- ProMedica Health System (Toledo, OH)
- …requirements. 3. Knowledge of current and developing issues and trends in medical coding procedures and requirements. 4. Must demonstrate the ability ... and coding practices, including regulatory changes or updates. Reviews medical record documentation and claims data to ensure compliance with CMS and… more
- Banner Health (OH)
- …you. **Requirements:** + **5 years recent experience** **in acute-care Inpatient facility-based medical coding ;** + **DRG and PCS experience** + **Bachelors ... coding . CORE FUNCTIONS 1. Provides guidance on coding and billing , utilizing coding ...as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical… more
- Elevance Health (Mason, OH)
- …ensure the precision of code assignment. + Researches, validates, and stays abreast of medical coding and billing issues, trends, and changes in regulations ... approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate...Word and Excel. + Experience in health insurance reimbursement, medical billing , medical coding… more
- Molina Healthcare (OH)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... with broad clinical knowledge. + Five years experience conducting medical review and coding / billing audits...Five years experience conducting medical review and coding / billing audits involving professional and facility based… more
- Molina Healthcare (Dayton, OH)
- …performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing ... responsible for recognizing and adhering to national and local coding and billing guidelines in order to...programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health… more
- ProMedica Health System (Toledo, OH)
- To facilitate accurate Professional Provider credentialing, coding , billing , posting, and collection for ProMedica Physicians and all other supported entities. ... information in credentialing software. 4. Accurately reviews and assigns coding for professional services, including diagnosis, modifier, and procedure codes,… more
- ProMedica Health System (Toledo, OH)
- …the Ambulatory CBO while reducing the number of edits and denials to claims. The coding specialist will be responsible to ensure accurate coding for all services ... Responsible for ensuring quality and compliance as it relates to coding and insurance industry practices. Responsibilities will range from limited surgical… more
- Molina Healthcare (Cleveland, OH)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...health plan performance and identify the root causes of medical cost trends. With those root causes identified, drives… more
- Molina Healthcare (OH)
- …and different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding / billing (UB04/1500 form) + Demonstrated understanding of key ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...processes and outcomes, as well as its impact on medical cost, utilization and revenue for multiple Molina Healthcare… more
- Elevance Health (Cincinnati, 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