- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. The 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 guiding the team in… more
- Elevance Health (Mason, OH)
- …formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for ... and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's...or quality assurance environment preferred. + Broad knowledge of medical claims billing /payment systems provider billing… more
- Highmark Health (Columbus, OH)
- …performing audits and research related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges for ... **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data… more
- Premier Health (Moraine, OH)
- …up on submitted claims that are unpaid, rejected, or denied. The Medical Billing Specialist reports to the A/R Manager within the Centralized Billing ... Billing Office** **FT/ DAYS/ 80 hours per pay** **Summaryof Position** The Medical Billing Specialist works to ensure timely and accurate reimbursement on … more
- Elevance Health (Mason, OH)
- …The ** Coding Analyst Senior** is responsible for reviewing, auditing, and coding medical records for the purpose of reimbursement, training, education and ... you will make an impact:** + Audits and reviews medical documentation for appropriate ICD-9 and CPT coding...physicians and providers with questions and problems related to coding , documentation and billing . + Serves as… more
- Cardinal Health (Columbus, OH)
- …and resource requirements across cross-functional teams (eg, IT, EHR/PM systems, coding , billing , compliance). + Collaborate closely with stakeholders in ... ability to manage multiple priorities in a fast-paced environment. + Familiarity with oncology coding , billing , and reimbursement models is a plus. PMP or other… more
- Bon Secours Mercy Health (Austintown, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. **Practice Manager II - Physician Office - Primary Care** The Practice Manager ... cycle processes, including work queues, copays, daily cash drawer, bank deposits, coding compliance, etc. Meets with Practice Administrator and MHP COO to review… more
- Cleveland Clinic (Cleveland, OH)
- …+ Three years of relevant clinic experience + Knowledge of medical terminology, medical records coding standards, billing practices and Care Guidelines, ... most respected healthcare organizations in the world. As an EHP Case Manager , you will manage cost-effective, high-quality patient outcomes by coordinating care and… more
- Molina Healthcare (Columbus, OH)
- …level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and ... Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**… more
- Elevance Health (Mason, OH)
- …you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance ... of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. +… more