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Certified Coding Specialist - Profee at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Medical Coding, Chart Review, Process Improvement, Auditing, Code Selection, Charge Selection, Rac Audits, Physician Collaboration, Icd Coding, Cpt Coding, Documentation Review, Physician Query, Reimbursement Resolution, Denial Resolution, Billing Systems, Unbundling Adherence
Specialization
Candidates must possess a required CPC or CCS certification, along with a high school diploma or equivalent, and proficiency in medical coding procedures like ICD and CPT assignment. Experience requirements vary by level, with CCS II requiring 2 years of training or supervisory experience, and general experience often requiring 5 years of surgical or advanced E/M coding.
Experience Required
Minimum 5 year(s)
Patient Services Representative at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Patient Services, Copayment Collection, Appointment Scheduling, Patient Information Updates, Financial Education, Insurance Verification, Service Recovery, Biometrics Registration, Myupmc Promotion, Administrative Tasks, Phone Calls, Medical Terminology, Typing Skills, Office Equipment Operation, Personal Computer Applications
Specialization
A high school diploma or equivalent is required, though an Associate's Degree is preferred. Preferred experience includes two years in a high-volume medical, billing, fiscal, or customer service role, along with prior outpatient office experience and familiarity with health records systems like Medipac or Epic.
Promotions Assistant at Alphabe Insight Inc
Baton Rouge, Louisiana, United States - Full Time
Skills Needed
Organizational Skills, Time Management, Written Communication, Verbal Communication, Teamwork, Attention To Detail, Proactive Approach, Adaptability, Problem Solving, Professional Attitude
Specialization
Candidates must possess strong organizational and time-management skills, along with excellent written and verbal communication abilities. A proactive approach, attention to detail, adaptability in a fast-paced environment, and a willingness to learn are essential for success in this role.
Service Account Coordinator at Alphabe Insight Inc
New Orleans, Louisiana, United States - Full Time
Skills Needed
Organization, Multitasking, Communication, Collaboration, Attention To Detail, Problem Solving, Professionalism, Adaptability
Specialization
Candidates must possess strong organizational and multitasking abilities, coupled with excellent written and verbal communication skills. A professional demeanor, strong attention to detail, problem-solving skills, and adaptability in a fast-paced environment are essential qualifications.
Customer Support Assistant at Alphabe Insight Inc
New Orleans, Louisiana, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Organization, Time Management, Attention To Detail, Problem Solving, Collaboration, Customer Service, Administrative Skills, Professionalism
Specialization
The ideal candidate must possess strong communication, organizational, and time management abilities, coupled with a proactive approach to problem-solving and excellent attention to detail. A professional attitude and a strong customer-focused mindset are essential for success in this collaborative team environment.
Socorrista para piscinas en Valencia y alrededores at aqualevante
Valencia, Valencian Community, Spain - Full Time
Skills Needed
Lifeguard Certification, First Aid, English, Customer Service, Physical Fitness, Teamwork, Punctuality, Own Vehicle
Specialization
Candidates must possess an accredited lifeguard qualification and be available full-time for the entire summer season, preferably residing in the specified areas of Valencia or surroundings. Prior experience and knowledge of English are valued.
Customer Service - Sales - Housing - EM - Sales - Palanpur - S9 Complex - J at Tata Capital
Palanpur, gujarat, India - Full Time
Skills Needed
Client Acquisition, Client Relationship Management, Sales Target Achievement, Customer Segmentation, Sales Promotion, Vendor Management, Distribution Channel Development, Compliance, Cross Selling
Specialization
Candidates must be a graduate in any discipline to fulfill the role's requirements, which center on sales execution and relationship management. Key duties include identifying target areas, pre-screening customers, managing sales logins and disbursements, and ensuring adherence to all Audit and RBI regulations.
Destination Planning Consultant (Remote) at Traveling with Tasha
Reno, Nevada, United States - Full Time
Skills Needed
Communication, Research, Organization, Coordination, Client Relationship Building, Networking, Referrals, Personal Outreach, Travel Planning, Destination Insight
Specialization
