192 jobs found in Ohio

Located in Moraine, OH Full-time REMOTE AVAILABLE We are seeking a Medical Billing Specialist with experience in pathology billing. A coding certification is preferred, and experience with cancer-related coding is a plus. Position Summary : Under the supervision of the Billing Department Management team: perform the daily account processing tasks of the Billing Department. Be knowledgeable in all areas of the Billing Department. Assist in training new hires, retraining current reps on any issues found, accession audits, special projects and other duties as assigned. Responsibilities: Be knowledgeable of all areas and processes within the Billing Department. Effective in identifying and analyzing problems Generates alternatives and identifies possible solutions Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences Follow department standard processes. Consult with immediate...

Administrative/Clerical Requisition #: 101288 Post Date: May 22, 2025 Requirements: High School diploma or equivalency certificate. Three years of previous healthcare billing and collections experience preferred. Knowledgeable about third party billing regulations and CPT/ICD coding. Proficient computer and data entry skills. Effective problem solving skills and ability to work independently. Working knowledge of spreadsheet applications. Proven record of dependability. Effective verbal and written communication skills. Detail oriented and ability to prioritize work. Effective time-management skills.

Centralized Billing Office FT/ DAYS/ 80 hours per pay Summaryof Position The Medical Billing Specialistworks to ensure timely and accurate reimbursement on medical claims forphysician services rendered. Thisposition is part of a centralized billing office and provides medical billingservices for multi-specialty physician services. Natureand Scope The Medical Billing Specialistis responsible for collecting and entering timely and accurate claiminformation. This position will submitclaims utilizing insurance carrier guidelines and will also follow up onsubmitted claims that are unpaid, rejected, or denied. The Medical Billing Specialist reports to theA/R Manager within the Centralized Billing Office. Qualifications High School diploma or equivalencycertificate. Three years of previous healthcare billing andcollections experience preferred. Amedical billing certificate or degree will be considered in lieu of experience. Knowledgeable about third party...

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...

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...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Primary Function/General Purpose of Position The Speech Language Pathologist works to prevent, assess, diagnose, and treat speech, language, social communication, cognitive-communication, and swallowing disorders in children and adults. They perform patient evaluations, and re-evaluations, regarding the application of a wide variety of therapeutic techniques with special attention to receptive and expressive language skills, speech fluency, vocal and oral motor competence, articulation, and auditory skills. The Speech Language Pathologist establishes patient treatment plans based upon the referral from the physician/referral source. Essential Job Functions ? Reviews physician referral, patient's condition, and medical history to determine speech...

Job Description Job Description 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...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Mercy Health As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Job Summary: The Occupational Therapist plays a crucial role in enhancing patients' ability to perform daily tasks related to work and life. They conduct assessments, devise treatment plans based on physician referrals, and document patient progress. This encompasses...

PURPOSE OF THIS POSITION This position is responsible for all medical claims including pre-billing and follow up activities for delayed claims by ensuring, through various activities, that claims are clean and should be paid promptly by insurers without requiring further intervention. This staff member performs all pre-claim submission activities, including verifying existing information is accurate, determining when additional data is needed, and collecting necessary details to ensure claims are complete. Additionally, this individual follows departmental productivity and quality control measures that support the organization’s operational goals. This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing, timely payer follow-up activities and collection of accounts. JOB DUTIES/RESPONSIBILITIES Duty 1: Maintains a thorough understanding and education of federal and state regulations and payer specific policies...

Join a Mission-Driven Healthcare Team Meridian HealthCare is hiring a Medical Billing Specialist / Accounts Receivable (AR) Specialist to join our billing and revenue cycle team in Youngstown, Ohio. We're seeking a detail-oriented, reliable, and organized professional experienced in medical billing, claims follow-up, insurance verification, and AR management. This role is vital to ensuring accurate billing, timely payments, and strong payer relationships across our integrated healthcare system. Key Responsibilities Accurately enter and maintain patient demographics and billing data within the EHR system. Verify insurance eligibility and authorizations prior to claim submission. Submit and track medical claims through clearinghouses and payer portals. Review aging and AR reports, identify unpaid claims, and follow up to ensure prompt reimbursement. Post electronic and manual payments from insurance payers and patients. Research and resolve denials, rejections,...

