If our core values of excellence, honesty & integrity, trust & fairness, client-centeredness, empathy, and professionalism connect with you, then you should apply today!
Core Job Functions:
1. Acts as a liaison between the support staff from the firm and the medical records providers, managing request with strict adherence to deadlines and confidentiality.
2. Requests, tracks and organizes medical records for client cases, expediting as needed.
3. Receives, records and profiles all medical records both electronically and via hard copies.
4. Communicates the status of medical records requests, promptly identifying and documenting issues and providing updates accordingly.
5. Provides administrative support as required.
6. Assists in reviewing and reconciling billing invoices, researching submissions, and verifying delivery for invoice payment.
Requirements
Preferred Requirements:
One (1) to three (3) years of experience in an administrative role
Experience working in an administrative support role with medical records in a law firm, health care facility or third-party records company
Associate degree in business management, administrative services, or related field
Requirements:
HS degree or GED
An equivalent combination of training and relevant work experience
Advanced computer skills including MS Office applications (Word, Excel, Power Point), Internet, e-mail, database management and scheduling software programs
HIPAA compliance knowledge
$36k-45k yearly est. 56d ago
Certified Peer Specialist
Northern Tier Counseling 3.6
Medical coder job in Towanda, PA
Certification is preferred but not required, training will be provided.
The Certified Peer Specialist position contributes in a peer support capacity to facilitate recovery, resiliency, and enhance wellness. Serves as a role model for recovery, for staff and clients/consumers. Helps clients/consumers to develop self-help skills, build support networks and fosters the use of needed services.
ESSENTIAL DUTIES AND RESPONSIBILITIES
1. Assists clients/consumers with setting and attaining personal recovery goals.
2. Work with agency staff to identify community supports and help clients/consumers understand how to utilize these resources in the recovery process.
3. Provides support resources, information and assists family members/support systems to understand possible warning signs, triggers, appropriate supportive responses, wellness measures, and the overall recovery process.
4. Models coping techniques, self-help strategies and reinforces the potential for recovery to clients/consumers.
5. Advocates on the clients/consumers behalf to the psychiatrist/psychologist/nurse/therapist by disclosing information related to consumers health/treatment.
6. Complete all required documentation for every client/consumer encounter.
7. Develop and implement individual and group interventions.
8. Attend required trainings, in-services, staff meetings and peer support coaching sessions and meetings. Participates in required supervisory meetings; access to Clinical Director on a regular basis.
9. Utilize NTC's Electronic Health Records (E.H.R.) during tenure of employment. Initial training, and on-going training, will be provided to employee by respective supervisor and/or assigned team member.
10. Employee will be proficient in their job position within six (6) months. If at any time an employee feels they need more training/education, employee is to submit a request for such through their supervisor, manager, and/or director.
11. Other duties and functions as assigned.
Requirements
QUALIFICATIONS / EDUCATION and/or EXPERIENCE
1. Be a self-identified individual with a mental health diagnosis and who has reached a point in their recovery pathway where they can positively support others in similar situations.
2. Be eighteen (18) years of age or older.
3. Have completed a Department approved peer services training.
4. Obtain and maintain the certification as a CPS through the Pennsylvania Certification Board. The certification process can be found on the following website ****************************
5. Current/Valid Driver's License; Traveling Required; Reliable Vehicle and valid auto insurance; must have clean driving record
6. Criminal history checks and child abuse certification in accordance with 23 Pa.C.S. §§ 6301-6386 (relating to Child Protective Services Law) and 55 Pa.?Code Chapter 3490 (relating to protective services) required.
7. Demonstrated proficiency in reading and writing
Salary Description 18.00-21.51
$33k-41k yearly est. 60d+ ago
PA UCC Certified Code Specialist
Barry Isett & Associates 3.7
Medical coder job in Pennsylvania
Barry Isett & Associates is looking for ICC/PA UCC Certified Code Specialists to perform inspections and plan reviews for commercial (and residential) properties for clients throughout eastern PA, including working within in Central/Upper Montco, Berks, Upper Bucks Counties, PA.
