NewSupervisor Coding OhioHealth CorpSupervisor CodingOHJob Description Summary: This position assists the HIM/OPG Coding Manager to supervise, monitor, evaluate and train coders in ICD-10/PCS, CPT and HCPCS Level II coding guidelines, modifier guidelines, proper diagnosis and procedure and code selection, documentation guidelines and abstracting for reimbursement, insurance purposes and statistical reports. Provides training to health care professionals in ICD-10-CM/PCS, CPT and HCPCS Level II coding guidelines and practices, modifier guidelines, proper documentation guidelines, medical terminology and disease processes.
DRG Senior Educator, Coding Ensemble Health PartnersDRG Senior Educator, CodingOhioRemote$69,400–$119,700 / yearThe DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.
Coding Auditing Supervisor - Remote Trinity HealthCoding 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.
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. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
Risk Adjustment Coding Specialist Trinity HealthRisk Adjustment Coding SpecialistColumbus, 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. This includes validating documentation using MEAT (Monitor, Evaluate, Assess, Treat) and TAMPER (Treatment, Assessment, Monitoring, Plan, Evaluation, Referral) principles to support Hierarchical Condition Category (HCC) coding.
Medical Billing and Coding Specialist Critical Care TransportMedical Billing and Coding SpecialistColumbus, OhioJob duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Our highly-trained staff of EMS professionals, Communication Specialists, Accounts Receivable Specialists, and Fleet Mechanics work together to provide optimal service to our patients and customers.
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.
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.
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 Auditing Supervisor Trinity HealthCoding Auditing SupervisorColumbus, OhioThis 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 SpecialistOHRemote$29.70–$31.80 / hourUnder 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.
WVUH - Professional Coding Auditor-Educator West Virginia University MedicineWVUH - Professional Coding Auditor-EducatorOHCertification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders. EXPERIENCE: 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.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationOH$121,680–$182,520 / yearThe Director, Client Coding Integrations serves as a strategic leader responsible for driving successful onboarding, integration, and ongoing optimization of coding operations across assigned client partnerships. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Columbus, 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.
Remote Physician Coding Specialist II Trinity HealthRemote 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.
Pro Fee Coding Educator - Special Projects Ensemble Health PartnersPro Fee Coding Educator - Special ProjectsOHRemote$62,500–$119,700 / yearIdentify 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). Experience We Love: 5 + years of coding and educational experience in Professional Fee Coding or consulting setting with preference for Cardiology, General Surgery, Neurosurgery or Ob GYN specialties.
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.
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. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
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.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerOH$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
NewCoding Specialist I Inpatient Medicine US Acute Care Solutions LLCCoding Specialist I Inpatient MedicineOH$18.76–$34.70 / hourOne or more of the following credentials are required prior to hire date - Certified Coding Specialist (CCS), Certified Professional Coder (CPC-A), Certified Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist - Physician-Based (CCS-P). Apply knowledge of official coding guidelines and other regulatory guidelines through assignment of compliant, complete, and accurate ICD-10-CM diagnosis codes and CPT service codes for the professional component of rendered services based upon the clinical documentation provided within the medical record.
NewRevenue Integrity Analyst II: Coding & Reimbursement Intermountain HealthRevenue Integrity Analyst II: Coding & ReimbursementColumbus, OH$37.87–$59.63 / hourThe position offers 40 scheduled weekly hours with a competitive hourly rate ranging from $37.87 to $59.63, based on experience.#J-18808-Ljbffr. Intermountain Health, located in Columbus, Ohio, is hiring for a position focusing on revenue cycle management.
Urgent Care - Partner Veterinarian - Columbus , {State_Code UsvtaUrgent Care - Partner Veterinarian - Columbus , {State_CodeColumbus, OhioAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Partner Veterinarian to provide leadership, superior patient and client care, and financial ownership in the hospital. The ideal leader for this hospital is a veterinarian who is prepared to manage a team of doctors and medical staff and successfully oversee the clinical direction of the practice while building equity.
Billing Specialist LOWER LIGHTS CHRISTIAN HEALTH CENTER INCBilling SpecialistColumbus, 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.
Appeals-Billing Specialist | Patient Financial Services, Full-Time Memorial HealthAppeals-Billing Specialist | Patient Financial Services, Full-TimeMarysville, OhioSpecialty Billing for Sexual Assault Forensic Examination (SANE) Program & Medicare Short Stay: Serves as a liaison between Patient Financial Services and Emergency Department SANE coordinator to ensure billing is accurate and appropriate for claims submission to the Ohio State Attorney General’s Office. Retro Authorization Management: Manage all retro authorizations when the Current Procedural Terminology (CPT) code on the claim does not match the code that was authorized with the payor; work queue Precert CPT not on Code Integration.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorOH$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Coder III 11381 Alpha Rae Personnel IncMedical Coder III 11381Columbus, 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.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateColumbus, OHThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
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.
