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.
Forensic Medical Coder Ensemble Health PartnersForensic Medical CoderOHRemote$24.65–$27.10 / hourDemonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Extensive knowledge/experience in physician front end and back end coding with expert knowledge in a multiple coding specialties and the ability to provide education/support to coding team and providers as well as strong analytic skills.
Coder Quality Auditor Ensemble Health PartnersCoder Quality AuditorOhioRemoteReporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Specialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSOHRemote$29.75–$32.70 / hourExtensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
NewRemote Outpatient Coder - ED/Injections & CPT/E/M Expert DatavantRemote Outpatient Coder - ED/Injections & CPT/E/M ExpertColumbus, OHRemoteThe ideal candidate should have at least three years of coding experience, AHIMA or AAPC certification, and familiarity with coding systems. This role requires attention to detail and knowledge in medical terminology and is fully remote, providing flexibility and support for coders.
Coder III ProMedica Shared ServicesCoder IIIOhioRemoteThe organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Associate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions Program.
Coder IV OhioHealth CorpCoder IVOHReview Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least. Minimum Qualifications: High School or GED: Health Information Management (Required)AHIMA - American Health Information Management Association - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association.
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.
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.
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.
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.
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.
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.
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 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 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.
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.
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 Clinical Documentation Educator Ensemble Health PartnersDRG Clinical Documentation EducatorOHRemote$69,400–$119,700 / yearThe DRG Clinical Documentation Integrity (CDI) 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.
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.
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.
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.
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.
NewCDI Specialist I Inpatient West Virginia University MedicineCDI Specialist I InpatientOHIdentifies 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.
Nurse Practitioner firsthand HealthNurse PractitionerOhioThe Centralized Health Guide is responsible for virtual whole person assessments and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of triage registered nurses and psychiatric nurse practitioners. Supporting individuals in developing and exercising self management skills and skills skills person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning.
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.