Summa Health System

Summa Health in Akron, Ohio is seeking a Certified Coder for their Special Investigations Unit (SIU). This full-time role requires expertise in coding practices and clinical data analysis, allowing you to impact healthcare quality directly. As part of this position, you will perform medical claims reviews, ensure compliance with regulations, and work towards reducing errors through educational measures. The job offers a hybrid work model with competitive hourly rates. #J-18808-Ljbffr

Certified Coder, Special Investigations Unit (SIU) (Job ID: 59225) SummaCare - 1200 E Market St, Akron, OH Full‑Time / 40 Hours / Days Hybrid or Remote Join a mission‑driven health plan where precision and expertise protect both members and resources—we’re seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met....

SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days Hybrid or Remote Join a mission‑driven health plan where precision and expertise protect both members and resources—we’re seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal...

Certified Coder, Special Investigations Unit (SIU) SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 hours / Days *Hybrid or Remote Join a mission-driven health plan where precision and expertise protect both members and resources-we're seeking a certified coder who can identify discrepancies others miss, analyze coding patterns with accuracy, and turn complex clinical data into clear, actionable insights; if you bring deep knowledge of coding standards, a sharp analytical mindset, and a passion for ensuring integrity in healthcare claims, this is your opportunity to make a meaningful impact and strengthen the quality of care delivery. Summary : Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are...

Summa Health is seeking a certified coder for a hybrid position based in Akron, Ohio, ensuring compliance with coding practices and analyzing medical claims. The ideal candidate will have strong analytical skills, a solid understanding of coding standards, and the ability to manage time effectively. This position offers a salary range of $28.10/hr - $42.15/hr, along with a comprehensive benefits program. Join a mission-driven health plan committed to quality care delivery and employee satisfaction. #J-18808-Ljbffr

Medical Billing Specialist - IMC/FMC Monday-Friday, Remote After Training Full Time, 40-Hour Week Summa Health System Family Medicine Center Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Responsible for all aspects of billing including submitting all charges for services rendered, reconciling all entries, identifying and correcting all errors. Follow up on all registration and insurance errors in the Xpeditor system and completing compliance logs as stipulated by policy. Ensure work is done accurately, timely and in compliance with all policies. Formal Education Required:...