• Associate Director, Clinical Rules Management

    Evolent (Columbus, OH)
    …Team player, critical thinker with excellent interpersonal skills + Knowledge of ICD-10-CM and CPT coding assignments for billing in an outpatient or ... with policies and reporting requirements. + Proactively monitor updates to ICD-10/ CPT /HCPCS codes, notify stakeholders of any changes, and ensure the system… more
    Evolent (05/03/25)
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  • Coding Specialist - HIM Revenue Cycle…

    ProMedica Health System (Toledo, OH)
    …regularly scheduled education for providers and staff on appropriate coding and billing in the professional environment, including ICD-10, CPT and HCPCS ... coordinating and developing an educational plan that encompasses accurate documentation, coding , and billing procedures to obtain appropriate reimbursement. 2.… more
    ProMedica Health System (04/23/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    … audit activities. Reviews medical records to determine data quality and accuracy of coding , billing and documentation related to DRGs, APCs, CPTs and HCPCS ... and compliance programs to improve documentation which supports compliant coding . Interacts with external consultants regarding billing ,...+ In-depth knowledge of ICD CM, ICD PCS and CPT /HCPCS coding systems. Must be proficient in… more
    Highmark Health (05/09/25)
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  • Facility Coding Inpatient CQA Acute

    Banner Health (OH)
    …responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by ... and diagnostic coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding and billing guidelines. Demonstrates extensive… more
    Banner Health (04/13/25)
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  • Coder/Medical Billing Spec

    Premier Health (Moraine, OH)
    …, collections experience, and/or managed care experience. 4. Knowledgeable about third party billing regulations and CPT /ICD coding . 5. Demonstrate accurate ... **Centralized Billing Office** **FT/ DAYS/ 80 hours per pay**...and decision making skills. 10. Must pass a basic CPT and ICD coding test prior to...Must pass a basic CPT and ICD coding test prior to hire, if coder has no… more
    Premier Health (05/08/25)
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  • Medical Coding Education Associate…

    Elevance Health (Mason, OH)
    …precision of code assignment. + Researches, validates, and stays abreast of medical coding and billing issues, trends, and changes in regulations and industry ... minimum of 4 year of experience working with ICD-9/10CM, CPT , and HCPCS coding ; or any combination...and Excel. + Experience in health insurance reimbursement, medical billing , medical coding , auditing, or health data… more
    Elevance Health (05/02/25)
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  • Medical Billing Specialist II

    Premier Health (Moraine, OH)
    …considered in lieu of experience. 3. Knowledgeable about third party billingregulations and CPT /ICD coding . 4. Proficient computer and data entry skills. 5. ... **Centralized Billing Office** **FT/ DAYS/ 80 hours per pay**...DAYS/ 80 hours per pay** **Summaryof Position** The Medical Billing Specialist works to ensure timely and accurate reimbursement… more
    Premier Health (05/09/25)
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  • Program Manager, Strategic Pricing - Revenue…

    Bon Secours Mercy Health (Cincinnati, OH)
    …in healthcare revenue cycle or revenue management (preferred). + Working knowledge of CPT /HCPCS, UB-04 Revenue Coding , modifiers, billing regulations, DRG's ... + Review and update the chargemaster to ensure accuracy, compliance with billing regulations, and alignment with industry standards. + Research and recommend updates… more
    Bon Secours Mercy Health (03/04/25)
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  • Outpatient Coder - SS Revenue Cycle - Toledo…

    Bon Secours Mercy Health (Toledo, OH)
    …**This position is a work-from-home role.** Must have Outpatient Surgery Coding Experience** EMERGENCY Coding Experience Highly Preferred Advanced outpatient ... reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific… more
    Bon Secours Mercy Health (04/25/25)
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  • Investigator, SIU RN-Remote

    Molina Healthcare (OH)
    …include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...understanding of medical terminology along with demonstrated knowledge of CPT , ICD-9, HCPCS and DRG requirements. + Two years… more
    Molina Healthcare (04/12/25)
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