• Negotiator Analyst (Level I)

    CVS Health (Columbus, OH)
    …phone call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and ... written communication skills. + Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. + Associate's Degree. **Education** + High School Diploma or GED. **Anticipated Weekly Hours** 40 **Time Type** Full time… more
    CVS Health (08/01/25)
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  • Remote Facility OP Coder

    Amergis (Cleveland, OH)
    …abstracts pertinent information from patient records. + Must have 2 years of recent production coding exp, and a cert through AAPC or AHIMA + Must have facility OP ... in compliance with CMS policies and procedures and Official Coding Guidelines + Implements medical center's physician query process...one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC , CPC -H (COC) or have a preferred… more
    Amergis (08/02/25)
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  • Remote Multi-Specialty Coder

    Amergis (Cleveland, OH)
    …all cases in compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process when code assignments ... the medical record is inadequate, ambiguous or unclear for coding purposes . Keeps abreast of coding ...one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC , CPC -H (COC) or have a preferred… more
    Amergis (07/10/25)
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  • Facility Coder Outpatient Complex

    Banner Health (OH)
    …| Acute Care | HIMS Complex Coder to join our talented Acute Care HIMS Coding Team. Candidate should have complex coding experience in acute care, all service ... Orthopedic, Urology/Gynecology, Cardiac, Spinal, etc. Must have ICD-10CM and ICD-10-PCS coding experience.** Our outpatient coding expectation is 1-2 charts… more
    Banner Health (08/10/25)
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  • Medical Records Technician (Clinical Documentation…

    Veterans Affairs, Veterans Health Administration (Cleveland, OH)
    …staff documentation of outpatient encounters through retrospective, ideally prior to coding and billing, review of outpatient encounters and extensive provider ... in the health record to include the impact of documentation on coding , workload, quality measures, reimbursement, and funding. Provides education to providers on… more
    Veterans Affairs, Veterans Health Administration (08/09/25)
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  • HCC Risk Adjustment Auditor - Full Time - Remote

    Datavant (Columbus, OH)
    …entered on the auditor by coders and or auditors + Participate in weekly coding project review meetings + Any other tasks asked by quality supervisor **What You ... Need to Succeed:** + 2 years' HCC Coding experience + 2 years' HCC Auditing experience +...certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC) +… more
    Datavant (08/01/25)
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  • HCC Risk Adjustment Coder - Full Time - Remote

    Datavant (Columbus, OH)
    …regulations and accreditation guidelines. + Coders must meet and maintain a 95% coding accuracy rate. + Any other task requested by leadership. **What you will ... certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, or CRC). +...or CRC). + A minimum of 2 years HCC coding experience, while certified. + Full understanding and knowledge… more
    Datavant (08/01/25)
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  • Compliance Auditor - Physician - Enterprise Risk

    Bon Secours Mercy Health (Cincinnati, OH)
    …Job Functions** + Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for the development of compliance ... Mercy Health's public status. + Develops educational content on documentation, coding , and trending of non-compliant activities to enhance compliance proficiency and… more
    Bon Secours Mercy Health (08/08/25)
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  • Patient Account Representative

    Robert Half Accountemps (Canton, OH)
    …Posting Coordination: Work closely with payment posting teams to resolve coding issues and ensure credit application to appropriate accounts. Patient Communication: ... as a Certified detail oriented Biller (CPB) or Certified detail oriented Coder ( CPC ) is valuable but not required (Source: SG25 US Healthcare.docx-CPB and CPC more
    Robert Half Accountemps (08/08/25)
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  • Auditor, Risk Adjustment (Remote)

    Molina Healthcare (Cincinnati, OH)
    …validation Required Li **Required License, Certification, Association** Active and unrestricted Coding Certification, Active CCS, CCS-P, or CPC credential ... payment in all markets * Performs monthly audit on internal Molina Coding Specialists * Audits external Molina Vendors. **Job Qualifications** **Required Education**… more
    Molina Healthcare (07/25/25)
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