9 jobs found in Columbus

Job Description Job Description Salary: Depends on experience Destiny Management Services, LLC is a leading source of staffing services and business solutions to the Federal Government. Founded in 1996, we have provided job opportunities for more than 1000 employees nationwide in various fields. We are looking for experienced professional medical coders for the medical treatment facility (MTF) and its geographic area of responsibility.  1. Experience MSS personnel in this position are required to possess a minimum of three (3) years of medical coding and/or auditing experience in two (2) or more medical, surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of performance in the specialty is required to be qualifying. 2. Other Knowledge, Skills and Abilities Practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural...

Job Description Job Description Position Summary:    The Billing Specialist performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted claims and patient billing, corrects inaccuracies and when necessary, resubmits claims.     Essential Functions: ·         Timely and accurately submits claims for services rendered. ·         Balance and verify prior day cash receipts from front, optical and mail (insurance and patient payments) ·         Post charges, reviewing unusual diagnosis (dx) codes and cross checking procedure with dx code ·         Organize and bill electronic Medicare and Medicaid claims ·         Organize and bill EDI insurance claims ·         Analyze Medicare, Medicaid, and EDI reports for claim corrections ·         Organize and bill paper Medicare, Medicaid, and Insurance claims ·         Re-bill...

This position starts out onsite for the first 60-90 days and then will go remote reporting onsite one day a month! Insight Global is seeking a Billing Supervisor to support a large heathcare customer in Atlanta, GA. This individual is responsible for coordinating and supervises the billing and government follow-up functions for all hospital facilities in the system. Oversee a team of 18 individuals. Ensures daily billing of hospital revenue and accuracy and quality of billing activities. Works with hospital departments such as Admissions, Data Processing, Medical Records, ancillary areas, and patient care departments to monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process. This supervisor will be hands on and required to step into the bill when needed. The individual needs to be strong with reporting and looking for trends! Qualifications: Associate degree preferably Bachelor degree 3+ years of...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** **The General Surgery Coder** must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve...

Potential for signing bonus on select Certified Outpatient Coder positions! Ask CRH Recruiting about eligibility requirements via email (hrjobs@crh.org?subject=CRH%20Signing%20Bonus) or phone (812-376-JOBS or 5627). What you need to know about this position: + This 100% remote (at home) coding position has a flexible schedule from anywhere within the United States + The hourly range for this position is between $21.24 and $31.86. Individual compensation is determined for this position through years of directly relevant experience. The hourly compensation is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. + Compensation is competitive based on your years of experience working as a Certified Outpatient Coder. What is required for this position: + One of the following will be required + Associates Degree from a Health Information Technology Program + Bachelors Degree from...

**Thank you for considering a career at** **Bon Secours Mercy Health!** **Summary** Works collaboratively with the System Director, Compliance on creating auditing protocols which align with Bon Secours Mercy Healths overall compliance audit and compliance responsibilities relative to hospital revenue cycle services performed for Bon Secours Mercy Health. **Essential Job Functions** + Assists in the review of Bon Secours Mercy Health coding, billing and claims processing policies and procedures for the development of compliance internal monitors and audit protocols and the prevention of fraud, waste and abuse. + Develops compliance monitors and audit protocols specific to hospital revenue cycle risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and/or other enforcement agencies on behalf of Bon Secours Mercy Health. + Coordinates periodic review and analysis of Bon Secours...

**Job Family** **:** General Coding **Travel Required** **:** None **Clearance Required** **:** None **What You Will Do** **:** The Remote Medical Coder Hospital Inpatient will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This is a 100% full time remote position. + Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and...

**Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for educating providers on proper billing behavior and proper usage of procedure codes and/or modifiers who are identified as outliers in regards to billing Highmark for certain targeted codes; outreach may occur in various formats including written letters, emails, and consultations via telephone. Documents explanations from Provider Outliers to be used in the analysis of billing behavior and cost savings. **ESSENTIAL RESPONSIBILITIES** + Performs outreach via telephone or other means to identified Outlier Providers informing them of their inclusion as an Outlier; meaningfully discusses the Outlier Providers' billing practices and provides education on proper usage of procedure codes and/or modifiers. May also field incoming calls from providers. + Applies medical coding knowledge to determine applicable education for Outlier Providers on industry standards and guidelines as...

The Clinical Research Quality Assurance Medical Auditor will work within the Office of Research Compliance and Integrity relying on their medical/clinical experience to conduct internal audits on clinical trials to ensure subject safety and to review research billing activity to ensure compliance with federal, state, and local regulations and internal policies and guidelines. Written reports and oral presentations of audit findings will be completed, presented to the Principal Investigator and Team, and action items followed to resolution. Train Study Team Staff on identified clinical trial compliance issues as needed. Why Nationwide Children's Hospital? The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children’s Hospital, Where Passion Meets Purpose . Here, Diversity, Equity and Inclusion are integrated into our core...