Health information coder full time jobs - 55 jobs

Job Description The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to recommend or take corrective action. Prior experience using encoder software. Demands are typical of a position in a medical billing office, with extensive periods of sitting at a desk working on a computer. External applicants, as well as position incumbents who become disabled, must be able to perform the essential functions, either unaided or with the assistance of a reasonable accommodation, to be determined on a case-by-case basis. Required Skills Because medical billing duties are so varied, a flexible skill set is needed to perform them well. The following skills and personality traits are necessary to succeed in the field of medical billing/collections. Ability to multi-task Ability to understand insurance denials and payer remittances Ability to understand different insurance policies/coverages Ability to employ people skills to handle different personalities and situations Essential Functions Coder responsibilities below are subject to change as the job demands change: Using encoder software to compliantly apply appropriate CPT/HCPC and ICD codes to claims. Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. Promptly reports any trends or issues impacting timely coding and billing of claims to management team. Collaborates with team, including providers, practice managers and revenue cycle to resolve. Act as a consultant for billing/coding questions from BMS practice staff. Maintain coding credential and staying up to date on changing guidelines by obtaining an appropriate number of CEUs Researching unpaid claims. Submitting appeals as necessary. Researching and resolving credit balances. Employee Statement of Understanding I understand that this document is intended to describe the general nature and level of work being performed. The statements in this document are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. Monday thru Friday 8am to 430pm Full Time FTE 40 hour per week

Assist in monitoring and analyzing policies and procedures for the ICD policy and system support program. Serve as a medical policy resource, analyst, and technical expert advisor for coding systems. Analyze ICD reports for appropriate usage and assignment of ICD codes. Collaborate to resolve coding discrepancies related to CPT and HCPCS coding. Maintain high standards of accuracy and efficiency in coding practices. Draft and edit administrative policies and procedures as necessary. Critical Information Work hours are from 08:00 to 17:00. This position is on-site. Submissions must include resume, cover letter, and RTR. Education/Licenses Needed RHIA or RHIT degree and/or CCS/CCS-P/CPC certification required. Active membership in professional coding organizations (AAPC, AHIMA). Benefits: Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners. By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs. This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **Position Highlights:** + Full-Time: Monday-Friday 8:30-5:00 PM OR 8:00-4:30pm EST + Location: This role will be performed - Remote - WFH + Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status + Documenting information on multiple platforms using two computer monitors. + Preferred Customer Service and Data Entry and Release of Information experience + Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan with matching contributions & Tuition Reimbursement **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health records. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at a specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machines, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. _At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._ Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

Health Information Technician 2** (250007ND) Organization: Behavioral Health - Northcoast Behavioral HealthcareAgency Contact Name and Information: Bernadette Dudley ************** Ext. 2335Unposting Date: OngoingWork Location: Northcoast Behavioral Health 1756 Sagamore Road Northfield 44067Primary Location: United States of America-OHIO-Summit County-Northfield Compensation: $24.16 - $30.55Schedule: Full-time Work Hours: 8:00 am - 4:30 pm M-FClassified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Medical RecordsTechnical Skills: Medical records Professional Skills: Analyzation, Attention to Detail, Teamwork, Confidentiality, Proofreading Agency OverviewHealth Information Technician 2Who we are:At the Ohio Department of Behavioral Health (DBH), we strive to exemplify The Heart of Hope for individuals and families affected by mental health and substance use disorders.We proudly employ over 2,800 dedicated employees across our six inpatient behavioral health hospitals, Ohio Pharmacy Services, Ohio's prison systems, and the central office located in the James A. Rhodes State Office Tower in Columbus, OH.DBH Values:Service-Oriented (Person Centered, Solution Oriented, Customer Service Focused) Collaborative (Approachable, Reasonable, Transparent) Value DrivenInnovative (Yes Before No) Strong Sense of UrgencyOur team of highly qualified professionals advances a critical system of behavioral healthcare in Ohio that helps people be well, get well, and stay well. Join our collaborative, service-oriented environment, where you will be