19 jobs found

Medical Coding Specialist Southwoods Health | Boardman, OH Status: Full-Time | Setting: Fully Remote or Fully In-Office Note: Remote employees must live within a commutable distance from Boardman, OH for initial training. About The Role Southwoods Health is seeking a skilled and detail-oriented Medical Coding Specialist . In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters. Essential Duties Chart Abstraction: Review and abstract evaluation and management (E/M) levels from specialty office or hospital documentation. CPT Coding: Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required. Physician Queries: Coordinate physician queries within the Meditech system, or contact designated hospital representatives for non-Meditech provider locations. Guidelines & Specificity: Apply a strong understanding of...

The MetroHealth System in Cleveland, OH seeks a compliance professional to oversee the 340B program. Under the Director – 340B Program, you will perform compliance reviews, conduct audits, educate staff on policy requirements, and support resolution of customer service issues while upholding our mission and values. Responsibilities include applying HRSA guidance and Medicare/Medicaid billing rules, communicating audit outcomes to management, and maintaining robust documentation. #J-18808-Ljbffr

Smithers Quality Assessments Division seeks an ambitious and detail-oriented Cybersecurity Maturity Model Certification (CMMC) Certified Assessor (CCA) or Lead CCA to join our growing cybersecurity assessment team. We provide CMMC assessments to manufacturers within the Defense Industrial Base (DIB) and maintain strong client relationships. You will conduct assessments, evaluate cybersecurity postures, and ensure compliance with CMMC standards, while delivering quality auditing and support #J-18808-Ljbffr

A leading compliance consulting firm in Canton, OH is seeking an Associate for a Contract position in the Science job function. This role involves conducting audits, maintaining compliance paperwork, and training other staff members. Candidates should have at least 1 year of experience in an Environmental or EHS-related field or a related Bachelor's degree. Strong communication skills and knowledge of OSHA regulations are essential. Flexible shift availability is required. #J-18808-Ljbffr

Location:Remote - Ohio Department:HIM Revenue Cycle Weekly Hours:40 Status:Full time Shift:Days (United States of America) Job Summary:As a Coder at ProMedica, you are responsible for accurately coding diagnoses, procedures and other services to ensure medical records and billing are accurate.You will work with providers to ensure documentation is clear and complete and result in accurate coding.You will also review all claim edits and correct errors in a timely fashion.This role will code for practice and hospital charges for all departments supported by the Professional Billing Office.The above summary is intended to describe the general nature and level of work performed in this role.It should not be considered exhaustive.REQUIREMENTS High School diploma or equivalent Must be able to pass internal coding test.Proficient in ICD-10-CM, CPT and HCPCS coding.Minimum of 1 year of physician/professional coding experience in a health care system or medical office setting; or equivalent...

Medical Billing Specialist / Accounts Receivable (AR) SpecialistMeridian HealthCare is hiring a Medical Billing Specialist / Accounts Receivable (AR) Specialist to join our billing and revenue cycle team in Youngstown, Ohio.We're seeking a detail-oriented, reliable, and organized professional experienced in medical billing, claims follow-up, insurance verification, and AR management. This role is vital to ensuring accurate billing, timely payments, and strong payer relationships across our integrated healthcare system.Key ResponsibilitiesAccurately enter and maintain patient demographics and billing data within the EHR system.Verify insurance eligibility and authorizations prior to claim submission.Submit and track medical claims through clearinghouses and payer portals.Review aging and AR reports, identify unpaid claims, and follow up to ensure prompt reimbursement.Post electronic and manual payments from insurance payers and patients.Research and resolve denials, rejections,...

