• DRG Coding Auditor

    Elevance Health (Mason, OH)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all...Health Information Technician and/or CCS as a Certified Coding Specialist and/or CIC as a Certified Inpatient Coder. +… more
    Elevance Health (08/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Mason, OH)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims more
    Elevance Health (08/23/25)
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  • Coding Auditor Educator

    Highmark Health (Columbus, OH)
    …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
    Highmark Health (08/08/25)
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  • Work at Home Customer Service Advisor (Ohio…

    Morley (Columbus, OH)
    …to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry terminology + Demonstrated knowledge ... you'll help customers, health care providers and beneficiaries navigate their health insurance questions, providing meaningful support when they need it. We'll teach… more
    Morley (07/29/25)
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  • Patient Registration

    Robert Half Office Team (Mason, OH)
    …files and records with precision and confidentiality. * Handle payment processing and insurance claims efficiently. * Manage inventory by ordering supplies and ... Oversee insurance authorizations and benefit-related functions. * Collaborate on billing processes to ensure accuracy and compliance. * Support clinical trial… more
    Robert Half Office Team (08/19/25)
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  • Certified Coder (Risk Adjustment/Outpatient…

    Molina Healthcare (Dayton, OH)
    …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
    Molina Healthcare (08/21/25)
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