Medical Coder Jobs in Levittown, PA

This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J260756

Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. Experience Preferred: 1-3 years acute care coding Education Preferred: Associates in Health Information Technology License and Credentials Required: RHIA, or RHIT, or CCS, or CCA Skills Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4 Bi-Weekly Hours: 80 Work Schedule: 8:30am - 5pm M-F EOE

Why Join Us? For us, what matters most is excellence. We are caring professionals, people who live, work and dedicate themselves to the communities within New Jersey and Pennsylvania. As such, we strive to provide a sanctuary of excellence, precision, thoroughness and genuine compassion. We also take a whole-person approach to patient care and treatment, tailoring all that we do around their unique needs. And we do all we can for patients, going the extra mile to see that they're supported, informed and getting the one-on-one care and service they deserve. Job Description: The Reconciliation and Coding Specialist is responsible for the charge reconciliation of various multi-specialty business units. This will include documentation review and chart auditing required to ascertain services provided. This role will coordinate between offshore coding team members, outsourced billing resources, office management, Astera leadership and providers, as appropriate. This position is remote within New Jersey. Essential Duties & Responsibilities Reconciliation of charges captured for multiple fast-paced offices and specialties including, but not limited to, General Surgery, Urology, Breast Surgery, Medical oncology, Rheumatology and Laboratory services. Addressing coding inquiries from RCM vendors, such as Leveling E/M Services, ICD10 code assignment. Troubleshooting coding and charge related disparities for resolution, as they arise. Auditing medical records, as needed, to support Compliance needs for the company. Strong communication skills to interact with all levels of staff and management, including overseas coding team members and providers. Education & Work Experience Certified coder required. RCM experience required, 2-5 years. Coding experience required, 2-5 years. Experience with chart auditing and medical record reviews. Experience with Urology, Surgeries, Medical Oncology and Lab service coding preferred. Knowledge of CPT, ICD10 and HCPCS coding. Must have an intermediate level of Excel experience and MS Office applications. The above statements are intended to be a representative summary of the major duties and responsibilities performed by the Specialist. The Specialist may be requested to perform job-related tasks other than those stated in this description.

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards. This role involves performing coding duties for complex cases, including auditing, reporting, and collaborating with providers to address coding corrections and clarifications. The individual will distribute monthly audit reports, address any questions or concerns from providers, and offer training to staff on coding processes and requirements. Additionally, the role includes resolving discrepancies in coding, reviewing and correcting rejected claims from third-party carriers, and performing other coding duties as assigned by management to ensure accurate and timely submissions. Skills Required: Minimum 2 years of risk coding experience, preferably in primary care or behavioral health Certification in Professional Coding (CPC) required; Certification in Risk Adjustment Coding (CRC) preferred High school diploma or GED required; Associate's degree preferred Proficiency in Microsoft Office, especially Excel Strong understanding of ICD-10, CPT, and HCPCS coding systems Ability to work independently in a remote environment Strong interpersonal skills to build relationships with colleagues and external auditors Excellent written and verbal communication skills Ability to multitask and prioritize effectively in a fast-paced environment Key Behaviors: Attention to Detail: Consistently ensures accuracy and thoroughness in coding and documentation. Collaboration: Works effectively with cross-functional teams, including providers and other staff. Communication: Demonstrates clear and professional communication, both written and verbal, with colleagues and external auditors. Flexibility: Adapts quickly to shifting priorities and changes in a fast-paced environment. Problem Solving: Takes initiative to resolve discrepancies and address challenges with coding or claims issues. Accountability: Takes ownership of tasks, ensuring deadlines are met and quality is maintained. Competencies: Technical Expertise: Deep knowledge of medical coding, including ICD-10, CPT, and HCPCS systems, and an understanding of their application in a multi-state telemedicine and home-based care environment. Compliance Knowledge: Familiarity with coding guidelines, third-party reimbursement policies, and industry regulations to ensure adherence. Training & Development: Ability to educate providers and staff on coding requirements and to lead training sessions. Time Management: Efficient in managing multiple priorities and ensuring tasks are completed on time and with precision. Customer Service Orientation: Ability to maintain a high level of service and professionalism when working with providers and staff to resolve issues. Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

