- Intermountain Health (Columbus, OH)
- …expert for all ICD-10 CM/PCS and CPT coding practices, conventions, regulatory, and reimbursement guidelines for the system. They audit and monitor all areas of ... + Participates in hospital quality improvement initiatives to assure accurate reimbursement + Participates in integrated testing of Epic, Solventum, and other… more
- Adecco US, Inc. (Columbus, OH)
- …Investigations, Prior Authorizations, Claims Assistance, and Appeals. + Deliver reimbursement support, account management, billing /coding updates, claims ... Adecco is assisting a local client recruiting for Field Reimbursement Manager (FRM) opportunities in the Northeast Territory. This is an excellent opportunity to… more
- Banner Health (OH)
- …you. **Requirements:** + **5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume);** + **DRG and ... and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff… more
- Cardinal Health (Columbus, OH)
- …accurate reimbursement . + Processes denials & rejections for re-submission ( billing ) in accordance with company policy, regulations, or third-party policy. + ... 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing...prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and… more
- Cardinal Health (Columbus, OH)
- …in a revenue cycle management or related field + Strong understanding of medical coding, billing practices, and revenue cycle processes + Proficiency in ... team + Effective communication skills, both written and verbal + Knowledge of basic medical terminology + Knowledge of reimbursement and policy impacts on fee… more
- Highmark Health (Columbus, OH)
- …all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, ... billing and documentation related to DRGs, APCs, CPTs and...for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with… more
- Elevance Health (Mason, OH)
- …Broad knowledge of medical claims billing /payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing… more
- OhioHealth (Columbus, OH)
- …and OhioHealth Physician Enterprise. Position also responsible for supporting Central Billing Office as necessary regarding Claims Processing issues as it relates ... professional payment methodology impacting coding, abstracting, and hospital or professional reimbursement . The HIM Coding Director acts as liaison with other… 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** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Intermountain Health (Columbus, OH)
- …improvement activities, reduce days not final billed (DNFB), and appropriate reimbursement . Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on ... to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process. 5.… more