NewOverlapping Coding Claims Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemOverlapping Coding Claims Specialist - 40 hrs/wk, 1st shiftFindlay, OhioDuty 9: Communicate in a professional manner with patients, representatives from third party payor organizations, provider relations, contract management, other internal customers, and co-workers, etc. in a manner to achieve revenue cycle department AR goals. Duty 8: Participates in daily huddles, idea board meetings, staff meetings, and meetings with external departments to manage daily improvements.
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.
PFS Facility Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Facility 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.
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.
NewDenials Management Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemDenials Management Specialist - 40 hrs/wk, 1st shiftFindlay, OhioThe specialist will work with multiple departments, including but not limited to, patient access, provider clinics, clinical departments, managed care, billing, coding, and compliance to resolve any outstanding issues which is preventing payments for covered services. The denials management specialist will assist in identifying denials trends, research payer policies, understand coding guidelines, and provide assistance in finding resolution to prevent identified denial trends.
Patient Access PreAccess Schedgistration Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPatient Access PreAccess Schedgistration Specialist - 40 hrs/wk, 1st shiftFindlay, OhioRemoteDuty 7: Provides the patient an estimated cost of their procedure (including Good Faith Estimate info to appropriate patient populations) and requests pre-payment and self-pay (remaining balance) payments. Reviews medical necessity, provides patient education relative to scheduled tests, obtains required signatures, provides information on hospital policies, registration, benefits, and patient rights & responsibilities.
NewPatient Access Associate Specialist Ensemble Health PartnersPatient Access Associate SpecialistSandusky, OH$17–$18.15Patient Access staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and utilizing an overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
ServiceNow Developer / Architect Kforce Inc.ServiceNow Developer / ArchitectColumbus, OH$60–$70Key Responsibilities: Architectural Strategy: Define the technical architecture for the ServiceNow platform, ensuring alignment with the Common Service Data Model (CSDM) and industry best practices to minimize technical debt. Overview: We are seeking a dual-threat ServiceNow Developer/Architect to lead the technical design and execution of enterprise-wide solutions for a high-profile public sector client.
NewSoftware Development Engineer JobotSoftware Development EngineerSaint Louisville, OH$65–$80 / hourDevelopers at this level are building greater independence, taking ownership of small to medium-sized work items, and strengthening their core engineering skills across multiple application layers, including user interfaces, services, APIs, and data. Our teams include professionals across software engineering, product development, clinical informatics, research, and healthcare technology who share a commitment to reducing complexity and improving outcomes for patients and providers.
PFS Call Center Representative (PRN) Blanchard Valley Health SystemPFS Call Center Representative (PRN)Findlay, OhioRegularly 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. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system.
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.
NewPFS Call Center Representative - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Call Center Representative - 40 hrs/wk, 1st shiftFindlay, OhioRegularly 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. Collects patient payments made over the counter, over the phone, and by mail daily; properly records all payment types (e.g., cash, check, debit, credit) and transactions into the computer system.
NewMedical 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.
NewMedical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOHRemote$20.45–$24.70 / hourRemain 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-AR Management (Prof) MetroHealthCoding Specialist-AR Management (Prof)Cleveland, OHPreferred: Associate's Degree in Health Care Administration or a related field, or at least one year of experience with professional Fee-For-Service (FFS) coding in a hospital/physician's billing office. Comprehensive understanding of the Health Care Financing Administration (HFCA) billing practices, and health care issues effecting billing and reimbursement.
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.
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 Appeals Specialist - Hospital Billing TriHealth IncCoding Appeals Specialist - Hospital BillingOHIn this role, you'll apply your expertise in ICD‑9, ICD‑10, DRG, CPT, CDI, and hospital billing to resolve complex denials, collaborate with payers, and craft effective appeals that support maximum reimbursement. TriHealth offers Coding Denials Specialists the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization.
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.