Upward Health is an in-home, multidisciplinary medical group providing 24/7 whole-person care. Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help. Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients. We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person. It's no wonder 98% of patients report being fully satisfied with Upward Health! Job Title & Role Description: The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards. This role involves performing coding duties for complex cases, including auditing, reporting, and collaborating with providers to address coding corrections and clarifications. The individual will distribute monthly audit reports, address any questions or concerns from providers, and offer training to staff on coding processes and requirements. Additionally, the role includes resolving discrepancies in coding, reviewing and correcting rejected claims from third-party carriers, and performing other coding duties as assigned by management to ensure accurate and timely submissions. Skills Required: Minimum 2 years of risk coding experience, preferably in primary care or behavioral health Certification in Professional Coding (CPC) required; Certification in Risk Adjustment Coding (CRC) preferred High school diploma or GED required; Associate's degree preferred Proficiency in Microsoft Office, especially Excel Strong understanding of ICD-10, CPT, and HCPCS coding systems Ability to work independently in a remote environment Strong interpersonal skills to build relationships with colleagues and external auditors Excellent written and verbal communication skills Ability to multitask and prioritize effectively in a fast-paced environment Key Behaviors: Attention to Detail: Consistently ensures accuracy and thoroughness in coding and documentation. Collaboration: Works effectively with cross-functional teams, including providers and other staff. Communication: Demonstrates clear and professional communication, both written and verbal, with colleagues and external auditors. Flexibility: Adapts quickly to shifting priorities and changes in a fast-paced environment. Problem Solving: Takes initiative to resolve discrepancies and address challenges with coding or claims issues. Accountability: Takes ownership of tasks, ensuring deadlines are met and quality is maintained. Competencies: Technical Expertise: Deep knowledge of medical coding, including ICD-10, CPT, and HCPCS systems, and an understanding of their application in a multi-state telemedicine and home-based care environment. Compliance Knowledge: Familiarity with coding guidelines, third-party reimbursement policies, and industry regulations to ensure adherence. Training & Development: Ability to educate providers and staff on coding requirements and to lead training sessions. Time Management: Efficient in managing multiple priorities and ensuring tasks are completed on time and with precision. Customer Service Orientation: Ability to maintain a high level of service and professionalism when working with providers and staff to resolve issues. Upward Health is proud to be an equal opportunity employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position.

SHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career. CHOP's Commitment to Diversity, Equity, and Inclusion CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children. We strongly encourage all candidates of diverse backgrounds and lived experiences to apply. A Brief Overview This role will be responsible for reviewing medical record documentation including procedure reports and assigning appropriate CPT and ICD-10 codes. This role is also responsible for timely charge submissions and or data entry of the coded services. What you will do Systematically review and analyze patient medical records to determine all appropriate diagnosis and procedures performed, and to produce coded abstract for physician billing. Submission of coded services for billing and or data entry of the coded services for claim submission in accordance with departmental productivity and accuracy standards. Review of inpatient data and reconciliation of billable services including, review of system processing and appropriate escalation and timely communication of errors and omissions and clinical documentation insufficiencies. Review and resolution of coding related edits and errors that impact claim submission. Maintaining thorough knowledge of coding and documentation requirements outlined by CPT, ICD-10 CMS and CHOP Compliance for all physician services performed. Education Qualifications High School Diploma / GED Required Associate's Degree Preferred Experience Qualifications At least one (1) year coding experience Required At least two (2) years coding experience Preferred Physician Coding Experience Preferred Skills and Abilities Advanced knowledge of specialty coding. Advanced knowledge of ICD10, third party procedures, and requirements regarding benefit structures, insurance verification, referrals and authorizations. Advanced knowledge of general financial counseling and the revenue cycle. Familiarity with electronic health records (EHR). Intermediate proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel) Excellent verbal and written communications skills Excellent interpersonal skills Strong critical thinking / problem-solving skills Strong analytical skills Ability to maintain confidentiality and professionalism Ability to work independently with minimal supervision Ability to gather, analyze and make recommendations/decisions based on data Ability to convey complex or technical information in an easy to understand manner Licenses and Certifications Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - upon hire - Required or Certified Professional Coder Apprentice (CPC-A) - American Academy of Professional Coders (AAPC) - upon hire - Required or Certified Outpatient Coder (CPC-H) - American Academy of Professional Coders (AAPC) - upon hire - Required or Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required or Certified Coding Specialist-Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - upon hire - Required To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must be fully vaccinated against COVID-19 and receive an annual influenza vaccine. Learn more. Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed. EEO / VEVRAA Federal Contractor | Tobacco Statement

