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Medical Coding Using Ai Jobs in Pennsylvania (NOW HIRING)

Datavant

Profee Coding Consultant - PRN

Harrisburg, PA · On-site

$20 - $28/hr

From fulfilling a single patient's request for their medical records to powering the AI revolution ... The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the ...

Varsity Tutors

Medical Terminology Tutor

Chester, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

Pittsburgh, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

State College, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

Erie, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

Harrisburg, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

Reading, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Varsity Tutors

Medical Terminology Tutor

Allentown, PA · Remote

$18 - $40/hr

Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson ... Adapts instruction using flashcard systems, body system organization, and medical document reading ...

Kanak Elite Services Inc

AI Engineer

Malvern, PA · On-site

Streamline code generation, debugging, and consistency using AI. * Present GenAI/Agentic AI capabilities at internal forums and communities. * Share use cases, prompt libraries, and best practices ...

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Medical Coding Using Ai information

What is medical coding using AI?

Medical coding using AI refers to the application of artificial intelligence technologies to automate the process of translating healthcare diagnoses, procedures, and services into standardized codes. AI-powered systems use natural language processing and machine learning to analyze clinical documentation and accurately assign the appropriate medical codes. This helps healthcare providers improve efficiency, reduce errors, and ensure proper billing and reimbursement. As AI continues to evolve, it is increasingly being integrated into healthcare revenue cycle management to streamline operations and support compliance.

How does working with AI tools change the daily workflow for medical coders?

Integrating AI tools into medical coding streamlines many routine tasks, such as extracting relevant information from clinical notes and suggesting appropriate codes. This allows medical coders to focus more on complex cases, code validation, and quality assurance. Collaboration with IT specialists and healthcare providers may increase as coders provide feedback on AI system performance and help refine its accuracy. Adapting to new technologies can be a challenge at first, but it often leads to improved productivity, fewer manual errors, and opportunities for professional development in health informatics.

What are the key skills and qualifications needed to thrive as a medical coding using AI specialist?

To thrive as a Medical Coding Using AI specialist, you need a strong understanding of medical terminology, coding standards (like ICD-10 and CPT), and healthcare compliance, often supported by a certification such as CPC or CCS. Familiarity with AI-based coding platforms, electronic health records (EHR) systems, and healthcare data analytics tools is typically required. Analytical thinking, attention to detail, and adaptability are crucial soft skills for interpreting complex records and working with evolving technologies. These skills ensure accurate, efficient coding and compliance with regulations, enabling healthcare organizations to optimize billing and patient care.

What is the difference between Medical Coding Using Ai vs Medical Coding Specialist?

AspectMedical Coding Using AiMedical Coding Specialist
CredentialsNone required; relies on AI softwareCertification (e.g., CPC, CCS)
Work EnvironmentPrimarily digital, often remoteOffice or remote, depending on employer
Industry UsageUsed by healthcare providers and tech companiesEmployed by hospitals, clinics, insurance companies
Job FocusAI-driven coding automation and oversightManual coding, review, and compliance

Medical Coding Using Ai involves leveraging artificial intelligence to automate and assist coding tasks, reducing manual effort. In contrast, a Medical Coding Specialist manually reviews and assigns codes based on medical records, requiring certification and expertise. While AI enhances efficiency, specialists ensure accuracy and compliance. Both roles are vital in healthcare billing and coding workflows, often working together to optimize processes.

What are popular job titles related to Medical Coding Using Ai jobs in Pennsylvania?

For Medical Coding Using Ai jobs in Pennsylvania, the most frequently searched job titles are:

What job categories do people searching Medical Coding Using Ai jobs in Pennsylvania look for?

The top searched job categories for Medical Coding Using Ai jobs in Pennsylvania are:

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Cities in Pennsylvania with the most Medical Coding Using Ai job openings:

Medical Coding Using Ai jobs near you
Infographic showing various Medical Coding Using Ai job openings in Pennsylvania as of June 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 69% In-person, 2% Hybrid, and 29% Remote job distribution.

Coding Appeals Specialist

St. Luke's University Health Network

Allentown, PA • Remote

Part-time

Posted 20 days ago

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.

JOB DUTIES AND RESPONSIBILITIES:

  • Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
  • Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
  • Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.  May participate in review of other medical necessity issues as needed.
  • Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
  • Draft appeal letters, including the coding argument, to support network coding.
  • Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
  • Participate as needed in Administrative Law Judge (ALJ) hearings.
  • Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.  Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
  • Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
  • Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.

PHYSICAL/SENSORY DEMANDS:

Sitting, standing and light lifting.   Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range.  Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation.

EDUCATION:

RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.  Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.

TRAINING, KNOWLEDGE AND EXPERIENCE:

Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.  Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.  Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.  Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.  Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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