44 jobs found

Job Description Job Description This is full time position will be for day shift M-F working 8:00-4:30 in the HIM department. Qualifications: Required- Associate's Degree in Medical coding or successful completion of a certification program: Certified Coding Specialist (CCS) A strong understanding of physiology, medical terms and anatomy Proficiency in computer skills including typing speed and accuracy Mathematics skills Excellent written and verbal communication skills Organizational skills Ability to maintain a high level of integrity and confidentiality of medical information Strict attention to details Customer Service knowledge/training preferred. HIPAA regulations/knowledge required Responsibilities/Skills but are not limited to: Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes Ensure codes are accurate and sequenced correctly in accordance with government...

Job Description Job Description Toledo Clinic's Urology Department is seeking a full-time Medical Office Coder. This position will work in the Toledo office Monday-Friday, 8:30-5:00. Previous experience as a Coder in a medical office is required. CPC or CCS-P certification is required (previous years of experience may be considered to offset need for certification). Employee benefits are offered. No weekends or holidays are required! General Summary: Responsible for application of CPT and ICD-9 (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...

Job Description Job Description 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 questions. 7) Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules,census/rounding sheets and appointment schedules. 8) Other duties as assigned...

Job Description Job Description Toledo Clinic's General Surgery Department is seeking a full-time Medical Coder. Previous experience as a Medical Coder is required. CPC or CCS-P certification is strongly preferred. This position will also be trained to back up the Surgery Scheduler and support the front office as needed. General Summary: Responsible for application of CPT and ICD-9 (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: 1) Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. 2) Edit office notes for physician. 3) Demographic registration/updates for all patients. 4) Code all hospital services. 5) Enters charges into claim entry in eCW. 6) Provide codes for office procedures/surgeries for...

Job Description Job Description General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted Probe Reviews, Overpayment Recoupment Efforts. Assist Internal Auditors as needed. Assist Medical Offices for coding and claims as needed. Works under the Supervision of the Quality and Compliance Director Principal Duties & Responsibilities: Example of Essential Duties: Audit medical records for data collection and format, coding documentation and content utilizing pre-established criteria. Meets with physicians to review audit results and makes needed recommendations. Audit medical record for adherence to Toledo Clinic Electronic Medical Record policies and...

Job Description Job Description MMS is an innovative, data focused CRO that supports the pharmaceutical, biotech, and medical device industries with a proven, scientific approach to complex trial data and regulatory submission challenges. Strong industry experience, technology-enabled services, and a data-driven approach to drug development make MMS a valuable CRO partner, creating compelling submissions that meet rigorous regulatory standards. With a global footprint across four continents, MMS maintains a 97 percent customer satisfaction rating, and the company has been recognized as a leading CRO in Global Health & Pharma’s international awards programs for the last three consecutive years. For more information, visit  www.mmsholdings.com  or follow MMS on LinkedIn. Job Specific Skills Maintains a strong understanding of regulations and guidance as they pertain to compliance; maintains knowledge relating to regulatory updates. Understanding of how to plan, prepare...

Job Description Job Description Salary: Billing Specialist Neighborhood Health Association - Responsible for collecting, posting and managing account receivables, submitting claims and following up with insurance companies. Responsible for inputting all charges incurred during on-site office visits and entering all payments received on-site. This requires that the employee remains current with specifics of all payer types. Will work with medical staff to assure that all necessary information is provided on the encounter form and must reconcile all printed forms. Will be responsible for entering all new private insurance data that is collected.  Duties and Responsibilities: Prepares and submits clean claims to various insurance companies either electronically or by paper Answer questions from patients, clerical staff and insurance companies Identifies and resolves patient billing complaints Prepares, reviews and send patient statements Evaluates patient’s financial...

Job Summary: Our corporate activities are growing rapidly, and we are currently seeking a full-time, office-based Nurse Coder to join our Clinical Coding & Support team. This position will work on a team to accomplish tasks and projects that are instrumental to the companys 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...

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum of three (3) years of inpatient hospital auditing experience required Must hold at least one of the following certifications: RHIA, RHIT, CCS Essential Duties and Responsibilities: Monitors coding quality with regards to accuracy and correct coding of hospital services, including ICD-9-CM, present on admission (POA), discharge disposition, and MS-DRG assignment Reviews charts for accurate and timely coding that is supported by medical record documentation and is in accordance with facility and Official Coding Guidelines Responds to questions from assigned both Maxim and Clients coding staff Orients new Maxim and Clients staff Communicates effectively and timely with Client contracts Communicates any and all concerns regarding client and/or staff to Remote Operations Manager or Director of HIM Services Maintains and adheres to...

Overview: 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 its by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Responsibilities & Requirements: Responsibilities: Responsible for coding and abstracting all inpatient and outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospitals accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical decision making process. Supports clinical outcomes measurement and assessment...