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Entity: Clinical Practices of the University of Pennsylvania (CPUP) Department: Dermatology Location: Centre Square West Tower- 1500 Market Street Hours: Hybrid Schedule - Monday to Friday, 8:00 am - 4:30pm (1 day a week required in office in Philadelphia) Summary: + This position reports to the Supervisor of Billing and is responsible for reviewing documentation and assigning the appropriate diagnoses and procedures- specifically for professional or clinic services into appropriate codes using ICD-10 as well as completing day-to-day administrative tasks. Through efficient and accurate coding, the Practice Coding Specialist I will help ensure claims are properly coded and reimbursed for professional and facility services. Responsibilities: + Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. + Accurately applies ICD-10, HCPCS/CPT, and APC codes for both routine and complex procedures as well as maintains or exceeds the standard level of quality and productivity. + Maintains up-to-date knowledge and provides guidance on requirements. + May also review secured authorizations and pre-billed claims as needed to ensure they adequately reflect the procedures performed. + Participates in initiatives and activities related to date integrity or billing processes associated with the hospital and clinic. + Performs duties in accordance with Penn Medicine and entity values, policies, and procedures. + Other duties as assigned to support the unit, department, entity, and health system organization. Credentials: + Certified Procedural Coder - CPC or Certified Coding Specialist - CCS is required. + RHIA or RHIT is preferred. Education or Equivalent Experience: + H.S. Diploma/GED required. + 1-3 years Coding experience, including outpatient or specialty coding is required. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 217830

**Description: Inpatient Coder** Provides medical coding inputs into product development to meet tactical business objectives. Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) . 3+ years experience analyzing and assigning medical codes to patient records, ensuring accurate billing within a hospital facility. Thorough understanding of ICD-10-CM and PCS coding systems as well as must have hands-on experience using MS-DRG and APR-DRG. **_Responsibilities_** Serve as a liaison with product management and engineering to provide inputs into product model development. Leverage 3+ years of acute HIM inpatient medical coding experience to support the development of AI models that a) extract ICD-10-CM and ICD-10-PCS codes from clinical documents; and b) generate MS-DRGs for payment. Collect, input, verify, correct, and analyze data to measure key performance indicator actual versus business objectives. **_Qualifications_** + 3+ years hands on experience acute HIM inpatient medical coder in the hospital setting + Must know what to look for in extracting ICD-10 CM and ICD-10 PCS codes + Understand what supporting evidences are needed + Utilized grouper software for multiple years + Interacted with billing department on the issues of coding related to billing + Up to date on current ICD-10-CM and ICD-10-PCS coding guidelines + Experience with 3M 360 or Optum HIM encoder + AHIMA Certified RHIA or RHIT credentials + Associate's or Bachelor's degree in Health Information Management (HIM) Leading contributor individually and as a team member. Work is very complex, involving the application of advanced technical/business skills in area of specialization. Ability to collect, organize, and display data in spreadsheet format. Follow-through skills necessary to get information implemented into incremental model development improvements. For this, relationship management skills strongly desired. Strong written and verbal communication skills. Career Level - IC3 Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from $29.42 to $60.63 per hour; from: $61,200 to $126,100 per annum. May be eligible for equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's problems. True innovation starts with diverse perspectives and various abilities and backgrounds. When everyone's voice is heard, we're inspired to go beyond what's been done before. It's why we're committed to expanding our inclusive workforce that promotes diverse insights and perspectives. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer a highly competitive suite of employee benefits designed on the principles of parity and consistency. We put our people first with flexible medical, life insurance and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by calling ***************, option one. **Disclaimer:** Oracle is an Equal Employment Opportunity Employer*. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. *** Which includes being a United States Affirmative Action Employer**

