Medical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOhioRemoteRemain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
Coding Supervisor Ensemble Health PartnersCoding SupervisorOhioRemoteThorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.). 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding.
NewCoding Specialist Nationwide Children's HospitalCoding SpecialistColumbus, OhioRemoteCONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting. Physical Requirements: OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking.
Manager Of DRG Coding & Clinical Validation Audit Elevance HealthManager Of DRG Coding & Clinical Validation AuditColumbus, OH$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Coding Auditing Supervisor - Remote Trinity Health CorporationCoding Auditing Supervisor - RemoteColumbus, OHRemoteThis role ensures accurate, compliant, and timely coding of professional services across designated specialty areas (e.g., Cardiology, General Surgery, Orthopedics, Neurology, Oncology, OB‑GYN). The supervisor supports coder performance, quality, productivity, and education, and serves as a key resource for providers, billing teams, and leadership.
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.
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.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantColumbus, OhioThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Medical Billing Specialist Equitas HealthMedical Billing SpecialistColumbus, OH$23.56–$32.98 / hourWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
Remote Physician Coding Specialist II Trinity Health CorporationRemote Physician Coding Specialist IIColumbus, OHRemoteIn accordance with the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). Relationship-based Care: Creates a caring and healing environment that keeps the patient and family at the center of care throughout their experience at Mount Carmel following the principles of our interdisciplinary care delivery system.
Medical Billing Data Analyst North Central Mental Health Services, Inc.Medical Billing Data AnalystColumbus, OH$27This role requires strong analytical skills, attention to billing detail and the ability to reconcile financial and claims data across multiple payer sources. Full-time Medical Billing Data Analyst to support accurate charge capture, detailed data entry, claim reconciliation and compliance with payer and federal guidelines.
Pro Fee Coding Educator – Special Projects Ensemble Health PartnersPro Fee Coding Educator – Special ProjectsOhioRemoteIdentify and elaborate on education opportunities within audits to ensure discrepancies are addressed (though direct provider education is typically handled by compliance or Ensemble’s education team- this may change in the future as our team develops). Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Medical Coder III 12868 Alpha Rae Personnel IncMedical Coder III 12868Columbus, OHThe ideal candidate will possess strong analytical skills, extensive knowledge of ICD, CPT, and HCPCS coding systems, and experience researching and resolving coding discrepancies while maintaining a high level of accuracy and efficiency. We are seeking an experienced and detail-oriented Medical Coder III (Level II) to support coding operations by monitoring, analyzing, and implementing accurate and efficient medical coding processes.
Billing Specialist MindlanceBilling SpecialistDublin, OHRemoteThe Billing Specialist is responsible for performing day-to-day billing activities for Urology, Radiation Oncology and Imaging services. " Working knowledge of CPT, ICD-10-CM, and HCPCS coding related to Urology, Radiation Oncology and Imaging services.
Inpatient Coding Auditor Huron Consulting GroupInpatient Coding AuditorDelaware, OHRemote$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.
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.
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.
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.
Coding Manager Ensemble Health PartnersCoding ManagerOhioRemoteProvides a harmonious working relationship, promoting empowerment, that also inspires, motivates and models supportive behaviors, that result in higher level of productivity and an atmosphere of teamwork. Responsible for coordinating and managing all activities relative to coding and abstracting of records while ensuring compliance with all regulatory rules and the American Hospital Association (AHA) Official Coding Guidelines, AMA and CMS Coding Guidelines.
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.