208 jobs found

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

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...

Job Description Job Description WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Coder MAIN FUNCTION: The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve re-imbursement and revenue compliance concerns. Involved in the charge capture process. RESPONSIBLE TO: System Director of Revenue Cycle MUST HAVE REQUIREMENTS: Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS/ or CCA eligible. If not credentialed at time of hire, then applicant must become credentialed in one of the four areas within 12 months of hire to remain employed. Ability to operate computer on a daily basis and perform basic office procedures. No written...

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. Essential Functions: Review physician referrals and patient medical history to determine therapy needs. Conduct and document...

Job Description Job Description Company Description Full-Service Facility Maintenance company offering a wide range of janitorial services for industrial, commercial, and construction customers throughout Northeast Ohio for the past 28 years.    Job Description Location: Located in Bath Ohio 44333 - suburb of Akron Ohio - near I77& Route 18 (Medina Road) - approximately 15 minute drive from downtown Akron. Rate of Pay: $20.00 to $22.00 per hour  Shift: Monday - Friday, 6:00pm to 2:00am with some weekends as needed  Job Description: Oversee a staff of 10 to 15 employees cleaning offices and medical space. Assist with cleaning duties as needed.    Qualifications Must have previous experience supervising cleaning crews in a commercial setting (office, medical, school etc)  Must have a clean criminal background and be able to complete onboarding assessment quizzes using a computer/laptop Must be will to obtain a yearly Tuberculosis Test (TB) and Flu...

Allstatportable in Youngstown, OH is seeking Billing Specialists to manage medical claims, ensuring compliance and timely reimbursement. The role offers a structured problem-solving environment with career growth in medical billing and accounts receivable. The ideal candidate has 1-2 years of relevant experience and skills in coding, Microsoft Office, and a strong attention to detail. Joining Allstatportable means being part of a team that values work-life balance and offers competitive compensation. #J-18808-Ljbffr

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...

Job Title High School diploma or equivalency certificate. Three years of previous healthcare billing and collections experience preferred. Knowledgeable about third party billing regulations and CPT/ICD coding. Proficient computer and data entry skills. Effective problem solving skills and ability to work independently. Working knowledge of spreadsheet applications. Proven record of dependability. Effective verbal and written communication skills. Detail Oriented and ability to prioritize work. Effective time-management skills.

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...

Kettering Health Job Description Kettering 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. Campus Overview Kettering Physician Network Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas. Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties. Working collaboratively across specialties, we...

Cardiology Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. Knowledge of and experience with cardiology coding and billing is preferred. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located all over the United States. Medical billing is one of the fastest growing industries with unlimited career opportunities. Our goal is to find someone that is willing to put in the time and investment in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and...

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...

JobRx, Inc. is seeking a compliance officer to oversee activities related to the 340B Program at MetroHealth Medical Center. Responsibilities include conducting audits, educating staff on compliance matters, and ensuring adherence to HRSA guidance. Candidates must have relevant experience in healthcare compliance and possess strong analytical and communication skills. A Bachelor's degree in a related field is required, with a Master's preferred. This role offers an opportunity to impact community health and well-being in an essential healthcare system. #J-18808-Ljbffr

The MetroHealth System in Cleveland, OH is looking for a 340B Auditor to conduct compliance-related activities and audits related to the 340B statute. You will also educate employee groups on compliance matters and solve customer service issues. To qualify, you should have a Bachelor's degree in a related field along with relevant work experience, strong analytical skills, and proficiency in Microsoft Office. #J-18808-Ljbffr

This is a pre‑launch opportunity to join a newly formed field medical team. As an Associate Director, Field Medical Affairs, you will serve as the primary scientific presence in your territory, engaging in meaningful exchange of clinical data and medical information with KOLs, HCPs, clinical research investigators, pharmacists, and other decision makers. You will build investigator relationships, site infrastructure, and medical intelligence that shape our program’s clinical and medical trajectory. We will align field activities with strategic medical plans, gather actionable insights on the evolving treatment landscape, and support research and development that advances both the pipeline and patient outcomes. Territory: eastern states A Typical Day May Include: Collaborate with Clinical Development to identify, qualify, and establish clinical research sites in your territory Cultivating investigator relationships ahead of study activation to build scientific credibility and...

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...

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

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

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...

Trinity Health in Columbus is seeking a Specialty Medical Coding Supervisor to lead specialty coding teams across areas like Cardiology, General Surgery, Orthopedics, Neurology, Oncology, and OB-GYN. You will drive accuracy, compliance, and timely coding while supporting coders, quality, productivity, and education. You will coordinate with providers, billing, and leadership; set goals, monitor capacity, and ensure staff have tools to succeed. #J-18808-Ljbffr

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