4 jobs found in Cincinnati

Job Description Job Overview: The level II Medical Biller's general responsiblities include assisting the lead medical biller and fellow billing staff in submitting accurate clean claims, ensuring timely follow up. Collaboration with other teams will be needed to ensure denied claims are appealed as needed. Medical Biller II should be cross trained to work different payers to help assist other billing staff. Reviews, investiges, and resolves credit balances. Medical Biller II will ensure the proper documentation in the facility's billing system. Responsible also to provide excellent customer service skills by answering patient and third party questions and/or addressing billing concerns in a timely and professional manner. Job Requirements: High School Degree or GED Billing knowledge that includes: ICD-9, ICD-10, and CPT terminology Epic and Clearing House experience Working knowledge of insurance policies and appeals Consistently meets individual productivity incentive...

Strong skill sets to be successful in the position include MS Excel, MS PowerPoint, MS Word, and Business Writing. Ability to travel locally is required. Company pays for all travel expenses. Area of coverage - Ohio and Western Pennsylvania Position Summary: The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists to ensure that all facilities have sufficient coverage. The Area Supervisor will act as the liaison between MRO and the client Management staff to ensure that all ROI activities are compliant with established clinic policies, federal and state regulations and are completed in a timely manner. * Duties and Responsibilities: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and...

Job Summary: Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Nurse Coder to join our Clinical Coding & Support team. This position will work on a team to accomplish tasks and projects that are instrumental to the companys success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you! Responsibilities : Perform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards; Coordinate the assignment of appropriate dictionaries for meeting study requirements Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and Produce...

Coding Auditor Personalized Health Partners is currently recruiting Coding Auditors to audit the medical records completed by our clinical providers. This is a fully remote position. Purpose/Belief Statement: The primary role of the Coding Auditor is to review and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the medical record completed by Personalized Health Partner clinical providers. In addition, this role will be responsible for understanding the relationship between ICD-10-CM coding and HCC (hierarchical condition categories) and communicating audit findings with the providers so that optimal accuracy can be assured. Experience, Training and Certifications: Coding Certification (CPC) through AAPC or AHIMA CRC AAPC Certification preferred Expertise and experience in ICD-10, risk adjustment/HCC, and CPT coding methodologies 3+ years of experience of coding audit experience, 5+ total years of coding experience Role &...