- Elevance Health (Mason, OH)
- …+ Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company specific, CMS specific, and competitor specific medical ... reimbursement policy. + Translates medical policies into reimbursement rules. + Performs CPT /HCPCS code and fee schedule updates, analyzing each new code for… more
- Open Mind Health (OH)
- …position yourself for career growth. ABOUT THE ROLE This position will own the coding and billing functions within Open Mind Health and will coordinate with others ... directly with major insurance carriers. + Demonstrated billing and coding experience and knowledge, and familiarity with revenue cycle...CRM and Zoho Voice. + Knowledge of ICD-10 and CPT codes and terminology. + Experience working remotely with… more
- Amergis (Cleveland, OH)
- …(OPS/OBS) Medical Coderis responsible for assigning ICD-10-CM and/or CPT /HCPCS codes as appropriateand abstracts pertinent information from patient ... RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 yearsrelevant coding experience + Must be at least 18 years of age Benefits At Amergis, we… more
- Prime Therapeutics (Columbus, OH)
- …Qualifications** + Education Level + GED + High School + Required CPT /ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy + 2+ years Pharmacy Must ... formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). + Proficiency in Pharmacy… more
- Molina Healthcare (Columbus, OH)
- …financial terms (eg, PMPM, revenue) and different standard code systems (ICD-10CM, CPT , HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) ... + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications… more
- Prime Therapeutics (Columbus, OH)
- …data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact ... quickly learn and use new software applications. + Knowledge of ICD-9/10, CPT /HCPS/Revenue codes, insurance terms and policy interpretation. + CFE - Certified Fraud… more
- Copeland (Sidney, OH)
- …related to eCommerce operations. + Conduct code reviews and ensure alignment with coding standards and recommended approaches. + Stay up to date with the latest ... will be provided. Individuals with temporary visas such as E, F-1 with OPT or CPT , H-1, H-2, L-1, B, J or TN, or who need sponsorship for work authorization… more