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Remote Associate Coder Jobs in Pennsylvania (NOW HIRING)

UHS

Coder

King Of Prussia, PA · Remote

$18.25 - $24.50/hr

Responsibilities Remote Opportunity Independence Physician Management (IPM), a subsidiary of UHS ... Technical School, 2 Years College, or Associates Degree preferred. Work experience : * Experience ...

UHS

Coder

King Of Prussia, PA · Remote

$18.25 - $24.50/hr

Responsibilities Remote Opportunity Independence Physician Management (IPM), a subsidiary of UHS ... Technical School, 2 Years College, or Associates Degree preferred. Work experience : * Experience ...

Amerihealth Caritas

Coord Mail Services II

Philadelphia, PA · On-site +1

$18.75 - $24/hr

Those fully remote associates residing in states where service is required by contract, law, or ... Research mail or error reports utilizing USPS zip code lookup, data lookup, or claims information ...

The Pennsylvania State University

Approval of remote and hybrid work is not guaranteed regardless of work location.For additional ... Experience with coding in R or Python or MATLAB is desired. * Some experience with statistics or ...

Harris

Write clean, scalable, and efficient code in C# using .NET Core. * Develop and maintain front-end ... Associates degree in Computer Science, Engineering, or a related field. * Proven experience as a ...

InsCipher

Tax Associate

Pittsburgh, PA · Remote

$21 - $26/hr

... Remote to join our team. Under the direction of the Filing Services Team Lead this role will be ... Conduct compliance and quality review on documents, state legislation, codes and procedures ...

InsCipher

Tax Associate

Reading, PA · Remote

$21 - $26/hr

... Remote to join our team. Under the direction of the Filing Services Team Lead this role will be ... Conduct compliance and quality review on documents, state legislation, codes and procedures ...

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All JobsRemote Associate Coder JobsRemote Associate Coder Jobs in Pennsylvania

Remote Associate Coder information

What is the difference between Remote Associate Coder vs Remote Medical Biller?

AspectRemote Associate CoderRemote Medical Biller
CredentialsCertification (e.g., CPC, CCS)Certification (e.g., Certified Medical Reimbursement Specialist)
Work EnvironmentHome-based, healthcare facilities, clinicsHome-based, healthcare providers, billing companies
Industry UsageHospitals, clinics, insurance companiesMedical practices, billing services, insurance firms
Job FocusAssigning codes to diagnoses and proceduresProcessing payments, submitting claims, managing accounts

Remote Associate Coders primarily focus on reviewing medical records and assigning appropriate codes for billing and insurance purposes, requiring coding certifications. Remote Medical Billers handle the financial aspect by submitting claims and managing payments, often with billing-specific certifications. Both roles are essential in healthcare revenue cycle management and are commonly performed remotely in healthcare organizations.

What are the most commonly searched types of Remote Coder jobs in Pennsylvania? The most popular types of Remote Coder jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Associate Coder jobs? Cities in Pennsylvania with the most Remote Associate Coder job openings:
Remote Associate Coder jobs near you
Claim Payment Policy Lead - Remote (PA/NJ/DE)

Claim Payment Policy Lead - Remote (PA/NJ/DE)

Independence Blue Cross

Philadelphia, PA • On-site, Remote

$19 - $24/hr

Full-time

Posted 15 days ago

Independence Blue Cross rating

8.3

Company rating: 8.3 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

102nd of 261 rated insurance

Job description

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve.
The Claim Payment Policy Lead is responsible for generating policy driven innovative medical cost opportunities as well as investigating, reviewing, and applying clinical and/or coding expertise in the development and application of reimbursement or medical policies.
DUTIES AND RESPONSIBILITIES:
  • Lead cross-functional collaborations with key business areas to generate policy driven innovative medical cost savings ideas, validate feasibility, and execute successful implementation.
  • Monitor industry trends, regulatory changes, and reimbursement practices to ensure compliance and alignment with organizational goals.
  • Develop and maintain claim payment policies that reflect nationally recognized reimbursement practices in accordance with Company benefit, contracting and reimbursement structures, state and federal mandates and other appropriate sources.
  • Develop and maintain select medical policies adapted from Company recognized sources in accordance with Company benefits, state and federal mandates, and other appropriate sources.
  • Present Policy Bulletins to appropriate workgroups and committees and revise documents according to recommendations.
  • Apply appropriate coding sources to recommend and develop comprehensive code assignments in accordance with established coding guidelines.
  • Develop, prepare and present detailed business requirement documents to support policy and coding initiatives.
  • Evaluate and analyze utilization patterns and other sources of information to make recommendations for appropriate and cost-effective utilization.
  • Develop business cases to assist with decision making for assigned initiatives.
  • Mentor other staff and serve as coding and/or clinical SME and represent the department in a variety of forums.
  • Interact with all levels of associates and management within the Company and with outside contractors, consultants and other organizations.
  • Performs additional related duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
  • Bachelor's degree in relevant discipline or equivalent work experience.
  • Current coding certification (CCS, CPC, RHIA, RHIT), or current coding certification in combination with a clinical licensure (e.g., RN).
  • Minimum of five years related work experience with evidence of a broad base of knowledge and application of the revenue cycle management process and medical code sets, including CPT, HCPCS, and ICD-10.
  • Knowledge of healthcare reimbursement concepts, health insurance business, industry terminology, and regulatory guidelines.
  • Familiarity with Medicare rules and regulations.
  • Excellent organizational, time management, presentation, verbal, written and analytical skills and demonstrated ability to develop and lead cross-functional teams.
  • Must be able to work independently, prioritize workload, meet deadlines, and to assess the criticality of issues.

Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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