Through performing these inspections we are beautifying our community and upholding safety standards.
Benefits
Career advancement and continuing education opportunities
Employee engagement events and parties
Work-life balance & flexible working schedules
Paid vacation/holiday/sick time
Employee Stock Ownership Plan (ESOP)
Medical, dental, vision, life, and disability insurances
Discounted and/or free Isett wear
Parental leave
401k/Roth match
In additional to standard company benefits, our code professionals also receive:
Company supplied cell phone, or opt out credit
Company vehicle
Requirements
Multiple ICC/PA UCC Commercial certifications and a willingness to continue training. (Commercial certifications preferred but the right candidate with all residential certifications, including residential electric inspector will be considered.)
Valid driver's license and the ability to travel to client sites.
Ability to establish and maintain professional working relationships with our clients and other Isett associates.
Demonstrated skills in organizing resources and establishing priorities.
Plan review certification/experience a plus.
Candidates will be encouraged (and supported) to obtain additional certifications.
Ability to work independently/remotely.
About Us
Barry Isett & Associates (Isett) is an employee-owned multi-discipline engineering/consulting firm headquartered in Allentown, PA, with additional offices throughout eastern and central PA. Isett associates get the opportunity to perform meaningful work that helps enrich our community each and every day. Our company is a values-based organization which has been recognized for its award-winning culture through several regional and statewide programs:
Best Places to Work in PA (annually since 2019)
The Morning Call's Top Workplaces (annually, since 2013)
Empowering Women Award by Central Penn Business Journal and Lehigh Valley Business (2023 & 2024)
Philadelphia Inquirer's Top Workplaces (2023 & 2024)
Corporate Citizen of the Year (by the Lehigh Valley Business Journal)
The Societas Award for Responsible Corporate Conduct (for Ethics).
We are an equal opportunity employer and welcome applications from all qualified candidates. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex (including pregnancy, sexual orientation or gender identity), nation origin, age (40 or older), disability or genetic information (including family medical history).
Please, no third party recruiters.
$49k-60k yearly est. 31d ago
Professional, Certified Coding Integrity
The Wright Center Medical Group 4.5
Medical coder job in Scranton, PA
Full-time Description
The Certified Coding Integrity Professional is responsible for all aspects of the coding and billing of all inpatient and outpatient claims, as well as all aspects of the CCM billing. The 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. The incumbent will assist in the clarification and development of process improvements and inquiries in order to maximize revenues and will have an onsite presence at the clinical locations.
Requirements
ESSENTIAL JOB DUTIES and FUNCTIONS
While living and demonstrating our Core Values, the Certified Coding Integrity Professional will:
Perform accurate and timely multi-specialty coding for daily claims submission.
Prepare and submit clean claims to third-party payers working closely with clinical team members regarding claims appeal, denial, and resolution.
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.
Respond timely (either orally or written) to account inquiries from patients, third-party payers, clinical providers, and/or other staff on claims submission.
Interact with physicians, learners and other patient care providers on daily basis regarding billing and documentation policies, procedures, and regulations to ensure receipt and analysis of all charges; obtains clarification of conflicting, ambiguous, or non-specific documentation; as well as develop working relationship with operational leaders.
Perform and monitor all steps in the billing and coding process to ensure maximum reimbursement from patients, third-party payers as well as from special billing arrangements.
Assist in provider and learner education to ensure coding quality.
Participate in clinical huddles/didactics and other clinical meetings as requested.
Assist in the implementation and maintenance of the billing and coding educational materials used in clinical provider and learner training.
Assist in the implementation and maintenance of population management learner training program addressing inpatient/outpatient chart review.
Serve as a resource and for all billing and coding matters.