NewTrauma Registrar Coding Specialist - Work at Home - Ohio Toledo Market Bon Secours Mercy Health IncTrauma Registrar Coding Specialist - Work at Home - Ohio Toledo MarketToledo, OHData abstracted will be from various sources including, but not limited, to the electronic medical record, prehospital databases, autopsies reports, and other data sources, either electronic or not that will substantiate the injured patient. Abstracting experience using current requirements by state and national regulatory bodies Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions.
NewTrauma Registrar Coding Specialist - Work at Home - Ohio Toledo Market Mercy HealthTrauma Registrar Coding Specialist - Work at Home - Ohio Toledo MarketToledo, OHData abstracted will be from various sources including, but not limited, to the electronic medical record, prehospital databases, autopsies reports, and other data sources, either electronic or not that will substantiate the injured patient. Abstracting experience using current requirements by state and national regulatory bodies Experience with medical terminology and acronyms related to diagnosis, procedures, complications and comorbid conditions.
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.
Supervisor 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.
Coding Rep II Cincinnati Children's Hospital Medical CenterCoding Rep IICincinnati, OHRemote$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.
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.
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.
Lead Coding Specialist TriHealth IncLead Coding SpecialistNorwood, OHIncentives & Benefits: In addition to a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement - this role offers competitive shift differentials, with the opportunity to earn up to an additional $7 per hour based on shift, hours worked, and organizational guidelines. TriHealth invests in your growth with ongoing training, coding guideline updates, and leadership support, ensuring you have the tools and resources to excel as a subject matter expert.
Coding Specialist Nationwide Children's HospitalCoding SpecialistColumbus, OHRemoteCONTINUOUSLY: 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.
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.
Coding 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.
Security Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group IncSecurity Testing Specialist - Code Review/Java, .NET, Python DeveloperStrongsville, OH$91,000–$185,900 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).
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.).
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.
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.
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.
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.
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.
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.
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.
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.
Professional Coding Fee Analyst Dayton Children's HospitalProfessional Coding Fee AnalystOHJob Details: Ensures the accuracy, efficiency, and maximum financial return of Dayton Children''s professional billing claims for reimbursement. Ensures billing compliance; maintains knowledge of CPT and ICD-10 coding guidelines, as well as Medicare/Medicaid billing rules and regulations.
Medical Billing Specialist Equitas HealthMedical Billing SpecialistDayton, OhioWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
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.
Medical Billing Specialist Equitas Health, Inc.Medical Billing SpecialistDayton, OH$23.56–$32.98 / hourPart timeWith 22 offices in 12 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.
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.
Medical Records / HIM Scanning Specialist Southwoods HealthMedical Records / HIM Scanning SpecialistBoardman, OhioYou will assist in the compilation, scanning, and indexing of patient information into the Electronic Medical Record (EMR) while ensuring the accuracy and confidentiality of all facility files. Key Responsibilities: Document Management: Collect, scan, index, and file medical records into the EMR system accurately and promptly.
Referral & Insurance Specialist – Jefferson Avenue Medical Office Building Bon Secours Mercy HealthReferral & Insurance Specialist – Jefferson Avenue Medical Office BuildingToledo, OHCollects all daily charge slips from the physician and reconciles the number of charge slips and their totals + Applies all payments to the appropriate patient account by posting each into the computer billing systems + Inputs all charge information into the online billing system + Assists with coding and error resolution as well as requesting needed information by working with the physician offices + Works with patients in resolving billing questions and patient account resolution + As applicable, reviews information to make determination on the appropriate course of action for the patient, makes referrals to the local DSS office as appropriate. **Education:** High School Diploma or GED (required) **Licensure/Certification:** None **Experience:** 2-3 years of experience in a related medical field with experience in processing referrals (preferred) As a Bon Secours Mercy Health associate, you're part of a Mission that matters.
Medical Billing Specialist - Medicaid Managed Care RURAL HEALTH MEDICAL PROGRAM, INC.Medical Billing Specialist - Medicaid Managed CareLima, OHWith 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.