Remote Risk Adjustment Coder Jobs in Philadelphia, PA

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit Physician Services - Independence Physician Management - UHS.

POSITION OVERVIEW

The Coding Manager is responsible for driving consistency across IPM, related to medical record documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Contributes to the development of medical coding and documentation plans and materials and works with the Markets to enhance documents and templates to enhance the coding and charge entry process. Ensure timeliness and accuracy of charges submitted. Meets regularly and develops positive business relations with the Markets to provide ongoing training and education for employees and providers. Works with CBO Leadership to identify coding-related revenue cycle problems, research/analyze data to resolve issues, identify and select alternatives to address outstanding issues and implement solutions for improvement. The Coding Manager coaches, counsels and mentors all coding.Responsible for driving consistency across IPM, related to clinical documentation and the correct use of CPT-4 and ICD-10 codes to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Develops workflows and education plans and materials and reviews and recommends updates, as needed, to enhance the overall coding and charge entry process.

Bachelor's degree preferred with 5-8 years' minimum working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment with a minimum 5 years of direct supervisory experience managerial or administrative experience required.

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements
• Thorough understanding of the revenue cycle and how the various components work together
• Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Meet regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees.
• Maintain an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
• Demonstrate excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
• Promote a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the team. Shows direct and tangible evidence of coaching, mentoring and professional development.
• Conduct one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility. Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations.
• Manage the employment hiring process for the Coding and Charge Entry Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations
• AAPC CPC Certification required
• Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable

As an IPM employee you will be part of a first-class organization offering:

• A Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match

and much more!

Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services. No fee will be paid in the event the candidate is hired because of the referral or through other means.

About UHS

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449

Bachelor's degree preferred with 5-8 years' minimum working in a healthcare (professional) billing, health insurance, coding or equivalent operations work environment with a minimum 5 years of direct supervisory experience managerial or administrative experience required.

• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements
• Thorough understanding of the revenue cycle and how the various components work together
• Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies.
• Meet regularly with Market leadership and Regional Coding/Charge Supervisors to discuss opportunities for improvement, impact to the revenue cycle, and ongoing training and education for providers and employees.
• Maintain an expanded knowledge base of medical terminology, standard medical abbreviations, anatomy and disease processes, CPT-4, and ICD-10, and abstracting of clinical documentation to meet regulatory and compliance requirements.
• Demonstrate excellent initiative and judgement. Works independently applying effective approaches to task prioritization, time management, delegation of tasks and meeting deadlines. Exhibits outstanding decision making and customer service.
• Promote a work environment of accountability and ownership. Sets appropriate standards of performance and communicates clear expectations to the team. Shows direct and tangible evidence of coaching, mentoring and professional development.
• Conduct one-on-one meetings with direct reports to provide a structured time to provide coaching, discuss accomplishments and review the status of revenue cycle operations within their scope of responsibility. Discuss areas of professional development as well as goal tracking/reporting, projects, and other pertinent topics. Maintains comprehensive and concise documentation of the one-on-one meetings, next steps, and expectations.
• Manage the employment hiring process for the Coding and Charge Entry Department. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations
• AAPC CPC Certification required
• Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable

As an IPM employee you will be part of a first-class organization offering:

• A Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match

and much more!

Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services. No fee will be paid in the event the candidate is hired because of the referral or through other means.

About UHS

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 300 corporation, annual revenues were $15.8 billion in 2024. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449