6 jobs found in Cleveland

The Coder III position is dedicated to either hospital inpatient or hospital outpatient coding. Codes and abstracts clinical information from inpatient or outpatient charts for the purpose of reimbursement, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Inpatient: Identifies, reviews, and assigns complex ICD-10-CM codes, PCS, POA and PSI indicators for inpatient charts. Outpatient: Identifies, reviews, and assigns complex ICD-10-CM codes and CPT for ambulatory surgery and observation charts.Responsibilities:Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and PCS coding/abstracting assignment for inpatient to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and CPT coding/abstracting assignment for outpatient surgery...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Biller , working in Healthcare Systems and Services industry in Cleveland, Ohio, United States . We're hiring Medical Billers in Cleveland, OH. This role focuses on accurately processing patient billing, handling insurance claims, and ensuring timely reimbursement. You'll play a key part in supporting healthcare providers by maintaining precise financial records and assisting patients with billing inquiries. This will be in an office role only, No Remote position. Your Responsibilities as a Medical Biller: Under direction, ensure that the activities of this position and relevant programs are consistent with the mission, vision, and values of Catholic Charities, Diocese of Cleveland. Perform other duties as assigned or directed. Our Client As a woman-owned company, our client brings over 40 years of expertise in...

Pay: 30-40 MUST HAVE CODING CERT (AHIMA or AAPC) & 2+ YEARS OF HANDS ON CODING EXPERIENCE Must have 2 years experience working as an inpatient hospital coder Must have 2 years of experience working at a trauma I or II facility The Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient records. Essential Duties and Responsibilities: Assigns ICD-10 and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines Implements medical center’s physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes Keeps abreast of coding guidelines and reimbursement reporting requirements Brings identified concerns to the Professional Recruiter who...

JOB TITLE : Biller GENERAL SUMMARY OF DUTIES : Performs all billing for primary and secondary insurances for all practice locations. Interacts with business office staff and facility staff as needed to obtain information necessary to submit a clean claim to insurance carriers. EDUCATION/EXPERIENCE : Two or more years experience in billing and collections in a medical setting preferred or comparable education High School, with 1-2 years experience in healthcare insurance billing and verification, collections and/or authorizations Knowledge of medical terminology and Knowledge of CPT/ICD-10 QUALIFICATIONS : Strong interpersonal and organizational skills

Description We are seeking candidates that reside in the EST or CST time zones. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life. Responsibilities Medical Coding Compliance Specialist I Optimizes/reviews documentation for the application of...

Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies - resulting in improvements to the delivery of direct service operation. POSITION SUMMARY: Maintains accounts receivable records and processes invoice transactions for Medicaid and other Insurance payors and performs necessary follow up efforts to secure payment for services delivered. ESSENTIAL DUTIES: Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to insure proper billing to client payor sources. Performs collection activities to follow-up on unpaid payor transactions and researches discrepancies. Confers with private and public insurance companies by telephone in attempt to determine reason for...