About Us For 55 years the medical experts of Bryn Mawr Medical Specialists Association have been providing personalized care to patients in the Philadelphia region. Our patients have seamless access to 80 highly-trained physicians in 11 specialties and primary care. This integration of primary and specialty care allows our providers to improve communication by using a shared medical chart at various stages of care. Our physicians, nurses and staff work as a team to provide comprehensive, patient-centered care with a “whole person” approach. Medical Coder/Certified Professional Medical Auditor Medical Coder/Certified Professional Medical Auditor will act as an internal resource for performing routine internal compliance audits, managing internal and external chart audits, addressing coding questions, and providing education for physicians, APPs, and staff. Duties/Responsibilities: - Monitors provider coding and documentation for compliance with carrier and billing regulations. - Performs routine internal audits as part of the organization's compliance program - Tracks and maintains records of all internal and external audits, results of conducted audits, and education. - Participates and assists with external audits. - Develops and implements education and training programs for providers and staff regarding coding and documentation based on current standards and regulations.as part of the organization's compliance program - Acts as a resource for questions regarding coding and documentation. - Updates providers and staff regarding changes in coding requirements. - Other duties as assigned. Requirements: - Certification in professional coding - Strong knowledge of federal and state healthcare compliance laws and regulations, particularly fraud, waste, and abuse and privacy - Demonstrated ability in compliance policy and procedure development, implementation, education, and monitoring - Bachelor's degree in relevant field, including but not limited to nursing and other clinical majors, business and healthcare management - Excellent leadership, interpersonal, organization, and problem-solving skills Schedule: - Full-time - Monday-Friday - Hybrid work schedule available if desired- minimum 3 days in the office per week required Pay/Benefits: - $25-$30 per hour - Competitive salary - Medical, Vision, and Dental insurance - 401(k) - Profit & Pension Sharing Plan - PTO

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Job Description Position: Medical Coder Location: PHILADELPHIA PA 19103 Duration: 3+months Rate: $14.80/Hr on W2 Contractor will sign on daily chart review application to review medical records for risk adjustment coding. The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional coder with at least 2 years of experience. The coder will meet 3x a week with a coding manager to review metrics and progress to-date. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow. We've stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity. Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients' success. Job Description: Title: Certified Professional Coder Location: Ewing, NJ Duration: Full Time Job Summary: This position is accountable for the review, interpretation and codification of Medical Policies and Legislative Mandates utilizing CPT-4, HCPC and ICD-9/ICD-10 coding parameters. Responsibilities: • Reviews and interprets current Medical Policies for systematization. • Translates written policy interpretation into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Translates Legislative Mandates into CPT, HCPC, ICD-9/ICD-10 codes for input into systems. • Maintains a database for all policies and mandates that is updated each time new/revised/deleted CPT/HCPC/ICD-9/ICD-10 are released. • Monitor compliance with policies and procedures relevant to clinical data reviewed. • Perform updates to the criteria file to include adds/deletes/revisions of CPT-4 and HCPC codes. Review all codes for accuracy; review database to criteria file before implementation of policy. • Handle internal and external areas requests to investigate current state and historical of changes made to a particular CPT-4/HCPC/Diagnosis code such as effective dates, messages used, parameter limitations. • Review and analyze BRD/TRD/Summary to ensure accuracy of implementation of policies. • Review of scripts concerning Edits in criteria file. Review logic concerning implementation of policies. • Assist benefit file on criteria loading to best accommodate implementation of benefits. • Ensure files (provider/criteria) are loaded correctly in order to receive proper Edits 405/406. • Perform other related tasks as assigned. Knowledge: • Requires proficiency in the CPT-4, HCPC, ICD-9/ICD-10 coding. • Requires knowledge of anatomy, physiology and medical terminology of medical procedures, abbreviations and terms. • Requires knowledge of the health care delivery system. Skills and Abilities: • Requires the ability to utilize a personal computer and applicable software ( e.g. proficiency in Word, Excel, Access). • Must have effective verbal and written communication skills and demonstrate the ability to work well within a team. • Demonstrated ability to deliver highly clinical information to technical individuals. • Must demonstrate professional and ethical business practices, adherence to company standards and a commitment to personal and professional development. • Proven ability to exercise sound judgment and strong problem solving skills. • Proven ability to ask probing questions and obtain thorough and relevant information. • Must have the ability to organize/prioritize/analyze complex tasks. • Use of CMS website for CCI rules and regulations. • Use of other approved websites for research. Qualifications Education/Experience: • Bachelor's Degree preferred. • Requires experience with McKesson ClaimsXten • Requires a clinical medical background (Clinical editing). • Requires a minimum of 3 years clinical experience. • Requires 3 - 5 years of Medical Coding experience. • Requires a minimum of 2 years' experience in Health Insurance/Claims Processing and/or Utilization Review. • Prefer knowledge/experience with computer processing systems. • Requires current Registered Health Information Technologies (RHIT) or Certified Professional Coder designation from the American Academy of Professional Coders or a Certified Coding Specialist from the American Health Information Management (AHIMA). Additional Information Thanks, Nishit 732-429-1639

