201 jobs found

This is what you will do: The Assoc. Director of Medical Affairs provides scientific and medical leadership to establish a deep understanding of the medical landscape regarding relevant, rare amyloidoses, such as AL-A, and Alexion products. In line with Alexion's overall strategy, they are responsible for developing and implementing long-term strategies and establishing sustainable medical practices and infrastructures. The Assoc. Director of Medical Affairs Amyloidosis makes strategic contributions to Alexion's activities in the field of rare amyloidoses. They support all functions of the German subsidiary working in this field in achieving local targets and Alexion Global Medical Affairs in its mission to achieve treatment outcomes by establishing and continuously improving an evidence-based standard of medical care. At the same time, they act as the external contact for medical and scientific concerns in the indication area. You will be responsible for: Disciplinary leadership...

University Physicians in Dayton, OH, is looking for a part-time Billing Specialist to maximize revenue through effective medical billing and coding. This flexible role allows you to work 16-20 hours per week and requires experience with insurance claims and denials. You will ensure timely payment through rigorous claim follow-up and optimize reimbursement by correcting billing errors. Ideal candidates will have strong communication skills and an analytical mindset, potentially holding certification in billing or coding. #J-18808-Ljbffr

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...

Professional Fee Coder Ensures the accuracy, efficiency, and maximum financial return of Dayton Children's professional billing claims for reimbursement. Ensures billing compliance; maintains knowledge of CPT and ICD-10 coding guidelines, as well as Medicare/Medicaid billing rules and regulations. Serves as a professional coding resource to providers and staff. The professional fee coder works a variety of work queues to ensure compliant professional fee coding. Work queues include, but are not limited to, Charge Review, Claim Edit, and Follow Up. The professional fee coder works directly with multiple providers to ensure compliant coding guidelines are being utilized. The professional fee coder maintains knowledge of CPT and ICD-10 coding guidelines.

ICD-10 CODER-DRG/APC SPEC Health Information Management Services Full-time / 6:30a-4p / 72hours per pay This shift is a 9 hour shift Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all Inpatient visits or Specialty Outpatient Surgery/Observation visits or both based on physician documentation in the Medical Record. He/she is responsible for collaborating with the Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Accurate coding/abstracting and correct DRG or APC assignment is expected while adhering to the guidelines of the current coding classification systems and AHIMA's Standards for Ethical Coding. He/She is also responsible for following up on outstanding accounts for billing. All work is carried out in accordance with The Joint Commission on Accreditation of...

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...

Location: Remote - Ohio Department: HIM Revenue Cycle Weekly Hours: 20 Status: Part time Shift: Days (United States of America) Job Summary As the Outpatient Coder I, you will translate health care services and procedures into standardized codes on outpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable. You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation. You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. Requirements Associate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment...

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...

Practice Supervisor Unity Health Network, part of the Optum and UnitedHealth Group family of businesses, is the largest independent physician network in Northeast Ohio. Our infrastructure enables us to provide extensive primary care services and diverse specialty care offerings while removing non-medical business functions from our clinical staff, allowing them to concentrate on care delivery. Our team is growing, and we are looking for more health care professionals who want to be part of an organization that is driven by excellence. You can be part of a dedicated health care team that provides high quality and timely patient-centered services. In return, we will provide you with competitive opportunities that are driven to change the future of health care delivery and your career. For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, Verifying the diagnosis coding accuracy for complex and/or error prone encounters, Validating certain discharge dispositions, Reviewing charge and procedure mismatches, Reviewing codes with revenue integrity for NCD/LCD coverage, Reviewing invalid codes, code conflicts, and missing modifiers, Working with...

  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...

Centerprise, Inc. is hiring for a billing support position in Loveland, OH. This hybrid-remote role requires assisting the billing and cash posting teams while addressing patient inquiries. Candidates should have a high school diploma, relevant experience, knowledge of medical terminology, and EHR software expertise. Benefits include competitive pay ($16–$20/hour), health insurance, a 401(k) program, and paid time off. Training will initially require in-office attendance, leading to a flexible hybrid schedule. #J-18808-Ljbffr

Certified Coder 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...

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.

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Become a part of our caring community 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. Where you Come In 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 accuracy of...

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

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

GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the HIM Coder – Professional/HCC competency exam within 6 months of hire required...

Southern Ohio Medical Center in Portsmouth, Ohio, is seeking a HIM Coder - Professional to code and charge medical office visits. The role requires ICD-10 and CPT coding expertise, a high school diploma, and a professional coder certification. Responsibilities include ensuring coding accuracy and assisting with denial management. Candidates should have at least two years of coding experience, with preferred completion of coding training programs. This position supports a diverse workplace and promotes equal employment opportunities. #J-18808-Ljbffr

Air-Transport-International in Wilmington, Ohio is looking for a qualified candidate to conduct audits and evaluations according to Safety Management System standards. Responsibilities include performing organizational evaluations and ensuring regulatory compliance through on-site audits. The ideal candidate will have a high school diploma, 3+ years of Aviation or Safety experience, and be proficient in Microsoft Office. A bachelor's degree in a related field is preferred, as well as FAA certifications. #J-18808-Ljbffr

Summary Of Position To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. Works with the CBO A/R Manager to manage projects and develop process improvements, while providing the daily guidance and assistance needed to maintain optimal performance and productivity within the team. Provides supervisory guidance to the team as directed by the A/R Manager and perform all functions with a high level of discretion and professionalism. Nature and Scope An effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. Principal Duties and...

Medical Billing Specialist - Medicaid Admin Building Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm) About Us Health Partners of Western Ohio is an independent, non-profit and community-directed organization. We serve low-income areas and places without access to care. We're led by a volunteer Board of Directors. Most of our board members are also patients. Our Mission is to eliminate gaps in health outcomes for all members of our community by providing access to quality, affordable, preventive and primary health care. SUMMARY: POSITION PURPOSE With knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. ESSENTIAL FUNCTIONS AND BASIC DUTIES: Review insurance coverage and patient demographic information to ensure accuracy and completeness prior to billing Prepare, review, submit, and...