NewMedical Claims Biller Onsite GlobalchannelmanagementMedical Claims Biller OnsiteMason, OHPartner with the clearing house to distribute patient billing statements and monitor the patient portal to post payments in the EHR system. Job Description The Medical Claims Biller is responsible for monitoring insurance carrier adjudication of medical claims for one or more doctor practices.
NewPrior Authorization Specialist Riverhills NeurosciencePrior Authorization SpecialistCincinnati, OH$18–$22 / hourYour responsibilities include:Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirementsCoordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determinationFacilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patientsEnsure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin proceduresMonitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheetInitiate patient education on available assistance programsBackground and Experience:1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practicePain Management experience is a plusExperience with an Electronic Medical Record (EMR) and practice management systemKnowledge of Medicare/Medicaid and major insurance carrier's guidelinesWorking knowledge of ICD-9-10 medical coding and billing and medical terminologySuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendorsIf you're eager to contribute to a world-class healthcare team, apply today. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coding Educator - CBO Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
DRG Coding Auditor Principal Elevance Health IncDRG Coding Auditor PrincipalMason, OH$122,240–$183,360 / yearSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Coding Specialist EyeCare Partners LLCCoding SpecialistCincinnati, OHThe Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM/ICD 10)), and the American Medical Associations Current Procedural Terminology Manual (CPT). Provide technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and codes that do not conform to approved coding principles and guidelines.
Coding Rep I Cincinnati Children's Hospital Medical CenterCoding Rep ICincinnati, OHRemote$22.18–$27.73 / hourCincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years. Begin or continue your coding career while supporting accurate coding and timely billing across hospital-based ancillary services.
Coder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First Shift UC HealthCoder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First ShiftCincinnati, OHThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
DRG Coding Auditor Principal Elevance HealthDRG Coding Auditor PrincipalMason, OhioSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Coder II, Acute Care, Corporate Coding, Full Time, First Shift UC HealthCoder II, Acute Care, Corporate Coding, Full Time, First ShiftCincinnati, OHThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Coding Specialist I TriHealth IncCoding Specialist INorwood, OHJob Overview: This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. In this position, you'll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices.
TCHP Coding Educator The Christ HospitalTCHP Coding EducatorNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
Coding Documentation and Compliance Coordinator St. Elizabeth HealthcareCoding Documentation and Compliance CoordinatorErlanger, KYJob Description: Coordination of internal audit program including review of all cases referred for coding review by coder referral to the Coding Compliance Work Queue's in Epic, by Quality Management Department, by Patient Safety & Accreditation and other internal customers to ensure compliance with Official Coding Guidelines and SEH Internal Coding Policies. Assists and conducts internal coding audits of all inpatient/outpatient coders for accuracy, and monitor coding audits for contracted entities.
Coding Educator TriHealth IncCoding EducatorNorwood, OHProvides physician feedback initial and ongoing education, training and technical support in regard to proper clinical documentation guidelines, service selection, charge capture and timely submission, healthcare data accuracy and coding principles. Job Overview: Under the direction of the Coding Manager, responsible for conducting coding education programs for coding specialists and physicians to ensure correct coding, legal compliance and complete charge capture.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Cincinnati, OHIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationCincinnati, OhioThisroleservesasakeypartnerbetweenCodingOperations,RevenueCycle,ClientServices,Technology,Implementation,andoperationalleadershipteamstoensureseamlesscodingtransitions,operationalreadiness,compliance,andlong-termsuccess. Theidealcandidatewillbringdeepexpertisein professionalfee(physician)coding ,revenuecycleoperations,codingcompliance,providereducation,andclientrelationshipmanagement.
Coding Rep II Cincinnati Children's Hospital Medical CenterCoding Rep IICincinnati, OHRemote$25.82–$32.28 / hourThis role reviews medical records, assigns accurate ICD-10-CM and/or CPT codes, resolves documentation needs, and contributes ideas that strengthen coding processes. Bring your coding experience to work that supports timely, accurate billing across emergency and urgent care services.
TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coder Associate - CBO Department Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports.
NewClinical Document Specialist (RN), Corporate Coding Services, Full Time, First Shift UC Health, LLCClinical Document Specialist (RN), Corporate Coding Services, Full Time, First ShiftCincinnati, OHFull timeMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. UC Health is hiring a Full Time Clinical Documentation Improvement Specialist for Corporate Coding Services The Clinical Documentation Improvement Specialist will work with physicians to facilitate appropriate clinical documentation to ensure that the level of services and acuity of care are accurately reflected in the medical record.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorArkansas, KYRemote$38.46–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes (ICD-PCS), MS-DRG, APR DRG, POA, SOI & ROM assignments.
4529- Coding Specialist Innovaccer Inc4529- Coding SpecialistOHExcellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status.