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In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Performs delegable other nursing tasks delegated by the Registered Nurse which include those tasks which can be performed without requiring judgment based on nursing knowledge on part of the person performing the task k; tasks with which the results are reasonably predictable; tasks which can be performed safely, according to exact, unchanging directions; tasks which do not require complex observations or critical decisions; and tasks which do not require assessment; and tasks where the consequences of performing the task improperly are minimal and not life threatening. Performs other basic nursing care duties as directed by the RN including but not limited to: waived testing fingerstick glucose, urine dipstick, occult fecal l, non-sterile specimen collection, nasogastric tube care, 1 2 lead EKG, and simple clean non-sterile e dressing changes.

OhioHealth Corp

Patient Support Assistant/ Unit Service Coordinator

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Provides general office and clerical support for office as assigned by Office Supervisor and or Manager, to include but not limited to: faxing documentation to referring physician offices, completion of disability forms, FMLA forms, Attorney request letters for reports, patient record releases, Industrial C-9s, C-84s, C-86s, Medco 17s, Industrial appeal paperwork and retroactive C-9s. Primary responsibilities include but are not limited to: answering phones utilizing a computerized system, directing calls appropriately, scheduling patient appointments in the electronic medical record (EMR) system, data entry of patient information and insurance verification, providing support to staff members as assigned.

Physician Office Specialist

Physician Office Specialist OBGYN

Physician Office Specialist- Urology

Physician office specialist

This includes, but is not limited to entering vitals, PIF or ROS into ERM, completion of MU requirements, scheduling tests, x-rays, procedures, and hospital admissions/transfers. Review physician schedule (office, hospital, and ASC schedule); advise manager of questionable appointments; should help to maximize physician schedule to ensure efficiency.

Olentangy Office

Physician Support Specialist

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Develop and maintain a good working rapport with inter-departmental personnel, as well as other departments within the facility to ensure that nursing services and activities can be adequately maintained to meet the needs of the residents. Assist the Director and/or Infection Control Coordinator in identifying, evaluating, and classifying routine and job-related functions to ensure that tasks in which there is potential exposure to blood/body fluids are properly identified and recorded.

PACS Group Inc

PRN LPN DAYSHIFT

Provide ongoing consultation services in primary care for subset of patients who require evaluation, ongoing monitoring and follow up during no shows and cancellations as requested and designated day assigned. About MVHC: At MVHC, we strive to create an environment which promotes healthy work-life balance, one that provides you with the opportunity to make a difference in the lives of our patients, while maintaining your family and personal objectives.

MVHC

LSW/LISW - SDoH/Behavioral Health Integration - Cambridge Child Health

Develops internal (Bon Secours Mercy Health and covered entity healthcare personnel, administrations, leadership, etc.) and external (Office of Pharmacy Affairs/Health Resources and Services Administration, Apexus, wholesalers, drug manufacturers, non-Bon Secours Mercy Health healthcare professionals, etc.) customer service relationships for effective program management. 340B Analyst will work collaboratively with other pharmacy 340B team members and become a subject matter expert in one or more of the following fields: Contract Pharmacy, Policy and Procedure, Data & Reporting, Compliance (Audits), and/or 340B Split Billing Software.

Bon Secours Mercy Health Inc

340B Analyst

Concord Counseling Services is seeking a Billing Supervisor to lead our billing and revenue cycle operations while supporting our mission of delivering high-quality behavioral health services to the community. As the Billing Supervisor, you will work in our Westerville office and oversee all aspects of the billing process from claim submission through payment collection, ensuring accuracy, compliance, and operational efficiency.

Franklin County OH

Billing Supervisor - (not a remote position)

Patient Support Assistant/Unit Coordinator - Obstetrics

Mount 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. Position Purpose: The Unit Coordinator/Multi-Skilled Technician provides administrative support for patient care providers, medical staff, patients, their significant others, blended and extended family members, and outside agencies.