Job Description Job Description Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Medical Coder to join our team. In this role,you will process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities Account for coding and abstracting of patient medical appointments Research and analyze data needs for reimbursement Ensure codes are properly sequenced Analyze, file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide education and training to other coding staff Review and verify documentation Qualifications High school diploma/GED or equivalent Previous experience as a Medical Coder or in a similar position Familiar with coding software and other computer...

Job Description Job Description We are currently hiring a talented Medical Health Biller and coder. This candidate will review the information written by clinicians and add that to a client's records, often using electronic health records (EHRs) to input information. They work with insurance companies to make sure that services bills are covered, and that bills for any copay a patient might owe are delivered. The individual in this role must be a sufficiently motivated, ambitious, enthusiastic and community driven to be a fit for this role. Knowledge of Behavioral Health is a plus. This role requires determination, initiative, a positive attitude and strong communication skills. Essential Functions: Maintaining patient confidentiality and information security Tracking payouts to determine accuracy Running reports to resolve inaccuracies Constant communication with insurance agencies Reading and analyzing client records Determining the correct codes for patient records...

Coding Compliance Auditor(HIM Department) Apply Location Columbus, OH No Remote Type Direct Hire ID OH159-2727882 TITLE: Coding Compliance Auditor LOCATION: Columbus, Ohio Now is your chance to join a top hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values. You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time? If that sounds like the change you are looking for, please read on.. What they are looking for: •Certified as a Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist with experience in coding in an acute care facility and/or ambulatory care setting and professional fee services. •Associates or Bachelors degree in Health Information. Hours...

Effectively supervises and develops sleep staff and builds a strong team. Oversees staff in the performance of sleep related testing, ensuring quality of care and adherence to established standards, policies, and procedures, and regulations. Oversees staff orientation and education. Performs staff scheduling and utilization. Facilitates monthly technician meetings in compliance with AASM standards. Pre-certification and scheduling of sleep studies. Documentation of technical aspects of sleep lab including equipment troubleshooting and maintenance. Maintenance of required reporting of sleep metrics per system guidance. Assists in supply inventory and management as well as resource utilization. Performs quality data collection and participates in quality improvement processes. Provides consultation and/or perform complex patient testing. Effectively manages patient experience and resolves patient concerns in an effective and timely manner. Interacts with Medical Director for Sleep...

Job Description Weare seeking a BillingSpecialist to work answer phones, update insurance information, billinsurance companies, and perform other duties as needed. Main emphasisfor this job is insurance follow-up, billing, and re-submitting the insurance claims with the correct codes.Work hours are M onday through Friday from 8 a.m. to4 p.m. This is a remote position; however, you will train in the office for about 1 week. Job Requirements Qualified candidates must have strongbilling,...

CommuniCare is currently recruiting for a Medicare Compliance Auditor to join the leadership team of CommuniCare Advantage , our Medicare Advantage health plan. Our corporate offices are located in the Blue Ash section of Cincinnati, OH , but we will consider both remote and on-site candidates with the right knowledge and experience. PURPOSE/BELIEF STATEMENT The Medicare Compliance Auditor will: Conduct high quality compliance audits which support compliance with Medicare rules and regulations. Conduct internal mock CMS Program Audits related to the health plan’s contract with CMS. Facilitate and manage external CMS regulatory audits of CCA and validate that Medicare regulations have been implemented correctly. Maintain good working relationships with internal parties to ensure open lines of communications and timely responses to compliance questions. Create a sense of urgency with internal business partners to achieve objectives. Remain aware of industry compliance changes...

Description Position Summary/Essential Duties: · Initiates and maintains positive relationships with patients, customers & co-workers. · Demonstrates progressive leadership and effective management through building a strong team and supporting a learning culture. · Allocates resources effectively and manages departmental budget. · Supervises the decontamination, sterilization, storage, and limited distribution of patient care supplies and equipment.This includes the development of departmental policies, standard operating procedures, quality standards and workflows. · Supervises the department’s inventory control practices. · Collects, monitors & maintains departmental statistics to ensure compliance with all accreditation, local, state, and federal regulations. #J-18808-Ljbffr

Bilingual Medical Billing Specialist – 100% Remote - Immediate Opening - Portuguese, Italian or German QUAD is currently seeking a bilingual Medical Billing Specialist for an organization in the Philadelphia area. This is a 100% remote position. Bilingual- fluent in English and one or more foreign languages required, such as Portuguese, German, or Italian The Medical Billing Specialist will be responsible for communicating with health institutions (pharmacies, hospitals, etc.) to ensure members are delivered appropriate services and will be resolving contracted claims and financial inquiries from providers, facilities, and vendors. This position accurately records bank account information and direct international payments , as well as other duties, as assigned. Responsibilities: Researches and resolves escalated claims issues reported by contracted providers and facilities. Works effectively with colleagues in Claims, Finance, the Global Service Center, and Provider...