respected and valued.The Ohio Department of Behavioral Health (DBH) is proud to be an Ohio Recovery Friendly Workplace, committed to supporting the health and well-being of all employees, including those in recovery. We foster an inclusive, stigma-free environment where individuals impacted by mental health and substance use challenges are valued, supported, and empowered to thrive. Our workplace culture promotes wellness, second-chance hiring, and recovery-informed policies that reflect our mission to serve Ohioans with compassion and respect, both in the community and within our own team.Job DescriptionPlease note: Effective October 1, 2025, the Ohio Department of Mental Health & Addiction Services has transitioned to its new name-the Ohio Department of Behavioral Health. This change reflects our continued commitment to providing comprehensive, person-centered care that addresses the full range of behavioral health needs for Ohioans. All positions and services now fall under the Ohio Department of Behavioral Health as we move forward in serving individuals, families, and communities across the state. What you'll do at DBH:Meet with and interview patients Patient billing including responding to billing inquiries and issues Process new applications, suspensions, terminations, appeals, and payments Coordinate (HCAP) Hospital Care Assurance ProgramLiaison to Social Work and Internal customers Diagnostic Coding advisor Attend meetings, seminars, and trainings Organize and monitor EHR and medical records to ensure compliance Enforce all State, and Federal guidelines Comply with Medicaid/Medicare standards, and follow CMS guidelines This is an hourly position covered by the OCSEA/AFSCME bargaining unit (union), with a pay range of #29 on the OCSEA Pay Range Schedule. Normal working hours are Monday - Friday 8:00 am - 4:30 pm, M-F. This position is located within our Northcoast Behavioral Healthcare at 1756 Sagamore Road, Northfield, Ohio.Unless required by any applicable union contract and/or requirements of the Ohio Revised Code, the selected candidate will begin at Step 1 of the pay range schedule listed above, with an opportunity for pay increase after six months of satisfactory performance and then a yearly raise thereafter.Additional Salary / Appointment Information: 3% increase July 1, 2026.Longevity supplement after 5 years of service Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsMINIMUM CLASS QUALIFICATIONS FOR EMPLOYMENT:Completion of health information technology or health information administration program offered by technical school oruniversity/college which would qualify applicant for accreditation as registered health information administrator (RHIA) orregistered health information technician (RHIT). If curriculum did not include training in pharmacology, applicants mustalso have 1 course in pharmacology. Completion of 90 hr. national association of practical nurses educational servicesmay be substituted for 1 course in pharmacology. MAJOR WORKER CHARACTERISTICS:Knowledge of health information technology or health information administration program; JCAH & Medicare/Medicaidregulations governing medical record keeping; laws governing confidentiality of patient information; medical terminology.Skill in use of typewriter & calculator. Ability to deal with problems involving few variables within familiar context; writeroutine business letters, evaluations or records following standard procedures; write meaningful, concise & accuratereports; proofread medical records & reports & recognize errors & missing information; gather, collate & classifyinformation about data, people or things. Required Educational TranscriptsOfficial transcripts are required for all post-secondary education, coursework, or degrees listed on the application. Applicants must submit an official transcript before receiving a formal employment offer. Failure to provide transcripts within five (5) business days of the request will result in disqualification from further consideration. Transcripts printed from the institution's website will not be accepted. The Ohio Department of Behavioral Health reserves the right to evaluate the academic validity of the degree-granting institution.Supplemental InformationApplication ProceduresTo be considered for this position, you must apply online through this posting website (careers.ohio.gov). We no longer accept paper applications. When completing your online Ohio Civil Service Application, be sure to clearly describe how you meet the minimum qualifications outlined on this job posting. We will not give credit for your qualifications, experience, education, and training in the job selection process if there is no evidence provided on your application. In addition, “see resume” is not a substitution for completing supplemental questions. Answers to the supplemental questions must be fully supported by the work experience/education sections of your application. You may check the status of your application by signing into your profile on this website (careers.ohio.gov). We will communicate with you through the email you provided in your profile and job application. Be sure to check your email regularly.Background Check NoticeThe final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.Rule 5122-7-21, “Background check on applicants,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Behavioral Health.If you require a reasonable accommodation for the application process, assessment &/or interview, please contact Andrew Seifert, EEO/ADA Administrator at *************************** or ************.