Role Description We are seeking a detail-oriented and analytical Revenue Cycle Coding Denial Specialist (Remote) to join our team. This role plays a key part in identifying denial trends, supporting Accounts Receivable (AR) workflows, and driving resolution through research, coding review, and appeal preparation. The ideal candidate brings strong coding expertise, sharp critical thinking skills, and a solid understanding of the full-billing and reimbursement lifecycle. This position also serves as a coding float, providing flexible support and coverage across coding teams as needed. Key Duties and Responsibilities - Review and analyze denied claims to determine root cause and appropriate resolution - Identify denial trends and collaborate with coding, billing, and AR teams to improve outcomes - Prepare and submit detailed, compliant appeal letters with supporting documentation - Perform coding reviews to ensure accuracy and alignment with payer guidelines, CPT, ICD-10-CM, and HCPCS standards - Partner with AR team members to resolve complex accounts and reduce aging receivables - Communicate with providers and staff to obtain necessary documentation or clarification - Assist with education and feedback to coding and billing staff based on denial findings - Maintain up-to-date knowledge of payer policies, regulatory requirements, and coding updates - Provide coding support across specialties as needed in a float capacity - Participate in process improvement initiatives to enhance revenue cycle performance - Demonstrates appropriate utilization of coding software and coding reference material - Follow up with providers on any documentation that is insufficient, missing, or unclear - Assist providers with questions regarding coding and documentation guidelines - Provide ongoing feedback based on observations from coding documentation and identify opportunities for education and communicate trends to leaders - Keep up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines Qualifications - Minimum 3 years of coding/medical billing experience - Active certification with credentialing from AHIMA and/or AAPC, must be maintained annually - ICD10 certified and/or extensive work experience - Strong understanding of medical terminology, anatomy, and physiology - Experience with denial management, AR workflows, and appeals - Orthopedic coding experience strongly preferred - Experience with NextGen and SIS systems preferred Knowledge, Skills and Abilities - A strong understanding of physiology, medical terms, and anatomy - Thorough attention to detail - Excellent written and verbal communication skills - Self-motivated team player able to multi-task and prioritize - Excellent organization and interpersonal communication skills - Strong computer skills - Experience with Microsoft Excel, Outlook, and Adobe - Working experience navigating EHR’s to abstract documentation Work Environment/Physical Demands The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions. - Work may be performed in a remote office and clinical environment - Requires corrected vision and hearing to normal range - Regularly required to talk or hear - Required to sit for long periods of time, stand and walk, bend and stretch - Use of telephone and computer is required - Manual dexterity required for use of computer keyboard - Occasionally lifts and carries items weighing up to 40 pounds - May require working under stressful conditions or working irregular hours

Title: Medical Billing Specialist Location: Atlanta, Georgia Work Type: Hybrid $ 30 - $ 36 / Hour Job Description: LHH is currently recruiting for an experienced, contract - hire, full cycle Payroll Specialist with career stability to join the Atlanta team of a national professional services group! The position is open due to growth and offers a flexible, hybrid schedule located near Brookhaven...our client also offers excellent benefits and a generous compensation package...qualified candidates should forward resumes to michelle.brewer@lhh.com for immediate consideration! Qualifications: - Bachelors Degree (preferred) - 3+ years of recent multi-state payroll processing in a high volume environment - Garnishments - Exposure to benefits including FSA and HSA - UKG proficiency is required - MS Excel to include pivot tables, vlookup - Excellent verbal and written communication Responsibilities: - Bi-weekly, multi-state payroll processing - Off cycle payroll - Reconciliation of payroll ledger - Manual check processing - Process deductions to include garnishments, 401k, etc Pay Details: $30.00 to $36.00 per hour Search managed by: Michelle Brewer Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Drug and Alcohol Case Management Specialist Location: Pittsburgh, PA Job Type: Full-Time (40.00 hours per week) Department: Human Services Administration Organization (HSAO) About Us: At Human Services Administration Organization (HSAO), we are dedicated to providing comprehensive service coordination to individuals and families across Allegheny County. Our mission spans behavioral health, drug and alcohol services, justice-related programs, and community support. We believe in fostering recovery, resilience, and full inclusion in the community through collaborative, person-centered care. Position Overview: Adult D&A Case Management is a voluntary service designed to assist individuals in Allegheny County who have community-based needs and who also self-identify as having substance related struggles. Individuals can self-refer or be referred by any ancillary support they may also be engaging with. Once referred, individuals are screened and assessed to establish a psychosocial understanding of what their potential needs may be. As part of that comprehensive intake, individuals are also given the opportunity to develop a recovery plan with their case manager that outlines self-identified goals and the path by which they hope to accomplish them. From there, case managers will utilize harm reduction principles to support people through treatment processes, through