8 jobs found in Lima

Medical Billing Specialist - Medicare Advantage Admin Building Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm) About Us Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We're led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care. SUMMARY: POSITION PURPOSE With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to Medicare Advantage Payers to support an efficient and effective revenue cycle. ESSENTIAL FUNCTIONS AND BASIC DUTIES: Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit,...

Coder - Professional Functioning within the health system’s mission, values, objectives, procedures and policies, the coder professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: Must be currently enrolled in a medical coding program. Will consider candidates who are actively enrolled in certification programs. To retain position, if an individual without a current certification is hired into a coder professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in medical office preferred. Skills: Must demonstrate proficiency with reimbursement and MS-DRGs. Basic competency with Word and Excel is also required.

Mercy Health Intro paragraph As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses outpatient, inpatient, pediatric, and off-site settings. Essential Job Functions ? Reviews physician referral, patient's condition and medical history to determine occupational therapy...

Coder - Professional Functioning within the health system# mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An associate#s degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician#s office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics,...

The Medical University of South Carolina is hiring a Compliance Auditor in the Town of Charleston, New York. This role involves auditing to ensure compliance with laws and regulations, requiring a Bachelor's degree and at least 2 years of experience in medical billing, coding, or auditing. Candidates must have strong communication skills and relevant certifications. The job demands various physical abilities as described. Apply for a chance to join a diverse and equal opportunity employer. #J-18808-Ljbffr

Job Summary The Compliance Auditor reports to the Internal Audit Coordinator and performs audits to evaluate adherence to laws, regulations and policies by reviewing records, analyzing data, and interviewing staff and stakeholders. These audits include high‑risk services identified via the annual risk assessment, OIG‑CMS‑PGBA workplan areas, ad hoc audit requests, and “for cause” coding and billing concerns. The audit scope covers regulatory and industry research for audit planning, pre‑and post‑audit meetings with stakeholders, a cohesive audit report communicating results with a corrective action plan if warranted, and education and training to stakeholders as needed. Education & Qualifications Bachelor’s degree in a related field and a minimum of 2 years of medical billing, coding, or audit experience; or a high school diploma or equivalent (GED) and 4 years of medical billing, coding, or audit experience. A college degree is preferred. The applicant must be credentialed...

Position: Medical Billing Specialist - Medicare Advantage Location: Lima, OH Job Id: 3272 # of Openings: 1 Building: Admin Building SUMMARY With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to Medicare Advantage payers to support an efficient and effective revenue cycle. ESSENTIAL FUNCTIONS AND BASIC DUTIES Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit, and track insurance claims to Medicare Advantage payers in accordance with FQHC, state, and federal billing requirements Process insurance reimbursements and reconcile remittance reports with payments received Monitor accounts receivable aging and actively follow up on unpaid or underpaid Medicare Advantage Claims Identify Medicare Advantage denial trends, systemic payment issues, and eligibility discrepancies Resolve payment credits and...

Intern-Coder Professional - Coder Professional Lima , OH Clerical / Administrative Posted 11/12/2025 Shift: 8 hour shifts Days: Monday - Friday Hours/Pay Period: 32 hours Biweekly On Call Requirement: No Functioning within the Health System’ mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity Education: Must be currently enrolled in a Medical Coding Program. Licensure/Certification: Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in Medical Office preferred Skills: Must...