33 cpc certified professional coder jobs found in Shaker Heights, OH

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Description A Brief Overview Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts. Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims. Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines. Reviews and corrects coding edits and denials. May code ICD-10 from written documentation. May abstract...

Job Description – Pro Fee Denials/Follow‑Up Coder (Remote – 25000CTF) A Brief Overview Under the direction of the Revenue Cycle Supervisor – Coding, the Physician Coding Specialist II monitors and analyzes unresolved third‑party accounts for multi‑specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims. What You Will Do Analyze, on a daily basis and in accordance with established time frames, outstanding insurance accounts and initiate appropriate and effective telephone and/or written follow‑up on the identified accounts. Communicate with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims. Research and respond to all telephone inquiries from the customer service department in a prompt, professional manner meeting departmental guidelines. Review and correct coding edits and denials. May code...

A healthcare institution in Shaker Heights is seeking a Physician Coding Specialist II who will monitor and analyze unresolved insurance accounts, initiate contact for resolutions, and ensure timely payments. Candidates should have strong analytical skills, effective communication abilities, and a certification in medical coding. The role requires maintaining patient confidentiality and meeting specific productivity and quality standards. #J-18808-Ljbffr

A leading healthcare organization in Ohio is looking for a Physician Coding Specialist II to manage and analyze unresolved insurance claims. This remote position requires over two years of medical billing experience and knowledge of coding practices. You will communicate with payors, review coding edits, and ensure timely payments. Candidates must possess a High School Equivalent and relevant certifications like CPC. This role emphasizes professionalism, attention to detail, and effective communication skills, ideal for those looking to grow in a dynamic healthcare environment. #J-18808-Ljbffr

h1Job Type/h1pFull-time/ph2Description/h2pstrongWhy youll want to work at nimble!/strong/ppInterested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!/ppstrongWho we are:/strong/ppnimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue...

Ovation Healthcare At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals...

divh2Medical Coder/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice./ppEssential Functions Include:/pulliAssigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM)./liliEnsures codes are accurate and sequenced correctly in accordance with government and insurance regulations./liliMaintains a 95% threshold for coding accuracy./liliReceives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or...

Coding Specialist I Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing...

Physician Coder: Multi-Specialty/RHC Physician Coder: Multi-Specialty/RHC is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coder: Multi-Specialty/RHC is expected to adhere to MedKoder's internal coding policies and expectations set forth by department management. Physician Coder: Multi-Specialty/RHC must prioritize daily duties, multitask, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals. We are currently looking for candidates with recent coding experience specializing in the following areas: Rural Health Clinic (RHC) Family Medicine and multi-specialties Ideally candidates also have experience in Radiology (CT, US, MRI) and/or Urology procedures Responsibilities:...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical...

Specialty Scope For This Coder II Position Multispecialty Surgery - OB Gyn Multispecialty Surgery - Gastroenterology Multispecialty Surgery - Orthopedics Work Model: Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote (3) Coder II Positions to fill Job Summary The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding...

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Interventional Radiology Coder Location Cleveland Facility Remote Location Department HIM Coding-Finance Job Code U99926 Shift Days Schedule 7:00am-5:00pm Job Summary Job Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient‑first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. Overview As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high‑acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in‑house outpatient surgery coding team, including the...

A leading healthcare organization seeks an Interventional Radiology Coder to work remotely, focusing on coding and abstracting complex clinical information. Ideal candidates will possess a high school diploma and three years of relevant experience in coding, preferably with certifications such as RHIA or CCS. This position emphasizes the use of AI tools for efficiency and requires the ability to ensure accuracy in coding practices. Competitive pay rates are offered, reflecting expertise and experience. #J-18808-Ljbffr

A leading healthcare staffing company in Cleveland is seeking professionals with profee coding experience. This full-time position offers competitive pay and various benefits, including health, dental, and life insurance. Candidates should have at least 2 years of profee coding experience and excellent communication skills. Familiarity with Microsoft Office and preferred system experience is advantageous. This role is designed to meet normal business hours, and positions are ongoing. #J-18808-Ljbffr

The Profee Multi-Specialty Medical Coder is responsible for assigningICD-10-CM diagnosis codes and E/M (Evaluation and Management) and surgery codes asappropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications:RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) and have a preferred minimum of 2 yearsrelevant coding experience Must be at least 18 years of age At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Benefits Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our...