Trinity Health Corporation

Multi-Skilled Technician (Mst) On Mimcu-Icu

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Is a liaison between the patients and medical team and is an advocate for them; Communicates with patients and is a liaison between their primary care physician, specialists, rehabilitation, sports medicine physicians, etc. and assists with scheduling of appointments; provides follow-up with patients upon discharge to assist with any questions/concerns or additional assistance related to appropriate follow up care as requested by the physician. Minimum Qualifications: Bachelor''s Degree (Required)ATC - Athletic Trainer Credential - Board of Certification for the Athletic Trainer, BLS - Basic Life Support - American Heart Association, OTPT - Occupational and Physical Therapy License - Ohio Occupational Therapy, Physical Therapy and Athletic Trainers.

Athletic Trainer

Knowledge of modern office procedures and methods including telephone communications, office systems, and record keeping. Any other tasks as requested by the physician, executive director, human resource manager, and/or the office supervisor [2] .

Hepatology APP

This position is responsible for processing insurance claims, posting payments, maintaining accurate insurance information, assisting with credentialing activities, and supporting client billing inquiries. The Insurance & Billing Specialist works closely with insurance carriers, clients, and internal staff to help ensure accurate billing processes and timely reimbursement of services.

Insurance and Billing Specialist - (not a remote position)

Case Managers support clients with mental illness with daily living activities to increase their level of functioning, reduce hospitalizations and ensure their access to community resources. Concord is fully accredited by the national Commission on Accreditation of Rehabilitation Facilities signifying quality & excellence, person-centered care, continuous improvement, accountability and trustworthiness.

Case Manager

Southern Rehab & Sports Medicine is a therapist-owned outpatient physical therapy group specializing in orthopedic and sports medicine care, as well as services for pediatric and neurologically involved patient populations. The Southern Rehab and Sports Medicine team is made up of movement experts, with decades of experience in biomechanics, performance training, sports medicine, and rehabilitation.

U.S. Physical Therapy is one of the largest publicly-traded, pure-play operator of outpatient physical and occupational therapy clinics.
The clinics provide pre- and post-operative care for a variety of orthopedic-related disorders and sports-related injuries, rehabilitation of injured workers and preventative care. USPh also manages physical therapy facilities for third parties, including physician groups and hospitals. Each of USPh’s clinics are directed by a licensed physical therapist that drive patient volume via local physicians, former patients and other referral sources. Marketing representatives are used to further augment sales.

USPh has grown its business through a combination of de novo development and strategic acquisitions.  The strategic acquisitions has accelerated the Company’s growth, and are structured with significant ownership retained by the practice owners and founders.

U.S. Physical Therapy

Physical Therapist

The Patient Service Specialist performs complex administrative duties including but not limited to patient registration, patient scheduling, providing excellent customer service to clients, and management of multi-line phone system. Perform some medical assistant duties such as breath alcohol tests, drug screens, TB skin test reads and/or other duties as assigned/approved by medical leadership.

Concentra Inc.

Patient Service Specialist PRN

School-Based Prevention Clinicians partner with school staff, families, and students to provide clinical services to prevent the onset of mental illness or substance use disorders, reduce emotional/behavioral symptoms that affect school functioning, and build resiliency. Clinical services include: individual, group, and whole classroom prevention, early intervention, student/family/staff education, crisis intervention, referrals to community services, and collaboration to support student social/emotional/academic wellbeing.

Medical Records Jobs in Delaware, OH

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Patient Support Assistant/ Unit Service Coordinator OhioHealth Corp

Physician Office Specialist OhioHealth Corp

Physician Office Specialist OBGYN OhioHealth Corp

Physician Office Specialist- Urology OhioHealth Corp

Physician office specialist OhioHealth Corp

Physician Support Specialist Olentangy Office

PRN LPN DAYSHIFT PACS Group Inc

LSW/LISW - SDoH/Behavioral Health Integration - Cambridge Child Health MVHC

340B Analyst Bon Secours Mercy Health Inc

Billing Supervisor - (not a remote position) Franklin County OH

Patient Support Assistant/Unit Coordinator - Obstetrics OhioHealth Corp

Multi-Skilled Technician (Mst) On Mimcu-Icu Trinity Health Corporation

Athletic Trainer OhioHealth Corp

Hepatology APP Olentangy Office

Insurance and Billing Specialist - (not a remote position) Franklin County OH

Case Manager Franklin County OH

Physical Therapist U.S. Physical Therapy

Patient Service Specialist PRN Concentra Inc.

School Based Prevention Clinician Franklin County OH

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