Join Our Team as a Medical Billing Specialist! Why Work With Us? 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....

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Medical Imaging Supervisor Ensures that Dayton Children's first value of Safety is the priority in all aspects of their work and work environment. Provides direct supervision to all clinical staff in assigned department of Medical Imaging. Manages staff time cards and schedule, including approving PTO requests, etc., while ensuring critical staffing levels are maintained and that staff are assigned appropriately to support various departments which require imaging services. This is a working supervisor position, with supervisors expected to be productive members of staffing approximately 50% of the time on average. Supervisors may be required to flex hours outside of regular schedule to meet the needs of the department. Partners closely with department Manager(s) to support clinical operations, employee engagement, and performs rounding on patients/family to capture positive feedback and opportunities for improvement. Assists manager with staff contribution management, fact...

Ed Remote Coder Join the winning team and work with the best! We are excited to announce that in 2022 and 2023, UASI was awarded the top workplace award by the Cincinnati Enquirer. Our 40 years in business and long-term partnerships with our valued clients contribute to our stability and the long tenure of our team. We are currently seeking experienced coding specialists to perform accurate code assignments for ED records (facility and profee) while working remotely from a home office. The ideal candidate will be flexible, detail-oriented, have the ability to work independently, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of three years' experience coding ED records in an acute care setting is required. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office...

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via hotline,...

Medical Coder Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The role is fully remote within the US, with infrequent travel to client locations for onboarding and training. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do: Accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on documentation. Adhere to systems and standards required in multi-specialty medical coding encounters, including Outpatient, Emergency Room, Surgery, Inpatient facilities, Inpatient Professional Rounds, and others. Process encounters within required SLA on contract with deficiencies identified escalated as necessary. Review and respond to each audit within set...

Senior Social Compliance Auditor (CSCA Certified) SGS is the world's leading inspection, verification, testing, and certification company. SGS is recognized as the global benchmark for quality and integrity. With more than 96,000 employees, SGS operates a network of over 2,600 offices and laboratories around the world. Job Description As the Senior Social Compliance Auditor (CSCA) , you will perform third-party audits per SGS Certification procedures and the requirements for standards. The Senior Social Compliance Auditor is responsible to make relevant decisions concerning the audit process and to inform SGS as required to resolve issues outside the audit process. The Senior Social Compliance Auditor is responsible to collect and analyze sufficient information to provide a recommendation for certification. They have the authority for the control and performance of auditing activities including planning and the control of other members of audit teams. Perform social...

Coding Auditor Location: Remote Position Pay Range: $20.78 - $36.53 Position Summary Responsible for performing E/M audits, summarizing the results, communicating the outcomes to all parties and completing any follow up or educational needs as required. Responsible for the review and completion of email requests in a timely manner as well as reviewing and completing ticket requests. Assigned list review and update in a timely and accurate manner. Contributes to the completion of government audits when requested. Key Performance Areas Provide coding support for physicians. Provide coding support for Claims Resolution Specialists. Meet with Manager to discuss coding trends and report any coding issues. Attend seminars and training sessions and report any changes or concerns to Manager/Compliance Officer. Maintain and ensure the confidentiality of all patient and employee information at all times. Assist in training new employees to related job duties. Will be expected to...

Coder II Professional It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Department: Coding Patient Population or Ratio: N/A Schedule: Full Time, Day Shift Starting Pay: $26.01 (Offers are based on years of experience and internal equity for this role) $1,000 sign on bonus available (Check with recruiter for eligibility) Shift Differentials: Available for night, weekend, and additional shifts Location: Remote Job Summary: Primarily focuses on coding of high complexity, such...