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This position plays a critical role in revenue cycle operations by reviewing CPT and ICD-10 codes on claims to ensure accuracy, compliance, and appropriate reimbursement. The Medical Coder is responsible for reviewing and assigning accurate CPT and ICD-10 codes to medical claims and encounters.

HOUR

Job Title: Medical Coder Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance and 401(k) Pay Rate: $18/hr (Paid Weekly) Location: 2750 Front Street, Cuyahoga Falls, Ohio 44221 Schedule: Full-time, 8-hour shifts with flexible start time Dress Code: Business Casual Interview Process: In-person interview preferred Contract: 03/01/2026 to 09/01/2026  Position SummaryThe Medical Coder is responsible for reviewing and assigning accurate CPT and ICD-10 codes to medical claims and encounters. This role ensures proper coding compliance, supports accurate reimbursement, and maintains adherence to regulatory and documentation standards.What This Role AccomplishesThis position plays a critical role in revenue cycle operations by reviewing CPT and ICD-10 codes on claims to ensure accuracy, compliance, and appropriate reimbursement.Team EnvironmentThe Medical Coder will work as part of a collaborative team of 14 members, including:<ul><li>10 Coders</li><li>2 Support Staff</li></ul>The team is focused on accuracy, compliance, and maintaining high coding standards.Key Responsibilities<ul><li>Review and assign CPT and ICD-10 codes to medical encounters and claims</li><li>Accurately review and code patient encounters</li><li>Code operative (OP) reports with precision and compliance</li><li>Apply knowledge of anatomy and medical terminology to ensure correct code assignment</li><li>Ensure documentation supports assigned codes</li><li>Utilize Microsoft Excel and Word for documentation and reporting</li><li>Maintain coding accuracy and productivity standards</li></ul>Required Qualifications<ul><li>Minimum of five (5) years of experience as a Medical Coder</li><li>Strong knowledge of CPT and ICD-10 coding</li><li>Ability to review and code medical encounters independently</li><li>Knowledge of anatomy and medical terminology</li><li>Proficiency in Microsoft Excel and Word</li><li>Active certification from AAPC or AHIMA</li></ul>Preferred Qualifications<ul><li>Demonstrated ability to independently code operative (OP) reports</li></ul>

Allmed Staffing Inc

Medical Coder

Anatomy

Code Reviews

Coding Standards

Current Procedural Terminology (CPT)

Documentation

Documentation Standards

ICD-10

Maintain Compliance

Medical Coding

Medical Terminology

Microsoft Excel

Microsoft Word

Operational Audit

Regulatory Compliance

Reimbursement

Support Documentation

Team Player

Crelate

CPT coding - ICD 10 Coding - be able to review and code an encounter - Knowledge of Anatomy- Be able to code an OP report - Knowledge of Excel - knowledge of Word /. Please describe the team the candidate will be working with 14 team members - 10 coders 2 support staff.

Description:What is the specific title of the position? Medical Coder Work hours? 8 hours flexible start time Position background ? Medical Coder What does this position accomplish for the business? Reviewing CPT and ICD codes on claims Please describe the team the candidate will be working with 14 team members - 10 coders 2 support staff What are the top 5-10 responsibilities for this position (please be detailed as to what the candidate is expected to do or complete on a daily basis)?Knowledge CPT coding - ICD 10 Coding - be able to review and code an encounter - Knowledge of Anatomy- Be able to code an OP report - Knowledge of Excel - knowledge of Word / What does the ideal candidate background look like? Medical Coder - What skills/attributes are required? Experience Medical Coder at least 5 years experience. What skills/attributes are preferred? Can code a medical OP report Does this position require a professional license or certification? yes from AAPC or AHIMA What is the dress code? Business Casual How would you prefer to interview? Would prefer in person

Certified Medical Coder-116347

Professional License

OTHER

Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.

YEAR

Overview:
Nurse Practitioner Per DiemThis position covers all zip codes in: Columbiana County, OH ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes. CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual’s personal needs and what is required to keep them in the home and out of the hospital. <div class="x_x_elementToProof">Compensation:<ul><li style="margin:0in">Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income</li><li style="margin:0in">In-home visit rate: $120 - $140 depending on state of residence</li><li style="margin:0in">If available, our telehealth rate is $85 per completed assessment</li></ul></div>Benefit:This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.