***For safety sensitive positions and unclassified permanent positions ONLY.All final applicants tentatively selected for this class will be required to submit to urinalysis to test for illegal drug use prior to appointments. An applicant with a positive test shall not be offered employment.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office. Candidates must possess an active coding certification with Hospital ICD-10 coding experience. Additional experience in Ambulance billing is a plus, as well as background in billing Medicare, Medicaid and commercial insurance including appeals & reconsiderations. Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Hours are Monday through Friday, 7:30am-4:00pm. Salary DOE. This is a full-time position, and is benefits eligible. Critical Care Transport is proud to offer employer-sponsored health insurance, matching 401k, paid vacation, bi-weekly direct deposit, and additional insurance options through Colonial Life. Critical Care Transport is a leading provider of Emergency and Non-Emergency medical services in the Greater Central Ohio region. Our highly-trained staff of EMS professionals, Communication Specialists, Accounts Receivable Specialists, and Fleet Mechanics work together to provide optimal service to our patients and customers. If you want to join our exciting, dynamic, and rewarding team, please fill out an application and attach your resume detailing your qualifications and references. If you have any questions at all, please feel free to contact Justin at ************. We look forward to meeting you!

Health Information Technician 2** (250007ND) Organization: Behavioral Health - Northcoast Behavioral HealthcareAgency Contact Name and Information: Bernadette Dudley ************** Ext. 2335Unposting Date: OngoingWork Location: Northcoast Behavioral Health 1756 Sagamore Road Northfield 44067Primary Location: United States of America-OHIO-Summit County-Northfield Compensation: $24.16 - $30.55Schedule: Full-time Work Hours: 8:00 am - 4:30 pm M-FClassified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: Medical RecordsTechnical Skills: Medical records Professional Skills: Analyzation, Attention to Detail, Teamwork, Confidentiality, Proofreading Agency OverviewHealth Information Technician 2Who we are:At the Ohio Department of Behavioral Health (DBH), we strive to exemplify The Heart of Hope for individuals and families affected by mental health and substance use disorders.We proudly employ over 2,800 dedicated employees across our six inpatient behavioral health hospitals, Ohio Pharmacy Services, Ohio's prison systems, and the central office located in the James A. Rhodes State Office Tower in Columbus, OH.DBH Values:Service-Oriented (Person Centered, Solution Oriented, Customer Service Focused) Collaborative (Approachable, Reasonable, Transparent) Value DrivenInnovative (Yes Before No) Strong Sense of UrgencyOur team of highly qualified professionals advances a critical system of behavioral healthcare in Ohio that helps people be well, get well, and stay well. Join our collaborative, service-oriented environment, where you will be respected and valued.The Ohio Department of Behavioral Health (DBH) is proud to be an Ohio Recovery Friendly Workplace, committed to supporting the health and well-being of all employees, including those in recovery. We foster an inclusive, stigma-free environment where individuals impacted by mental health and substance use challenges are valued, supported, and empowered to thrive. Our workplace culture promotes wellness, second-chance hiring, and recovery-informed policies that reflect our mission to serve Ohioans with compassion and respect, both in the community and within our own team.Job DescriptionPlease note: Effective October 1, 2025, the Ohio Department of Mental Health & Addiction Services has transitioned to its new name-the Ohio Department of Behavioral Health. This change reflects our continued commitment to providing comprehensive, person-centered care that addresses the full range of behavioral health needs for Ohioans. All positions and services now fall under the Ohio Department of Behavioral Health as we move forward in serving individuals, families, and communities across the state. What you'll do at DBH:Meet with and interview patients Patient billing including responding to billing inquiries and issues Process new applications, suspensions, terminations, appeals, and payments Coordinate (HCAP) Hospital Care Assurance ProgramLiaison to Social Work and Internal customers Diagnostic Coding advisor Attend meetings, seminars, and trainings Organize and monitor EHR and medical records to ensure compliance Enforce all State, and Federal guidelines Comply with Medicaid/Medicare standards, and follow CMS guidelines This is an hourly position covered by the OCSEA/AFSCME bargaining unit (union), with a pay range of #29 on the OCSEA Pay Range Schedule. Normal working hours are Monday - Friday 8:00 am - 4:30 pm, M-F. This position is located within our Northcoast Behavioral Healthcare at 1756 Sagamore Road, Northfield, Ohio.Unless required by any applicable union contract and/or requirements of the Ohio Revised