The role requires attention to detail and clear communication to ensure client confidence in travel plans. Ideal candidates enjoy travel, research, working with people, are organized, curious about destinations, and enjoy helping others plan trips.
Socorrista para piscinas en Torrevieja y La Zenia at aqualevante
Torrevieja, Valencian Community, Spain - Full Time
Skills Needed
Lifeguard Certification, Customer Service, English, Physical Fitness, Teamwork, Own Vehicle
Specialization
Candidates must possess an accredited lifeguard certification and be available full-time for the entire summer season, starting immediately. Previous experience and knowledge of English are preferred, along with residing near Torrevieja or La Zenia.
Part-time Substitute Teacher - Rio Grande City, TX at Kokua Education
Rio Grande City, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Time Management
Specialization
Candidates must have a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must be able to pass state and federal background checks.
Part-time Substitute Teacher - Up to $145 daily at Kokua Education
McAllen, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, English Fluency, Background Checks
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must be able to pass state and federal background checks.
Substitute Teacher - Weslaco, TX at Kokua Education
Weslaco, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Tutoring, Proctoring, Supervision, Background Check Compliance
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - Arlington, TX at Kokua Education
Arlington, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Time Management, Tutoring, Supervision, Background Check Clearance
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. A strong belief in every child's potential and the ability to pass state and federal background checks are also mandatory.
Part-time Substitute Teacher - Up to $167 daily at Kokua Education
Fort Worth, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Tutoring, Proctoring, Background Checks
Specialization
Candidates must have at least one year of experience working with students in any setting and a minimum of 48 college credit hours. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - Kyle, TX at Kokua Education
Kyle, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Time Management, Tutoring, Supervision, Background Check Compliance
Specialization
Candidates must have a minimum of 1+ year of experience working with students in any setting and a minimum of 48 college credit hours. Applicants also need the confidence to manage a classroom, fluency in English, and the ability to pass state and federal background checks.
Substitute Teacher - Manor, TX at Kokua Education
Manor, Texas, United States - Full Time
Skills Needed
Classroom Management, English Comprehension, Collaboration, Feedback Reception, Student Empowerment, Tutoring, Proctoring, Supervision
Specialization
Applicants must possess a minimum of 48 college credit hours or one year of experience working with children, and must be able to read, write, speak, and understand English. A commitment to fostering a productive learning environment and the ability to pass a background check are also necessary.
Substitute Teacher - Round Rock, TX at Kokua Education
Round Rock, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Time Management, Tutoring, Proctoring, Supervision
Specialization
Candidates must have a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Fluency in reading, writing, and speaking English, along with the confidence to manage a classroom, is also required, as is the ability to pass background checks.
Part-time Substitute Teacher - up to $135 daily at Kokua Education
Dallas, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Student Interaction, Role Modeling
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Fluency in reading, writing, and speaking English is required, along with the confidence to manage a classroom and the ability to pass state and federal background checks.
Part-time Substitute Teacher - Garland, TX at Kokua Education
Garland, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Time Management, Background Check Compliance, English Fluency
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - up to $144 daily at Kokua Education
Houston, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Time Management
Specialization
Candidates must possess a minimum of one year of experience working with students in any setting, such as a classroom, tutoring, coaching, or camps, and must have a minimum of 48 college credit hours. Essential requirements include the confidence to manage a classroom, fluent English proficiency, and the ability to pass state and federal background checks.
Certified Coding Specialist - Profee at UPMC
Pittsburgh, Pennsylvania, United States -
Full Time