Understand all aspects of Federally Qualified Health Center (FQHC) coverage, coding, billing and reimbursement of patient services, as well as other third-party payers.
Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing/coding.
Understand the considerations of coding in Value Based payment contracts.
Responsible for reviewing and implementing changes from payor bulletins.
Follow coding/billing guidelines and legal requirements to ensure compliance with federal and state regulations.
Serve as a coach and mentor for billing team & education team.
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
REQUIRED QUALIFICATIONS
Bachelor or Associate degree in any Healthcare related field or equivalent experience.
Must be a Certified Professional Coder or 5 years equivalent minimum direct professional coding experience. Certified Professional Coder CPC, Certified Risk Adjustment Coder CRC (not required but a plus), Certified Professional Compliance Officer Certification - CPCO (not required but a plus).
Must have strong knowledge of all guidelines for ICD-10, CPT/HCPCS codes, medical terminology, and billing processes.
Knowledge of Medical Billing/EHR (Electronic Health Records) systems preferably Medent.
Knowledge of EOBs (Explanation of Benefit), EFTs (Electronic Funds Transfer) and ERAs (Electronic Remittance Advice).
Knowledge of Microsoft Office software.
Must possess team leadership skills and have a positive disposition.
Must be focused, self-directed, & organized, with problem-solving abilities.
Accurate and precise attention to detail.
Excellent verbal and written communication skills.
REQUIRED LICENSES/CERTIFICATIONS
Certified Professional Coder-CPC (not required but a plus)
Certified Risk Adjustment Coder-CRC (not required but a plus)
Certified Professional Compliance Officer Certification - CPCO (not required but a plus)
FQHC billing helpful (not required but a plus).
General working knowledge/previous exposure of healthcare environments and auditing concepts, medical billing/operations, medical terminology and clinical documentation.
$36k-43k yearly est. 60d+ ago
Certified Peer Specialist
Alternative Community Resource Programs
Medical coder job in Johnstown, PA
The Certified Peer Specialist is responsible to the Certified Peer Specialist Program Director and Supervisor. A Certified Peer Specialist is a dedicated and enthusiastic individual who is a self-identified consumer of mental health services. CPS provide 1 on 1 person-centered, recovery-oriented services for adults 18 and over and/or youth and young adults 14-27 years old with serious mental illness and/or serious emotional disturbances to help them achieve recovery and community integration. Services are provided in the consumers' homes and communities in conjunction with existing resources. Services can include: advocacy, education, development of natural supports, support of work or other meaningful activity of the person's choosing, crisis support, wellness activities, effective utilization of the service delivery system, and service coordination and linkage to other service providers. The ability to share personal recovery experiences and to develop authentic peer-to-peer relationships is essential to effective CPS performance.
Duties/ Responsibilities:
Participate as a member of a recovery-treatment team.
Provide recovery education to consumers, family members, and professional staff.
Act as a community liaison to develop relationships with service agencies and other organizations.
Provide outreach and engagement between consumers and support organizations.
Assist consumers in recovery based goal development and planning
Facilitate community integration & consistent use of natural resources
Facilitate skill building activities
Promote self-advocacy skills and opportunities
Facilitate linkage to treatment services
Provide long-term engagement, support, and encouragement to consumers, family, and staff perform other job duties as required.
Required Skills and Abilities:
A personal belief in recovery
A genuine hope and optimism that their peers will succeed
A sincere interest in the welfare of their peers, including the ability to see each person as a unique individual
A willingness to share their own recovery experience
An ability to flexibly engage people based on their level of receptivity and individual needs, acknowledging that even the same person may need different types of peer-based services at different points in their recovery process.
Possess effective written/ verbal communication, boundary setting, & computer skills.
Required Licenses and Clearances:
Act 33/34 and FBI clearances.
