53 jobs found

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....

Job Description Job Description Wingspan Care Group is a nonprofit administrative and management organization that provides a united, community-based network of services so member agencies can focus on mission-related goals. Our innovative model is designed to promote sustainability and advancement among its partner agencies by streamlining operations and eliminating redundancies – resulting in improvements to the delivery of direct service operation. POSITION SUMMARY: Maintains accounts receivable records and processes invoice transactions for Medicaid and other Insurance payors and performs necessary follow up efforts to secure payment for services delivered. ESSENTIAL DUTIES: Maintains the sponsor file in the Agency Accounts Receivable System (HSIS) to insure proper billing to client payor sources. Performs collection activities to follow-up on unpaid payor transactions and researches discrepancies. Confers with private and public insurance companies by telephone in...

Job Description Job Description Hours of Job FT - 1st Shift, working 8 hours per day between the hours of 6 a.m. and 6 p.m. Flexibility to start/stop hours, with a potential for remote work. No Weekends or Holidays Required Duties and Key Responsibilities Physician Practice Coder will assign ICD10 and CPT codes for physician office visits and hospital-based visits, for family practice and specialty providers. Coding office is responsible for 35+ providers. This position evaluates medical records and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines. Accurately codes diagnostic and procedural information in accordance with national coding guidelines and appropriate reimbursement requirements. Works collaboratively with physicians, practice managers, and offices; to capture complete and accurate documentation to assure that the appropriate diagnosis and procedure coding has been assigned; to communicate...

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...

Job Description Job Description Toledo Clinic's ENT Office is seeking a part-time Medical Office Coder/Biller. Hours are flexible (M-F), approximately 24-30 hours per week. Previous medical office coding experience is 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: 1) Codes visit utilizing the ICD-10 and CPT codes from patient visit documentation 2) Demographic registration/updates for all patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, corrects 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...

CentralizedBilling Office FT/DAYS/ 80 hours per pay Summaryof Position To assign diagnosis and procedure codesaccording to provider documentation adhering to the official coding guidelinesset forth by the AMA, ICD-10-CM, AHIM, CMS, and HCFA. Position may also require management ofaccounts receivable for timely and maximum reimbursement by adhering to companybilling and collection policies. Natureand Scope The Coder/Medical Billing Specialist isresponsible to assign and report these more specified codes from clear andconcise provider documentation. The Coder/MedicalBilling Specialist interfaces routinely with physicians, managers, and officestaff to insure documentation is clear and consistent, to maintain a continuousflow of information processing. The Coder/MedicalBilling Specialist is responsible to insure providers are notified of addendumsto documentation as needed to insure accurate and timely processing of allthird party billing (claims). The Coder/Medical Billing...

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 and the Quality and Compliance Committee. 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 procedures, documentation of quality measures, treatment plans, patient follow-up, as well as federal and insurance guidelines. Performs educational sessions with physicians as needed. Creates educational programs for...

Position Summary: Chewy is seeking a Regulatory Compliance Auditor, Food Safety, to join our team and ensure the safe handling of food and drug products across our operations! This role will focus on ensuring alignment to FDA directives at both the local and federal levels and inspecting sites to verify compliance with Chewy's food safety guidelines. The Compliance Auditor will play a significant part in identifying improvement opportunities within our food safety processes and ensuring the continued success and regulatory adherence of Chewy's Foreign Supplier Verification Program (FSVP). What you'll do: Conduct comprehensive site inspections to assess adherence to FDA regulations and Chewy's internal food safety policies, identifying non-compliance areas and potential risks. Audit the Foreign Supplier Verification Program (FSVP) to verify that imported items meet U.S. safety standards, reviewing documents and processes in collaboration with the Sr. Program Manager, Food...

$45,000.00 to $54,000.00 annually APS Medical Billing located in Toledo, Ohio is seeking certified professional coders with experience in surgical pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Qualifications: Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling, and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Understanding and application of CMS initiatives including NCCI Edits, MIPS, and NCD/LCD policies Benefits Package includes Paid Time Off Medical plan Health Savings Account Alight Personal Health Care Advisor Dental, Vision, Life Insurance, 401K Paid holidays EAP - Employee Assistance Program We are an Equal Opportunity Employer committed to a diverse workforce. We do...

The Coder III position is dedicated to either hospital inpatient or hospital outpatient coding. Codes and abstracts clinical information from inpatient or outpatient charts for the purpose of reimbursement, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Inpatient: Identifies, reviews, and assigns complex ICD-10-CM codes, PCS, POA and PSI indicators for inpatient charts. Outpatient: Identifies, reviews, and assigns complex ICD-10-CM codes and CPT for ambulatory surgery and observation charts.Responsibilities:Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and PCS coding/abstracting assignment for inpatient to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care.Clarifies complex discrepancies in documentation and coding and assures accurate ICD-10-CM and CPT coding/abstracting assignment for outpatient surgery...

Overview: Looking to join our 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...

Incentives: Sign On Bonus! Up to $5k available for eligible applicants 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. Campus Overview: Kettering Health Miamisburg Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care....

Personalized Health Partners is currently recruiting Nurse Practitioner Coding Auditors. These positions can be mostly remote. The PHP Nurse Practitioner Coding Auditor has a passion for inspecting medical documentation for clinical and coding accuracy. The nurse practitioner coding auditor will review documentation of PHP providers for accuracy and provide feedback to clinical leadership and education to providers based on audit findings. Job Summary : The primary role of the Nurse Practitioner Coding Auditor is to review and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the medical record completed by Personalized Health Partner clinical providers. In addition, this role will be responsible for understanding the relationship between ICD-10-CM coding and HCC (hierarchical condition categories) and communicating audit findings with the providers so that optimal accuracy can be assured. The responsibilities of the...

