This fully remote role will be responsible for assuring physician commitment and delivery of ... Code 27.1 et seq. * Daily interventions support implementation of the Health Plan's Quality ...
This fully remote role will be responsible for assuring physician commitment and delivery of ... Code 27.1 et seq. * Daily interventions support implementation of the Health Plan's Quality ...
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Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
Quick apply
Remote Roles and Responsibilities: Code review of business analytics work. NOT A TECHNOLOGY QA ROLE. Must Have Technical Skills: * 5+ years' experience writing SQL for Business Analytics projects
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SR APPLICATION DEVELOPER - PEGA Remote
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Senior Cloud DevOps Engineer
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Although this job is remote, we are primarily seeking candidates who reside in PA or VA for ... Applies knowledge of commercial building systems, codes, and construction methods to help create ...
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Although this job is remote, we are primarily seeking candidates who reside in PA or VA for ... Applies knowledge of commercial building systems, codes, and construction methods to help create ...
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Field Service Technician (Access Control Systems) Pittsburgh area
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Epic Professional Billing Charge Analyst
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Databricks Architect
Pittsburgh, PA · On-site +1
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Remote Coder information
See Pittsburgh, PA salary details
$17.79 is the 25th percentile. Wages below this are outliers.
$15.40 - $17.84
26% of jobs
$17.84 - $20.28
9% of jobs
$20.28 - $22.72
12% of jobs
The median wage is $23.94 / hr.
$22.72 - $25.16
9% of jobs
$25.16 - $27.60
11% of jobs
$27.60 - $30.04
5% of jobs
$31.87 is the 75th percentile. Wages above this are outliers.
$30.04 - $32.48
6% of jobs
$32.48 - $34.92
5% of jobs
$34.92 - $37.36
5% of jobs
$37.36 - $39.80
3% of jobs
$39.80 - $42.24
10% of jobs
$15
$26
$42
How much do remote coder jobs pay per hour?
What is a remote coder?
What does a remote coder do?
Remote medical coders handle patient information to ensure their medical services are billed properly to their insurance company. This administrative position is sometimes referred to as medical records technicians or health information technicians. Unlike coders who work in the office, remote medical coders work from home or another location outside of the office. Remote medical coders collect, research, and file patient medical information. As a remote medical coder, your primary responsibilities include making sure that all the data in a patient’s record is accurate and up-to-date, organizing patient data within multiple databases, and using medical codes to determine reimbursement for insurance billing purposes.
What are the key skills and qualifications needed to thrive as a remote coder, and why are they important?
What are some common challenges faced by remote coders and how can they be effectively managed?
What is the difference between Remote Coder vs Medical Biller?
| Aspect | Remote Coder | Medical Biller |
|---|---|---|
| Required Credentials | Certification in medical coding (e.g., CPC) | Certification in medical billing or coding (e.g., CPC, CPC-A) |
| Work Environment | Remote or in healthcare facilities | Remote or in healthcare offices |
| Industry Usage | Healthcare, insurance companies, hospitals | Healthcare providers, billing companies, hospitals |
| Job Focus | Assigning codes for diagnoses and procedures | Processing insurance claims and payments |
Remote Coders primarily focus on reviewing medical records and assigning appropriate codes for billing and documentation, while Medical Billers handle submitting claims and following up on payments. Both roles often require similar certifications and can be performed remotely, but their core responsibilities differ within the healthcare revenue cycle.
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Full-time
Posted 4 days ago
Job description
Purpose:
The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery of comprehensive high-quality health care to UPMC Health Plan members. This fully remote role will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health Plan members. Oversees adherence to quality and utilization standards through committee delegations, and further establishes an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers.
UPMC offers a premier benefits package, designed to care for your total well-being - physically, emotionally, and financially - paired with endless opportunities for career advancement and growth. Discover the culture, the teams, and the passions that drive us to make Life Changing Medicine happen.
Responsibilities:
- Provide leadership direction for provider credentialing processes.
- Physicians must devote sufficient time to the CHC-MCO to provide timely medical decisions, including after-hours consultation, as needed
- Provide leadership and direction in meeting Quality Improvement and Care Management goals directed at improvements in member health status outcomes and established business strategies.
- Provide expedited review and determination of medically pressing issues in accordance with the established policies of the Health Plan.
- Actively participates in the daily utilization management and quality improvement review processes, including concurrent, prospective and retrospective reviews, member grievances, provider appeals, and potential quality of care concerns.
- Keep current with accepted standards and professional developments in the areas of quality improvement and utilization management.
- Communicate and educate network providers regarding clinical guidelines, pathways, protocols, and standards related to quality and utilization processes.
- Responsible for reporting the communication of reportable communicable diseases in accordance with statute.
- Interacts with physicians regarding opportunities to improve member satisfaction and compliance with Utilization Management and Quality Improvement policies and procedures.
- Work with the DOH State and District Office Epidemiologists in partnership with the designated county/municipal health department staff to appropriately report reportable conditions in accordance with 28 Pa. Code 27.1 et seq.
- Daily interventions support implementation of the Health Plan's Quality Improvement and Care Management Programs.
- Represent the Health Plan in external accreditation and certification activities.
- Act as first level physician reviewer for all cases referred by the Quality Improvement and Care Management Departments.
- Daily activities support adherence to quality and utilization standards and establish an effective working relationship between UPMC Health Plan's Network and its physicians, hospitals and other providers.
- Doctor of Medicine or Doctor of Osteopathy from an accredited school Required
- The ideal candidates will have a minimum of 5-10 years of clinical experience
- Managed Care experience preferred
- Experience with Payor UM highly preferred
- Preference will be given to candidates with board certification in Internal Medicine, Family Medicine, Geriatric Medicine or Emergency Medicine
Licensure, Certifications, and Clearances: - Doctor of Medicine (MD) OR Doctor of Osteopathic Medicine (DO)
- PA Medical License
UPMC is an Equal Opportunity Employer/Disability/Veteran
About UPMC Health Plan
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Pittsburgh, PA, US
Year founded
1997