46 jobs found in Dublin, OH

Description Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers...

Supervisor Medical Coding Compliance Quality Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers applicable Centers for Medicare/Medicaid Services (CMS) and Health and Human Services (HHS) regulatory guidance and expectations to assigned team. Ensures areas of concern with chart documentation are addressed and that quality and productivity metrics are met and/or exceeded. Maintains cross-functional relationships with other departments as well as vendors to assure timely chart collection efforts and accurate documentation guidelines are communicated and facilitated. Supervises staff that perform medical record retrieval and quality assurance of documentation and/or coding. Documents...

A leading healthcare services company is seeking an experienced auditing professional to work in Columbus, Ohio. This role involves applying financial and operational risk management principles, collaborating with stakeholders, and evaluating control measures. The ideal candidate will have at least 3 years of experience in the audit field and a relevant bachelor's degree. The position requires strong project management and interpersonal skills, along with certifications such as Certified Internal Auditor or CPA. A hybrid work schedule is available, and the anticipated salary range is $80,900 - $103,950. #J-18808-Ljbffr

National Church Residences - - Responsibilities: Manage accounts receivable for Medicare, Medicaid, insurance and other payors; Prepare and file insurance claims and communicate with carriers for timely payment; Perform modified triple-check validation of third-party billing/claims; Create and implement billing/collection systems for new payor types and train staff; Collect and prepare work papers for audits and cost reports

Job Description: Title: Medical Billing Specialist Job Code: 64305OH Division: Senior Living Corporate Status: Non-Exempt Reports to: Lead Medical Billing Specialist Revision date: April 2019 Supervises: n/a PURPOSE According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Lead Medical Billing Specialist assumes responsibility for performing all general accounting, billings, and bookkeeping functions for the Senior Living Division's Facilities. ESSENTIAL FUNCTIONS Manage accounts receivable for medical billing for the Senior Living Division including, but not limited to: Part A and B Medicare, Medicaid, Home Health, Hospice, Part B, Outpatient, Managed Care, Insurance, and Co-Insurance Billing. Communicates with different insurance carriers for timely payment of our services. Prepares and files insurance claims. Performs...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

A healthcare provider in Worthington, Ohio is seeking a dependable Billing Specialist to manage accurate medical billing operations. This role involves submitting claims, posting payments, and following up on unresolved billing issues. Candidates should have knowledge of CPT and ICD-10 codes, organizational skills, and the ability to meet deadlines. The position provides benefits such as medical, dental, and vision insurance, as well as paid time off and holidays. #J-18808-Ljbffr

A top healthcare provider is hiring a Reimbursement Specialist to ensure timely billing and collections for Medicare, Medicaid, and Commercial insurance. This full-time hybrid role requires working in the office three days a week, with flexibility on remote work. Ideal candidates will have at least three years of experience in reimbursement, strong knowledge of insurance guidelines, and excellent communication skills. Comprehensive benefits and competitive pay are included in this opportunity. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. ***** FT and PRN Openings *** Up to $5,000 Sign On Bonus ***** 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 role possesses high attention to detail and a depth of knowledge in medical...

A leading private aviation company in Columbus, Ohio, is seeking a Maintenance Auditor to oversee compliance and auditing operations within Maintenance and Repair Station. Responsibilities include managing risk processes, monitoring corrective actions, and ensuring adherence to FAA regulations. Candidates must possess significant experience in FAA Commercial Aviation Safety and compliance, alongside strong project management and leadership skills. #J-18808-Ljbffr

Join Datavant, the leading data collaboration platform in healthcare, dedicated to ensuring the world's health data is secure, accessible, and actionable. Our mission drives us to provide essential data solutions for a variety of healthcare organizations, including providers, health plans, researchers, and life sciences companies. At Datavant, you will be part of a passionate team focused on transforming the future of healthcare through innovative data connectivity. What We Are Looking For: As an HCC (Hierarchical Condition Category) Auditor, you will be pivotal in reviewing medical records that have been coded in a standardized system, ensuring each patient’s conditions are accurately represented for risk adjustment and reimbursement. Your expertise will help translate clinical documentation into precise codes, reflecting the complexity and severity of patients' health statuses while confirming the accuracy of your work. What You'll Be Doing: Audit coded charts...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

A global pharmaceutical company is seeking an Associate Director of Scientific Communications in Columbus, Ohio, to manage and execute a comprehensive medical communications strategy. The role includes overseeing the creation of core scientific content, guiding a team, and ensuring compliance with internal and external regulations. Candidates should possess an advanced scientific degree and at least 7 years of experience in medical affairs or scientific communications within the pharmaceutical or biotechnology field, alongside proven leadership skills. #J-18808-Ljbffr

Employer Industry: Healthcare Insurance Why consider this job opportunity Salary up to $80,900 per year Eligible for a bonus incentive plan based on performance Health benefits effective day 1 Generous paid time off, including holidays and volunteer time Opportunities for career development and tuition assistance Flexible work-from-home arrangement with provided equipment What to Expect (Job Responsibilities) Conduct audits on outpatient Durable Medical Equipment (DME) coding disputes to ensure compliance and accuracy Communicate coding dispute outcomes to providers in a professional and concise manner Collaborate with coding professionals across departments to manage multiple priorities Leverage advanced auditing expertise to make informed coding decisions Ensure timely completion of outpatient coding disputes What is Required (Qualifications) CPC or CCS Certification 1+ years of experience reading and interpreting claims 3+ years of experience performing DME...

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

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in 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 high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

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...

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...

About Otsuka At Otsuka, we push the boundaries to empower others to do the same. Our unwavering commitment to surpassing expectations drives us to tackle complex medical needs, enabling patients to rise above their conditions and realize their daily aspirations. About the Role Join our innovative Omnichannel Center of Excellence, where we are dedicated to enhancing our impact on patients and healthcare providers. We focus on customer-centric approaches, patient empathy, and deep knowledge of disease education and treatment access. We are looking for a Medical Omnichannel Data Scientist who has a strong background in artificial intelligence, machine learning, and data integration. In this role, you will have the opportunity to conceptualize, prototype, and develop advanced analytics models that will inform data-driven decisions. The ideal candidate will work closely with various stakeholders to utilize analytics and machine learning techniques, improving communication...

Join our team as an Outpatient Coding Auditor in a fully remote position! We are searching for dedicated individuals nationwide who are passionate about maintaining high standards in coding practices. About You Share your experience with Outpatient Coding Auditing. Emphasize your ability as a team player and self-motivator. Demonstrate your skills in managing multiple projects while utilizing problem-solving abilities. What makes you truly unique? We want to know! If you are committed, team-oriented, and value professionalism, trust, honesty, and integrity, we are eager to connect with you. About The Position Possess advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4), and Healthcare Common Procedure Coding System (HCPCS). Have practical knowledge of reimbursement systems such as Prospective Payment System (PPS), Diagnostic Related...

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...