LMHS Compliance Auditor 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 extends beyond the Hospital doors...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Job Description Job Description Title: Coder Location: Remote Reports to: Manager of Coding and Auditing FLSA Classification: Hourly, Non-Exempt Full-Time or Part-Time: Full-Time Salary Range: $17 - $25 per hour * Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise. Position Overview: We are seeking a self-motivated and detail-oriented Coder to join our team. This individual must possess excellent interpersonal, organizational, and communication skills. The Coder will assign appropriate ICD-10 and/or CPT codes to patient records, ensuring accuracy and compliance with established standards. Experience with ICD-9-CM, ICD-10, and CPT coding is required. Key Responsibilities: Assign appropriate ICD-10 or CPT codes to patient records. Provide effective communication (written, verbal, non-verbal, and electronic) to clients and...

Ajilon - JobID: 8E37EFBD-3F64-47B9-AD5B-E11BD7DBD77E [Billing Clerk / Invoice Creator] As a Medical Biller at Ajilon, you'll: Be responsible for the timely and accurate posting of electronic and manual cash receipts, adjustments and denials to patient accounts; Assist in the resolution of outstanding credit balances and over payment packages; Generate and analyze diverse reports and work lists in the identification and resolution of routine patient account issues...Hiring Immediately >>

Job Description Job Description Surgery Coder Responsibilities : Utilize technical coding principals and reimbursement rules to assign appropriate ICD-10 diagnosis and CPT procedures including understanding all elements in Ortho Surgery coding. Regularly communicates with the healthcare provider to ensure documentation and coding reflects care rendered. Supports healthcare provider education in areas of CMS regulations, coding, billing, documentation and administrative guidelines. Manages assigned provider workload Communicates trends in coding and documentation to manager for assigned providers Monitor documentation and coding practices to identify and follow up on potential coding related compliance issues and/or missed revenue potential. Maintain current knowledge base in all aspects of CPT, HCPCS, and ICD -10-CM coding. Keep abreast of all current billing and coding rules and regulations affecting government and non-government payers and distributes information to...

Are you a certified coding professional with at least 1 year of coding experience? Do you have experience with medical coding for the Department of Defense (DoD) or desire to provide medical coding for the DoD? We are looking for Full-time IP Medical Coders to join us in our mission supporting the Defense Health Agency (DHA). This is more than just a job; it's an opportunity to be part of a supportive and dynamic environment where your skills and passion can truly shine. If you are enthusiastic about continuously enhancing your coding skills and demonstrate unwavering dedication to achieving excellence together, you may be the perfect fit for our team. Highly Competitive Pay and Benefits: Hourly base rate PLUS Health & Welfare 11 paid Federal Holidays Paid Vacation and Sick Time New laptop computer system and 27" monitor provided Online coding clinics Flexible work schedules 100% Remote positions Specifics of Position: Medical Coder III: Inpatient facility coding - Medicare...

Job Description Job Description EverStaff is seeking a positive and highly motivated Billing Specialist to join our client's team. This role is ideal for candidates with some billing experience who are looking to grow their expertise in a dynamic and supportive environment. Direct-Hire Opportunity Shift: Monday - Friday; flexible first shift schedule Pay: $17-$19/hr Benefits: 401(k) Dental insurance Health insurance Vision insurance Flexible schedule Paid time-off Responsibilities: Perform in-depth analysis of accounts receivable denials and claim submissions. Contact insurance providers to verify patient eligibility. Follow-up to resolve outstanding accounts receivable balances. Draft appeals for denied claims. Stay informed about commercial insurance policies, procedures, rules, and regulations, including appeals, reviews, ICD-10, and CPT coding. Communicate potential issues and concerns to the supervisor to ensure timely and accurate reimbursement...

Apply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a Medical Biller , working in Healthcare Systems and Services industry in Cleveland, Ohio, United States . We're hiring Medical Billers in Cleveland, OH. This role focuses on accurately processing patient billing, handling insurance claims, and ensuring timely reimbursement. You'll play a key part in supporting healthcare providers by maintaining precise financial records and assisting patients with billing inquiries. This will be in an office role only, No Remote position. Your Responsibilities as a Medical Biller: Under direction, ensure that the activities of this position and relevant programs are consistent with the mission, vision, and values of Catholic Charities, Diocese of Cleveland. Perform other duties as assigned or directed. Our Client As a woman-owned company, our client brings over 40 years of expertise in...

Compliance Auditor Corporate Compliance 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 extends beyond...

Job Type Full-time Description POSITION SUMMARY: The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. PRIMARY JOB RESPONSIBILITIES: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Job Description Summary: This position performs coding and abstracting functions for Trauma Patients including Emergency Department, Observation, Observation in a bed and the inpatient setting. Minimum Qualifications: Associate's Degree SPECIALIZED KNOWLEDGE Specialized Knowledge: AIS Scoring, ICD-10CM and PCS classification systems, Advanced Anatomy & Physiology, Pathophysiology, Pharmacology, Medical Terminology, inpatient documentation schemes. Knowledge of Hospital Acquired Conditions (HAC), Present on Admission (POA), Severity of Illness (SOI), Risk of Mortality (ROM), and Quality outcome...