Functioning within the Health System's mission, values, objectives, policies and procedures, the Data Entry Clerk enters demographics and charges into the Computer System. It is expected that all duties and responsibilities of this position will be performed in a manner that reflects the mission statement of LMHS.Education:High school graduate or equivalent is preferred with an emphasis on a business curriculum strongly preferredLicensure/Certification:N/AExperience:A minimum of one-year experience in a health care organization, including experience with word processing and computer experience (Word/Excel preferred) is required.Skills:Knowledge of business practices, policies and procedures required. Must demonstrate the ability to prioritize and organize work and the ability to work accurately, efficiently and independently. Must have basic skills in using a computer and calculator, and demonstrate the ability to examine information for accuracy and completeness, the ability to...

Administrative/ClericalSummary of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism.Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team.Principal...

Medical Billing SpecialistLocation: Madisonville, OH - In Person Employment Type: Full-Time - In PersonDefinition and Primary Objective: The Medical Billing Specialist ensures individuals have the financial resources to access and maintain services. This role works directly with individuals, families, and third-party payers to determine eligibility, benefits, and payment options. The Specialist helps remove financial barriers, explains insurance coverage and limits, and assists with financial assistance programs and paperwork. They proactively identify financial issues and collaborate with Intake and Finance Departments to mitigate roadblocks preventing or disrupting service delivery.QualificationsEducation: Associate degree in healthcare, billing, accounting, or related field preferred; equivalent experience with high school diploma considered.Experience: Knowledge of public and private health insurance required; experience with electronic medical records preferred.Skills:...

Medical Billing SpecialistLocation: Near Downtown Columbus, OhioPay: $25“$27/hr, depending on experienceOverview:Our client, a healthcare organization located near downtown Columbus, is seeking a detail-oriented Medical Billing Specialist to manage end-to-end insurance claim processing. This role is ideal for someone who thrives in a fast-paced environment, is confident in EZ-Claims, and understands Medicaid and private insurance requirements.Key ResponsibilitiesProcess insurance claims accurately through EZ-Claims.Review and validate documentation for correct coding and regulatory compliance.Monitor claim statuses, resolve denials, and prepare/submit appeals.Verify insurance benefits”including Medicaid and various private insurance plans.Communicate with Managed Care Organizations (MCOs) regarding billing regulations, authorizations, and policy updates.Required QualificationsHands-on EZ-Claims experience (must have).2years of...

Job Title:Medical BillerPosition SummaryThe Medical Biller is responsible for accurately reviewing, preparing, and submitting medical claims to insurance providers, with a strong focus on TRICARE and Medicare billing guidelines. This role ensures timely reimbursement by following up on outstanding claims, resolving denials, and maintaining detailed financial records. Proficiency with Bonafide or Brightree software is required.Key ResponsibilitiesPrepare, review, and submit medical claims to TRICARE, Medicare, commercial payers, and secondary insurers.Verify patient insurance eligibility and benefits prior to claim submission.Ensure claims comply with payer-specific requirements and current billing regulations.Monitor claim status, follow up on unpaid or rejected claims, and correct or resubmit as needed.Review Explanation of Benefits (EOB) and Remittance Advice (RA) for accuracy.Post payments, adjustments, and denials in the practice management system.Communicate professionally...

Medical BillerOur client in the medical supply industry is seeking a Medical Biller to support a high-impact revenue recovery project tied to recent Medicare and Tricare processing changes. Salary is $41,600-$52,000, DOEABOUT OUR CLIENTA well-established provider of medical equipment in the Columbus-areaKnown for supporting both private and government healthcare networksCollaborative, detail-driven office culture focused on accuracy and resultsCasual work environment with an emphasis on professional accountabilityOpportunity to make a measurable impact on recovering aged receivables and strengthening cash flow as the Medical BillerRESPONSIBILITIES OF THE MEDICAL BILLERThe Medical Biller will post claims in Bonafide, ensuring all data meets current HCPC and Tricare standardsThe Medical Biller will reconcile and correct rejected or pending claims, attaching required documentation and resubmitting for processingCommunicate directly with Medicare and Tricare representatives to verify...

