205 jobs found

Senior Billing Specialist The primary responsibility of this position is to review, analyze and/or assign ICD-10 Diagnosis and CPT Codes for all E # M, procedural and/or surgery codes for professional billing. Also, should be able to code for Professional Inpatient vs Observation status. Other responsibilities include revenue integrity functions including charge capture, timely charge entry, revenue improvement initiatives and compliant documentation review. Job function include communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges. Candidate may also be expected to assist in performing other administrative task as assigned as well as assisting other areas of the Revenue Cycle or Clinical divisions as necessary. Primary Responsibilities: Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and...

Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Essential Duties Resolve edits daily through the EMR or clearinghouse to produce clean claims. Verify the accuracy of all insurance information. Send original claims along with any necessary supporting documentation. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims. Submit secondary claims, ensuring that primary payment information is captured. Understand and abide by billing compliance regulations. Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately. Answer billing questions in a clear and polite manner. Understand patient confidentiality...

Southwoods Health is seeking a full-time Medical Billing Specialist for their Home Health division. This role includes verifying claims, managing documentation, and ensuring compliance with billing regulations. The successful candidate must have effective communication skills and experience in billing or collections, ideally with a background in home health coding. Working hours are Monday through Friday during the day shift. Join Southwoods Health to contribute to the integrity of healthcare billing processes. #J-18808-Ljbffr

Stivers Staffing Services is urgently hiring a Medical Billing Specialist in Mayfield Heights, Ohio. In this role, you will be responsible for managing insurance verifications, submitting claims, and handling denial appeals to ensure smooth operations. Join a dedicated medical practice where you will maintain HIPAA compliance and support a fast-paced healthcare environment. This is a full-time on-site position with opportunities for career advancement and comprehensive benefits. #J-18808-Ljbffr

Memorial-Health-Ohio is seeking a Professional Billing Representative to join their collaborative team in Marysville, Ohio. This full-time role involves ensuring accurate claims submission, managing accounts receivable, and providing excellent customer service. The ideal candidate will have three years of experience in a medical field and knowledge of revenue cycle functions. Join us in delivering compassion and respect as part of our commitment to inclusive healthcare. #J-18808-Ljbffr

Job Description Job Description Corporate Compliance LMHS Compliance Auditor Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where...

Lima Memorial Health System is seeking a PRN Coder Professional to code medical records while ensuring all documentation supports code assignments. Candidates should hold an Associate’s degree or a certified coding program completion, possess current CPC or AHIMA certification, and ideally have two years of coding experience in a healthcare setting. Skills required include knowledge of grouper mechanics, medical necessity, documentation, and proficiency in Word and Excel. This role involves working Monday to Friday with varying hours. #J-18808-Ljbffr

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, medical...

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....

Gift Shop Supervisor Responsible for overseeing all aspects of the opening and closing of the Gift Shop. Ensures that professional standards are maintained by all personnel. Employment Qualifications Education: High school or equivalent Required Skills: Comparable work experience preferred. Cash handling experience preferred. Previous supervisory experience in a retail setting is preferred. Excellent customer service skills. Essential Job Functions Must be competent in all areas of day-to-day operations, including the opening and closing procedures. Familiar with all operations of the cash register, daily deposits, and cash fund handling procedures. Oversees the daily and sales reports making sure they are maintained and accurate. Assists with re-ordering and re-stocking of merchandise inventory. Assists customers with returns and enforces a no-exchange policy. Assists customers with questions by accommodating their needs and/or requests. Answers the telephone...

Gift Shop Manager Responsible for overseeing all aspects of the opening and closing of the Gift Shop. Ensures that professional standards are maintained by all personnel. Education: High school or equivalent Required Skills: Comparable work experience preferred. Cash handling experience preferred. Previous supervisory experience in a retail setting is preferred. Excellent customer service skills. Essential Job Functions: Must be competent in all areas of day-to-day operations, including the opening and closing procedures. Familiar with all operations of the cash register, daily deposits, and cash fund handling procedures. Oversees the daily and sales reports making sure they are maintained and accurate. Assists with re-ordering and re-stocking of merchandise inventory. Assists customers with returns and enforces a no-exchange policy. Assists customers with questions by accommodating their needs and/or requests. Answers the telephone professionally and appropriately....

Overview As a Certified Medical Coder at Vytal Health Partners, you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes. You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards. In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence. This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations. What You Will Do Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and...

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Medical Claims Specialist This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization's operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. Job Duties/Responsibilities Maintains a thorough understanding and education of federal and state regulations and payer specific policies and...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

The MetroHealth System is seeking a qualified candidate for a coding position involving assigning diagnostic and procedure codes. The role requires a high school diploma and one or more certifications in health information management. Candidates should possess excellent communication skills and an understanding of health care billing practices. The position includes continuous monitoring of coding accuracy and fulfillment of standards for the department. #J-18808-Ljbffr

A national healthcare staffing agency is looking for a Remote Inpatient Coder to join their team. Candidates must hold certifications like RHIA or RHIT and have a minimum of 3 years coding experience. This full-time role offers competitive pay, benefits including health insurance and 401(k), and the opportunity for continuous professional education. Ideal candidates will have experience in large hospitals and various encoders, with the ability to code 2-3 charts per hour. It’s a remote position based in the U.S. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Job Description Job Description At the core of American Medical Administrators Long Term Care is a foundation built on integrity, work ethic, compassion, and competence. As our organization continues to expand across multiple states, we are seeking experienced professionals who are driven, detail-oriented, and passionate about supporting the financial operations that keep our facilities running effectively. We are currently seeking a Multistate Medical Biller to join our growing team. This role is ideal for an experienced healthcare billing professional with strong knowledge of Medicare, Medicaid, and Managed Care billing processes within the long-term care industry. The ideal candidate will thrive in a fast-paced environment, possess strong organizational skills, and demonstrate the ability to manage complex billing workflows across multiple facilities and payer sources. Job Responsibilities and Duties: Responsible for the timely and accurate billing of all...

Job Description Job Description COMPETITIVE SALARY + FULL BENEFITS PACKAGE + UNLIMITED PTO + FAMILY ATMOSPHERE Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry.  We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers.  We are seeking a Compliance Auditor  that is  MOTIVATED  to work for a company with an  EVOLVING  culture that provides a  POSITIVE  work and life balance. JOB SUMMARY:  The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES:...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this...

Mount Carmel Health System seeks a Specialty Medical Coding Supervisor in Columbus, Ohio. This role requires overseeing specialty coding teams, ensuring accurate and timely coding across various specialties, and providing support and education to coders. Ideal candidates must possess a GED or high school diploma and certification in Procedural Coding. The position offers competitive benefits including medical coverage from day one, tuition reimbursement, and a retirement savings account with employer match. #J-18808-Ljbffr

Augusta Health is hiring a Coder II in Fishersville, OH to ensure accurate reporting and sequencing of ICD-10-CM, HCPCS, and CPT codes. The role involves generating queries for clarification and monitoring quality performance measures. The ideal candidate will have a strong coding background, CCS or CPC certification, and effective teamwork skills. Competitive benefits and a supportive work environment are offered to promote work-life balance. #J-18808-Ljbffr

A leading staffing organization is seeking a skilled Medical Coder to join their team in Highland Hills, Ohio. The successful candidate will be responsible for coding high complexity claims, reviewing medical records, and ensuring compliance with guidelines. Candidates must have at least 2 years of experience and possess relevant certifications. This is an excellent opportunity for detail-oriented professionals looking to further their career in the healthcare coding field. #J-18808-Ljbffr