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R1 Rcm Medical Coding Jobs in Pennsylvania (NOW HIRING)

RETTEW

Structural Engineer Project Manager

Lancaster, PA · On-site

$77K - $104K/yr

Berwyn, Lancaster, Lehigh Valley (R1); Mechanicsburg, State College (R2); Akron/Canton, Morgantown ... Knowledge of DOT, AASHTO, and state design codes and standards. * Strong written and verbal ...

RETTEW

Structural Engineer Project Manager

Lancaster, PA · Hybrid

$77K - $104K/yr

Berwyn, Lancaster, Lehigh Valley (R1); Mechanicsburg, State College (R2); Akron/Canton, Morgantown ... Knowledge of DOT, AASHTO, and state design codes and standards. * Strong written and verbal ...

State of Pennsylvania

Security Officer 1

Harrisburg, PA · On-site

$36K - $54K/yr

R1 Pay Group: ST03 Bureau / Division Code: 00135110 Bureau / Division: Delaware Valley Veterans ... A conditional offer of employment will require a medical examination. * This position falls under ...

Commonwealth of Pennsylvania

Security Officer 1

Scranton, PA · On-site

$18.83 - $27.69/hr

Union UGSOA Bargaining Unit R1 Pay Group ST03 Bureau / Division Code 00134710 Bureau / Division ... A conditional offer of employment will require a medical examination. * This position falls under ...

New

W. R. Grace & Co.

Mechanical Engineer

Tyrone, PA

$83K - $114K/yr

Ensure compliance with applicable mechanical codes and standards (e.g., ASME, ANSI, API, OSHA ... RCM, FMEA, asset criticality). * Experience supporting PSMcovered processes. Benefits Medical ...

W. R. Grace & Co.

Mechanical Engineer

Tyrone, PA · On-site

$83K - $114K/yr

Ensure compliance with applicable mechanical codes and standards (e.g., ASME, ANSI, API, OSHA ... RCM, FMEA, asset criticality). * Experience supporting PSM-covered processes. Benefits Medical ...

CEI

Fircosoft Engineer

Pittsburgh, PA

... optional medical, dental, vision, 401(k) match Overview Function: Risk Mitigation & Cost ... Conduct peer code reviews and support change management processes * Collaborate with deployment ...

W. R. Grace & Co.

Mechanical Engineer

Tyrone, PA · On-site

$83K - $114K/yr

Ensure compliance with applicable mechanical codes and standards (e.g., ASME, ANSI, API, OSHA ... RCM, FMEA, asset criticality). * Experience supporting PSM‑covered processes. Benefits Medical ...

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All JobsR1 Rcm Medical Coding JobsR1 Rcm Medical Coding Jobs in Pennsylvania

R1 Rcm Medical Coding information

What is an R1 RCM Medical Coding job?

An R1 RCM Medical Coding job involves reviewing medical records and assigning standardized codes for diagnoses, treatments, and procedures. These codes are used for billing and insurance reimbursement, ensuring accurate and efficient revenue cycle management. Coders working for R1 RCM must be knowledgeable in ICD-10, CPT, and HCPCS coding systems, as well as compliance regulations. They play a crucial role in minimizing claim denials and optimizing reimbursements for healthcare providers.

What are the typical day-to-day responsibilities for someone working in R1 RCM Medical Coding?

In an R1 RCM Medical Coding position, your daily tasks will involve reviewing patient medical records, assigning appropriate diagnostic and procedure codes, and ensuring compliance with federal regulations and payer policies. You'll frequently use specialized coding software and electronic health records to enter and validate data. Collaboration with billing teams, physicians, and auditors is common to resolve discrepancies and clarify clinical documentation. Maintaining up-to-date knowledge of coding guidelines and ongoing training is also a key part of the role to ensure accuracy and minimize claim denials.

What are the key skills and qualifications needed to thrive in the R1 Rcm Medical Coding position, and why are they important?

To excel as an R1 RCM Medical Coding professional, you need a solid understanding of medical terminology, ICD-10/CPT coding systems, and healthcare reimbursement processes, often supported by a certification such as CPC or CCS. Familiarity with medical billing software, EHR systems, and coding audit tools is crucial for daily tasks. Attention to detail, strong analytical skills, and effective communication are valuable soft skills in this role. These competencies ensure accurate coding, compliance with industry standards, and seamless collaboration with healthcare teams, leading to optimized revenue cycles.