OverviewJoin our Internal Medicine healthcare team as a Part Time Medical Biller, where your expertise will play a vital role in ensuring accurate and efficient billing processes.The role supports the financial health of our practice while providing exceptional service to our patients.As a key member of our billing department, you will be empowered to streamline claims, improve collections, and uphold the highest standards of medical coding accuracy.Responsibilities Review and interpret medical records to assign appropriate ICD-10, CPT (Current Procedural Terminology) Prepare and submit clean claims using EMR and EHR systems, ensuring compliance with insurance guidelines and coding standards Follow up on unpaid or denied claims through effective medical collection strategies Verify patient insurance information and update medical records accordingly Collaborate with healthcare providers to clarify documentation for accurate billing and coding Stay current with changes in medical...

Kettering Health Job OpportunityKettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio.We are committed to transforming the health care experience with high-quality care for every stage of life.Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.Responsibilities & RequirementsResponsibilities :Strong written and verbal communication skills.Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes.Knowledge and experience with 3M and Epic clinical data system preferred.Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures.Evaluates the quality of...

Job Details System Services Miamisburg Full-Time First Shift Responsibilities & Requirements Responsibilities:Strong written and verbal communication skills.Proficient in data entry, personal computers, knowledge of medical terminology, anatomy and physiology and disease processes.Knowledge and experience with 3M and Epic clinical data system preferred.Consistently follow coding guidelines and uses coding references to accurately select the appropriate principal diagnosis and procedure as well as secondary diagnoses and procedures.Evaluates the quality of documentation of all accounts to identify incomplete or inconsistent documentation which affects coding, abstracting and charging and handles appropriately.Identifies and monitors charging errors to reduce loss of revenue and any other issues regarding correct coding and reimbursement.Coordinates and performs activities associated with processing and correcting rejected accounts.Demonstrates knowledge of and adherence to...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery.Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family.The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region.University of Toledo Physicians offers competitive pay and benefits including:403B, Pension, health and tuition waiver at UT.POSITION SUMMARYThe Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes.Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room charges for the...

Job DescriptionJob DescriptionPosition Responsibilities / Standards :GeneralAttend department, clinic or company meetings as requiredDemonstrate sound judgment by taking appropriate actions regarding questionable findings or concernsConsistently work in a positive and cooperative manner with fellow staff members.Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.Attend required annual in-service programs.Demonstrate knowledge and understanding of all company policies and procedures.Core ValuesCommunication :Verbal and written communications are effective in soliciting and conveying information.Information is clear, concise and timely.OrthoAlliance Policies :Consistently adheres to OrthoAlliance Policies and Procedures (i.e.:including but not limited to :appropriate cell phone and computer usage, dress code, etc.).Also follows all OSHA and HIPAA regulations.Teamwork...

Job DescriptionREMOTE INPATIENT CODERMaxim Health Information Services is seeking a full-time inpatient coder for a remote position.Candidate must have strong inpatient experience.QualificationsOne of the following certifications :RHIA, RHIT, CCS, CPCMinimum of 3 years documented Coding experiencePass a pre-employment assessmentPreferred Skills :Large, teaching facility experience350Bed Hospital experienceExperience with various encoders and EMRs; EPIC and 3M are strongly preferredICD-10 trainedProduction rate can be between 2-3 charts / hourAdditional InformationBenefits for Working with MaximCompetitive PayHealth, Dental, Vision, Life Insurance, and 401(k) PlanFree ICD-10 training and education through HCPro, with CEUsQuality customer service-available 24 hours / dayConsistent workload and multiple site availabilityHassle-free-travel no fees for flights, hotels, or car rentalJ-18808-Ljbffr.

ENT Surgery Pro Fee CoderThe ENT Surgery Pro Fee Coder must be proficient in surgical coding for high complexity ENT surgery cases.The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT / HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance.Under the direction of the coding managerthe coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS / MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets.The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines.This position is full time and 100% remote.Maintain...