Code, the selected candidate will begin at Step 1 of the pay range schedule listed above, with an opportunity for pay increase after six months of satisfactory performance and then a yearly raise thereafter.Additional Salary / Appointment Information: 3% increase July 1, 2026.Longevity supplement after 5 years of service Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsMINIMUM CLASS QUALIFICATIONS FOR EMPLOYMENT:Completion of health information technology or health information administration program offered by technical school oruniversity/college which would qualify applicant for accreditation as registered health information administrator (RHIA) orregistered health information technician (RHIT). If curriculum did not include training in pharmacology, applicants mustalso have 1 course in pharmacology. Completion of 90 hr. national association of practical nurses educational servicesmay be substituted for 1 course in pharmacology. MAJOR WORKER CHARACTERISTICS:Knowledge of health information technology or health information administration program; JCAH & Medicare/Medicaidregulations governing medical record keeping; laws governing confidentiality of patient information; medical terminology.Skill in use of typewriter & calculator. Ability to deal with problems involving few variables within familiar context; writeroutine business letters, evaluations or records following standard procedures; write meaningful, concise & accuratereports; proofread medical records & reports & recognize errors & missing information; gather, collate & classifyinformation about data, people or things. Required Educational TranscriptsOfficial transcripts are required for all post-secondary education, coursework, or degrees listed on the application. Applicants must submit an official transcript before receiving a formal employment offer. Failure to provide transcripts within five (5) business days of the request will result in disqualification from further consideration. Transcripts printed from the institution's website will not be accepted. The Ohio Department of Behavioral Health reserves the right to evaluate the academic validity of the degree-granting institution.Supplemental InformationApplication ProceduresTo be considered for this position, you must apply online through this posting website (careers.ohio.gov). We no longer accept paper applications. When completing your online Ohio Civil Service Application, be sure to clearly describe how you meet the minimum qualifications outlined on this job posting. We will not give credit for your qualifications, experience, education, and training in the job selection process if there is no evidence provided on your application. In addition, “see resume” is not a substitution for completing supplemental questions. Answers to the supplemental questions must be fully supported by the work experience/education sections of your application. You may check the status of your application by signing into your profile on this website (careers.ohio.gov). We will communicate with you through the email you provided in your profile and job application. Be sure to check your email regularly.Background Check NoticeThe final candidate selected for this position will be required to undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position. An individual assessment of an applicant's prior criminal convictions will be made before excluding an applicant from consideration.Rule 5122-7-21, “Background check on applicants,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Behavioral Health.If you require a reasonable accommodation for the application process, assessment &/or interview, please contact Andrew Seifert, EEO/ADA Administrator at *************************** or ************.***For safety sensitive positions and unclassified permanent positions ONLY.All final applicants tentatively selected for this class will be required to submit to urinalysis to test for illegal drug use prior to appointments. An applicant with a positive test shall not be offered employment.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** The HIM Tech is responsible for performing duties related to a variety of functions in the management of electronic and paper medical records, including, but not limited to document preparation and scanning into the document imaging system, birth certificate processing, document retrieval, and release of information. These tasks require effective critical thinking skills to analyze regulatory requirements, state, and federal laws, including Joint Commission, the 21st Century Cures Act and HIPAA. The HIM Tech must apply this knowledge when releasing medical records, evaluating, and working several documentation queues requiring deductive reasoning for the purpose of ensuring the documentation is uploaded into the patient's EMR. This role requires excellent written and verbal communication skills. The HIM Technician is responsible for communicating with patients and patient representatives, attorneys, government agencies and other external entities concerning questions and issues regarding releasing medical records. The position also requires working independently with little to no onsite supervision. Data abstraction and computer skills are essential to this role along with excellent customer service skills. Excellent organizational skills with attention to detail is necessary