The New Brunswick Counseling Center is seeking a full-time Certified Peer Worker to deliver high-intensity services, including providing evidence-based interventions, facilitating treatment referrals, and offering comprehensive case management. The role includes managing an independent caseload and working closely with clients to promote recovery and well-being. Roles and Responsibilities: Deliver peer recovery support services tailored to client needs, focusing on individuals with substance use and/or co-occurring mental health disorders. Provide high-intensity interventions to support client stability and recovery. Facilitate treatment referrals and ensure timely follow-ups with service providers. Offer comprehensive case management, including coordinating resources and services to meet client goals. Maintain a caseload of clients, developing individualized recovery plans and documenting progress. Act as a liaison between clients and other professionals, ensuring integrated and client-centered care. Provide education and advocacy to promote self-determination and empowerment in recovery. Uphold ethical standards and adhere to the NAADAC/NCPRSS Code of Ethics in all professional interactions. Training Requirements: To be eligible for the role, candidates must meet the following criteria: Ethics Training: Completion of an 18-hour ethics course. National Certification: Must hold the Nationally Certified Peer Recovery Support Specialist (NCPRSS) credential accredited by NAADAC. Submit proof of eligibility, including: GED, high school diploma, or higher education transcript. Self-attestation of a minimum of 2 years in recovery from substance use and/or co-occurring mental health disorders. Evidence of at least 200 hours of direct practice in a peer-recovery support environment (volunteer or paid, supervisor-attested). Signed adherence to the NAADAC/NCPRSS Code of Ethics. Two professional references (one must be from a professional context). Evidence of 60 contact/training hours in peer recovery-focused education, with at least 50% being face-to-face. Training Hours Breakdown: Peer Recovery Education/Training: 48 hours, which may include: 18-hour ethics course. 30-hour CCAR (Connecticut Community for Addiction Recovery). Training provided through DMHAS or NJPN at no cost for DMHAS peer workers. Official transcripts provided by NJPN or other approved NAADAC providers. HIV/Other Pathogens Education: 6 hours of specialized training in HIV and other pathogens. Preferred Skills and Attributes: Strong understanding of the recovery process and peer support principles. Excellent interpersonal and communication skills. Ability to maintain professional boundaries and confidentiality. Familiarity with local resources and systems of care. Organizational skills for effective caseload management. Work Environment: The Certified Peer Worker will work in various settings, including community and outpatient services, with a focus on fostering a supportive and inclusive environment for clients. Application Instructions: Candidates must provide documentation of all training, certification, and eligibility requirements during the application process. For non-DMHAS training participants, consult NAADAC.org for approved education providers. This role provides an excellent opportunity for individuals passionate about recovery and peer support to make a meaningful impact in their community.

