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Highmark Health Billing Coding Jobs (NOW HIRING)

Forward Health LLC

Billing Specialist

Columbus, OH · On-site

$18.50 - $25/hr

Strong knowledge of Medicaid billing and behavioral health service codes * Experience with EHR ... billing systems * Detail-oriented with strong problem-solving skills * Billing/coding certification ...

Rush University

Billing Coding Auditor

Chicago, IL · On-site

$29.36 - $47.79/hr

... healthcare experience working with billing, charge entry, charge capture, and code auditing with knowledge of CPT, HCPCS, ICD-10 codes and modifiers • High School diploma • Experience with ...

Rush

Billing Coding Auditor

Chicago, IL · On-site

$29.36 - $47.79/hr

... healthcare experience working with billing, charge entry, charge capture, and code auditing with knowledge of CPT, HCPCS, ICD-10 codes and modifiers • High School diploma • Experience with ...

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How much do highmark health billing coding jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for highmark health billing coding in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What is a Highmark Health Billing Coding specialist?

A Highmark Health Billing Coding specialist is a professional responsible for reviewing, coding, and processing healthcare claims for services provided to patients covered by Highmark Health insurance. They use standardized coding systems, such as ICD-10 and CPT, to accurately translate medical procedures and diagnoses into codes for billing and reimbursement. These specialists ensure that claims comply with federal regulations and insurance guidelines, helping healthcare providers receive timely and correct payments. They also work to prevent billing errors, reduce claim denials, and support the financial operations of healthcare organizations.

What is the difference between Highmark Health Billing Coding vs Medical Billing Specialist?

AspectHighmark Health Billing CodingMedical Billing Specialist
CertificationsCPB, CPC, or equivalent certifications often preferredCPB, CPC, or similar certifications
Work EnvironmentHealthcare provider or insurance companyMedical offices, hospitals, or billing companies
Primary ResponsibilitiesProcessing insurance claims, coding diagnoses and proceduresSubmitting claims, follow-up, patient billing

Highmark Health Billing Coding professionals focus on coding and claims processing within insurance or healthcare organizations, while Medical Billing Specialists handle the entire billing cycle, including patient interactions. Both roles require similar certifications and work in healthcare settings, but their specific duties differ slightly.

What are the key skills and qualifications needed to thrive as a Highmark Health Billing Coding Specialist, and why are they important?

To excel as a Highmark Health Billing Coding Specialist, you need a thorough understanding of medical coding, billing procedures, and healthcare regulations, often backed by a certification such as CPC or CCS. Familiarity with coding software (e.g., Epic, 3M), electronic health records (EHRs), and insurance claims systems is essential. Attention to detail, strong organizational skills, and clear communication help ensure accuracy and resolve billing discrepancies. These skills are crucial for compliant, efficient billing practices that support timely reimbursement and minimize errors.

What are some common challenges faced by billing and coding professionals at Highmark Health, and how can these be managed?

Billing and coding professionals at Highmark Health often face challenges such as keeping up with frequent changes in insurance policies, coding standards (like ICD-10 and CPT), and regulatory requirements. Managing a high volume of claims while ensuring accuracy and compliance is crucial to avoid claim denials and delays. These challenges can be addressed through continuous education, utilizing robust coding software, staying updated with payer guidelines, and maintaining strong communication with clinical and administrative teams. Highmark Health also offers training resources and encourages collaboration to support its billing and coding staff.
RCM coordinator (home health billing and coding)

RCM coordinator (home health billing and coding)

Pointwest Technologies Corp

Chicago, IL • On-site

Full-time

Posted 25 days ago

Job description

 RCM Coordinator (Home Health Billing & Coding) – Remote (US-Based)
Position Type:
Full-Time | Work From Home
Location:
United States (Remote)
About the Role:
We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding. The ideal candidate will oversee day-to-day billing, coding, and claims management operations, ensuring compliance, accuracy, and timely reimbursement. Experience in coordinating with offshore-based RCM teams is highly preferred. This position offers the opportunity to work independently while collaborating virtually with both US and offshore teams to optimize revenue cycle efficiency.
Key Responsibilities:
  • Oversee and coordinate all aspects of the Home Health billing and coding cycle, from charge capture to claims submission and payment posting.
  • Ensure timely and accurate submission of electronic and paper claims to payers.
  • Monitor AR (Accounts Receivable) aging reports and follow up on unpaid or denied claims.
  • Review, analyze, and correct claim errors to minimize denials and maximize reimbursement.
  • Collaborate closely with offshore billing and coding teams, providing guidance, performance feedback, and ensuring adherence to US billing standards and compliance requirements.
  • Conduct quality audits of coding and billing work performed offshore to maintain accuracy and compliance.
  • Maintain up-to-date knowledge of Home Health billing regulations, CMS guidelines, and payer requirements.
  • Prepare RCM performance reports and recommend process improvements to enhance efficiency.
  • Serve as a liaison between internal departments, offshore teams, and external stakeholders.
Qualifications:
  • Minimum 3–5 years of experience in Home Health medical billing and coding.
  • Strong knowledge of Medicare, Medicaid, and commercial payer billing requirements.
  • Familiarity with OASIS, HHABN, and HIPAA compliance standards.
  • Proven experience coordinating or managing offshore RCM teams (billing, coding, or AR follow-up).
  • Proficiency in RCM or EMR systems (e.g., Homecare Homebase, WellSky, MatrixCare, or similar).
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently in a remote, fast-paced environment.
  • Certification in Medical Billing and Coding (CPC, CBCS, or equivalent) is required.

 

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