PFS 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.
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.
Remote PB Medical Coder - Neurology Clinic GuidehouseRemote PB Medical Coder - Neurology ClinicAkron, OhioRemoteCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. The Remote Neurology Clinic Coder reviews clinical documentation and diagnostic results to assign accurate ICD-10, CPT, and HCPCS codes for billing, reporting, and compliance.
Certified Medical Coder Area TempsCertified Medical CoderBeachwood, OHWork hours for this position could range between 24-40 hours each week and would have flexibility with times between 7a.m. to 6 p.m. We are seeking a Certified Medical Coder who has strong Anesthesia coding experience.
Remote PB Medical Coder - Neurology Clinic Guidehouse IncRemote PB Medical Coder - Neurology ClinicAkron, OHRemote$38,000–$64,000 / yearCompensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What You Will Do: The Remote Neurology Clinic Coder reviews clinical documentation and diagnostic results to assign accurate ICD-10, CPT, and HCPCS codes for billing, reporting, and compliance.
MEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5) Toledo Clinic IncMEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5)Toledo, OHGeneral Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. • Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules.
Forensic Medical Coder Ensemble Health PartnersForensic Medical CoderOhioRemoteDemonstrates 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.
Outpatient Coder, Medical Records Trinity Health SystemOutpatient Coder, Medical RecordsSteubenville, OHPreforms functions required under the Clinical Documentation Improvement Program, which includes interaction with the CDI monitor tool. Graduate of medical records program with either a credential of CCS/RHIT preferred or eligible to sit for credentialing exam.
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.
HIM Coder Neuropsychiatric HospitalsHIM CoderHuber Heights, OhioFull timeNeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. You will be joining a team of rock star staff who provide exceptional, patient-centered care and understand our patients are always our number one priority!
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.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)OH$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Clinical Data Coder Medpace Holdings IncClinical Data CoderCincinnati, OHBSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; Strong critical thinking, organizational, and multi-tasking skills required; Experience with using MedDRA and WHO Drug dictionaries preferred; and. Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and.
CODER / ABSTRACTOR, Full-time Fulton County Health CenterCODER / ABSTRACTOR, Full-timeWauseon, OHThis position is responsible for accurately coding and abstracting medical records across all hospital service types, ensuring data integrity, regulatory compliance, complete documentation, timely electronic data entry, and support of clinical and statistical reporting. Key Responsibilities: Review medical records and assign diagnosis and procedure codes using ICD-10-CM/PCS and CPT-4 in accordance with Critical Access Hospital reporting requirements and UHDDS guidelines.
Certified Coder Special Investigations Unit SIU SummaCare IncCertified Coder Special Investigations Unit SIUAkron, OH$28.10–$42.15 / hourSummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS). Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations.
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.
NewCoder ProMedica Shared ServicesCoderOhioRemoteThe 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.
Certified Coder Ohio State University PhysiciansCertified CoderColumbus, Ohio$23.84–$35.76 / hourFull timeWith over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. Qualifications: High School diploma or GED; Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years’ experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience.
Coder II, PBO Coding, Full Time, First Shift UC Health, LLCCoder II, PBO Coding, Full Time, First ShiftCincinnati, OHFull timeThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Clinical Data Coder Medpace, Inc.Clinical Data CoderCincinnati, OhioQualifications: BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; Strong critical thinking, organizational, and multi-tasking skills required; Experience with using MedDRA and WHO Drug dictionaries preferred; and. Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and.
Coder I, Full Time, First Shift, Oral Surgery Revenue Cycle UC Health, LLCCoder I, Full Time, First Shift, Oral Surgery Revenue CycleCincinnati, OHFull timeThe Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. The Coder I uses established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Coder II, Corporate Coding, Full Time, First Shift UC HealthCoder II, Corporate Coding, Full Time, First ShiftCincinnati, OHThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Coder III - Remote ProMedica Health System IncCoder III - RemoteOHRemote$45,968–$72,488 / yearThe 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 - Remote ProMedica Health System IncCoder - RemoteOHRemote$41,200–$61,360 / yearThe 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.
Vendor Medical Coding Analyst CareSourceVendor Medical Coding AnalystDayton, OH$54,500–$87,300 / yearJob Summary: The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data to ensure diagnostic and procedural codes accurately reflect and support the visit as it relates to correct coding guidelines and medical necessity. CareSource takes into consideration a combination of a candidates education, training, and experience as well as the positions scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
NewPFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN)Riverside, OhioFull timeCorrects 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. 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.
Medical Billing Specialist One Health OhioMedical Billing SpecialistYoungstown, OHPerforms various collection actions including contacting patients by phone, correcting, and resubmitting claims to third-party payers. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
NewPFS Facility Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Facility Medical Billing Specialist (PRN)Riverside, OhioFull timeCorrects 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. 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.
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.
NewMedical 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 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.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorOHRemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
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.
Coding Supervisor Ensemble Health PartnersCoding SupervisorOHRemote$57,400–$86,100 / yearExperience We Love: 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding. Thorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.).
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.
Program Integrity Clinical Reviewer II (Readmission experience preferred) CareSourceProgram Integrity Clinical Reviewer II (Readmission experience preferred)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Excellent written and verbal communication skills with adeptness to create, present and evaluate present department, role-focused teaching materials across topics.
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.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorOH$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
TCHP Coding Educator The Christ HospitalTCHP Coding EducatorNorwood, 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.
BILLING & CODING COMPLIANCE ANALYST Premier Health PartnersBILLING & CODING COMPLIANCE ANALYSTDayton, OHCCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Definitions: RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments.
Worker's Compensation Coordinator - Occupational Health - Fairfield Bon Secours Mercy Health IncWorker's Compensation Coordinator - Occupational Health - FairfieldFairfield, OHThis position plays a key role in the coordination of various occupational health services including, but not limited to, drug screening, substance abuse testing, workers compensation assessments and beyond. Maintains appropriate inventory of all laboratory and testing supplies to perform services such as, but not limited to, vision & hearing screenings, spirometry, EKG, drug & alcohol screens, and more.
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.
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.
Worker''''s Compensation Coordinator - Occupational Health - Fairfield Mercy HealthWorker''''s Compensation Coordinator - Occupational Health - FairfieldFairfield, OHThis position plays a key role in the coordination of various occupational health services including, but not limited to, drug screening, substance abuse testing, workers compensation assessments and beyond. Maintains appropriate inventory of all laboratory and testing supplies to perform services such as, but not limited to, vision & hearing screenings, spirometry, EKG, drug & alcohol screens, 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.
Coding Rep II Cincinnati Children's Hospital Medical CenterCoding Rep IICincinnati, OH$25.82–$32.28 / hourCertification/credentialed as Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT), or Registered Health Info Admin (RHIA) OR Certified Professional Coder (CPC) OR Certified professional Coder Apprentice (CPC-A) OR Certified Coding Specialist -Physician (CCS-P). Assigns ICD-10-CM and/or CPT codes to accounts in an accurate and ethical manner utilizing 3M encoding software and coding manuals.
Coding Denial Specialist Akron Children's HospitalCoding Denial SpecialistAkron, OHWorking closely alongside the Physician Advisor, the Denial Coding Specialist liaises between the Revenue Recovery team and providers, resolving queries for missing documentation and promoting departmental awareness of coding best practices. Summary: The Denial Coding Specialist supports the Revenue Recovery team by reviewing claims for coding accuracy and root causes for coding-related denials, as well as proposing process improvements to mitigate future denials.
SIU Investigator III (Health Plan experience required) CareSourceSIU Investigator III (Health Plan experience required)OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members.