Proclinical is seeking a remote Associate Director, Medical Writing for a global healthcare organization. The Associate Director, Medical Writing is expected to deliver high quality regulatory documents in accordance with regulatory guidelines that meet ICH standards, project timelines, and specifications set forth for the projects and to act as a Medical Writing coordinator for the preparation of drug safety-related documents. The "hands-on" Medical Writer is responsible for preparing clinical summary documents, including (but not limited to) Integrated Summaries of Safety and Efficacy for NDAs, MAAs, and/or NDA Supplements/Type II variations in eCTD format. Must be eligible to work in the US. Job Responsibilities: Prepare/coordinate and deliver high quality clinical sections of submissions (IND/IMPD/NDA/MAA/sNDA) and responses to regulatory authorities in eCTD format as required. Interact with multi-disciplinary team members (regulatory, physicians, statisticians, clinicians,...

Proclinical is seeking a remote Associate Director, Medical Writing for a global healthcare organization. The Associate Director, Medical Writing is expected to deliver high quality regulatory documents in accordance with regulatory guidelines that meet ICH standards, project timelines, and specifications set forth for the projects and to act as a Medical Writing coordinator for the preparation of drug safety-related documents. The "hands-on" Medical Writer is responsible for preparing clinical summary documents, including (but not limited to) Integrated Summaries of Safety and Efficacy for NDAs, MAAs, and/or NDA Supplements/Type II variations in eCTD format. Must be eligible to work in the US. Job Responsibilities: Prepare/coordinate and deliver high quality clinical sections of submissions (IND/IMPD/NDA/MAA/sNDA) and responses to regulatory authorities in eCTD format as required. Interact with multi-disciplinary team members (regulatory, physicians, statisticians, clinicians,...

Coding Compliance Auditor(HIM Department) Apply Location Columbus, OH No Remote Type Direct Hire ID OH159-2727882 TITLE: Coding Compliance Auditor LOCATION: Columbus, Ohio Now is your chance to join a top hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for individuals who share the same values. You could live or work in a small town close to Columbus, Ohio so you can be offered all the amenities of a small town and big city at the same time? If that sounds like the change you are looking for, please read on.. What they are looking for: •Certified as a Registered Health Information Administrator, Registered Health Information Technician, or Certified Coding Specialist with experience in coding in an acute care facility and/or ambulatory care setting and professional fee services. •Associates or Bachelors degree in Health Information. Hours...

Strong skill sets to be successful in the position include MS Excel, MS PowerPoint, MS Word, and Business Writing. Ability to travel locally is required. Company pays for all travel expenses. Area of coverage - Ohio and Western Pennsylvania Position Summary: The Area Supervisor is responsible for managing the daily scheduling of the ROI Specialists to ensure that all facilities have sufficient coverage. The Area Supervisor will act as the liaison between MRO and the client Management staff to ensure that all ROI activities are compliant with established clinic policies, federal and state regulations and are completed in a timely manner. * Duties and Responsibilities: Manages workflow among on-site employees to ensure maximum productivity and quality standards are met. Adjusts work assignments as needed to cover peak periods, leave and vacancies. Prioritizes work to ensure completion of ROI function. Adjusts work assignments as needed to cover peak periods, leave and...

The Integrity & Compliance Auditor (Auditor) contributes to the fulfillment of the organization’s mission, vision, and values by auditing the regulated practices (including but not limited to billing and coding) throughout the organization to ensure compliance with all applicable state and federal laws and regulations. The Auditor will review compliance of standards and/or regulations imposed by the health system’s internal controls. To perform the obligations of this position, the Auditor must understand operations and practices within the health system and must establish and/or maintain a collaborative and consultative relationship with all caregivers, including leaders and providers. The Auditor performs coding, billing and abstracting functions of professional fee encounters for providers in our multi-specialty group and facility encounters. The Auditor reviews medical records for documentation to ensure medical necessity is met according to CMS Local Coverage Determination...

Job Description Shift: 1st Shift  6am Start Time Compensation: $17/HR Twinsburg, OH $17/hr paid weekly 1st Shift People want to work at Capstone because of our high-performance culture. We build strong relationships, challenge the status quo, work hard to deliver results, and pay it forward in our communities. Through transparency and open lines of communication, we do the right thing and deliver on our promises. Think you have what it takes? The Opportunity: Warehouse Associates load and unload both by hand and with equipment and other duties as assigned by site leadership. Associates are paid by the truck. The harder you work, the more you earn! Requirements: High-energy individual with a strong work ethic, the work is fast paced and very physical Lift and carry 25-75lbs, materials handled vary Prior warehouse and/or equipment experience is preferred but we are willing to train the right candidate Why you should work with us: Get paid weekly -- Rewarding production pay --...