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 48d ago
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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 49d ago
Coder III - Technical
UPMC 4.3
Medical coder job in Pittsburgh, PA
Purpose: All responsibilities of coder trainee, coder I, II plus the following: Monitors and responds to accounts on Pre-Bill edit and error reports. Assists with training other coders as requested. Performs PHC4 coding corrections; provides feedback to coders who made errors. Monitors the Daily Cirius Error report to ensure that there are 0 accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Assists with special projects as requested.
Responsibilities:
+ Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients.
+ Make forward progress within the training period toward meeting coding accuracy standards of 98% within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
+ Code all diagnoses and procedures by assigning and verifying the proper ICD-9-CM and CPT codes (DSM IV if applicable). Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding.
+ Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics.
+ Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks.
+ Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
+ Refer problem accounts to appropriate coding or management personnel for resolution.
+ Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-9-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed.
+ Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. Correct any data to be in error after reviewing the medical record and comparing with system entries.
High School or GED equivalent. Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.3 years hospital coding experience.
Licensure, Certifications, and Clearances:
Requires CCS or RHIT or RHIA or Certified Professional Coder certification
+ Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Nationally Registered Certified Coding Specialist (NRCCS) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT)
+ Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Company :Highmark Inc. :
This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
ESSENTIAL RESPONSIBILITIES
Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
Engages in RPM Coding educational meetings and annual coding Summit.
Other duties as assigned.
EDUCATION
Required
None
Substitutions
None
Preferred
Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
EXPERIENCE
Required
3 years HCC coding and/or coding and billing
Preferred
5 years HCC coding and/or coding and billing
LICENSES or CERTIFICATIONS
Required (any of the following)
Certified Professional Coder (CPC)
Certified Risk Coder (CRC)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Preferred
None
SKILLS
Critical Thinking
Attention to Detail
Written and Oral Presentation Skills
Written Communications
Communication Skills
HCC Coding
MS Word, Excel, Outlook, PowerPoint
Microsoft Office Suite Proficient/ - MS365 & Teams
Language (Other than English):
None
Travel Requirement:
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer:
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$26.49
Pay Range Maximum:
$41.03
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
$26.5-41 hourly Auto-Apply 32d 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 or
* RHIT, Registered Health Information Technician from American Health Information Management Association
(AHIMA) - Preferred or
* RHIA, Registered Health Information Administrator from
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. 12d ago
Coder II, Profee
University of Pittsburgh Medical Center 4.6
Medical coder job in Pittsburgh, PA
Purpose: Same responsibilities as a Coder I. Review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, determine level of acuity, procudure(s) performed, billable supplies and diagnosis to substantiate medical necessity. Review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution.
Responsibilities:
* Utilize computer applications and resources essential to completing the coding process efficiently.
* Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff.
* Refer problem accounts to appropriate coding or management personnel for resolution.
* Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.
* Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement.
* Make forward progress within the period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
* Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc) and to determine the level of acuity. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
* Adhere to internal department and system-wide competencies, behaviors, policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by reviewing updated CPT assistant guidelines and updated coding clinics.
* Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management.
Qualifications:
* High school diploma or equivalent required.
* Completion of an approved, certified medical coding program preferred.
Program curriculum should include: Anatomy & Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.
* Proficient computer skills required; knowledge of Microsoft Excel preferred.
* In lieu of two years of coding experience combined with formal education, a minimum of three years of coding experience or CPC certification is required.
* Experience with professional coding and claim edits preferred.
Licensure, Certifications, and Clearances:
Eligible for CPC or CPC specialty certification.
* Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
$44k-54k yearly est. 6d ago
Inpatient Coder - PRN, Weekends Only
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:
Part Time / PRN
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 a CCS (Certified Coding Specialist, with AHIMA)
2+ years of Inpatient coding in an acute care setting required
3+ 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. 18d ago
Coding Specialist - PPG
Heritage Valley Health System 4.3
Medical coder job in Beaver, PA
Work Hours: Monday thru Friday, Primarily daylight. Responsible for coding professional fee outpatient medical records in order to ensure a correct diagnosis, office visit and/or procedure code assignment. Ensures timely and accurate code assignment in accordance with both federal and state specific requirements/guidelines. Accurately applies coding utilizing ICD-10-CM, CPT, Modifiers, HCPCS codes.