to perform this role successfully. This associate must also be able to perform other duties as assigned by the HIM Directors, HIM Operations Manager or Supervisor. **Responsibilities And Duties:** 85% · Utilize data abstraction and computer skill sets for completion of birth certificates. · Must apply critical thinking and deductive reasoning skills when reviewing and analyzing patient information and documentation in the EMR while performing release of information requests. · Search and analyze patient demographics and clinical documentation applying critical thinking skills to discern correct patient information. · Follow regulatory standards and HIM best practices along with OhioHealth system policies and procedures · Perform prepping, scanning and quality control indexing with high level of detail and accuracy to ensure clinical documentation is available in the patient's EMR. · Assures accurate and timely processing of work queues, error queues, reports, and other tasks unique to each job function. · Assist with patient walk-ins with a high level of compassion and excellent customer service skills. · Answer phone calls respectfully, timely, and using excellent communication skills to address patient requests and inquires. · Retrieve outside records from the Nursing units for scanning into the patient's EMR. · Excellent computer skills and experience with Microsoft office products such as Microsoft Word and Excel for productivity and data tracking of HIM key performance indicators. · Proficient in utilizing MicroSoft Teams 5% Informs manager/supervisor or HELP desk of information systems or equipment problems. 5% Provides on-the-job training to other department staff as necessary. 5% Performs other duties as assigned **Minimum Qualifications:** High School or GED (Required) **Additional Job Description:** **SPECIALIZED KNOWLEDGE** Excellent communication skills, written and verbal. Demonstrated critical thinking skills, proficient and/or experience with an electronic health record and/or a document imaging system, problem-solving skills, excellent multi-tasking skills and medical terminology knowledge. Must have strong computer skills, exceptional organizational skills with attention to detail, ability to problem solve, organize, and prioritize workload and to think and work independently. Ability to utilize deductive reasoning by researching, identifying, and retrieving patient clinical information from a variety of electronic sources and adapt to changing technology. Ability to be a team player in a team-oriented environment. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Corporate HIM Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Facility:Work From Home - OhioDepartment:HIM - Hospital CodingSchedule:Full time Hours:40Job Details:Under general supervision of the Coding Manager, the Coding Analyst supports Dayton Children's goals for reimbursement through accurate and timely diagnosis and procedural coding of emergency department, specialty clinic, inpatient, observation, outpatient surgery, and outpatient ancillary. This includes the examination and interpretation of the electronic medical documentation to assign and report the appropriate diagnostic and procedural codes for the services provided for clean claim submission. Department Specific Job Details: Shift Monday-Friday 8am-5pm (flexible) No weekends or holidays Education High School Diploma or GED (required) Associates degree or higher preferred Experience 2+ years coding experience ( preferred ) Certifications One of the following certifications are required: CCS - Certified Coding Specialist CCS-P - Certified Coding Specialist, Physician-based RHIA - Registered Health Information Administrator RHIT - Registered Health Information Technician CPC - Certified Professional Coder CIMC - Certified Internal Medicine Coder Education Requirements: GED (Required), High School (Required) Certification/License Requirements: [Cert] CCS: Certified Coding Specialist - American Health Information Management Association, [Cert] CCS-P: Certified Coding Speciralist Physician-based - American Health Information Management Association - American Health Information Management Association, RHIA - Registered health Information Administrator - American Health Information Management Association, RHIT - Registered health Information Technician - American Health Information Management Association

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified - Other Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Title: HIM Scanning Specialist Schedule: Full-time, Monday-Friday, 8:00 am - 4:30 pm About the Role: Southwoods Health is seeking an HIM Scanning Specialist to join our team at the Southwoods Executive Centre. This role is essential to maintaining the integrity of our medical records through standardized processes and department policy administration. The specialist assists in the compilation, scanning, indexing, and filing of patient information into the Electronic Medical Record (EMR) while ensuring the accuracy, security, and confidentiality of all facility records. Essential Duties: Collects, processes, scans, files, and maintains medical records in accordance with facility policies and procedures. Ensures the accuracy and legibility of all scanned documents. Prioritizes time-sensitive documents to ensure immediate availability within the EMR. Follows