What are the most commonly searched types of R1 Rcm Medical Coding jobs in Pennsylvania? The most popular types of R1 Rcm Medical Coding jobs in Pennsylvania are:
What are popular job titles related to R1 Rcm Medical Coding jobs in Pennsylvania? For R1 Rcm Medical Coding jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching R1 Rcm Medical Coding jobs in Pennsylvania look for? The top searched job categories for R1 Rcm Medical Coding jobs in Pennsylvania are:
R1 Rcm Medical Coding jobs near you
Infographic showing various R1 Rcm Medical Coding job openings in Pennsylvania as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, 2% Temporary, 4% Contract, and 1% Nights. Highlights an 77% Physical, 6% Hybrid, and 17% Remote job distribution.
Collections Specialist

Collections Specialist

Vital Care Infusion Services

Pittsburgh, PA • On-site, Remote

$18.92 - $23.46/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Recognized as a "Best Place to Work Modern Healthcare" - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.
Vital Care is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.
What we offer:
  • Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
  • Paid time off, personal days, and company-paid holidays.
  • Paid Paternal Leave.
  • Volunteerism Days off.
  • Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
  • 401(k) matching and tuition reimbursement.
  • Employee assistance programs include mental health, financial and legal.
  • Rewards programs offered by our medical carrier.
  • Professional development and growth opportunities.
  • Employee Referral Program.

Job Summary:
Perform duties to collect Home Infusion claims, focusing on accuracy, timeliness, and adherence to processes to reduce denial rate, DSO, and bad debt. Recognize additional revenue opportunities and improve collection rates; perform revenue cycle collection duties within standard or accepted practice limits.
Position is 100% remote
Duties/Responsibilities:
  • Review claims with outstanding balances and identifies actions to successfully collect revenues. Follow up with insurers and patients to collect outstanding balances in an environment focused on building enduring customer and business relationships. Utilize Payer Portals via the internet for claim disposition.
  • Review documents received including Explanations of Benefits (EOBs), Remittance Advices (RAs), and other documents indicating denials or claims acceptance. Identify reasons for denials, take required corrective action, and take ownership of claims through to timely, successful collection.
  • Analyze denials, identify trends, and recommend process improvement opportunities that will result in DSO reduction, superior collection rate, intervals reduced bad debt and simplified processes that are responsive to the requirements of specific payers.
  • Identify payor requirements for submittal of appeals for denied claims. Verify insurance information with patients, order medical records, review original claim coding, compile other validating documentation required, and submit appeals in keeping with payor requirements and VCI processes.
  • Communicate effectively with franchise partners and other VCI departments regarding the status of collections. Resolve payer issues/concerns timely.
  • Document case activity, communications, and correspondence in the computer system to ensure completeness and accuracy of account activity and actions are taken to resolve outstanding claims issues. Schedule follow-ups in required intervals.
  • Investigate and verify benefits for pharmacy and medical third-party claims.
  • Communicate billing problems found during collection process as to avoid the same issues in the future.
  • Communicate financial obligation information with patients so that they have a clear understanding of all costs of therapy prior to starting service.
  • Contribute medical billing expertise to the design of training and knowledge transfer programs, materials, policies, and procedures to improve the efficiency and effectiveness of the RCM team. Assist with the processing of online adjudication of collection issues and nurse billing as assigned.
  • Perform other related duties as assigned.

Required Skills/Abilities:
  • Excellent communications skills; listening, speaking, understanding, and writing English while influencing patients, caregivers, payer representatives, and others, answering questions, and advancing reimbursement and collection efforts.
  • Proven understanding of processes, systems, and techniques to ensure successful billing and collection working with all payer types.
  • Proven ability to identify gaps and problems from the review of documentation, determine lasting solutions, make effective decisions, and take necessary corrective action.
  • Strong organization skills with the ability to track and maintain clear, complete records of activities, cases, and related documentation.
  • Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy applications.
  • Ability to complete job duties in a designated workspace outside the dedicated RCM location
  • Disciplined work ethic with ability to work remotely with minimum direct supervision, to effectively meet production and collection targets.

Education and Experience:
  • 2-5 years home infusion billing and/or collections experience required.
  • High School Diploma and additional specialized training in intake, pharmacy/medical billing, and/or collections.
  • Previous remote work environment is a plus but not required.
  • Detailed oriented with post-billing and post-payment investigative experience preferred.

Physical Requirements:
  • Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
  • Keyboarding: Frequent use of a keyboard for typing and data entry.
  • Reaching: Occasionally reaching for items such as files, documents, or office supplies.
  • Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork
  • Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.

Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify.
This position is full-time. The salary range for this position is $18.92-$23.46/hr.
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