REQUIRED
Associate's Degree in Health Information Management, Healthcare Business, or an equivalent program with emphasis in coding or a minimum of two years active coding professional fee experience. Current certification through AAPC, to include CPC and CPB credentials. Evaluation and Management (E & M) pro-fee coding experience required. Knowledge of professional and technical component documentation, coding and billing regulations and reimbursement systems. Ability to maintain weekly productivity and accuracy. Successful completion of applicable requirements as outlined in Human Resources policy HR-106 within 90 days of commencing employment.
PREFERRED
Experience or certification in a specialty area (i.e, Cardiology, Foot & Ankle, Orthopedics). Understanding of M.E.A.T. criteria, hierarchical condition category (HCC) and risk adjustment factors (RAF).
$45k-62k yearly est. 28d 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. 46d ago
Health & Wellness Clerk
Eckerd Connects
Medical coder job in Pittsburgh, PA
Want to make a difference in a young person's life? This is a position that is very rewarding in training and mentoring at risk youth.
Make more than a Living, Make a Difference
Our Benefits:
9 days of Vacation in the first year of service
Minimum of 11 Paid Holidays
Paid Sick Leave
Retirement savings plan with employer match up to 5%
Workers Compensation
AD&D Insurance
Public Service Loan Forgiveness (PSLF) Eligible Employer
Service Contract Act (SCA) Position
Hourly Rate: $17.20 to $18.50
DUTIES AND RESPONSIBILITIES:
The Health & Wellness Clerk reports to the Health and Wellness Director (RN) and is an hourly, non-exempt position.
The Health & Wellness Clerk is responsible for performing a wide range of clerical tasks in a medical or health services environment. Reviews health records for completeness on all enrollees.
The Health & Wellness Clerk schedules appointments for students with Health Care Professional Staff on and off-center.
Reviews medical bills from off-center providers to ensure accuracy and resolves any discrepancies.
Prepares purchase requests for pharmaceuticals and subcontractors' bills and general office supplies as directed by Health and Wellness Director.
Answers phone, files, type memos, updates computer database.
Qualifications:
High School graduate or equivalent. One year of experience in a complex clerical capacity preferred.
Prefer training in a medical clerical field.
Experience in medical or healthcare environment preferred.
Valid driver's license with acceptable driving record preferred.
Required to pass a drug screen in compliance with our Substance Abuse and Drug-Free Workplace policy.
Employment is contingent upon successful completion of a nationwide criminal background check.
Additional Requirements: Ability to type accurately at a moderate speed. Sound business telephone techniques. Knowledge of word processing software applications. Ability to spell and use grammar correctly. Computer literate: ability to operate word processing applications, Excel and/or Lotus 1-2-3. Familiar with medical terminology. Good organizational skills. Excellent communication skills, both oral and written. Ability to effectively relate to trainee population. Position requires an ability to operate office equipment. In addition, an individual must be able to interact with team members and maintain an effective working relationship with all facility staff and departments.
*This job description is intended to describe the general nature and level of work being performed by a person assigned to this job. It is not to be construed as an exhaustive list of all job duties that may be performed by a person so classified.
About our Program
Job Corps is the largest nationwide residential career training program in the country and has been operating for more than 60 years. The program helps eligible young people ages 16 through 24 complete their high school education, trains them for meaningful careers, and assists them with obtaining employment.
Our Program Location:
Pittsburgh Job Corps
7175 Highland Dr.
Pittsburgh, PA 15206
Connect with Us video: ****************************
Please follow the link for more information about this program:
******************************************
Eckerd Connects employees and applicants for employment are covered by federal, state, and local laws designed to safeguard employees and job applicants from discrimination based on race, color, religion, sex, pregnancy, parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other status protected by applicable federal, state, or local laws.
Eckerd Connects is committed to providing equal employment opportunities to all individuals, including individuals with disabilities. We comply with the Americans with Disabilities Act (ADA) and applicable state and local laws by providing reasonable accommodations to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices. Auxiliary aids and services are available upon request to individuals with disabilities. If you need assistance or accommodation due to a disability, please contact adarequest@eckerd.org. Relay Services Dial 711.
Know Your Rights: Workplace Discrimination is Illegal
Copy & paste the link into your browser: ******************************************
Eckerd Connects is a drug-free workplace and utilizes E-Verify to confirm employment eligibility.
$17.2-18.5 hourly 15d ago
Health & Wellness Clerk
Eckerd Youth Alternatives Inc.
