Explore 3 coder jobs from 3 hiring companies in Baden, PA, US. Filter by remote, salary, experience, and company, then open any listing to apply.

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Coder Jobs

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Three Rivers Orthopedics is hiring a full-time Corder II, Profee to support their team. <meta content="text/html; charset=us-ascii" http-equiv="Content-Type">The role is Monday through Friday, 8:00 a.m. to 4:30 p.m., and offers the convenience of working from home.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:  <ul><li>Utilize computer applications and resources essential to completing the coding process efficiently.</li><li>Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff.</li><li>Refer problem accounts to appropriate coding or management personnel for resolution.</li><li>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.</li><li>Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement.</li><li>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.</li><li>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.</li><li>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.</li><li>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.</li></ul> 
<ul><li>High school graduate or equivalent.</li><li> Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. </li><li>Proficient computer skills with MS excel knowledge preferred.</li><li>In lieu of 2 years of coding experience with schooling, a minimum of 3 years experience or CPC certification required. Licensure, Certifications, and Clearances: Eligible for CPC or CPC specialty certification.  </li><li>Act 31 Child Abuse Reporting with renewal</li><li>Act 33 with renewal</li><li>Act 34 with renewal</li><li>Act 73 FBI Clearance with renewal</li></ul> UPMC is an Equal Opportunity Employer/Disability/Veteran

Coder II, Profee- Three Rivers Orthopedics

Coder II

Coder II with proficiency in medical record review, ICD/CPT coding, and denial resolution; CPC eligible or certified; minimum 3 years coding experience or CPC certification; HS diploma; proficient MS Excel.

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		Performs coding and abstracting duties of inpatient records within Medical Records Department.&nbsp; Reviews for completeness of documentation to substantiate diagnosis and procedures.&nbsp; May perform other duties within the department as assigned.&nbsp; Preforms functions required under the Clinical Documentation Improvement Program, which includes interaction with the CDI monitor tool.
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	<div>QUALIFICATIONS</div>

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		<div>Education</div>

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			<div>High School education.</div>
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			<div>Graduate of medical records program with either a credential of CCS/RHIT preferred or eligible to sit for credentialing exam.&nbsp;Courses in&nbsp;Medical terminology, Anatomy and Physiology and Pathophysiology. </div>
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			<div>Previous medical records coding in an acute care setting preferred. Must be familiar with medical records documentation.&nbsp;Preferred familiarity with the MS-DRG system.&nbsp;Data entry ability. Pass coding test with 85% accuracy. </div>
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		<div>Health and Background Requirements</div>

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			<div>Employment contingent upon successful completion of:</div>

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				<div>Physical</div>
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				<div>Background Check</div>
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			<div>Must be physically able to perform all job duties as assigned.</div>
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Outpatient Coder, Medical Records

High School; medical records program; CCS/RHIT preferred or eligible; MS-DRG familiarity; data entry; pass coding test.

Join Our Team as a Medical Billing Specialist!
Why Work With Us?
At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter!
Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. 
Benefits Include:
<ul>
<li>Affordable Health, Vision, Dental, and Life Insurance  </li>
<li>401(K) with dollar-for-dollar matching (up to 4%)  </li>
<li>Generous Paid Time Off (PTO)  </li>
<li>Paid Holidays  </li>
</ul>
Essential Job Functions:
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<li>Prepares and submits clean claims to various insurance companies either electronically or by paper.</li>
<li>Answers questions from patients, clerical staff, and insurance companies.</li>
<li>Identifies and resolves patient billing complaints.</li>
<li>Prepares, reviews, and sends patient statements.</li>
<li>Evaluates patient’s financial status and establishes budget payment plans.</li>
<li>Follows and reports the status of delinquent accounts.</li>
<li>Reviews accounts for possible assignment and make recommendations to the Director of Billing and Reimbursement, also prepares information for the collection agency</li>
<li>Performs daily backups on the office computer system.</li>
<li>Performs various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers.</li>
<li>Processes payments from insurance companies and prepares a daily deposit.</li>
<li>Participates in educational activities and attends monthly staff meetings.</li>
<li>Conducts self in accordance with employee handbook.</li>
<li>Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.</li>
<li>Ensures accurate billing and coding as per regulations.</li>
<li>Works with administrator in training providers in coding and EMR system.</li>
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Education and Experience:
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<li>Minimum of 2 years experience medical billing (Preferred)</li>
<li>Certified Biller (Required)</li>
<li>Certified Coder (Preferred)</li>
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Physical Requirements
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<li>Sitting in a normal seated position for extended periods of time</li>
<li>Reaching by extending hand(s) or arm(s) in any direction</li>
<li>Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard</li>
<li>Communication skills using the spoken word</li>
<li>Ability to see within normal parameters</li>
<li>Ability to hear within normal range</li>
<li>Ability to move about</li>
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NOTE:  This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employee is able to work at any OHO locations deemed necessary by OHO.

Medical Billing Specialist

Minimum 2 years medical billing experience; Certified Biller required; Coder certification preferred.

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Coder Jobs in Baden, PA, US

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