Company : Allegheny Health NetworkJob Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT 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-10 CM/CPT 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-10 CM/CPT 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 - Successful completion of coding courses in anatomy, physiology and medical terminology - 1 year of Hospital and/or Physician Coding - 1 year coding at mid-level facilities or clinics - 1 year coding major surgeries, observations and/or E/Ms - Medical Terminology - Strong data entry skills - An understanding of computer applications - Ability to work with members of the health care team - Any of the following: - Registered Health Information Technician (RHIT) - Registered Health Information Associate (RHIA) - Certified Coding Specialist Physician (CCS-P) - Certified Professional Coder (CPC) - Certified Outpatient Coder (COC) - CPC-A Certified Professional Coder - Apprentice 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: $21.32 Pay Range Maximum: $34.39 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 HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form. Responsibilities - Review clinical documentation and code to the highest level of specificity for accurate charge capture. - Interact with providers to provide feedback and education using verbal, written, and in-person communication. - Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for services billed. - Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. - Communicate with physicians, other business group personnel, clinical areas, and staff regarding coding-related questions. - Manage coding-related edit work queues. - Prepare documentation audits with written results and trend data; present findings to the provider, department chairman, and/or compliance officer. - Maintain compliance standards in accordance with internal policies; report compliance issues appropriately. - Identify and account for missing charges and/or documentation. - Perform coding work requiring independent judgment with timeliness and accuracy. Qualifications - Minimum of 5 years of medical coding experience – required - Extensive experience in coding – required - High School Diploma or GED equivalent – required - Certified Professional Coder (CPC) – required at time of hire Additional Duties - Additional duties as assigned may vary Company Description UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a member of the Revenue Cycle Management Team, the RCM Specialist is a subject matter expert regarding RCM processes and procedures necessary for EyeCare Partner Practices. The RCM Specialist may be responsible for multiple elements including, but not limited to: - Billing - Coding - Payment Posting - Accounts Receivable (A/R) follow up - Insurance claim submission - Managing customer service requests from patients Duties and Responsibilities: - Prepare, review, and transmit claims using billing software including electronic, website submission, and paper claim processing - Post payments both electronically and manually into the practice management system according to set standards and productivity measures - Status unpaid claims within standard billing cycle timeframe - Timely review/handling of insurance claim denials, exceptions, or exclusions - Forwards requests for medical records to appropriate internal resources - Addresses/corrects demographic information requested by insurance company - Ability to read and accurately interpret insurance Explanation of Benefits (EOB’s) - Verifying insurance payments for accuracy/compliance based on contracts to ensure correct reimbursement is received - Following up directly with insurance companies regarding payment discrepancies - Utilizing aging reports and workflow statuses to address any unpaid or open claims over 30, 60, 90, and 120 plus - Coordination of Benefits (COB) – Ability to identify and bill secondary or tertiary - Documenting denials associated with patient responsibility to forward to the collection team - Ability to research and appeal denied claims - Answering all patient or insurance telephone inquiries pertaining to assigned accounts - Report payment discrepancies or denial trends identified to Supervisor as soon as they are identified for assigned accounts - Keep supervisor abreast weekly of any concerns or issues associated with accounts - Adhering to company standards of compliance with policies and procedures - Adheres to all safety policies and procedures in performing job duties and responsibilities while supporting a culture of high quality and great customer service - Performs other duties that may be necessary or in the best interest of the organization Qualifications - High School Diploma or GED - CPC, RHIT, CCS, or CMC Coding Credentials preferred Requirements - 3+ years of Medical Insurance Billing - Ophthalmology Practice preferred Knowledge, Skills and Abilities Requirements - Experience with CPT and ICD-10; Familiarity with medical terminology - Knowledge of billing procedures and collection techniques - Strong written and verbal communication skills - Detail oriented, professional attitude, reliable consistent production results - Logical, critical thinking, and research skills - Excellent organization, time management, and prioritization skills - Professional in appearance and actions - Customer-focused with excellent written, listening and verbal communication skills - Enjoys learning new technologies and systems - Exhibits a positive attitude and is flexible in accepting work assignments and priorities - Meets attendance and tardiness expectations - Management and organizational skills to support the leadership of this function - Ability to follow or provide verbal & written instructions with sufficient grammar and spelling skills to avoid mistakes or misinterpretations - Interpersonal skills to support customer service, functional, and teammate support need - Able to communicate effectively in English, both verbally and in writing - Intermediate computer operation proficiency with Microsoft Excel, Word, PowerPoint and Outlook - Practice management software and clearing houses experience - Knowledge of state and federal regulations for this position; general understanding of HIPAA guidelines Location/Work Environment - For on-site team members, work takes place in a normal office/clinical environment. Travel to other locations may be necessary to fulfill the essential duties and responsibilities of the job. - For remote team members, HIPAA compliant home office environment. Ability to work in a remote environment while performing required duties and remaining patient focused. - Able to work varying shifts including early mornings/evenings to attend meetings and cross training or support other initiatives.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description We're looking for a Healthcare Billing Specialist with eClinicalWorks experience to join our growing team at HELM! You'd be working remotely with our client in the Orthopaedic industry in a remote capacity. In this role, you will manage the full medical billing revenue cycle within eClinicalWorks, from charge entry through payment posting, denial management, appeals, and accounts receivable follow-up, ensuring claims are submitted accurately and resolved efficiently. You will work closely with insurance payers, patients, and internal teams to maintain clean billing workflows and prevent recurring claim issues. The ideal candidate has strong hands-on experience using eClinicalWorks for billing, understands the full claim lifecycle end-to-end, is highly detail-oriented, and takes ownership of billing issues through to resolution without supervision. Responsibilities: - Manage the full revenue cycle within eClinicalWorks (eCW), from charge entry through payment. - Submit claims accurately and track them through adjudication. - Post insurance payments and adjustments into the system. - Manage denial management and appeals, identifying root causes and preventing recurrence. - Conduct insurance follow-up and accounts receivable (AR) management. - Review claim adjudication and identify errors quickly. - Communicate with insurance payers to resolve claim issues. - Answer and resolve patient billing questions professionally. - Coordinate with front desk, verification, and clinical teams as needed. - Document all billing activities clearly within eClinicalWorks. - Track and resolve claims through to payment. - Maintain clean, organized billing workflows. - Support invoicing, financial worksheets, and month-end close deliverables as needed. Qualifications - Strong hands-on experience using eClinicalWorks (eCW) for billing — required. - Demonstrated experience handling the full medical billing lifecycle. - Proven experience with charge entry, claim submission, payment posting, AR management, and denial resolution. - Ability to independently manage insurance follow-ups. - Ability to quickly identify claim errors and denial causes and implement corrective action. - Strong attention to detail and consistent documentation habits. - Clear spoken and written English. - Comfortable communicating with insurance payers and patients. - Highly organized, process-driven, and ownership-oriented. - Reliable home office setup with strong internet connection. - Available to work Eastern Time (EST) hours. - Able to start within 3 weeks (latest start date: April 1). Benefits - Remote work opportunity. - Full-time, 40 hours/week, Standard EST business hours. - Pay Range: $1,000 - $1,400/month. - BYO Devices. Company Description Helm is a staffing agency that connects A-Players with meaningful opportunities and strives for growth. If you're ready to make an impact in healthcare operations, we’d love to hear from you. Does the following describe you? - Superb written and spoken English (we assess skills unassisted by AI tools). - Entrepreneurial, attentive to others, curious, and hungry for growth. If so, let’s talk! You can learn more about Helm here , or from our founder’s YouTube podcast.