Job Details Willingboro Store - Willingboro, NJ Full Time None $16.25 - $16.25 Hourly None Any RetailDescription The Barcoder Trainee prices and tags items to achieve the highest dollar return for donations processed. The position is a member of the Retail Team. SPECIFIC DUTIES Follow all Goodwill policies and safety procedures. Must possess professional etiquette. Responsible to process all incoming softline and hardline goods as assigned, including clothing, household, and furniture items. Maintains high quality in processing goods. Effectively and accurately barcode and scanning of garment brand label. Must complete 2 Racks every hour (input/tagged/branded). 40% of all units must be branded to be bonus eligible. Must generate $7,500.00 in store sales from items barcoded during every two week production period to be bonus eligible. Maintains accurate and consistent prices for selected items or housewares. Empties containers and separates acceptable clothing, wares, collectables/antiques, and bin items. Will receive cross-training as Processor Trainee and Donation-Utility Associate to promote individual employee growth and maintain company productivity. If working at Benigno Retail Operations Center, will receive cross-training as Processor Trainee, Material Handler, Baler, and Warehouse Helper. Stocking sales floor as assigned. Keeps work area and surrounding area neat, clean, and orderly. Follows all customer service guidelines; strives to provide exceptional customer service at all times. Assist customers/donors as required, including accepting donations and selling merchandise. Regular attendance is required. All other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Customer Service - Ability to meet customer needs, understand their concerns, and resolve issues in a friendly and efficient manner. Honesty/Integrity - Ability to be truthful and be seen as credible in the workplace. Technical - Must be proficient in using current production software to complete the duties of the position. Sound and Timely decisions - Using knowledge and experience to make sound decisions that will impact business goals and strategies; creates an environment where other Leaders and/or Team Members are empowered to make decisions. Reliability - The trait of being dependable and trustworthy. Enthusiastic - Ability to bring energy to the performance of a task. Accuracy - Ability to perform work accurately and thoroughly. Ability to communicate and understand instructions, both verbal and written, in English. Must be able to work a flexible schedule on short notice, including night, weekends and occasionally long hours. Physical Demands and Work Environment Ability to be flexible and assist other areas of the store when needed. Vision corrected to within normal limits. Ability to work well in a hectic work environment with occasional periods of high stress.

JEVS Human Services is seeking a Certified Peer Specialist. Our CPS motivates people to work toward recovery while creating and achieving goals. Key Responsibilities: * Work with individuals and groups for action plans aimed at achieving recovery goals * Provide activities, education, skill teaching, and opportunities that help progress toward goals * Promote participants self-advocacy skills * Promoting a peer support culture. Give presentations on the role of the CPS * Must have a current Peer Specialist Certification through the State of PA * Maintain CBH requirements as a Psychiatric Rehabilitation Specialist * 1 year experience as a Certified Peer Specialist This is a part time position with flexible hours The pay for this position is $19/hour. Base pay is one part of the Total Compensation that JEVS Human Services provides to recognize employees for their work. JEVS provides competitive Benefits; we believe that benefits should support you at work and at home. Please visit the benefits page of our careers site for more details. At JEVS, we are committed to ensuring all our employees feel included, valued, appreciated and free to be who they are at work. We cultivate a culture where differences are valued, and we are putting resources and attention towards improving employee engagement, retention, and promotion of our talented staff. Diversity, inclusion, and equity are core principles that guide how we cultivate leaders, build our teams, and create an environment that is the right fit for JEVS Human Services' employees, our community partners, and the individuals we serve. For more information about what it's like to be a part of the JEVS team, visit our careers page at ****************************************** Qualified individuals with disabilities are encouraged to apply; reasonable accommodations will be provided. Please contact your recruiter if you are in need of an accommodation during the interview process. JEVS Human Services is committed to ensuring equal employment opportunities. The Agency will not engage in or tolerate unlawful discrimination (including any form of unlawful harassment) on account of a person's gender, gender identity, age, race, color, religion, creed, sexual preference or orientation, marital status, national origin, ancestry, citizenship, military status, veteran status, disability, or membership in any other protected group. Qualified individuals with disabilities are encouraged to apply; reasonable accommodations will be provided.

