103 coder 1 jobs found

Finance & Purchasing Dept PO BOX 1210 Shelby, NC 28151 Summary Performs intermediate skilled administrative support work processing ambulance information, generating various reports, and issuing permits. Essential Functions and Responsibilities Keying and coding ambulance transports with the correct ICD‑10 diagnosis codes and CPT codes required for payment daily by importing the run reports from ESO into our software system. Verify insurance sources to bill. Communicate with Cleveland County and surrounding hospices for hospice patients to determine the correct payer source. Communicate with various hospitals and nursing facilities to ensure proper flow of paperwork and maintain open lines of communication. File all insurance claims daily, including Medicare, Medicaid, and private insurance. Attend billing conferences to stay up to date with billing procedures and applicable Medicare/Medicaid/insurance laws. Ensure required forms are attached to records prior to...

Kettering Health Network is seeking a full-time Risk Adjustment Coder for their office in Kettering, OH. This role focuses on coding compliance and ensures adherence to CMS billing rules while supporting clinical outcomes through documentation feedback to providers. The ideal candidate will have a High School Diploma, relevant coding certifications, and prior experience in professional fee coding. This position fosters relationships with healthcare providers and contributes to improving coding practices. #J-18808-Ljbffr

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements Job Overview: The Certified Risk Adjustment Coder is responsible for reviewing the ambulatory records for the appropriate risk adjustment components. The Risk Adjustment Coder will identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes. The Risk Adjustment Coder will leverage the MEAT (Monitor, Evaluate, Assess, Treat) criteria for accurate documentation by providers. When appropriate, the Risk Adjustment Coder will query providers to clarify the HCC codes placed, inquire on additional documentation to support the HCC code placed, or discuss overall opportunities within the record. The Risk Adjustment Coder will supplement the educational offerings of the MSO by providing right-time feedback to providers when documenting or coding the risk adjustment on patient records. The Risk Adjustment Coder...

A healthcare organization in Kettering, Ohio, is seeking a Certified Risk Adjustment Coder. This full-time role involves reviewing ambulatory records and coding outpatient patient records to ensure accurate risk adjustment. Candidates must hold an Associate or Bachelor’s degree in Health Information Management and have at least one year of coding experience. Certification as a Certified Risk Adjustment Coder (CRC) is required. Strong communication skills and teamwork abilities are essential for successful collaboration with providers and clinical documentation specialists. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Specialized Coder to support Cardiology, Vascular or Thoracic Surgery coding. In this role, you will be responsible for accurately coding encounters from medical records, tracking trends in charge reviews, and assisting with the education of other coders. This remote position offers a competitive salary range ($29.75 - $32.70/hr) based on experience, along with a comprehensive benefits package, opportunities for career advancement, and a $3,000 sign-on bonus. #J-18808-Ljbffr

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

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...

Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Clinical Data Coder to join our Clinical Coding & Support team in Cincinnati, OH. This position will work on a team to accomplish tasks and projects that are instrumental to the company’s success. If you want an exciting career where you use your previous coding, pharmacy, or nursing expertise and can develop and grow your career even further, then this is the opportunity for you! Responsibilities Perform accurate coding of medical terms and medications utilizing industry-wide standards as well as company standards; Coordinate the assignment of appropriate dictionaries for meeting study requirements Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and Produce coding...

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...

Datavant is looking for experienced outpatient coders to join their remote team in Columbus, Ohio. The role focuses on reviewing medical records and assigning accurate diagnosis and procedure codes while maintaining a high coding accuracy rate. The ideal candidate will have at least 3 years of outpatient coding experience and CCS certification. Datavant offers flexible schedules, competitive pay, and a collaborative environment dedicated to transforming healthcare through data. #J-18808-Ljbffr

Population Health Specialist The Dayton Children's population health team identifies and addresses opportunities to improve the healthcare journey for broad populations of children. It is an interdisciplinary team that provides infrastructure, innovation, and an agile approach to improving care for children while prioritizing value over volume. A key component of this approach is our involvement with Partners For Kids (PFK), an accountable care organization responsible for the improvement of health of approximately 120,000 children on Medicaid throughout West Central Ohio. The Population Health Specialist plays a critical role in advancing and improving health outcomes across the continuum of care. This position is responsible for coordinating the implementation of population health strategies and initiatives, with a strong emphasis on data-driven decision making, cross-functional collaboration, and alignment with clinical and operational priorities. By identifying opportunities...

