6 jobs found in Kettering

LHH Talent - - Responsibilities: Meet with residents and families to review coverage, explain balances, and communicate financial responsibility in a professional and empathetic manner; Manage private-pay collections and document all follow-up activity on delinquent accounts to maintain accurate accounts receivable aging; Bill and post monthly charges by pay source in accordance with established timelines, including Private Pay, Medicare, Medicaid, MyCare Buckeye, commercial insurance, and Workers' Compensation; Post payments and reconcile resident accounts to ensure accuracy and completeness; Perform monthly bank reconciliations and assist with month-end close processes

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Reviewing the ambulatory records for the appropriate risk adjustment components Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee...

LHH Talent - - Responsibilities: Meet with residents and families to review coverage, explain balances, and set clear expectations on financial responsibility; Manage private-pay collections and document follow-up activity on delinquent accounts to support clean A/R aging; Bill and post monthly charges by pay source and internal close/calendar deadlines; Post payments promptly to resident ledgers and continuously reconcile for accuracy; Complete monthly bank reconciliations and support month-end close activities

A healthcare organization in Kettering, Ohio, is seeking a Certified Risk Adjustment Coder. This full-time role involves reviewing ambulatory records and coding outpatient patient records to ensure accurate risk adjustment. Candidates must hold an Associate or Bachelor’s degree in Health Information Management and have at least one year of coding experience. Certification as a Certified Risk Adjustment Coder (CRC) is required. Strong communication skills and teamwork abilities are essential for successful collaboration with providers and clinical documentation specialists. #J-18808-Ljbffr

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements Job Overview: The Certified Risk Adjustment Coder is responsible for reviewing the ambulatory records for the appropriate risk adjustment components. The Risk Adjustment Coder will identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes. The Risk Adjustment Coder will leverage the MEAT (Monitor, Evaluate, Assess, Treat) criteria for accurate documentation by providers. When appropriate, the Risk Adjustment Coder will query providers to clarify the HCC codes placed, inquire on additional documentation to support the HCC code placed, or discuss overall opportunities within the record. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records. The Risk Adjustment Coder...

LHH Talent - - Responsibilities: Meet with residents and families to review insurance coverage, explain balances, and discuss financial responsibility in a clear and compassionate manner; Manage private-pay collections and document follow-up activity on delinquent accounts to support accurate A/R aging; Bill and post monthly charges by pay source in accordance with internal calendars and close deadlines, including Private Pay, Medicare, Medicaid, MyCare Buckeye, commercial insurance, and Workers Compensation; Post payments promptly to resident ledgers and reconcile accounts to ensure ongoing accuracy; Complete monthly bank reconciliations and assist with month-end close activities