Job Details Philadelphia, PA $19.78 Description The Certified Peer Specialist is a member of the non-fidelity Assertive Community Treatment (ACT) team who provides flexible, community based services that are designed to promote the stability, recovery and community integration of formerly homeless individuals who have a mental illness and may abuse substances. The CPS works with individuals in their community environment assisting them in their recovery through self disclosure, instilling a sense of hope, encouragement, and vision in the future. The CPS assists clients to: better understand their mental illness; promote self-advocacy; develop interpersonal skills and social support/networks; reinforce budgeting skills to allow greater independence in management of funds; develop leisure and recreational activity planning skills; integrate with self-help support groups and other community avenues toward advancing their personal recovery objectives. Essential Duties and Responsibilities: Carries out the daily routine of individualized engagement activities with consumers utilizing Recovery concepts that include sharing personal recovery experiences, developing a peer relationship that encourages hope in the future, and maximum participation in the community with focus on community integration (e.g., work, school, relationships, physical activities, self-directed hobbies and interests, etc.). Assists the person in identifying and valuing his unique strengths, abilities and assets, and how to best utilize them to achieve their goals. Works in concert with person and case manager around Recovery goal development and planning, including: a) assisting individual to define personal interests and goals in relation to Recovery and to getting the life they want in the community; b) provides education on WRAP to assist Recovering individuals in developing their own plans for advancing their recovery . Provides daily information and feedback regarding consumer's behavior, attitude and physical condition, as a part of participation in the treatment planning process and in Team meetings, Serves as a role model and promotes self-advocacy so that Recovering individuals will have a voice that is fully heard in ensuring that their needs, goals, and objectives are central in their dealings with provider agencies. Participates in the identification of community resources that support each individual's goals and interests, Liaisons with community groups/agencies that promote Recovery, along with other team staff, to ensure consumer access to and participation by: a) discussing possible matches and opportunities that coincide with the person's interests, b) linking to self-help and mutual support groups, c) accompanying individuals to various community providers to familiarize them with potential resources, d) teaching them the skills needed to effectively and successfully utilize resources, and e) coaching to enable independent use of resources. Accompanies individuals to appointments (medical, dental, financial, entitlements, court, and probation, etc.) to provide support and assistance, if requested. Attends in-service and other training in order to meet mandated training hours. Reads/completes required paperwork documentation in timely manner. Adheres to a flex schedule which allows for evening and weekend hours as may be required to respond to individual needs. Is able to work 7 hours a day on Mondays, Wednesdays and, Fridays. Performs other duties as assigned. Qualifications Education, Experience and Skills: Patience, creativity, flexibility, compassion, and sensitivity to persons with disabilities and other minority populations Excellent interpersonal, communication and writing skills, as well as computer literacy High school diploma or GED; BA degree in a social science field preferred Must be a current or former recipient of mental health services for 2 years or more and have achieved at least one year in recovery Must have successfully completed the Pennsylvania Certified Peer Specialist Training Program Ability to work with diverse populations including clients and staff in critical and emergency situations. Sensitive to cultural, economic, gender, and sexual orientation differences Valid driver's license and clean driving record. Supervisory Responsibilities: None Physical Demands and Work Environment Community environment. Constant interaction with agency clientele. Considerable walking and standing. The employee is expected to adhere to all agency policies and to act as a role model in the adherence to policies.

Your Tomorrow is Here! Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University. To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here! Equal Opportunity Employer/Veterans/Disabled An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. Your Tomorrow is Here! TUH-Jeanes Campus, in Northeast Philadelphia, offers a unique combination\: advanced medical and surgical services in a convenient, easy-to-access community setting. A member of Temple Health, TUH-Jeanes Campus has many services that are typically only found at downtown hospitals, including advanced cardiac, neurologic and orthopedic surgery. TUH-Jeanes Campus' experienced doctors and dedicated staff offer patients access to many of the latest treatments and diagnostics, while never losing sight of its commitment to providing a compassionate, personal touch. Collects, analyzes and maintains patient medical records. Education High School Diploma or Equivalent (Required) Experience General Experience and knowledge of medical terminology (Preferred) General Experience in a clerical role in a hospital setting (Preferred) _