Medical coder job in Pittsburgh, PA
Want to make a difference in a young person's life? This is a position that is very rewarding in training and mentoring at risk youth.
Make more than a Living, Make a Difference
Our Benefits:
9 days of Vacation in the first year of service
Minimum of 11 Paid Holidays
Paid Sick Leave
Retirement savings plan with employer match up to 5%
Workers Compensation
AD&D Insurance
Public Service Loan Forgiveness (PSLF) Eligible Employer
Service Contract Act (SCA) Position
Hourly Rate: $17.20 to $18.50
DUTIES AND RESPONSIBILITIES:
The Health & Wellness Clerk reports to the Health and Wellness Director (RN) and is an hourly, non-exempt position.
The Health & Wellness Clerk is responsible for performing a wide range of clerical tasks in a medical or health services environment. Reviews health records for completeness on all enrollees.
The Health & Wellness Clerk schedules appointments for students with Health Care Professional Staff on and off-center.
Reviews medical bills from off-center providers to ensure accuracy and resolves any discrepancies.
Prepares purchase requests for pharmaceuticals and subcontractors' bills and general office supplies as directed by Health and Wellness Director.
Answers phone, files, type memos, updates computer database.
Qualifications:
High School graduate or equivalent. One year of experience in a complex clerical capacity preferred.
Prefer training in a medical clerical field.
Experience in medical or healthcare environment preferred.
Valid driver's license with acceptable driving record preferred.
Required to pass a drug screen in compliance with our Substance Abuse and Drug-Free Workplace policy.
Employment is contingent upon successful completion of a nationwide criminal background check.
Additional Requirements: Ability to type accurately at a moderate speed. Sound business telephone techniques. Knowledge of word processing software applications. Ability to spell and use grammar correctly. Computer literate: ability to operate word processing applications, Excel and/or Lotus 1-2-3. Familiar with medical terminology. Good organizational skills. Excellent communication skills, both oral and written. Ability to effectively relate to trainee population. Position requires an ability to operate office equipment. In addition, an individual must be able to interact with team members and maintain an effective working relationship with all facility staff and departments.
*This job description is intended to describe the general nature and level of work being performed by a person assigned to this job. It is not to be construed as an exhaustive list of all job duties that may be performed by a person so classified.
About our Program
Job Corps is the largest nationwide residential career training program in the country and has been operating for more than 60 years. The program helps eligible young people ages 16 through 24 complete their high school education, trains them for meaningful careers, and assists them with obtaining employment.
Our Program Location:
Pittsburgh Job Corps
7175 Highland Dr.
Pittsburgh, PA 15206
Connect with Us video: ****************************
Please follow the link for more information about this program:
******************************************
Eckerd Connects employees and applicants for employment are covered by federal, state, and local laws designed to safeguard employees and job applicants from discrimination based on race, color, religion, sex, pregnancy, parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, or other status protected by applicable federal, state, or local laws.
Eckerd Connects is committed to providing equal employment opportunities to all individuals, including individuals with disabilities. We comply with the Americans with Disabilities Act (ADA) and applicable state and local laws by providing reasonable accommodations to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for sincerely held religious beliefs, observances, and practices. Auxiliary aids and services are available upon request to individuals with disabilities. If you need assistance or accommodation due to a disability, please contact adarequest@eckerd.org. Relay Services Dial 711.
Know Your Rights: Workplace Discrimination is Illegal
Copy & paste the link into your browser: ******************************************
Eckerd Connects is a drug-free workplace and utilizes E-Verify to confirm employment eligibility.
$17.2-18.5 hourly Auto-Apply 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
Certified Peer Specialist - Part-time
Hacc, Central Pennsylvania's Community College 3.9
Medical coder job in Canonsburg, PA
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a part-time Certified Peer Specialist to join our Assertive Community Treatment (ACT) team based out of Canonsburg, PA and Waynesburg, PA.
Schedule: Part-time (20 hrs/week), Mon-Fri 8 AM-4 PM, one late shift (10 AM-6 PM), plus rotating weekends & holidays.
Earn $20.23/hour
Position Details
The Certified Peer Specialist provides personalized coaching to empower individuals and support their mental health recovery goals. By sharing insights and lived experience from their own personal mental health recovery, the specialist will build meaningful connections with consumers receiving mental health services.
