- Bon Secours Mercy Health (Cincinnati, OH)
- … (CHONC) Preferred **Work Experience** : Three (3) years of related experience in medical coding or hospital billing preferred. Many of our opportunities reward* ... functions include management and organization of a wide array of medical documents, financial information and other sensitive or confidential information; perform… more
- Robert Half Accountemps (Canton, OH)
- …of documentation and quality. Ideal candidates will have a strong background in medical billing , claims follow-up, and payer relations and must possess a ... benchmarks to support organizational objectives. Qualifications: Previous experience in medical billing , collections, or revenue cycle management preferred.… more
- Highmark Health (Columbus, OH)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Elevance Health (Mason, OH)
- …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- Elevance Health (Mason, OH)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor-RN** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and… more
- CVS Health (Columbus, OH)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... practices through comprehensive record reviews for medical , behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for… more
- Humana (Columbus, OH)
- …field. + Healthcare insurance industry knowledge. + Experience validating and interpreting medical record documentation to ensure billing for services is ... Manager, you will spearhead audit and validation processes to ensure medical documentation and coding are precise, compliant, and support optimal reimbursement.… more
- Humana (Columbus, OH)
- …CM guidelines + Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing , claims submission, and related ... is responsible for reviewing and analyzing internal data and medical records, as well as coordinating educational sessions with...or equivalent + Must hold AAPC CPC (Certified Professional Coder ) certification + 2 years or more experience with… more
- Intermountain Health (Columbus, OH)
- **Job Description:** This position is responsible for billing , follow-up, and resolving issues that delay or prevent payment of the patient's account within ... hire. Plus one of the following certifications: Current certification as a coder through AAPC or American Health Information Management Association (AHIMA), or… more