Toledo Clinic

  • Toledo, OH, United States
Toledo Clinic Toledo, OH, USA
Job Description Job Description General Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Principal Duties & Responsibilities: Example of Essential Duties: Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, correct all claim activity 5) Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): 6) Assists patients and/or insurance companies with billing and authorization questions. 7) Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules. 8) Other duties as assigned...

Toledo Clinic Toledo, OH, USA
Job Description Job Description General Summary: Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and the Quality and Compliance Committee. Works under the Supervision of the Quality and Compliance Director Principal Duties & Responsibilities: Example of Essential Duties: Audit medical records for data collection and format, coding documentation and content utilizing pre-established criteria. Meets with physicians to review audit results and makes needed recommendations. Audit medical record for adherence to Toledo Clinic Electronic Medical Record policies and procedures, documentation of quality measures, treatment plans, patient follow-up, as well as federal and insurance guidelines. Performs educational sessions with physicians as needed. Creates educational programs for...

Toledo Clinic Toledo, OH, USA
Job Description Job Description General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted Probe Reviews, Overpayment Recoupment Efforts. Assist Internal Auditors as needed. Assist Medical Offices for coding and claims as needed. Works under the Supervision of the Quality and Compliance Director Principal Duties & Responsibilities: Example of Essential Duties: Audit medical records for data collection and format, coding documentation and content utilizing pre-established criteria. Meets with physicians to review audit results and makes needed recommendations. Audit medical record for adherence to Toledo Clinic Electronic Medical Record policies...

Toledo Clinic Toledo, OH, USA
Toledo Clinic's Cardiology Office is seeking a Medical Biller/Coder. The CPC or CCS-P certification is strongly preferred along with previous experience as a Coder in a medical office. This position is full-time and offers employee benefits such as medical, dental, vision, 401k, employer paid life and disability, paid time off, holiday pay and other employee perks. Monday-Friday, 8-5, with no weekends or holidays! General Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Principal Duties & Responsibilities: Example of Essential Duties: 1) Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. 2) Demographic registration/updates for all patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, correct all claim activity 5) Create workflow...