- Banner Health (OH)
- …and nationally recognized coding guidelines. CORE FUNCTIONS 1. Analyzes medical information from medical records . Accurately codes diagnostic ... diagnoses and/or surgical procedure codes on all outpatient complex records using ICD CM/PCS and CPT4 coding ...Determinations) prior to referral to coding analyst, coding educator, or coding manager /supervisor.… more
- Amergis (Cleveland, OH)
- …of all cases in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical center's physician query process when code ... by the American Health Information + Management Association + Adheres to Official Coding Guidelines, CMS policies and regulations and Medical Center's policies… more
- Amergis (Cleveland, OH)
- …on a given day, reports absence as soon as possible to the Professional Recruiter Coding Manager , or via established time off request procedures for future time ... of all cases in compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process when code… more
- Adecco US, Inc. (Columbus, OH)
- …quarterly to client. . Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit ... Adecco is hiring immediately for a **Field Reimbursement Manager ** with a local client. **Hybrid (must reside...of 8 years healthcare related reimbursement experience . Strong medical reimbursement experience with Buy & Bill and/or Specialty… more
- Adecco US, Inc. (Columbus, OH)
- …+ **Reimbursement Support (20%)** - Assist offices with claims, billing and coding , appeals, medical benefit interpretation, and co-pay or patient assistance ... **Job Title:** Field Reimbursement Manager (FRM) - Remote with Territory Travel **Location:**...high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or… more
- CVS Health (Columbus, OH)
- …remote position- candidate may reside anywhere in US** **Position Summary** The Manager (109), Product Owner (PO) is responsible for leading the Medicare innovation ... requirements with DDAT in order for the DDAT team to complete configurations or coding based on the business need. + Builds, prioritizes, edits, and maintains the… more
- Robert Half Finance & Accounting (Akron, OH)
- …Job Overview: We are seeking a detail-oriented and experienced Accounting and Accounts Payable Manager to join a dynamic team in Akron, Ohio. This is a hybrid role ... flexibility (Monday-Friday, standard business hours) + Comprehensive benefits package, including medical , dental, and vision insurance + 401(k) retirement plan with… more
- Molina Healthcare (Columbus, OH)
- …appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record ... denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by applying...+ Minimum two years of experience in Claims Auditing, Medical Necessity Review and Coding experience +… more
- Datavant (Columbus, OH)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records , ensuring precision and adherence to… more
- CVS Health (Columbus, OH)
- …of this position include identifying specific provider network strategies to manage medical cost and trend. This is a unique opportunity to work directly ... (internal and external). - Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical… more