65 jobs found in Columbus, OH

This Posting is for the BOSC (Bureau of Sentence Computation ) The Job Opportunity and Duties... Requires thorough knowledge of records management in order to complete thorough, in-depth review of all commitments to Department of Rehabilitation and Correction (DRC) as well as sentence modifications and jail credit orders and ensures compliance with Ohio Revised Code (ORC) Calculates and maintains proper and accurate inmate sentences, parole eligibility, release dates, jail time credit, good time credit, and earned credit in accordance with ORC, Administrative Regulations and DRC policies Determines earned credit eligibility and correct application of appropriate sentencing law Oversees and reviews inmate sentence calculations for precise accuracy in compliance with ORC, Administrative Regulations and DRC policies and procedures to ensure proper release of inmates Halts releases when new information is received and recomputes release dates in compliance with court...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Medical Billing Specialist Location: Near Downtown Columbus, Ohio Pay: $25–$27/hr, depending on experience Overview: 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 Responsibilities Process 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 Qualifications...

Phoenix Retail Trade Compliance Auditor/Data Analyst PHOENIX Retail, LLC is a retail platform operating the Express and Bonobos brands worldwide. Express is a multichannel apparel brand dedicated to a design philosophy rooted in modern, confident and effortless style whether dressing for work, everyday or special occasions. Bonobos is a menswear brand known for being pioneers of exceptional fit and a personalized, innovative retail model. Customers can experience our brands in over 400 Express retail and Express Factory Outlet stores, 50 Bonobos Guideshops, and online at www.express.com and www.bonobos.com. The Trade Compliance Auditor/Data Analyst is a dual-function role that provides critical audit and analytical support to the trade compliance department. This role combines compliance auditing with data analytics to ensure data integrity across all trade systems and using analytics to drive compliance and identify cost recovery opportunities. This position conducts regular...

Inpatient Hospital Medical Coder An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities: Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform additional duties as requested by management from the hospital side of forms (not...

Allegheny Health Network Job Opportunity General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work....

Outpatient Coder 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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this...

Inpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Job Description Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of...

Medical Coder/Billing Specialist Pay rate: $23.00 hr on W2 Location: Columbus 43215 OH Duration: 12+ months Shift Timing: 8:00 AM - 5:00 PM Must Have: Medical coding experience. Experience with ICD, CPT, and HCPCS coding systems. Medical coding Certification. Roles and Responsibilities Under general direction, assisting in monitoring & analyzing policies & procedures in order to organize & implement an accurate & efficient International Classification of Diseases Edition (ICD) policy & system support program. Serves as medical policy resource, analyst & technical expert advisor for ICD, CPT, and HCPCS and other coding systems; incorporates relevant ICD, CPT, and HCPCS policy & guidelines of Agency on statewide basis. Assisting in monitoring & analyzing ICD reports generated on agency computer systems for appropriate usage & assignment of ICD codes; assists ICD program manager with identification of applicable regulations and agency...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

100% Remote!  Pay: $18-22/hour     We are looking for Medical Billing Specialists with experience in back-end A/R follow-up, resolution of aged accounts, and working denials for Hospital and/or Physician Billing.    Our team assists healthcare providers and hospital entities with the remediation of 3rd party accounts receivable, and a variety of revenue outsource capabilities. The primary role is to resolve assigned accounts by following up with commercial and government payers on denied, underpaid, or otherwise unresolved accounts and collecting insurance claim balances for the client. This position will require in-depth research and problem solving to get the resolution on these claims, while maintaining productivity and quality outputs for the assigned client.     Some of the additional benefits you will have working with us include:  Permanent position  Flex Schedule  Excellent Health, Dental, Vision, Life Packages  PTO, paid sick leave, paid holidays  Opportunity for...

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. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

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...

A leading healthcare data platform is seeking an experienced inpatient coder to join their remote team. The ideal candidate should have at least 3 years of inpatient coding experience, knowledge of medical terminology, and relevant certifications. This role involves coding patient records accurately and collaborating with the team to enhance documentation processes. Competitive pay ranges from $32 to $42 per hour. #J-18808-Ljbffr

Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office. Candidates must possess an active coding certification with Hospital ICD-10 coding experience. Additional experience in Ambulance billing is a plus, as well as background in billing Medicare, Medicaid and commercial insurance including appeals & reconsiderations. Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Hours are Monday through Friday, 7:30am-4:00pm. Salary DOE. This is a full-time position, and is benefits eligible. Critical Care Transport is proud to offer employer-sponsored health insurance, matching 401k, paid vacation, bi-weekly direct deposit, and additional insurance options through Colonial Life. Critical Care Transport is a leading...

Medical Biller Opportunity We are seeking a skilled Medical Biller to join our client's healthcare team. The ideal candidate will be responsible for accurately and efficiently processing medical claims and invoices, ensuring timely reimbursement from insurance companies and patients. The Medical Biller will work closely with healthcare providers, insurance companies, and patients to resolve billing discrepancies and ensure compliance with regulatory requirements. Job Responsibilities: Claims Processing: Prepare and submit accurate medical claims to insurance companies, Medicare, and Medicaid for reimbursement. Billing: Generate and send invoices to patients for services rendered, following up on outstanding balances and resolving billing discrepancies. Insurance Verification: Verify patients' insurance coverage and eligibility, ensuring all necessary authorizations and referrals are obtained before services being rendered. Coding: Assign appropriate medical codes...

Physician Coding Auditor This is a full-time, remote position that offers a flexible schedule. Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder's internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds...

Hcc (Hierarchical Condition Category) Coder 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding...

A leading health data platform company is seeking an experienced outpatient coder to join their remote team. The role requires expertise in medical terminology, attention to detail, and proficiency in coding practices. Responsibilities include reviewing medical records, assigning codes, and ensuring compliance with industry standards. The ideal candidate will hold relevant certifications and have a solid understanding of various coding specialties. This position offers a flexible schedule, competitive pay, and numerous employee benefits. #J-18808-Ljbffr

Job Description UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT SURGERY CODER. WORK SCHEDULE 100% FTE, Days 100% Remote POSITION HIGHLIGHTS This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor& Billing Analyst - Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD10CM,...