ACT 31 certificate
Possess a valid Pennsylvania driver's license with a good driving record & own reliable transportation for travel to consumer's homes/ communities
Be willing to complete and pass the mandatory 75-hour peer specialist certification training program, which includes oral and written examinations
Be willing to complete 18 hours of approved continuing education training per year (w/ 12 hours specifically focused on peer support and/or recovery practices
Physical Requirement:
Prolonged periods of sitting at a desk and working on a computer
Some travel required
$38k-57k yearly est. 60d+ ago
ROI Medical Records Specialist - On Site
MRO Careers
Medical coder job in Beaver, PA
The ROI Specialist is responsible for providing support at a specified client site for the Release of Information (ROI) requests for patient medical record requests*
in Beaver, PA - occasional coverage in Sewickley, PA required
TASKS AND RESPONSIBILITIES:
Determines records to be released by reviewing requestor information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request.
Answer phone calls concerning various ROI issues.
If necessary, responds to walk-in customers requesting medical records and logs information provided by customer into ROI On-Line database.
If necessary, responds and processes requests from physician offices on a priority basis and faxes information to the physician office.
Logs medical record requests into ROI On-Line database.
Scans medical records into ROI On-Line database.
Complies with site facility policies and regulations.
At specified sites, responsible for handling and recording cash payments for requests.
Other duties as assigned.
SKILLS|EXPERIENCE:
Demonstrates proficiency using computer applications. One or more years experience entering data into computer systems. Experience using the internet is required.
Demonstrates the ability to work independently and meet production goals established by MRO.
Strong verbal communication skills; demonstrated success responding to customer inquiries.
Demonstrates success working in an environment that requires attention to detail.
Proven track record of dependability.
High School Diploma/GED required.
Prior work experience in Release of Information in a physician's office or HIM Department is a plus.
Knowledge of medical terminology is a plus.
Knowledge of HIPAA regulations is preferred.
*This job description reflects management's assignment of essential functions. It does not prescribe or reflect the tasks that may be assigned.
MRO's employees work at client facilities throughout the United States. We are proud of the culture we create for our employees and offer an outstanding work environment. We strive to match the right applicant to the right position. To learn more about us, visit www.mrocorp.com. MRO is an Equal Opportunity Employer.
INDMP
$29k-38k yearly est. 60d+ ago
Billing & Coding Intergrity Specialist
Keystone Health 4.5
Medical coder job in Chambersburg, PA
At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs. The Patient Financial Services Department is seeking a full time Billing and Coding Integrity Specialist to join the team.
Under the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health. The specialist is responsible for auditing and monitoring appropriate coding guidelines and regulations. Recommending any corrective action and assists with implementing the corrective action. This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current knowledge of coding/billing regulations and guidelines.
EDUCATION and/or EXPERIENCE: High School graduate or GED equivalency required. Minimum of two years' experience in a similar position in a health care setting is preferred.
LICENSES and CERTIFICATION: AAPC Billing and Coding Certification required.
Keystone Health is an Equal Opportunity Employer
$34k-39k yearly est. 8d ago
Certified Peer Specialist
JFK Behavioral Health Center 4.4
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
$32k-40k yearly est. 26d ago
Medical Records Clerk- Johnstown
Practical Administrative Solutions L.P
Medical coder job in Johnstown, PA
Medical Records Clerk
Full Time- Monday-Friday 8AM - 4:30PM
Johnstown, PA
Senior LIFE is an innovative home and community based Medicare and Medicaid funded program which provides all-inclusive healthcare services and support to seniors living in the community. Senior LIFE makes it possible for seniors to remain at home, enjoying the comfort and reassurance of familiar surroundings while receiving the care they need. Senior LIFE staff live the mission of the program. Our team is committed to partnering with our seniors to remain at home through promoting open communication and shared decision making while providing excellent care and services.
Responsibilities
Benefits of the Medical Records Clerk:
Monday - Friday, Daylight Schedule
Competitive Pay
Comprehensive Benefits Package
401k
Paid Time Off
Paid Holidays Off
Responsible for routine clerical support related to maintenance of a complete and comprehensive member record.
