Professional Coding Auditor-Educator WVU MedicineProfessional Coding Auditor-EducatorOhio1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Professional Billing Representative| Professional Billing, Full-Time Memorial HealthProfessional Billing Representative| Professional Billing, Full-TimeMarysville, OhioAccounts Receivable Management: Manages account review and processing from system WQs, insures timely follow-up on all unpaid claims within appropriate billing cycle; manages system denial remark module, taking steps to rectify current denial. Employee performs within the prescribed limits of the hospital’s and department’s Ethics and Compliance program and is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer, or the hospital hotline.
Acute Coding Appeals Specialist Ensemble Health PartnersAcute Coding Appeals SpecialistOhioRemoteUnder indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns.
Billing Supervisor Ensemble Health PartnersBilling SupervisorOhioRemoteThe Supervisor will work with multiple disciplinaries including but not limited to Patient Access, Coding, Follow Up, Denials and any additional Revenue Management departments needed to aid in effort to ensure timely account review related to unbilled workflow. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Pharmacy Billing Representative- Remote CITYWIDE RX LLCPharmacy Billing Representative- RemoteColumbus, OHRemoteFull timeCompetitive Pay Stable Schedules Career Growth Multiple Shifts Available SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities. Qualifications Who We're Looking For We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.
Coding Educator Ensemble Health PartnersCoding EducatorOhioRemotePlan, develop, and present educational opportunities for workflow enhancements, clinical documentation improvement, coding and billing regulatory issues, charging processes, and other related revenue cycle trends. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Billing Specialist Lower Lights HealthBilling SpecialistMinerva Park, OHThis role reviews documentation, assigns codes, prepares and submits claims, follows up on denials, and maintains compliance with payer policies and HIPAA. Operating out of seven locations, we offer medical care (primary care, dental, vision, OB/GYN, telehealth), behavioral health care, 340B pharmacy, nutritional assistance programs, and more.
Professional Billing Supervisor |Full Time | Patient Financial Services Memorial HealthProfessional Billing Supervisor |Full Time | Patient Financial ServicesMarysville, OhioSupervise the effective and efficient operation of the Patient Financial Services Billing Staff to include: Oversight of claims processing, ensuring daily submission deadlines. Associate’s Degree preferred but not required, high school diploma and minimum of (2) year’s experience with healthcare billing or related healthcare field required.
Medical Biller (Remote) Ohio Shared Information ServicesMedical Biller (Remote)OhioRemoteIf you’re an experienced medical biller who enjoys payment posting and wants to make a meaningful impact in community healthcare, we’d love for you to join our team! This is an excellent opportunity for someone who thrives in a remote environment, enjoys working with data and payer information, and is passionate about supporting community health organizations.
Patient Accounts Representative - Hospital Prof Billing Nationwide Children's HospitalPatient Accounts Representative - Hospital Prof BillingColumbus, OhioRemoteCONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.
Clinical Reviewer - Medical Coder & QA Ohio LivingClinical Reviewer - Medical Coder & QAOhioCurrent unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical. Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
Clinical Reviewer - Medical Coder & QA Ohio Living Corporate OfficeClinical Reviewer - Medical Coder & QAWesterville, OHCurrent unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical. Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
NewDocumentation and Reimbursement Specialist Nationwide Children's HospitalDocumentation and Reimbursement SpecialistColumbus, OhioCONTINUOUSLY: Audible speech, Computer skills, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Repetitive hand/arm use, Seeing – Far/near, Sitting. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.
Medical Assistant BrightView LLCMedical AssistantLancaster, OhioFull timeOverview: Join our team at BrightView Health as a Medical Assistant and contribute to providing high-quality patient care by following established treatment program policies and procedures. Highly empathetic and compassionate to effectively support the recovery journey of BrightView’s patients .
AR Research and Resolution Representative US Acute Care SolutionsAR Research and Resolution RepresentativeOhioRemoteThe AR Research & Resolution Representative is responsible for researching and resolving claims to maximize cash collections, minimizing denials and lost revenue, modeling the organization's values, and working on individual and project denial and claim assignments. Conducts all insurance or contract follow-up aspects, including interfacing with payers, communicating with internal and external business partners by conducting phone calls, and utilizing web-based tools.
Epic Application Analyst Ensemble Health PartnersEpic Application AnalystOhioRemotePerformance Monitoring/Improvement/Innovation: Works collaboratively with revenue cycle leadership and Epic IT leadership to develop best practice processes and Epic functionality. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Charge Master Analyst Sutter HealthCharge Master AnalystColumbus, OH$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewPatient Access Representative Trinity Health CorporationPatient Access RepresentativeColumbus, OHMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
NewPatient Access Representative Trinity HealthPatient Access RepresentativeColumbus, OhioMount Carmel serves over 1.3 million patients each year at our five hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Optometric Technician West Point OpticalOptometric TechnicianColumbus, OhioThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.