17 jobs found in Cleveland

Medical Coding Auditor The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements: Formal HIM education with national certification (RHIA or RHIT) or Bachelor's Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision,...

Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual, family, and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5‑Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Position Summary Performs chart retrieval, medical record review, HCC identification and data quality oversight for risk mitigation and revenue recovery for both Medicare and ACA services. Assists in the development and management of activities in support of HCC coding while ensuring compliant practices for revenue management and reducing risk. Helps in the preparation with all Risk Adjustment Data Validations (RADV) audits as well as serving as the CMS liaison for coding questions/issues. Determines...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in-house outpatient surgery coding team, including the ability to code and charge for interventional radiology procedures. Inpatient: Identify, review, and assign...

Inpatient Medical Coder The Inpatient Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information for high dollar patient records including Burns, NICU, Transplants, Trauma, and Moms and Babies. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) and have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Level I or Level II Trauma Exp. Preferred Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting...

Regional Medical Associate Director-Central Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system and innovative pipeline enables us to invent medicines and vaccines that treat and protect millions...

Maxim Healthcare, nation's largest privately owned healthcare staffing agency, takes pride in matching quality caregivers with our clients with the intention of finding a great fit! We offer positions on short term, long term contract and direct placement basis. Maxim has positions nationwide, don't hesitate to reach out to learn more! Job Description REMOTE INPATIENT CODER Maxim Health Information Services is seeking a full-time inpatient coder for a remote position. Candidate must have strong inpatient experience. Qualifications One of the following certifications: RHIA, RHIT, CCS, CPC Minimum of 3 years documented Coding experience Pass a pre-employment assessment Preferred Skills: Large, teaching facility experience 350+ Bed Hospital experience Experience with various encoders and EMRs; EPIC and 3M are strongly preferred ICD-10 trained Production rate can be between 2-3 charts/hour Additional Information Benefits for Working with Maxim Competitive Pay Health, Dental,...

Job Description We have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies. You will work 2 days a week from 9 a.m. to 5 p.m. Job Responsibilities: Prepare, submit, and follow up on medical claims to insurance companies and patients, ensuring that healthcare providers receive timely payment for services rendered Generate and send invoices to patients for outstanding balances, providing clear billing information, and payment options Verify patient insurance coverage and eligibility before services are rendered to minimize claim denials Assign appropriate medical codes to diagnoses, procedures, and services provided, ensuring compliance with coding guidelines Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and...

A prominent health care system is seeking a professional for health information management responsibilities including assignment of diagnostic and procedure codes, ensuring coding accuracy, and maintaining customer service standards. Candidates must have a high school diploma, and certifications in health information management are preferred. This role also requires strong communication and analytical skills, alongside experience in coding practices. Join a mission-driven organization dedicated to enhancing community health. #J-18808-Ljbffr

A healthcare provider in Cleveland is seeking a Coding Specialist to assign diagnostic and procedure codes accurately. The ideal candidate must have a high school diploma or equivalent, possess relevant coding certifications, and demonstrate excellent communication skills. Responsibilities include monitoring coding accuracy and following up on errors. Successful candidates will enjoy a supportive work environment with opportunities for growth. #J-18808-Ljbffr

Job Opportunity At Catholic Charities "Our mission, vision, and values are inspired directly from scripture and guide our work at every level of catholic charities." if you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. catholic charities isn't just an organization that provides help to those in need in our communitiesit's a place where...

Medical Biller Position We have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies. You will work 2 days a week from 9 a.m. to 5 p.m. Job Responsibilities Prepare, submit, and follow up on medical claims to insurance companies and patients, ensuring that healthcare providers receive timely payment for services rendered Generate and send invoices to patients for outstanding balances, providing clear billing information, and payment options Verify patient insurance coverage and eligibility before services are rendered to minimize claim denials Assign appropriate medical codes to diagnoses, procedures, and services provided, ensuring compliance with coding guidelines Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and...

A healthcare organization in Cleveland is seeking a Compliance Auditor with at least 5 years of experience in revenue cycle operations. Responsibilities include overseeing audits, developing compliance protocols, and coordinating reviews of claims. Candidates must have a Bachelor's degree in Healthcare Auditing or related fields, and CCS or CPC certification is required. This role offers competitive pay and comprehensive benefits, including medical, dental, and tuition assistance. #J-18808-Ljbffr

Job Description Full job description: Medical Billing and Coding Specialist CPC certification (preferred) Experienced (at least one year) Healthcare Two-year degree Duties Handling insurance claims accurately and efficiently. Determining which codes end up on a patient's bill for third-party billing purposes. Properly coding services, procedures, diagnoses, and treatments. Preparing and sending invoices or claims for payment. Correcting rejected claims. Tracking payments. Reviewing clinical documentation to extract and translate billable information into medical codes. This Company Describes Its Culture as: Detail-oriented -- quality and precision-focused People-oriented -- supportive and fairness-focused Team-oriented -- cooperative and collaborative Schedule: Monday to Friday Day shift Job Type: Full-time Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance Experience:...

Job Title: Regional Medical Associate Director-Central Location: Remote/Field About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. About Sanofi: We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline...

Job Title: Regional Medical Associate Director-Central Location: Remote/Field About the Job Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological conditions. In Specialty Care, you'll help deliver breakthrough treatments that bring hope to patients with some of the highest unmet needs. The US Rare Disease, Regional Medical Associate Director (RMAD)-Central, will be responsible for cross-portfolio support including proactive engagement of select HCPs across multiple specialties. The RMAD will support pipeline initiatives, with a focus on enhancing awareness of disease states associated with late-stage pipeline assets (including alpha-1 antitrypsin deficiency-AATD) among HCPs across a breadth of accounts. About Sanofi: We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline -...

"Our mission, vision, and values are inspired directly from Scripture and guide our work at every level of Catholic Charities." If you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. Catholic Charities isn't just an organization that provides help to those in need in our communities-it's a place where employees are encouraged to live purpose driven lives, professionally and personally. Join our team as we provide help and create hope for those in need. At Catholic Charities, we serve everyone, regardless of belief or background, and we employ qualified individuals who commit to our mission with the goal of transforming lives for the better. One need not be Catholic to join our workforce nor to access our services. Billing Specialist- Temporary Catholic Charities is seeking a dynamic individual to assist our Billing team! This assignment will be temporary through the end of 2024. This individual...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Professional Fee Coder III, you will be responsible for monitoring, reviewing, and accurately applying coding principles to clinical documentation received from ambulatory areas to support reimbursement, research, and regulatory compliance. In this role, you will assign appropriate diagnosis codes, CPT codes, and modifiers based on the medical record while ensuring adherence to federal coding guidelines. You will also identify and resolve billing discrepancies to ensure timely and accurate claim submission. This position supports Cleveland Clinic's mission and vision by helping submit clean claims for the services...