For Employers

Presbyterian Healthcare Services

Remote Job Openings at Presbyterian Healthcare Services (14)

Medical Economics Business Insights Analyst

United States $81432 - $138K per year 2-5 yrs exp Healthcare

The analyst serves as a key partner to business leaders by translating complex healthcare data into actionable insights to improve financial performance and total cost of care. They are responsible for developing executive-ready reporting, maintaining interactive dashboards, and identifying emerging risks across various lines of business.

Claims - Patient Accounting Denials Specialist

United States $16.66 - $26.7 per hour 2-5 yrs exp Finance

The specialist is responsible for performing root cause analysis and resolving insurance denials through appeals and corrected claims. They also manage accounts receivable follow-up, process correspondence, and maintain accurate documentation in accordance with company policies.

Manager - IT EPIC

United States 5-10 yrs exp Others

The Manager, IT EPIC is responsible for the implementation, support, and enhancement of IT services while managing cross-functional teams and customer relationships. This role oversees clinical application portfolios, budgets, vendor contracts, and ensures regulatory compliance and operational excellence.

Senior Sourcing and Contracting Manager

United States $87526.4 - $149K per year 5-10 yrs exp Others

The Senior Sourcing and Contracting Manager leads strategic planning for perioperative supplies and services, chairing the Value Analysis Team to drive cost savings and clinical outcomes. This role manages supplier relationships, contract negotiations, and ensures compliance with healthcare regulations and organizational policies.

Remote IP Facility CCS Coder

United States $22.79 - $38.8 per hour 2-5 yrs exp Others

The coder is responsible for assigning accurate medical codes to inpatient and outpatient records to ensure proper financial reimbursement and regulatory compliance. They also manage pre-bill edits, resolve denials, and abstract data for quality improvement initiatives.

Remote PRN ProFee Multi specialty coder

United States $22.79 - $38.8 per hour 2-5 yrs exp Others

The coder is responsible for reviewing medical records and assigning accurate ICD, CPT, and MS-DRG codes to ensure proper reimbursement and compliance. They also manage pre-bill edits, resolve denials, and abstract data for quality improvement and regulatory reporting.

HCC Coder with CRC

United States $24.27 - $41.33 per hour 2-5 yrs exp Others

The coder is responsible for assigning accurate medical codes to inpatient, outpatient, and specialty records to ensure proper reimbursement and regulatory compliance. They also manage accounts receivable by resolving pre-bill edits and denials while maintaining high productivity and accuracy standards.

PFS Government A/R Specialist I

United States $16.66 - $26.7 per hour 0-2 yrs exp Others

The specialist is responsible for accurately submitting insurance claims, managing payer edits, and performing follow-up activities to resolve denials and billing errors. They must maintain compliance with CMS and federal regulations while ensuring timely reconciliation of accounts receivable.

Remote CPMA Educator & Auditor

United States $60985.6 - $103K per year 2-5 yrs exp Finance

The role involves performing internal audits, ensuring compliance with coding policies, and providing enterprise-wide training on documentation and billing regulations. The auditor will also manage corrective action plans and respond to medical record reviews requested by external regulatory agencies.

LCSW or LPCC or LMFT Behavioral Health Clinician

United States 2-5 yrs exp Healthcare

The clinician will provide assessment and evidence-based behavioral health care to individuals in an outpatient and telehealth setting. They will also participate in integrated care teams, manage patient behavioral health plans, and contribute to quality improvement processes.

Remote Clinical Program and Population Health Strategist-Government Programs

United States $108K - $190K per year 5-10 yrs exp Healthcare

The strategist is responsible for developing and implementing population health strategies for ACA, Medicaid, and D-SNP populations to improve clinical outcomes. They will design evidence-based clinical programs, prioritize initiatives based on ROI, and collaborate across the health system to ensure regulatory and quality performance goals are met.

Remote Clinical Program and Population Health Strategist-Commercial

United States $108K - $190K per year 5-10 yrs exp Healthcare

The strategist is responsible for developing and implementing population health strategies for commercial populations to improve clinical outcomes and affordability. They will design evidence-based clinical programs and partner with cross-functional teams to ensure alignment with enterprise goals and provider performance.

Remote CPMA Educator & Auditor

United States $57241.6 - $97468.8 per year 2-5 yrs exp Finance

The role supports the Coding and Documentation Quality Assurance team by performing internal audits, ensuring regulatory compliance, and managing corrective action plans. Additionally, the educator develops and presents training programs for clinical and billing staff to maintain accurate documentation and coding standards.

Certified Cardiothoracic Vascular Surgery Coder

United States 2-5 yrs exp Others

The coder is responsible for assigning accurate medical codes to inpatient, outpatient, and specialty records to ensure proper financial reimbursement. They must also resolve pre-bill edits and denials while maintaining up-to-date knowledge of regulatory coding guidelines.