Responsibilities:
<ul><li>Knowledge of CMS Regulations and NCQA HEDIS Guidelines</li><li>Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices</li><li>Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)</li><li>Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements</li><li>Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required</li><li>Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing</li><li>Address and close identified gaps in care (disease-specific or preventive)</li><li>Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and</li><li>Perform, document and communicate results of Point of Care (POC) Testing</li><li>Maintain compliance with Company policies, procedures and mission statement</li><li>Adhere to all confidentiality and HIPAA requirements as outlined within the Company’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position</li><li>Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company</li><li>Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function</li><li>On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)</li><li>We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such</li><li>Other duties as assigned</li></ul>

Qualifications:
<ul style="margin-top:0in"><li>Active un-encumbered license to practice nursing</li><li>ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine. </li><li>Maintains current CPR certification</li><li>Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:</li><li><ul style="margin-top:0in"><li>Hepatitis B</li><li>Influenza</li><li>MMR: Measles, Mumps and Rubella</li><li>Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)</li><li>Varicella</li><li>Tuberculosis</li></ul></li><li>Home Health exp a plus </li><li>Must be able to effectively communicate with elderly and chronically ill patients and families</li><li>Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial</li><li>Ability to multitask</li><li>Excellent customer service skills</li><li>Bi-lingual or multi-lingual a plus</li><li>Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision</li><li>Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools</li></ul>This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

ComplexCare Solutions

Nurse Practitioner (Per Diem)

American Nurses Credentialing Center (ANCC)

CPR Certification

Cardiology

Centers for Medicare and Medicaid Services (CMS)

Certified Coding Specialist (CCS)

Clinical Nursing

Clinical Outcomes

Clinical Practices/Protocols

Cloud Computing

Communication Skills

Computer Skills

Computer Systems

Content Management Systems (CMS)

Corporate Policies

Customer Support/Service

Department of Health and Human Services

Diabetes

Disease

Diversity

Emergency Medicine

Emergency Services

Equal Employment Opportunity (EEO)

HIPAA (Health Insurance Portability and Accountability Act)

Health Plan

Healthcare

Healthcare Effectiveness Data and Information Set (HEDIS)

Hepatitis B

Home Care

Hospital

Medicaid

Medical Conditions

Medical Record System

Medical Records

Medicare

Messaging Technology

Multilingual

Multitasking

National Committee for Quality Assurance (NCQA)

Nurse Practitioner

Nursing Credentials

Operations Processes

Patient Assessment

Primary Care

Regulations

Risk Management

Staff Requirements

Telehealth

Time Management

Treatment Plan

[AW]-iCims

Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.

Overview:
This position is responsible for the timely follow up of technical or professional medical claims to insurance companies that have been denied, left pending or require remittance.  Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.

Responsibilities:
<ul><li style="margin-left:0.5in">Working overpayment report by identifying refunds due to patient or insurance company and process request.</li><li style="margin-left:0.5in">Research and appeal denied claims.</li><li style="margin-left:0.5in">Responsible for rebilling of services provided to nursing home patients (dental, podiatry, audiology and optometry).</li><li style="margin-left:0.5in">Responsible for EMR system</li><li style="margin-left:0.5in">Responsible for posting procedures/modifiers/Dx codes verify for accuracy (providers choose codes, we verify and submit claims out to insurance company), verify insurance accuracy before submitting, working reports for missing charges from providers at a minimum of weekly basis.</li><li style="margin-left:0.5in">Answering incoming phone calls from facilities, patient or patient’s family and field staff about account inquiries.</li><li style="margin-left:0.5in">Maintaining and enhancing knowledge through further education provided by self, other staff or training on our computer via self-guided modules.</li><li style="margin-left:0.5in">Mailing out own correspondence/claims as printed on a daily/weekly basis as needed.</li><li style="margin-left:0.5in">Check eligibility and benefit verification.</li><li style="margin-left:0.5in">Review patient bills for accuracy and completeness and obtain any missing information.</li><li style="margin-left:0.5in">Prepare, review and transmit claims using billing software, including electronic and paper claim processing.</li><li style="margin-left:0.5in">Follow up on unpaid claims within standard billing cycle time frame following prescribed methods.</li><li style="margin-left:0.5in">Updates cash spreadsheet</li><li style="margin-left:0.5in">Expected to work 450+ encounters per week</li><li style="margin-left:0.5in">Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.</li><li style="margin-left:0.5in">Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.</li><li style="margin-left:0.5in">Reacts positively to change and performs other duties as assigned.</li></ul>

Qualifications:
<ul><li style="margin-left:0.5in">High school diploma or GED</li><li style="margin-left:0.5in">Knowledge of business and accounting process usually obtained from an Associates in Business Administration, Accounting or Health Care Administration required.</li><li style="margin-left:0.5in">1+ years in a medical office setting.</li><li style="margin-left:0.5in">1+ years of HMO/PPO, Medicare and Medicaid, and other payment requirements and systems required.</li><li style="margin-left:0.5in">1+ years of accounting and bookkeeping procedures required.</li><li style="margin-left:0.5in">1+ years of medical terminology required.</li><li style="margin-left:0.5in">Must be able to work well under pressure with hard deadlines</li></ul> Minimum Qualifications:<ul><li style="margin-left:0.5in">Use of computer systems, software and calculator.</li><li style="margin-left:0.5in">Effective communication abilities for phone contacts with insurance payers to resolve issues.</li><li style="margin-left:0.5in">Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.</li><li style="margin-left:0.5in">Able to work in a team environment.</li><li style="margin-left:0.5in">Problem-solving skills to research and resolve discrepancies, denials, appeals and collections.</li></ul> We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen. We are an equal opportunity employer.