Responsibilities include:
Assure that all medical record information is protected and kept confidential.
Maintain Records for Specialist Appointments, Hospitalization Documentation, and SNF/ALF Documentation
Retrieve lab and diagnostic testing results and scan into the EMR, as well as scan and file other documents
Assist with enrollment documents and retrieving past medical records
Provide routine clerical support such as photo copying, filing, faxing, answering phones, etc.
Assist in conducting medical record audits to ensure compliance.
Retrieve and organize copies of medical records as requested by leadership.
Qualifications
Qualified candidates will have a High School Diploma or GED. Associates Degree is preferred. Computer Experience is required. Must be able to operate general office equipment and have knowledge of medical terminology. Candidates must also have excellent communication skills and the ability to communicate professionally with the public. Preferred candidates will have experience as a medical secretary.
EOE
$29k-38k yearly est. Auto-Apply 13h ago
Certified Peer Specialist Supervisor
Community Behavioral Health
Medical coder job in Philadelphia, PA
The Peer Support Supervisor is responsible for supervising Certified Peer Specialists/Certified Recovery Specialists to ensure proper procurement of behavioral health services, referral and community resources for CBH members. The Peer Support Supervisor is responsible for ensuring daily workflow needs are met and there is close collaboration with other Clinical and integrated team counterparts. Properly supporting and promoting wellness of Certified Peer Specialists/Certified Recovery Specialists.
Essential Functions:
Build and maintain a strong functional team through effective recruiting, training, performance management, coaching, team building, and team and staff wellness.
Meet basic requirements for individual and group supervision.
Minimum weekly supervision with all direct reports and weekly small team meetings
Based on determination of team structure conduct check-ins and huddles with direct reports to support the Certified Peer Specialists workflow
Manage day to day operations of Certified Peer Specialists/Certified Recovery Specialists.
Monitor Case load as well as quality of work on assigned tasks and provide feedback.
Collaborate within assigned team and across internal teams to ensure the facilitation of linkages.
Develops specific protocols for communication between other clinical staff and other direct reports and involved stakeholders.
Accompanies direct reports into the community between 20% to 30% of work time to provide ongoing supervision and feedback.
Collaborates with other Clinical Supervisors to develop consistent expectations and supervision to staff.
Collaborate with other Clinical Supervisors to review data relevant to members served by the team, clinical operations and staff monitoring to guide interventions.
Models and requires exceptional customer service in work with members and providers.
Documents supervision notes and next steps consistent with standards in the field.
Coaches direct reports on member engagement techniques.
Completes other duties as assigned.
Position Requirements:
Education:
High School Diploma/GED preferred and four years of mental health direct care experience
Bachelor's degree (high desired) or some college course work in social work or related field and two years of mental health direct care experience
License/Certification:
Completion and certification through Department of Behavioral Health and Intellectual DisAbility Services Certified Peer Specialist/Certified Recovery Specialist training curriculum.
PA Child Abuse Clearance required
Relevant Work Experience:
Possesses at least 2 or more years of direct service experience as a Peer Support Specialist. Experience as a WRAP (Wellness Recovery Action Plan) Facilitator Preferred
Have supervisory experience (2 or more years preferred) or relevant leadership experience that exhibits supervisory skill sets
Ability to travel throughout Philadelphia, navigation of public transportation system
Skills:
Familiar with services for adults and children in the managed care system
Excellent interpersonal and collaboration skills
Excellent verbal and written communication skills
Proficiency with Microsoft Office and able to type 20 words per minute
Strong organizational skills with the ability to multi-task in a high-volume environment
Ability to work independently and as part of a team
Compliant with HIPAA regulations
Philadelphia Residency Requirement:
The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.
Equal Employment Opportunity:
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.
Requesting An Accommodation:
CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at *************************