court proceedings, in their pursuit of acquiring non-treatment related supports or even just in obtaining basic essential items. As part of this, Case Managers are tasked with muti-disciplinary cross system collaboration so that those who are being served are linked with all available resources in addition to having a solution focused experience with our services. Key Responsibilities: Client Support and Case Management: - Serve as the primary contact and advocate for individuals and families, ensuring that services align with their needs and goals. - Develop individualized service plans based on assessments and update them regularly to reflect progress and evolving needs. - Provide face-to-face support to clients, meeting at least once per month or as needed. - Coordinate with behavioral health providers, ensuring access to mental health, drug, and alcohol services and other community supports. - Assist clients in navigating other county systems including housing, benefit coordination, court proceedings, probation/parole requirements, and treatment services. Collaboration and Advocacy: - Facilitate interdisciplinary team meetings with stakeholders including families, healthcare providers, probation officers when appropriate, and any other entities who may be a part of someone’s larger treatment team. - Actively advocate for clients' access to needed resources and provide feedback to address systemic barriers. - Collaborate with treatment providers and other community partners to develop discharge plans and post-release services. - Serve as a liaison between clients, providers, and systems, ensuring smooth communication and care coordination. Documentation and Compliance: - Maintain accurate records of interactions, including service plans, case notes, and assessments, in electronic health records. - Ensure compliance with HIPAA and other confidentiality policies. - Participate in program audits and quality reviews to ensure that services meet agency and regulatory standards. Training and Development: - Participate in ongoing training to stay current with best practices in mental health, substance use, and criminal justice services. - Offer support and mentorship to new staff, fostering a collaborative learning environment. Required Skills and Qualifications: - Bachelor’s degree in social work, Psychology, Education, Nursing, Criminal Justice, or a related field (master’s degree preferred). - Two years of experience in case management, behavioral health, or a related field (or equivalent experience in behavioral health settings). - Knowledge of mental health and addiction treatment principles. - Strong organizational skills with the ability to manage a caseload and deadlines. - Exceptional communication and interpersonal skills, with cultural competence to work effectively with diverse populations. - Ability to work independently and collaboratively within a team-oriented environment. Additional Requirements: - Act 33, Act 34, and FBI Clearances (required upon hire). - Valid Pennsylvania driver’s license and access to a personal vehicle with current insurance coverage. - Be in possession of, or willing to pursue, a Certified Allied Addictions Professional credential or other similar state certification. If an applicant does not already hold a credential, then pursuance of one is agency supported. Work Conditions and Benefits: - Full-time position with a flexible hybrid work model, including remote administrative tasks. - Mileage and parking reimbursement for fieldwork. - Competitive salary and benefits, including medical, dental, and vision insurance. - Access to student loan repayment programs through the Behavioral Health Fellows Program. - Paid time off (PTO), holidays, and a retirement savings plan. Why Join Us? At HSAO, you’ll become part of a dynamic and mission-driven organization committed to empowering individuals and families. Through our collaborative approach, you’ll have the opportunity to work alongside community partners, make a real impact, and grow professionally. Benefits and Compensation: - $24.52 an hour ($51,000 yearly) - 18 days PTO - 401k Match - Medical, Dental, and Vision - Benefit Option Fund

Role Description UPMC Corporate Revenue Cycle is hiring a Coder I- Profee to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This position will be working on Professional (Physician) Coding Denials. We are looking for Coders who have denials experience. In this role, you will: - Assign ICD and limited CPT codes. - Review the physician documentation to determine the appropriate ICD-10 code and primarily verify the CPT code. - Resolve basic coding edits, complete charge processing, and ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered. - Utilize coding resources (CCI edits, 3M, ICD and CPT Publications) along with any other applicable specialty reference material to ensure accurate coding. Responsibilities: - Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement. - Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. - 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. - 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. - Utilize computer applications and resources essential to completing the coding process and to resolve basic coding edits efficiently. - Refer problem accounts to appropriate coding or management personnel for resolution. - Meet and maintain charge lag and coding productivity standards within the time frame established by management staff. - Adhere to internal 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. - Make forward progress within the training 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. Qualifications - High school graduate or equivalent. - In lieu of completed coding externship, 6 months experience. - Graduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures. - Proficient computer skills with MS Excel knowledge preferred. Requirements - Licensure, Certifications, and Clearances: Act 34. Company Description UPMC is an Equal Opportunity Employer/Disability/Veteran.