Manager Professional Coding Integrity (FT salaried) Blanchard Valley Health SystemManager Professional Coding Integrity (FT salaried)Findlay, OhioDuty 2: Perform and/or provide oversight to managerial administrative support functions including but not limited to facilitate the recruiting and hiring process, training & education of associates, monitor appropriate staffing levels, payroll, performance evaluations, recognition and reward, disciplinary follow up as appropriate, establish/monitor performance metrics, monitor completion of organization requirements. Duty 8: Collaborates and maintains open communication with the medical providers and clinical leadership on coding and documentation practices with a primary focus to maintain compliant practices which accurately reflects reporting of coded data and provider metrics.
PFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN)Findlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
NewPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shiftFindlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Transcription Secretary (PRN) Blanchard Valley Health SystemTranscription Secretary (PRN)Findlay, OhioDuty 2: Properly dispatches reports for signing and insures that all copies are distributed to proper ordering physician location, transmits all requested fax results while monitoring incomplete faxes, call results when requested. The purpose of a Transcription Secretary is to transcribe anatomic pathology medical reports on diagnostic work-ups, therapeutic procedures, and clinical resumes for inclusion in medical records and for transmission to physicians or other medical facilities.
Senior Engineer - Java / Spring Boot / React - Hybrid Genesis10Senior Engineer - Java / Spring Boot / React - HybridColumbus, OH$50–$60 / hourTemporaryContractorFull timeRanked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. The ideal candidate will lead the development of full-stack applications, including RESTful APIs, microservices, and responsive React-based user interfaces, translating business requirements into secure and maintainable software solutions.
HIS - CDI Specialist - 40 hrs/wk. Blanchard Valley Health SystemHIS - CDI Specialist - 40 hrs/wk.Findlay, OhioDuty 8: Support organizational initiatives impacted or dependent on the quality of clinical documentation; this may include performing chart reviews, educating departments or teams, participating in Performance Improvement events, provide support to other areas (such as Case Management, Quality, UR), participate in HCIS-related projects, member of committees or task force, etc. The primary purpose of the Clinical Document Integrity (CDI) Specialist position is to improve the quality of provider documentation in order to effectively translate into accurate coded data which is representative of the patient’s episode of care/intensity of service.
NewBilling Specialist Blanchard Valley Health SystemBilling SpecialistFindlay, OhioThe primary purpose of the Patient Accounting Specialist is to fulfill the billing and collections functions related to all patient or client accounts assigned and maintain compliant and accurate documentation on all account activity. Develops, interprets and utilizes computer reports as required to accomplish timely & accurate reporting within Patient Financial Services and BVRHC for account billing and follow up.
PFS Credit Balance Representative - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Credit Balance Representative - 40 hrs/wk, 1st shiftFindlay, OhioAfter review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s). Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.
PFS Credit Balance Representative - 40 hrs/wk. Blanchard Valley Health SystemPFS Credit Balance Representative - 40 hrs/wk.Findlay, OhioAfter review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s). Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications.
Tchp Coding Educator - CBO Phys Div Coding - Full Time - Days Christ HospitalTchp Coding Educator - CBO Phys Div Coding - Full Time - DaysOH, 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.
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.
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.
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 Sr. Medical Records Nationwide Children's HospitalCoding Specialist Sr. Medical RecordsColumbus, OHCONTINUOUSLY: 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.
Instructor, Medical Coding Cuyahoga Community CollegeInstructor, Medical CodingCleveland, OHPresents facilitative, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus (AAPC curriculum, medical terminology, anatomy & physiology, advanced medical coding, HCPCS coding, ICD-10 coding) and school policies. Continually promotes students' development and effective use of skills in areas such as critical and analytical thinking, evaluation, communication, professionalism, customer service, computation, problem solving, and decision-making.
Coding 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.
Coding Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeOregon, OH$26.44–$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. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Clinical Coding Appeals Nurse R1 RCM IncClinical Coding Appeals NurseOH$65,000–$116,747.20 / yearWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.
Medical Coding Specialist (remote) Southwoods HealthMedical Coding Specialist (remote)Boardman, OhioRemoteResponsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.
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.