11 cpc certified professional coder jobs found in Toledo, OH

Job Description Job Description General Summary: Responsible for ensuring proper codes are used in order to maximize returns. Works under the supervision of the office manager Principal Duties & Responsibilities: Example of Essential Duties: Responsible for Coordinating Laboratory and Pathology coding/billing by receiving patient treatment codes to use in reimbursement claims Responsible for creating reimbursement claims and transfer to Medicare/third party payers Responsible for Coordinating reimbursement activities including pending with errors and denials with insurance companies using e-Clinical Works. Responsible for communicating with Physician and their office billing/coding issues. Responsible for submission for paperwork to insurance when required. Responsible for e Clinical works billing processes and workflows. Assist patients and PARs with patient billing issues Responsible for communicating coding/billing issues with Laboratory Management....

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). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

Clinical Data Analyst Same Day Surgery/Observation Coder Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst Same Day Surgery/Observation Coder. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Clinical Data Analyst Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstracts key data elements required for billing Reviews records for clinical pertinence Interacts with providers for clarification of documentation/education Abstracts and codes records, for patient currently in...

Job Description Job Description University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery. Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family. The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians’ practice at hospitals and medical offices throughout the region. University of Toledo Physicians offers competitive pay and benefits including: 403B, Pension, health and tuition waiver at UT. POSITION SUMMARY The Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes. Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Medical Coder History of the Company: Superior Ambulance Service started in 1959 with one ambulance and today is the largest independent, locally owned, and operated emergency medical services provider in the Midwest. Superior employs more than 3,500 licensed EMTs, Paramedics and Nurses, operating a fleet of more than 800 ambulances throughout Illinois, Indiana, Ohio, Michigan, and Wisconsin. Superior also provides Critical Care, helicopter, and fixed wing emergency medical transportation. We are currently looking for a Medical Coder for our Billing Department. Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual. This position is fully in-office Monday through Friday in Elmhurst, IL or Taylor, MI. Responsibilities The primary duties and responsibilities of the Medical Biller and Coder consist of, but are not limited to the following: Reviews patient care report thoroughly, utilizing all available...

A leading academic health institution is seeking a detail-oriented Medical Coder to focus on outpatient and inpatient pathology services billing. This role involves coding with ICD-10-CM and collaborating with medical staff to ensure accurate submissions. The ideal candidate should have extensive coding experience and strong skills in medical terminology. This full-time position offers flexibility with a fully remote option. Join the team and contribute to high-quality healthcare delivery. #J-18808-Ljbffr

Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered. Job Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Dermatology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of medical terminology, coding systems, and collections is essential for success in this role. Responsibilities Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9. Review patient records to ensure all necessary information is included for billing purposes. Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. Follow up on unpaid claims and conduct medical collections as necessary....

Job Summary Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for CPT/HCPCs, ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM Coding Guidelines. Provide ongoing feedback to managers and coders. Develop and implement educational programs regarding elements of the coding compliance program and act as a subject matter expert for the outpatient coding department. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society....

Medical Coder Non-Certified Apply Now Job Summary The Department of Pathology is seeking a detail-oriented and experienced individual to join its team as a Medical Coder ? Outpatient (Non-Certified). This role focuses on coding and billing functions for outpatient and inpatient pathology services, requiring a strong set of skills, proficiency in medical terminology, and the ability to adapt to meet departmental needs. This position also involves the complex task of handling prior authorizations for high-level Molecular Testing. The role includes a variety of complex tasks and may serve as a resource for resolving coding and billing issues. Work is performed under general supervision. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our...

Medical Coder Outpatient Apply Now Job Summary We are seeking a detail-oriented and knowledgeable Professional Surgical Coder to join our healthcare team. The ideal candidate will be responsible for accurately translating complex surgical procedures into standardized medical codes using ICD-10-CM, CPT, and HCPCS coding systems. The Surgical Coder plays a crucial role in ensuring that our surgical documentation is precise and in compliance with regulatory standards. This position demands a keen eye for detail, a deep understanding of medical terminology, and the ability to maintain patient confidentiality and data integrity. The Professional Surgical Coder will work closely with surgeons, medical staff, and billing departments to streamline coding processes and optimize reimbursement procedures. Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and...