This is a community-based position serving individuals in Washington and Greene Counties, which requires regular travel to meet with consumers in their homes or community settings. The role involves working directly in the field to ensure accessible, person-centered support.
Duties and Responsibilities
Apply wellness management skills, incorporating a Wellness Recovery Action Plan (WRAP) and Illness Management and Recovery (IMR), to assist consumers on their recovery path.
Offer direct support to ACT Team members, including ongoing symptom assessment, psychiatric rehabilitation, integrated dual disorder treatment (IDDT), medication management, and transportation for treatment plans.
Participate in Individualized Treatment Team (ITT) processes, contributing valuable perspectives to consumer care.
Conduct cross-training for the ACT Team, fostering a culture that recognizes, values, and integrates consumer perspectives into treatment plans.
Attend and actively engage in internal and external treatment team meetings, daily clinical team meetings, and other relevant sessions.
Participate in on call rotation
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!
$20.2 hourly 3d ago
Certified Peer Specialist
Merakey 2.9
Medical coder job in Canonsburg, PA
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a community-based Certified Peer Specialist to join our assertive community treatment (ACT) team in Canonsburg, PA and Waynesburg, PA.
Earn $20.23/hour, plus mileage reimbursement
Schedule: 40 hours/week, Monday-Friday
Position Details
The certified peer specialist will offer personalized coaching to empower consumers and support their mental health recovery goals. By sharing insights from lived experiences, the specialist can connect with and assist individuals receiving mental health services. This is a community-based role serving consumers living in Washington and Greene Counties.
Duties and Responsibilities
Apply wellness management skills, incorporating a Wellness Recovery Action Plan (WRAP) and Illness Management and Recovery (IMR), to assist consumers on their recovery path.
Offer direct support to ACT Team members, including ongoing symptom assessment, psychiatric rehabilitation, integrated dual disorder treatment (IDDT), medication management, and transportation for treatment plans.
Participate in Individualized Treatment Team (ITT) processes, contributing valuable perspectives to consumer care.
Conduct cross-training for the ACT Team, fostering a culture that recognizes, values, and integrates consumer perspectives into treatment plans.
Attend and actively engage in internal and external treatment team meetings, daily clinical team meetings, and other relevant sessions.
Participate in on call rotation
Benefits
Merakey offers medical, dental - vision insurance plans, competitive compensation plans and more!
DailyPay
Work/Life Balance
Flexible Schedules
Cell Phone Discount Plans
Employee Referral Bonuses
Tuition Reimbursement
Care.com Membership
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!
$20.2 hourly 3d ago
Certified Coding Specialist - MYCS
Mon Yough Community Services 3.3
Medical coder job in McKeesport, PA
Since 1969, MYCS has helped individuals and families in the Mon Valley area to Get Better based on the specific and unique circumstances of each person we serve. We work to foster hope, renewal, healing and wellness for those who face the challenges of mental health, substance abuse disorders and intellectual disabilities. The goal to Get Better means getting better service, better advice, better treatment and a better experience overall. The people of MYCS strive for excellence in their quest for knowledge, compassion and support for the recovery of every individual.
Job Description
SPECIFIC RESPONSIBILITIES:
Review and evaluate focused UPMC Community Behavioral Health medical records for accurate coding to ensure that all documented principal and secondary diagnoses, complications and co-morbidities, and procedures are accurately coded.
Perform internal quality assurance audits on community behavioral health records.
Summarizes findings and report these to the Manager.
Identify areas of coding weakness and develop training plans to address these.
Provide audit findings to compliance staff members to review.
Discuss audit findings with each coder individually as needed for further
clarification.
Develop and present community behavioral health coding seminars for continuing coder
education.
Assist with identifying continuing education needs and opportunities. Coordinate
continuing education by contacting clinical staff and arranging in-services for
the coding staff, as well as keeping current with other education being offered
by AHIMA and other professional organizations.
Assist with training new staff for community behavioral health coding.
Also coordinate re-training of staff as needed due to coding changes/updates,
results of audits, etc.
Communicate effectively with Patient Business Services, physicians and ancillary
departments as necessary to submit accurate and timely billing. .
Review the discharge summary, history and physical, physician progress notes,
consultation reports, to validate accurate diagnosis and appropriate level of
care coding.
Determine diagnoses that were treated, monitored and evaluated and procedures done during
the episode of care and assign appropriate codes.
