8 jobs found in Lima

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 as...

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,...

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. Licensure/Certification: Will consider candidates who are actively enrolled in a certification program. 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.

Medical Billing Specialist - Medicaid 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 the state Medicaid program 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...

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 0.01 Work Shift: Days (United States of America) 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....

Dormont Manufacturing Co seeks a coder/abstracter to ensure accurate coding of medical records. Responsibilities include accurate assignment of codes for diagnoses and procedures in compliance with guiding associations. Candidates should have an Associate’s degree in health information technology or related field, or equivalent experience, along with required coding certification. Strong analytical and communication skills are essential for resolving coding issues. Join a team of energetic individuals at Dormont Manufacturing Co, located in the Town of Charleston, New York. #J-18808-Ljbffr

Job Description Summary Entity University Medical Associates (UMA) Only Employees and Financials Worker Type Employee Worker Sub-Type Regular Cost Center CC002053 UMA CORP RC PPA CRC CC Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the American Health Information Management Association. All work is carried out in accordance with the Health Information Management Department and MUSC approved policies and procedures. Additional Job Description Qualifications Associate’s degree in health information technology or related field or 5 years coding...