Start Date

Immediate

Expiry Date

06 Jun, 26

Salary

0.0

Posted On

09 Mar, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Medical Coding, Chart Review, Process Improvement, Auditing, Code Selection, Charge Selection, RAC Audits, Physician Collaboration, ICD Coding, CPT Coding, Documentation Review, Physician Query, Reimbursement Resolution, Denial Resolution, Billing Systems, Unbundling Adherence

Industry

Hospitals and Health Care

Description
UPMC is currently hiring multiple Certified Coding Specialists to join the Physician Revenue Cycle Enhancement team. This position offers the flexibility to work remotely. In this role, you will be responsible for reviewing medical charts to identify opportunities for process improvement. You will conduct audits to ensure accuracy in code and charge selection, support internal and external audit reviews—including RAC-related audits—and approve account adjustments as appropriate. We’re seeking candidates who are passionate about driving process enhancements and comfortable collaborating directly with physicians across the UPMC system. The final candidate will be selected for a job title within the career ladder that reflects the level of education, experience, and manager discretion at the time of offer. Responsibilities: Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepare periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. Refer problem accounts to appropriate coding or management personnel for resolution. Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. Certified Coding Specialist I Qualifications: High school graduate or equivalent. Graduate of an approved certified coding program preferred. Proficient computer skills with MS excel knowledge preferred. 5 years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience. Professional coding experience is preferred Certified Coding Specialist II Qualifications: High school graduate or equivalent. Graduate of an approved certified coding program preferred. Proficient computer skills with MS excel knowledge preferred. 5 years surgical coding experience (includes anesthesia coding) or advanced E/M coding experience. 2 years training or supervisory experience required. 7-10 years of professional coding is preferred Licensure, Certifications, and Clearances: CPC or Certified Coding Specialist (CCS) specialty certification required Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) UPMC is an Equal Opportunity Employer/Disability/Veteran
Responsibilities
Responsibilities include reviewing medical charts to find process improvement opportunities, conducting audits for accurate code and charge selection, and supporting internal/external audit reviews, including RAC audits. The role also involves advising providers on billing policies and resolving reimbursement issues.
Certified Coding Specialist - Profee at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Medical Coding, Chart Review, Process Improvement, Auditing, Code Selection, Charge Selection, Rac Audits, Physician Collaboration, Icd Coding, Cpt Coding, Documentation Review, Physician Query, Reimbursement Resolution, Denial Resolution, Billing Systems, Unbundling Adherence
Specialization
Candidates must possess a required CPC or CCS certification, along with a high school diploma or equivalent, and proficiency in medical coding procedures like ICD and CPT assignment. Experience requirements vary by level, with CCS II requiring 2 years of training or supervisory experience, and general experience often requiring 5 years of surgical or advanced E/M coding.
Experience Required
Minimum 5 year(s)
Patient Services Representative at UPMC
Pittsburgh, Pennsylvania, United States - Full Time
Skills Needed
Patient Services, Copayment Collection, Appointment Scheduling, Patient Information Updates, Financial Education, Insurance Verification, Service Recovery, Biometrics Registration, Myupmc Promotion, Administrative Tasks, Phone Calls, Medical Terminology, Typing Skills, Office Equipment Operation, Personal Computer Applications
Specialization
A high school diploma or equivalent is required, though an Associate's Degree is preferred. Preferred experience includes two years in a high-volume medical, billing, fiscal, or customer service role, along with prior outpatient office experience and familiarity with health records systems like Medipac or Epic.
Promotions Assistant at Alphabe Insight Inc
Baton Rouge, Louisiana, United States - Full Time
Skills Needed
Organizational Skills, Time Management, Written Communication, Verbal Communication, Teamwork, Attention To Detail, Proactive Approach, Adaptability, Problem Solving, Professional Attitude
Specialization
Candidates must possess strong organizational and time-management skills, along with excellent written and verbal communication abilities. A proactive approach, attention to detail, adaptability in a fast-paced environment, and a willingness to learn are essential for success in this role.
Service Account Coordinator at Alphabe Insight Inc
New Orleans, Louisiana, United States - Full Time
Skills Needed
Organization, Multitasking, Communication, Collaboration, Attention To Detail, Problem Solving, Professionalism, Adaptability
Specialization
Candidates must possess strong organizational and multitasking abilities, coupled with excellent written and verbal communication skills. A professional demeanor, strong attention to detail, problem-solving skills, and adaptability in a fast-paced environment are essential qualifications.
Customer Support Assistant at Alphabe Insight Inc
New Orleans, Louisiana, United States - Full Time
Skills Needed
Communication, Interpersonal Skills, Organization, Time Management, Attention To Detail, Problem Solving, Collaboration, Customer Service, Administrative Skills, Professionalism
Specialization
The ideal candidate must possess strong communication, organizational, and time management abilities, coupled with a proactive approach to problem-solving and excellent attention to detail. A professional attitude and a strong customer-focused mindset are essential for success in this collaborative team environment.
Socorrista para piscinas en Valencia y alrededores at aqualevante
Valencia, Valencian Community, Spain - Full Time
Skills Needed
Lifeguard Certification, First Aid, English, Customer Service, Physical Fitness, Teamwork, Punctuality, Own Vehicle
Specialization