A healthcare staffing company is seeking a full-time remote inpatient coder in Cleveland, Ohio. Ideal candidates must possess strong inpatient coding experience and relevant certifications such as RHIA, RHIT, CCS, or CPC. The role offers competitive pay and additional benefits including health insurance, retirement plans, and free training. Applicants should have a minimum of three years of documented coding experience and be able to work efficiently to produce a quality workload. #J-18808-Ljbffr

Job Description REMOTE INPATIENT CODER Maxim Health Information Services is seeking a full-time inpatient coder for a remote position. Candidate must have strong inpatient experience. Qualifications One of the following certifications: RHIA, RHIT, CCS, CPC Minimum of 3 years documented Coding experience Pass a pre-employment assessment Preferred Skills: Large, teaching facility experience 350+ Bed Hospital experience Experience with various encoders and EMRs; EPIC and 3M are strongly preferred ICD-10 trained Production rate can be between 2-3 charts/hour Additional Information Benefits for Working with Maxim Competitive Pay Health, Dental, Vision, Life Insurance, and 401(k) Plan Free ICD-10 training and education through HCPro, with CEUs Quality customer service-available 24 hours/day Consistent workload and multiple site availability Hassle-free-travel no fees for flights, hotels, or car rental #J-18808-Ljbffr

A healthcare staffing agency in Cleveland is seeking a Medical Coder for the Profee E/M & Surgery department. The ideal candidate will be responsible for assigning ICD-10-CM diagnosis codes and surgical CPT codes, along with abstracting information from patient records. Applicants must hold a relevant coding certification or have a minimum of 2 years coding experience and be at least 18 years old. The position offers competitive pay and benefits, emphasizing the value of skilled employees. #J-18808-Ljbffr

Certified Coder, Special Investigations Unit Investigator SummaCare – 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Code with Integrity. Detect with Precision. Join Us as a Certified FWA Coder! Are you a certified coding professional with a sharp eye for detail and a passion for protecting healthcare integrity with experience reviewing medical records? Step into a high-impact role where your expertise helps uncover fraud, prevent waste, and ensure compliance across the healthcare system. We’re looking for a Fraud, Waste, and Abuse (FWA) Certified Coder to join our Special Investigations Unit and play a critical role in safeguarding resources and promoting ethical billing practices. This position collaborates with investigators, clinical and compliance staff, and regulatory agencies. Summary Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record...

Job Details Number Needed: 10 Employment Type: Full-time Testing Required: E/M Interview: Amergis End Date / Duration: Ongoing Specialties/Chart Types (Required & Preferred): Profee multispecialty coding Training Schedule: normal business hours In Production Schedule: normal business hours Qualifications Must have minimum of 2 years of profee coding experience Excellent oral and written communication skills Knowledge of Microsoft Word and Excel Computer savvy and ability to shift priorities to meet tight deadlines Systems (Required & Preferred): Prefer well‑rounded system experience in Epic, Cerner, 3M, Optum 360 AHIMA and/or AAPC certification required (CPC‑A and CCA excluded) Training schedule: normal business hours In production schedule: normal business hours Benefits Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment...

A leading healthcare staffing organization is seeking a Profee Multi-Specialty Medical Coder in Cleveland, Ohio. The ideal candidate will be responsible for assigning ICD-10-CM diagnosis codes and other relevant coding while ensuring all necessary patient information is accurately abstracted. Candidates must hold a certification such as RHIA, RHIT, or CCS and have at least 2 years of relevant experience. This position offers competitive pay, health benefits, and a supportive work environment. #J-18808-Ljbffr