• Certified Coder - REMOTE

    Molina Healthcare (Akron, OH)
    …or equivalent combination of education and experience **Required License, Certification, Association** + Certified Professional Coder (CPC) + Certified ... abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis...License, Certification, Association** + Certified Risk Adjustment Coder - (CRC) + Certified Professional more
    Molina Healthcare (07/31/25)
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  • Provider Auditor (RN/LPN Medical Coder

    Elevance Health (Independence, OH)
    …and requests payments for any overpayments. + Identifies aberrant patterns of billing and detects potential abuse. + Participates in developing and/or reviewing ... that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our… more
    Elevance Health (08/01/25)
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  • Medical Records Technician (Clinical Documentation…

    Veterans Affairs, Veterans Health Administration (Cleveland, OH)
    …Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified ... Outpatient Coder (COC), Certified Inpatient Coder (CIC). OR, Clinical Documentation Improvement Certification. This is limited to certification obtained… more
    Veterans Affairs, Veterans Health Administration (08/09/25)
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  • Facility Coding Inpatient DRG Quality

    Banner Health (OH)
    Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder ... Auditing experience;** + **Bachelors degree or equivalent;** + **Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below.… more
    Banner Health (06/15/25)
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  • Claims/Customer Care Specialist

    Medical Mutual of Ohio (OH)
    …or dental provider's office. ** Professional Certification(s):** + Certified Dental Billing Specialist (CDBS), Certified Dental Coder (CDC), or ... ** Professional Certification(s):** + Certified Dental Billing Specialist (CDBS), Certified Dental Coder...** Professional Certification(s):** + Certified Dental Billing Specialist (CDBS), Certified Dental Coder more
    Medical Mutual of Ohio (08/08/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder (CPC), Certified Outpatient ... records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and...Coder (COC), Certified Professional Medical Auditor (CPMA) + 5 years with hospital… more
    Highmark Health (08/08/25)
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  • Claims Coordinator Infusion Intake

    Bon Secours Mercy Health (Cincinnati, OH)
    …to reasonable accommodation. **Education:** Associate's degree preferred. **Licensing/Certification:** Certified Professional Coder (CPC) **Required** ... Certified Outpatient Coder (COC) Preferred Certified Hematology and Oncology Coder (CHONC) Preferred...years of related experience in medical coding or hospital billing preferred. Many of our opportunities reward* your hard… more
    Bon Secours Mercy Health (07/19/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Columbus, OH)
    Certified Clinical Coder , Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, ... necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical… more
    Molina Healthcare (08/08/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding ... recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions… more
    Elevance Health (08/09/25)
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  • DRG Coding Auditor

    Elevance Health (Mason, OH)
    …Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with ICD-9/10CM, ... quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, … more
    Elevance Health (07/22/25)
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