Candidates must possess an accredited lifeguard qualification and be available full-time for the entire summer season, preferably residing in the specified areas of Valencia or surroundings. Prior experience and knowledge of English are valued.
Customer Service - Sales - Housing - EM - Sales - Palanpur - S9 Complex - J at Tata Capital
Palanpur, gujarat, India - Full Time
Skills Needed
Client Acquisition, Client Relationship Management, Sales Target Achievement, Customer Segmentation, Sales Promotion, Vendor Management, Distribution Channel Development, Compliance, Cross Selling
Specialization
Candidates must be a graduate in any discipline to fulfill the role's requirements, which center on sales execution and relationship management. Key duties include identifying target areas, pre-screening customers, managing sales logins and disbursements, and ensuring adherence to all Audit and RBI regulations.
Destination Planning Consultant (Remote) at Traveling with Tasha
Reno, Nevada, United States - Full Time
Skills Needed
Communication, Research, Organization, Coordination, Client Relationship Building, Networking, Referrals, Personal Outreach, Travel Planning, Destination Insight
Specialization
The role requires attention to detail and clear communication to ensure client confidence in travel plans. Ideal candidates enjoy travel, research, working with people, are organized, curious about destinations, and enjoy helping others plan trips.
Socorrista para piscinas en Torrevieja y La Zenia at aqualevante
Torrevieja, Valencian Community, Spain - Full Time
Skills Needed
Lifeguard Certification, Customer Service, English, Physical Fitness, Teamwork, Own Vehicle
Specialization
Candidates must possess an accredited lifeguard certification and be available full-time for the entire summer season, starting immediately. Previous experience and knowledge of English are preferred, along with residing near Torrevieja or La Zenia.
Part-time Substitute Teacher - Rio Grande City, TX at Kokua Education
Rio Grande City, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Time Management
Specialization
Candidates must have a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must be able to pass state and federal background checks.
Part-time Substitute Teacher - Up to $145 daily at Kokua Education
McAllen, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, English Fluency, Background Checks
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must be able to pass state and federal background checks.
Substitute Teacher - Weslaco, TX at Kokua Education
Weslaco, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Tutoring, Proctoring, Supervision, Background Check Compliance
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - Arlington, TX at Kokua Education
Arlington, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Time Management, Tutoring, Supervision, Background Check Clearance
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. A strong belief in every child's potential and the ability to pass state and federal background checks are also mandatory.
Part-time Substitute Teacher - Up to $167 daily at Kokua Education
Fort Worth, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Tutoring, Proctoring, Background Checks
Specialization
Candidates must have at least one year of experience working with students in any setting and a minimum of 48 college credit hours. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - Kyle, TX at Kokua Education
Kyle, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Time Management, Tutoring, Supervision, Background Check Compliance
Specialization
Candidates must have a minimum of 1+ year of experience working with students in any setting and a minimum of 48 college credit hours. Applicants also need the confidence to manage a classroom, fluency in English, and the ability to pass state and federal background checks.
Substitute Teacher - Manor, TX at Kokua Education
Manor, Texas, United States - Full Time
Skills Needed
Classroom Management, English Comprehension, Collaboration, Feedback Reception, Student Empowerment, Tutoring, Proctoring, Supervision
Specialization
Applicants must possess a minimum of 48 college credit hours or one year of experience working with children, and must be able to read, write, speak, and understand English. A commitment to fostering a productive learning environment and the ability to pass a background check are also necessary.
Substitute Teacher - Round Rock, TX at Kokua Education
Round Rock, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Engagement, Communication, Flexibility, Time Management, Tutoring, Proctoring, Supervision
Specialization
Candidates must have a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Fluency in reading, writing, and speaking English, along with the confidence to manage a classroom, is also required, as is the ability to pass background checks.
Part-time Substitute Teacher - up to $135 daily at Kokua Education
Dallas, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Student Interaction, Role Modeling
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Fluency in reading, writing, and speaking English is required, along with the confidence to manage a classroom and the ability to pass state and federal background checks.
Part-time Substitute Teacher - Garland, TX at Kokua Education
Garland, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Interaction, Communication, Flexibility, Time Management, Background Check Compliance, English Fluency
Specialization
Candidates must possess a minimum of 48 college credit hours and at least one year of experience working with students in any setting, such as tutoring or coaching. Applicants also need the confidence to manage a classroom and must pass state and federal background checks.
Substitute Teacher - up to $144 daily at Kokua Education
Houston, Texas, United States - Full Time
Skills Needed
Classroom Management, Student Support, Tutoring, Proctoring, Communication, Flexibility, Time Management
Specialization
Candidates must possess a minimum of one year of experience working with students in any setting, such as a classroom, tutoring, coaching, or camps, and must have a minimum of 48 college credit hours. Essential requirements include the confidence to manage a classroom, fluent English proficiency, and the ability to pass state and federal background checks.