360care

AR Follow Up Specialist

Accounting

Accounting Policies

Accounts Receivable

Audiology

Billing

Billing Software

Bookkeeping

Business Administration

Business Processes

Calculators

Claims Processing

Computer Software

Corporate Law

Health Insurance

Health Maintenance Organization (HMO)

Healthcare Administration

High School Diploma

Insurance

Insurance Claims

Medical Billing

Medical Office

Medicine

Nursing Home

Optometry

Podiatry

Preferred Provider Organization (PPO)

Problem Solving Skills

Procedure Development

Research Skills

Spreadsheets

Staff Training

Telephone Skills

Design, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times. This coordinator must understand benefits coverage, coding of services, billing and ensure patient’s care is coordinated from scheduling to delivery of devices.

Overview:
This position is responsible for efficiently securing prior authorization or payor source for dentures in multiple states.  Duties will include assisting patients, providers and billing staff with coordinating of referrals, obtaining authorizations and scheduling for delivery.  This coordinator must understand benefits coverage, coding of services, billing and ensure patient’s care is coordinated from scheduling to delivery of devices.

Responsibilities:
<ul><li style="margin-left:0.5in">Secure payor sources or prior authorization in multiple states through various state, commercial and private insurances.</li><li style="margin-left:0.5in">Consistently checks eligibility for every resident and submits prior authorization when applicable.</li><li style="margin-left:0.5in">Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing homes.</li><li style="margin-left:0.5in">Reviews benefits and educates patient or nursing homes employees on insurance coverage.</li><li style="margin-left:0.5in">Follows-up in a timely manner on all prior authorizations to ensure no care gaps.</li><li style="margin-left:0.5in">Maintains denture tracking in EMR systems.</li><li style="margin-left:0.5in">Design, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times.</li><li style="margin-left:0.5in">Develop curriculum and materials to support new providers.</li><li style="margin-left:0.5in">Responsible for post-op of all ancillary specialties, including claim creation.</li><li style="margin-left:0.5in">Maintains data management and processing referrals in assigned territory for all ancillary specialties.</li><li style="margin-left:0.5in">Actively supports and complies with all components of the compliance program, including, but not limited to, completion of training and reporting of suspected violations of law and Company policy.</li><li style="margin-left:0.5in">Maintains confidentiality of all information; abides with HIPAA and PHI guidelines at all times.</li><li style="margin-left:0.5in">Reacts positively to change and performs other duties as assigned.</li></ul>

Qualifications:
<ul><li style="margin-left:0.5in">High School Diploma (or GED) required, college degree or experience preferred.</li><li style="margin-left:0.5in">Dental experience both front and back office preferred.</li><li style="margin-left:0.5in">Electronic Medical Records experience required.</li><li style="margin-left:0.5in">Critical thinking/Solution-based skills required for a time sensitive environment.</li><li style="margin-left:0.5in">Strong time management skills.</li><li style="margin-left:0.5in">Ability to multi-task and work within a fast-paced environment.</li><li style="margin-left:0.5in">Strong attention to detail.</li><li style="margin-left:0.5in">Must be deadline driven and have a sense of urgency.</li><li style="margin-left:0.5in">Must have excellent communication skills, both written and verbal.</li><li style="margin-left:0.5in">Proficiency with Microsoft Office Suite required.</li></ul> We will only employ those who are legally authorized to work in the United States. Any offer of employment is conditional upon the successful completion of a background investigation and drug screen. We are an equal opportunity employer.

Ancillary Product Coordinator

Administrator Documentation

Code Coverage

Data Management

Detail Oriented

Electronic Medical Records

Microsoft Office

Organizational Skills

Patient Care

Patient Education

Presentation/Verbal Skills

Purchase Orders

Systems Administration/Management

Training/Teaching Curriculum

Writing Skills

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Medical CoderAllmed Staffing Inc

Certified Medical Coder-116347Allmed Staffing Inc

Nurse Practitioner (Per Diem)ComplexCare Solutions

AR Follow Up Specialist360care

Ancillary Product Coordinator360care

Resume Resources