Utilize standard coding guidelines and principles and coding clinics to assign the
appropriate ICD-10 and CPT codes including modifiers for correct assignment and
accurate reimbursement.
Identify incomplete documentation in the medical record and formulate a physician query
to obtain missing documentation and/ or clarification to accurately complete
the coding process.
Responsible for correcting any data found to be in error after reviewing the medical record
and comparing with system entries.
PROFESSIONAL KNOWLEDGE, SKILLS, AND EXPERTISE:
Complete work assignments in a timely manner
Submit a monthly auditing/training schedule to the Manager.
Submit completed Inpatient, SDS, and ED audit spreadsheets with details for each chart.
Submit audit summaries for Inpatient, SDS and ED coding
Submit all educational documents for all patient types to Management.
Perform reviews on Third Party Audit findings/outcomes and prepare report for HIM and
Compliance
Qualifications
REQUIRED MINIMUM QUALIFICATIONS:
Graduate of an AHIMA-certified Coding Program. Associates Degree from an accredited
Health Information Management program or equivalent preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-10-CM and CPT Coding Guidelines and Procedures or
Certified Coding Specialist(CCS).5 years of total experience.
Certified Professional Coder
OR Certified Coding Specialist OR Regulatory Health Information Technician OR
Regulatory Health Information Administration.
Additional Information
APPLY ONLINE AT: ************
$33k-38k yearly est. 9h 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. 12d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Homestead, PA
Company :Allegheny Health Network :
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.
ESSENTIAL RESPONSIBILITIES
Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
Performs other duties as assigned or required. (5%)
QUALIFICATIONS:
Minimum
High School / GED
1 year in Hospital coding
Successful completion of coding courses in anatomy, physiology and medical terminology
Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
Familiarity with medical terminology
Strong data entry skills
An understanding of computer applications
Ability to work with members of the health care team
Preferred
Associate's degree in Health Information Management or Related Field
Disclaimer:
The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement
: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Pay Range Minimum:
$23.03
Pay Range Maximum:
$35.70
Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
$23-35.7 hourly Auto-Apply 39d 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. 23d ago
Certified Peer Specialist - Part-time
Merakey 2.9
Medical coder job in Canonsburg, PA
Are you looking for an opportunity to advance your career while working with an extraordinary team? At Merakey, we put heart and soul into everything we do. We are seeking a part-time Certified Peer Specialist to join our Assertive Community Treatment (ACT) team based out of Canonsburg, PA and Waynesburg, PA.
Schedule: Part-time (20 hrs/week), Mon-Fri 8 AM-4 PM, one late shift (10 AM-6 PM), plus rotating weekends & holidays.
Earn $20.23/hour
Position Details
The Certified Peer Specialist provides personalized coaching to empower individuals and support their mental health recovery goals. By sharing insights and lived experience from their own personal mental health recovery, the specialist will build meaningful connections with consumers receiving mental health services.
This is a community-based position serving individuals in Washington and Greene Counties, which requires regular travel to meet with consumers in their homes or community settings. The role involves working directly in the field to ensure accessible, person-centered support.
Duties and Responsibilities
Apply wellness management skills, incorporating a Wellness Recovery Action Plan (WRAP) and Illness Management and Recovery (IMR), to assist consumers on their recovery path.
Offer direct support to ACT Team members, including ongoing symptom assessment, psychiatric rehabilitation, integrated dual disorder treatment (IDDT), medication management, and transportation for treatment plans.
Participate in Individualized Treatment Team (ITT) processes, contributing valuable perspectives to consumer care.
Conduct cross-training for the ACT Team, fostering a culture that recognizes, values, and integrates consumer perspectives into treatment plans.
Attend and actively engage in internal and external treatment team meetings, daily clinical team meetings, and other relevant sessions.
Participate in on call rotation
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!
$20.2 hourly 3d ago
Inpatient Coder - Full Time Only
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 coding credential
5+ years of Inpatient coding in a Level 1 Trauma/Academic Facility
Must be proficient in ICD-10-CM and ICD-10-PCS coding
Must have experience with TruCode
Must have experience with E/M Leveling (For ED Admits)
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
How much does a medical coder earn in Pittsburgh, PA?
The average medical coder in Pittsburgh, PA earns between $34,000 and $75,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Pittsburgh, PA
$51,000
What are the biggest employers of Medical Coders in Pittsburgh, PA?
The biggest employers of Medical Coders in Pittsburgh, PA are: