245 jobs found

Southwoods Health is seeking a Medical Billing Specialist for our Home Health division to manage claims submission to third-party payers and daily edits in the EMR and clearinghouse. The role involves handling billing inquiries and ensuring compliance across all processes. The successful candidate will verify insurance information, send necessary documentation with claims, and coordinate with Coding/Collections specialists to correct issues. This is a full-time, dayshift position on site. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Medical Biller II – TriHealth NorwoodAt TriHealth, your expertise in medical billing directly supports our mission to deliver exceptional patient care. As a Medical Biller II, you'll be part of a collaborative, high-performing team that values accuracy, integrity, and continuous improvement. Your work ensures clean claims, timely reimbursement, and a smooth financial experience for our patients, and we recognize the importance of that impact. TriHealth offers career growth opportunities, a comprehensive benefits package.Apply today and grow your career with a team that truly values you.Location: TriHealth Norwood at 4685 Forest Avenue, Norwood, OH 45212Work Schedule: Fulltime (80 hours bi-weekly) Day Shift No Weekend, No Holiday, No on Call CommitmentIncentives & Benefits: TriHealth offers a comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement.Job Requirements: High School Diploma or GED or GED (Required) 3...

Centralized Billing Office FT/ DAYS/ 80 hours per pay Summary of Position The Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims for physician services rendered.  This position is part of a centralized billing office and provides medical billing services for multi-specialty physician services. Nature and Scope The Medical Billing Specialist is responsible for collecting and entering timely and accurate claim information.  This position will submit claims utilizing insurance carrier guidelines and will also follow up on submitted claims that are unpaid, rejected, or denied.  The Medical Billing Specialist reports to the A/R Manager within the Centralized Billing Office.

Location: Cleveland, Ohio, United StatesCompany: Quest Diagnostics IncorporatedPosted: 2026-08-12Quest Diagnostics Incorporated in Cleveland, OH, is seeking a Lab Supervisor to manage daily operations in the clinical lab. The role requires oversight of staff, scheduling, and ensuring quality control while performing or supervising complex testing as needed.Qualifications include a Bachelor's degree in medical technology, ASCP certification, and 4–6 years of full-time lab experience with supervisory exposure.#J-18808-Ljbffr

MICROBIOLOGY MEDICAL LABORATORY SUPERVISOR Laboratory Licking Memorial Health Systems (LMHS) is a leading, non-profit healthcare organization, passionately dedicated to improving the health and well-being of our community. With a history dating back to 1898, LMHS remains a cornerstone of healthcare excellence, catering to the evolving needs of Licking County. Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness. When you join the LMHS team, you become a vital part of your local community Hospital. Working at LMHS is not just a job, it is a unique opportunity to directly impact the health and well-being of your friends, family, and neighbors. You will be providing care in a place in which you are personally connected, where the impact of your work...

Location: Cincinnati, Ohio, United StatesCompany: StrykerPosted: 2026-08-19We are currently seeking an Inpatient Coding Specialist to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to the next level with a reputable, award‑winning company, apply today!QualificationsAHIMA or AAPC (CPC, CIC, COC) certification.A minimum of two years’ recent inpatient coding experience in an acute care setting.Experience in coding ICD-10-CM and ICD-10-PCS diagnosis and procedure codes.Knowledge of MS DRG Coding Classification Systems.Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms.Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data management.A...

Location: Cincinnati, Ohio, United StatesCompany: MedpacePosted: 2026-08-18Our 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!ResponsibilitiesPerform 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 requirementsDevelop 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...

Job SummaryOur 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!ResponsibilitiesPerform 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 requirementsDevelop 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; andProduce coding...

Manage the accounts receivable for timely and maximum reimbursement by adhering to company billing and collection policies. Review coding & charges, ensure the completion of team members daily task. Follow-up with external and internal customers to ensure remediation of customer issues. Communicate with the AR Manager concerning central billing issues, questions, concerns, corrective actions or training needs. Perform daily, monthly and special system processing requirements (i.e. batch posting and balancing). Requirements High School diploma or GED Three to five years previous healthcare billing, collections experience, and/or managed care experience preferred. Knowledgeable about third party billing regulations and CPT.4/ICD.9/10 coding Routine CRT/data entry skills Knowledge of spreadsheet applications Proven record of dependability Strong communication and decision-making skills Core Competencies Demonstrates expertise in healthcare billing and collections, with a strong...

A healthcare facility in Ohio is seeking a Full Time Medical Billing Specialist to manage revenue cycle processes including insurance billing, follow-up, and customer service. The ideal candidate will have at least two years of experience in a patient account environment, along with strong critical thinking and communication skills. Benefits include competitive wages, medical insurance, and tuition reimbursement. #J-18808-Ljbffr

True North LLC is seeking a detail-oriented RCM Billing Specialist to join our Revenue Cycle Management team in a full-time role. You will manage billing and claims, investigate complex issues, and work with clients to improve financial outcomes. You will leverage your experience with healthcare billing systems, data accuracy, and proactive communication to ensure timely filing, accurate submissions, and escalation when necessary. #J-18808-Ljbffr

SRMC Has an Exciting Opportunity for Qualified Candidates! Position: FT Medical Billing Specialist - Ambulatory Department : Patient Accounting Shift: Mon - Fri days, 8 hr shift PURPOSE Performs a specific operational responsibility within a functional unit within revenue cycle management including customer service, insurance billing and follow-up processes for commercial and government payers, insurance verification, cash application, credit balance resolution and/or account reconciliation. QUALIFICATIONS High School Diploma or GED required. An Associate's degree may offset one year of the experience requirement. A Bachelor's degree may offset the two-year experience requirement. Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Minimum two years of experience in a patient account or financial environment....

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) 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....

Coder - Professional Functioning within the health system# mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An associate#s degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician#s office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics,...

Coder - Professional Functioning within the health system’s mission, values, objectives, procedures, and policies, the coder professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: Must be currently enrolled in a medical coding program. Licensure/Certification: Will consider candidates who are actively enrolled in a certification program. To retain position, if an individual without a current certification is hired into a coder professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in medical office preferred. Skills: Must demonstrate proficiency with reimbursement and MS-DRGs. Basic competency with Word and Excel is also required.

Medical Billing Specialist - Medicaid Managed CareHealth 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.Position PurposeWith 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 DutiesReviews all claims before submission to insurance companies.Maintains file system for billed claim records and back up for audit purposes.Verifies coverage and follows up on submitted claims.Requests corrected diagnosis for reimbursement purposes from...

Medical Billing SpecialistHealth 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.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 billingPrepare, review, submit, and track insurance claims to Medicaid payers in accordance with FQHC, state, and federal billing requirementsProcess insurance reimbursements and...

Location: Portsmouth, Ohio, United StatesCompany: Southern Ohio Medical CenterPosted: 2026-06-20Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process." Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk), Remote GENERAL SUMMARYWorks under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned....

Summa Health is seeking a Certified Coder / Audit Specialist in Akron, OH to audit medical records for compliance and coding accuracy. The role requires two years of relevant experience in physician offices or inpatient/outpatient settings and proficiency in medical terminology. Certifications CCS, CCS-P, CMC, CPC, CPMA are required. The position offers full-time days with remote work after training and orientation, along with Summa Health's competitive benefits package. #J-18808-Ljbffr

Certified Coder, Specialty Coding Position: Certified Coder - Specialty Coding. Contract Type: Full-Time Days. Employer: Summa Health System. Location: US:OH:Akron 1077 Gorge Blvd, Summit, Akron, OH 44310, US. Salary: $22.61/hr - $27.14/hr. Post Date: 07/28/2026 Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding knowledge to make sure that the appropriate code was used given the support of the charge to be posted. Ensures that work is done accurately, timely, and in compliance with federal, state, and payer specific regulations. Supports the coordination of care through Patient-Centered Medical Home methodologies, as applicable. Formal Education Required High school diploma or equivalent Completion of a formal medical coding training program Current coding certification required. CCA, CCS...

Join Our Team as a Medical Billing Specialist! At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. Benefits Include: Affordable Health, Vision, Dental, and Life Insurance 401(K) with dollar-for-dollar matching (up to 4%) Generous Paid Time Off (PTO) Paid Holidays Essential Job Functions: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff, and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews, and sends patient statements. Evaluates patient's...

ONE Health Ohio is seeking a Medical Billing Specialist to join our billing team. The role focuses on submitting clean claims, handling patient inquiries, and resolving billing issues across dental or medical settings. The ideal candidate has at least 2 years of medical billing experience and holds a Certified Biller credential. We offer competitive benefits including health, vision, dental, and life insurance, a 401(k) match, generous PTO, and paid holidays. #J-18808-Ljbffr