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Highmark Health Billing Coding Jobs (NOW HIRING)

Brown University Health

Supervisor Coding Validation

$71K - $117K/yr

Performs audits of the validation team to assure all validation is consistent with coding guidelines and Brown University Health's billing, coding, and compliance policies.Works with Manager to ...

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Highmark Health Billing Coding information

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

As of Jun 7, 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.
Billing & Coding Spec - Lab

Billing & Coding Spec - Lab

Phoenix Children's Hospital

Phoenix, AZ • On-site

$18.50 - $23.75/hr

Full-time

Posted 24 days ago

Job description

Position Details
Department: PCH-MAIN | Lab Administration
Location: Phoenix
Shift: Mon-Fri, Days, 8am-5pm
Category: Hlth Info Mgmt/Med Records
Posting #: 1018716
Employee Type: Full-Time
Position Summary
This position is responsible for prompt and accurate billing for all hospital laboratory and pathology professional billing services, including but not limited to, reviewing system error reports and resolution of billing exceptions, auditing of referral lab invoices, developing and maintaining reference testing 3rd party billing workflows, providing support for all clinical and anatomic pathology billing needs, and ensuring laboratory billing is current and appropriate for all testing. Assists in reviewing recommended CPT codes for in-house and reference lab testing and provides guidance to Laboratory and Revenue Integrity teams. This role is also responsible for monitoring healthcare rule and regulation changes to maintain billing compliance. It will partner with hospital billing and finance teams in the development and execution of billing process improvements related to compliance and reimbursement of laboratory testing and assist in the development and maintenance of policies and procedures.
Position Duties
  • Review billing system error reports and resolve billing exceptions by providing accurate and timely documentation; proactively escalate billing issues or and insights on new billing trends to the Lab Business Operations, and Revenue Cycle teams
  • Provide billing operational support, which includes error processing, charge entry and credit, and CPT code verification to Lab Business Operations, and Revenue Cycle teams
  • Develop internal audits and quality controls, in accordance with departmental policies, procedures, generally accepted accounting practices and all applicable laws and regulations, to certify all laboratory billing (in-house, send out, and Pathology professional practice (PCMG)) is in compliance with National and Local Coverage Determinations (NCD and LCD) policies.
  • Review and revise standard laboratory billing processes and procedures; develop new billing standard operation procedures as applicable
  • Review and reconcile referral lab invoices to verify pricing, patient billing accuracy, and approvals for timely payments.
  • Monitor changes to CMS and commercial payor rules and regulations to maintain billing compliance.
  • Assist in creating and maintaining a routine audit process of the ChargeMaster for laboratory testing charges and costs in close collaboration with Revenue Integrity.
  • Maintains professional and technical competency in all aspects of laboratory billing and coding with respect to governmental and commercial payor practices and requirements.
  • Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values
Mission
To advance hope, healing and the best healthcare for children and their families
Vision
Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.
We realize this vision by:
  • Offering the most comprehensive care across ages, communities and specialties
  • Investing in innovative research, including emerging treatments, tools and technologies
  • Advancing education and training to shape the next generation of clinical leaders
  • Advocating for the health and well-being of children and families
Values
  • We place children and families at the center of all we do
  • We deliver exceptional care, every day and in every way
  • We collaborate with colleagues, partners and communities to amplify our impact
  • We set the standards of pediatric healthcare today, and innovate for the future
  • We are accountable for making the highest quality care accessible and affordable
Phoenix Children's Hospital logo

About Phoenix Children's Hospital

Sourced by ZipRecruiter

Phoenix Children's Hospital, located in Phoenix, AZ, is a prominent establishment within the healthcare industry. Known for its commitment to pediatric healthcare, the hospital provides a vast range of services catering to the unique health needs of children. Originally founded in 1983, Phoenix Children's Hospital prides itself on being one of the largest and most respected children's hospitals in the country. Guided by its mission–"to provide hope, healing and the best healthcare for children and their families"–the hospital holds strong on its core values of family-centered care, excellence in clinical care, innovation, and stewardship.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Phoenix, AZ, US

Year founded

1983

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