Job Overview
Location
Pennsylvania - Remote
Job Type
Full-time
Category
HR & Recruiting
Date Posted
June 25, 2026
Full Job Description
📋 Description
- • Leads a team of coding integrity analysts to ensure accurate and compliant professional fee billing across LVPG practices.
- • Conducts in-depth data analysis on outpatient services to evaluate billing and reimbursement outcomes, identifying trends and areas for improvement.
- • Maintains coding integrity for professional fee services delivered in both facility and non-facility settings, ensuring alignment with Medicare, CMS, and third-party payer requirements.
- • Reviews and manages critical edits within the billing system to prevent claim denials and ensure timely reimbursement from all payers.
- • Tracks and trends coding data to recommend workflow and process enhancements that improve billing accuracy and operational efficiency.
- • Orchestrates cross-functional communications to address payer rejection trends and accelerate accounts receivable processing.
- • Serves as the primary resource for coding guidance, interpreting and applying CPT, ICD-9, and ICD-10-CM classification systems to complex clinical documentation.
- • Supports revenue cycle onboarding for new practices or significant coding changes within existing practices, ensuring seamless integration of coding protocols.
- • Analyzes coding discrepancies and communicates findings to clinical and billing staff to drive educational interventions and reduce future errors.
- • Collaborates with revenue cycle, HIM, and provider teams to align coding practices with regulatory standards and organizational goals.
- • Monitors compliance with federal and state healthcare regulations related to physician-based coding and billing.
- • Utilizes practice management systems, EMR platforms, and Microsoft Office applications (Word, Excel, Access) to manage data, generate reports, and support audit functions.
- • Provides ongoing training and mentorship to coding staff to reinforce adherence to coding standards and improve team performance.
- • Ensures all coding activities meet AHIMA and AAPC certification standards and organizational compliance requirements.
- • Works Monday through Friday, 8:00 a.m. to 4:30 p.m., in a remote capacity within Pennsylvania.
🎯 Requirements
- • High School Diploma/GED or completion of a coding curriculum including medical terminology, anatomy & physiology, ICD-10, and coding guidelines
- • 3 years of experience in professional fee coding/auditing within a multi-specialty environment
- • Knowledge of CPT, ICD-9, and ICD-10-CM coding systems, regulatory requirements, and healthcare accounting principles
- • CCS-P (Certified Coding Specialist-Physician Based) from AHIMA or CPC (Certified Professional Coder) from AAPC, to be obtained upon hire in Pennsylvania
- • Proficiency in practice management systems, EMR, and Microsoft Office (Word, Excel, Access)
- • Ability to multitask, prioritize tasks to expedite AR processing, and communicate process changes effectively
🏖️ Benefits
- • Remote work position based in Pennsylvania with standard Monday–Friday daytime hours
- • Employment with a nationally recognized Magnet™ Hospital system ranked among the Best Hospitals by U.S. News & World Report for 23 consecutive years
- • Opportunity to work within a high-performing, patient-safety-focused health network with multiple facilities receiving an ‘A’ grade from The Leapfrog Group
- • Position includes structured onboarding and ongoing support for certification compliance (CCS-P or CPC)
Skills & Technologies
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About Lehigh Valley Health Network, Inc.
Lehigh Valley Health Network is a regional, non-profit health system headquartered in Allentown, Pennsylvania. It operates eight hospital campuses, numerous outpatient centers and physician practices serving eastern Pennsylvania and western New Jersey. The network provides primary, specialty, acute and tertiary care, including Level I trauma, cancer, heart, pediatric and rehabilitation services, and houses a medical school campus in partnership with the University of South Florida. Employing over 20,000 clinicians, researchers and support staff, LVHN focuses on community health, innovation and value-based care delivery across its integrated delivery system.
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