NewInsurance Authorization Specialist Ensemble Health PartnersInsurance Authorization SpecialistOhioRemoteThe Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Market Access Director Lantheus Medical Imaging IncMarket Access DirectorOHRemote$172,000–$287,000 / yearPart timeThe National Accounts Market Access Director will partner with key academic centers, large Integrated Delivery Networks (IDN) and large groups to ensure favorable portfolio access in support of Lantheus’ broader market access strategy. The successful candidate will engage with key decision makers to implement and pull through market access strategies while also serving as an integral part of the site setup process for adopting Lantheus’ potential new products with several upcoming launches.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorOH$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewSpecial Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerOH$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Market Access Director Lantheus Holdings IncMarket Access DirectorOHRemote$172,000–$287,000 / yearThe National Accounts Market Access Director will partner with key academic centers, large Integrated Delivery Networks (IDN) and large groups to ensure favorable portfolio access in support of Lantheus' broader market access strategy. The successful candidate will engage with key decision makers to implement and pull through market access strategies while also serving as an integral part of the site setup process for adopting Lantheus' potential new products with several upcoming launches.
Epic Application Analyst Ensemble Health PartnersEpic Application AnalystOHRemote$92,400–$159,450 / yearPerformance 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.
NewMedical Records - LPN - 8 hour Day Shift AltercareMedical Records - LPN - 8 hour Day ShiftOhioAt Altercare, we are in the business of serving people; and having excellent, dedicated employees ensures that residents at our facilities receive the best care possible. Medical Records - Full Time - LPN Altercare Hartville Hartville, OH Altercare Hartville is seeking a key player to join its exceptional team.
Medical Billing Specialist - Medicaid Managed Care Health Partners of Western OhioMedical Billing Specialist - Medicaid Managed CareOhioWith knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions.
NewCompliance Auditor - Inpatient Focus Licking Memorial Health SystemsCompliance Auditor - Inpatient FocusNewark, OHPrimary focus on the compliance of home care, patient level of care, and patient status but also responsible for internal auditing of processes and practices to help assure consistency with federal and state law to include but not limited to compliance with the: Centers for Medicare and Medicaid Services (CMS), Office of Inspector General (OIG), Ohio Department of Health (ODH), Ohio Department of Medicaid (ODM), and Recovery Audit Contractors (RAC). Our cutting-edge facility provides a comprehensive spectrum of patient care services, from life-saving emergency medicine to the comforting embrace of home healthcare, with a unique range of specialized medical services, including cancer, heart health, maternity, and mental wellness.
Sr. Front End Developer IntelliguardSr. Front End DeveloperColumbus, OhioWhile performing the job duties, the employee is regularly required to sit for extended periods, standing and walking intermittently, reach with hands, arms, talk or hear. You will collaborate cross-functionally with backend engineers, product managers, regulatory teams, and UX/UI designers to deliver high-quality software solutions.
Billing Representative | Patient Financial Services, Full-Time Memorial HospitalBilling Representative | Patient Financial Services, Full-TimeMarysville, OHEmployee performs within the prescribed limits of the hospitals and departments 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. 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.
Compliance Educator Nationwide Children's HospitalCompliance EducatorColumbus, OHCONTINUOUSLY: Audible speech, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting. Job Description Summary: Designs and delivers education programs on compliant documentation, coding and billing practices, regulatory requirements, and internal policies through learning experiences such as instructor-led sessions, webinars, and e-learning modules.
Medical Billing Specialist - Medicaid Health Partners of Western OhioMedical Billing Specialist - MedicaidOhioWith knowledge of FQHC billing requirements, the Accounts Receivable Specialist prepares, submits, and follows up on insurance claims to the state Medicaid program to support an efficient and effective revenue cycle. Coordinate with internal teams (including Medicare, Managed Medicaid, and third‑party insurance teams) to resolve shared or complex claim issues.
NewPatient Access Representative I Trinity HealthPatient Access Representative IWesterville, OHMount Carmel serves over 1.3 million patients each year at our four 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, 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.
NewBilling 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.
Registered Nurse (RN) - Home Visits Help at Home LLCRegistered Nurse (RN) - Home VisitsColumbus, OHAs the nation's leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.
NewCDI Specialist I Inpatient WVU MedicineCDI Specialist I InpatientOhio3. Identifies need to clarify documentation through quality audits in records and initiates communication with physician, nurse, or patient care coordinator by utilizing the appropriate “query” tools in order to capture the documentation in the medical record that accurately supports the patient’s severity of illness. Facilitates improvement in the overall quality and completeness of clinical documentation to assure accurate coding assignment, severity of illness and risk of mortality through extensive interaction with, and education of, providers and multidisciplinary team members.
NewMedical Scribe - Float CVS Health CorpMedical Scribe - FloatColumbus, OH$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
NewMedical Scribe CVS Health CorpMedical ScribeColumbus, OH$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.