Job Description Job Description Join Our Team We are a mission-driven behavioral health organization committed to empowering individuals on their recovery journey. We are seeking an experienced Medical Billing, Credentialing & Coding Specialist  responsible for managing the full revenue cycle, including insurance billing, provider credentialing, and accurate medical coding for a behavioral health organization. This role ensures compliance with payer requirements, supports timely reimbursement, and maintains provider enrollment through CAQH and other credentialing platforms Summary of Responsibilities: Medical Billing & Revenue Cycle ·         Submit accurate and timely claims for mental health and substance use disorder services ·         Monitor claim status, resolve denials, and follow up on unpaid claims ·         Post payments and reconcile accounts receivable ·         Verify patient insurance eligibility and benefits ·         Ensure compliance with...

KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Reviewing the ambulatory records for the appropriate risk adjustment components Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of CPT,...

Job Description Job Description Description: What is the specific title of the position? Medical Coder Work hours? 8 hours flexible start time Position background ? Medical Coder What does this position accomplish for the business? Reviewing CPT and ICD codes on claims Please describe the team the candidate will be working with 14 team members - 10 coders 2 support staff What are the top 5-10 responsibilities for this position (please be detailed as to what the candidate is expected to do or complete on a daily basis)?Knowledge CPT coding - ICD 10 Coding - be able to review and code an encounter - Knowledge of Anatomy- Be able to code an OP report - Knowledge of Excel - knowledge of Word / What does the ideal candidate background look like? Medical Coder - What skills/attributes are required? Experience Medical Coder at least 5 years experience. What skills/attributes are preferred? Can code a medical OP report Does this position require a professional license or...

Job Description Job Description Toledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred. 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...

Job Description We are seeking a Certified Medical Coder who has strong Anesthesia coding experience. Work hours for this position could range between 24-40 hours each week and would have flexibility with times between 7a.m. to 6 p.m. Job Requirements Qualified candidates must have a valid CPC Certification, must have strong Anesthesia Coding experience, m ust be able to pay a high attention to detail, and must be dependable. Only those candidates that can pass a background will be considered. Area Temps still believes that the best way to serve both our employees and our customers is through personal service. To apply for this Medical Coder position, please submit your resume to parma@areatemps.com, call (440) 253-2983, or TEXT "your name & 178721" to (440) 887-4013. Additional Information For over 35 years, Area Temps has been committed to providing Northeast Ohio companies with office staffing services, technical, skilled trades, industrial and...

Anderson Hills Pediatrics' Expectations of all Employees: Adhere to all Anderson Hills Pediatrics' Policies and Procedures Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times Maintain a positive and respectful attitude with all work-related contacts Consistently reports to work prepared to perform the duties of the position Meets productivity standards and performs duties as workload necessitates Primary Function : Assists the Billing Manager with the claims submission and revenue cycle of the practice. Major Duties and Responsibilities : • Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information • Update patient demographic information including insurance coverage; make changes/corrections as...

  We are seeking a Certified Medical Coder who has strong Anesthesia coding experience.  Work hours for this position could range between 24-40 hours each week and would have flexibility with times between 7a.m. to 6 p.m.

Job Description Job Description Description: About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. A Day in the Life · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different...

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding. Full-Time/Benefits Eligible Monday-Friday - 8a-5p Westerville, OH ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: • Review physician progress notes for necessary documentation prior to locking of notes. • Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended. • Work actions from sites and other teams in Revenue Cycle to assist in coding queries. • Assist Physicians in...

Overview Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion? Who we are With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. Our culture At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. Our benefits We know that having options and robust benefit plans are important to you. OSUP...

Coder - Coding Specialist Hospital Job Description 40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Relocation assistance Qualifications Associates Degree in HIM required OR at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable All your information will be kept confidential according to EEO guidelines.