This posting is open to the public. If you are a City employee with permanent Civil Service status, you should apply to the posting that says Citywide Promotional underneath the title. Discover the Perks of Being a City of Philadelphia Employee! * Enjoy a Free Commute on SEPTA - Eligible City employees will no longer have to worry about paying for SEPTA public transportation. Whether you're a full-time, part-time, or provisional employee, you can seize the opportunity to sign up for the SEPTA Key Advantage Program and receive free Key Cards for free rides on SEPTA buses, trains, trolleys, and regional rails. * Unlock Tuition Discounts and Scholarships - The City of Philadelphia has forged partnerships with over a dozen esteemed colleges and universities in the area, ensuring that our employees have access to a wide range of tuition discounts and scholarships. Experience savings of 10% to 40% on your educational expenses, extending not only to City employees but in some cases, spouse and dependents too! * Qualify for the Public Service Student Loan Forgiveness Program - This program forgives the remaining balance on your Direct Loan after you've made the equivalent of 120 qualifying monthly payments while working full time for the City of Philadelphia. Learn more here: *************************************************************************** Join the City of Philadelphia today and seize these incredible benefits designed to enhance your financial well-being and personal growth! ABOUT THE POSITION This is complex technical inspection or plan review work in the area of specialization. Positions in the Building specialty may be assigned to the Plans Review, Field or Emergency Services assignments. Positions in the Electrical specialty and Plumbing specialty perform complex plan review work. Positions in the Code Enforcement specialty perform complex field inspections to ensure conformance with property maintenance, zoning and fire prevention codes as well as ordinances and regulations governing commercial and business activity. Employees in the Building, Electrical and Plumbing specialties of this class review construction applications and related permit applications involving residential and commercial structures to ensure compliance with the Pennsylvania Uniform Construction Code and related City Ordinances and Regulations. Employees in the Building Specialty may perform complex plan review functions or may perform advanced level field inspections to ensure projects are built in conformance with approved plans. Communicating and providing understanding of the provisions of diverse codes and related ordinances, and gaining cooperation from design professionals, builders, developers, property owners, building managers, tenants, business owners and the general public are major aspects of the work. Work is performed under the general supervision of an administrative superior

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Job Description Position: Medical Coder Location: PHILADELPHIA PA 19103 Duration: 3+months Rate: $14.80/Hr on W2 Contractor will sign on daily chart review application to review medical records for risk adjustment coding. The coder will identify risk adjustment codes based upon coding guidelines. The coder will be knowledgeable and familiar with computers and technology. The coder will be a certified professional coder with at least 2 years of experience. The coder will meet 3x a week with a coding manager to review metrics and progress to-date. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************

Job Details Lumberton Store - Lumberton, NJ Full Time None $16.25 - $16.25 Hourly None Any RetailDescription The Barcoder Trainee prices and tags items to achieve the highest dollar return for donations processed. The position is a member of the Retail Team. SPECIFIC DUTIES Follow all Goodwill policies and safety procedures. Must possess professional etiquette. Responsible to process all incoming softline and hardline goods as assigned, including clothing, household, and furniture items. Maintains high quality in processing goods. Effectively and accurately barcode and scanning of garment brand label. Must complete 2 Racks every hour (input/tagged/branded). 40% of all units must be branded to be bonus eligible. Must generate $7,500.00 in store sales from items barcoded during every two week production period to be bonus eligible. Maintains accurate and consistent prices for selected items or housewares. Empties containers and separates acceptable clothing, wares, collectables/antiques, and bin items. Will receive cross-training as Processor Trainee and Donation-Utility Associate to promote individual employee growth and maintain company productivity. If working at Benigno Retail Operations Center, will receive cross-training as Processor Trainee, Material Handler, Baler, and Warehouse Helper. Stocking sales floor as assigned. Keeps work area and surrounding area neat, clean, and orderly. Follows all customer service guidelines; strives to provide exceptional customer service at all times. Assist customers/donors as required, including accepting donations and selling merchandise. Regular attendance is required. All other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Customer Service - Ability to meet customer needs, understand their concerns, and resolve issues in a friendly and efficient manner. Honesty/Integrity - Ability to be truthful and be seen as credible in the workplace. Technical - Must be proficient in using current production software to complete the duties of the position. Sound and Timely decisions - Using knowledge and experience to make sound decisions that will impact business goals and strategies; creates an environment where other Leaders and/or Team Members are empowered to make decisions. Reliability - The trait of being dependable and trustworthy. Enthusiastic - Ability to bring energy to the performance of a task. Accuracy - Ability to perform work accurately and thoroughly. Ability to communicate and understand instructions, both verbal and written, in English. Must be able to work a flexible schedule on short notice, including night, weekends and occasionally long hours. Physical Demands and Work Environment Ability to be flexible and assist other areas of the store when needed. Vision corrected to within normal limits. Ability to work well in a hectic work environment with occasional periods of high stress.