established processes to identify and correct chart deficiencies and errors. Secures necessary signatures to complete charts, including coordinating with physician offices regarding missing signatures or reports. Obtains missing chart contents required to finalize the medical record. Maintains a filing and storage system that meets facility requirements for organized, timely retrieval. Adheres to established procedures for cross-referencing and indexing medical records. Manages a secure check-out and return system for physical medical records. Ensures the confidentiality, security, and physical safety of all facility medical records. Arranges for the appropriate disposal of medical records per facility policy, when applicable. Participates in HIM Department performance improvement activities and performs other clerical duties as assigned. Qualifications: Required: At least one year of experience in HIM-related duties. Formal training or coursework in business office activities. Previous experience with medical terminology or coding. Excellent communication and computer skills. Strong ethical character with a commitment to professional integrity. Comprehensive understanding of HIPAA requirements as they relate to this position. Preferred: 5+ years of experience in medical records. Bachelor's degree in a related field. Apply Today: At Southwoods, it's not just about the treatment, but how you're treated. Join a team dedicated to excellence. ************************ #SWH

hours: 8 am-4 pm, 40 hours a week minimum education: high school Submissions must include: Resume Cover Letter RTR ODRC packet: If born outside of the U.S., please provide Passport, Visa, etc. If they haven't lived in Ohio for 5 years, please have them fill out their FULL SSN on the ODRC packet If missing any documents the bid will be rejected HIT for Mental Health - Will be in contact (usually indirectly) with inmates, although it is rare Compiles health information (e.g., reviews, catalogs & checks medical reports for completeness; organizes medical reports for placement in files; reviews charts to ensure all reports & signatures are present. Types of health information forms (e.g., prepares charts for new admissions, fills out forms; prepares requests for specific reports or certificates). Compiles & types statistical reports such as daily & monthly census, Medicaid days, admissions, discharges, or length of stay. Files reports into health information records, records information in logs & files & retrieves health information records in filing system. Provides information from health information records after determining the appropriateness of the request. Coordinates with other departments concerning health information records procedures. MAJOR WORKER CHARACTERISTICS: Knowledge of health information technology; JCAH & Medicare/Medicaid regulations governing medical record keeping; requirements governing confidentiality of patient information; medical terminology. Skill in the use of typewriter &/or word processor & calculator. Ability to deal with problems involving a few variables within a familiar context; write routine business letters, evaluations or records following standard procedures; proofread medical reports & recognize errors; recognize When medical records information is missing, gather, collate & classify information about data, people, or things. () Developed after employment. MINIMUM CLASS QUALIFICATIONS FOR EMPLOYMENT: 3 courses or 9 mos. exp. in records management; 1 course or 3 mos. exp. in medical terminology; 1 course or 3 mos. exp. in typing. -Or equivalent of Minimum Class Qualifications for Employment noted above. VIP Supreme Staffing LLC is an EEO Employer - M/F/Disability/Protected Veteran Status View all jobs at this company

40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Qualifications Associates Degree in HIM required OR must have at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable Additional InformationAll your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Toledo Clinic's ENT Department is seeking a full-time Coder. This position requires a strong knowledge of ICD-10 and CPT codes and previous coding experience in a medical office setting. This position will work Monday-Friday, 8-4:30. No weekends or holidays. General Summary: Responsible for application of CPT and ICD-9 (10) codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. Principal Duties & Responsibilities: Example of Essential Duties: * Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. * Demographic registration/updates for all patients 3) Enters charges into claim entry in eCW 4) Monitors, submits, correct all claim activity 5) Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): 6) Assists patients and/or insurance companies with billing and authorization questions. 7) Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules,census/rounding sheets and appointment schedules. 8) Regularly update providers on medical policy insurance changes. 9) Other duties as assigned Knowledge, Skills & Abilities Required: Required: * Knowledge of ICD10 and CPT codes and manuals required * Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame * Demonstrates adaptability to expanded roles. * CPC or CCS-P or able to pass Toledo Clinic's comprehensive coding test * Adheres to all Toledo Clinic policies and procedures Education: * HS diploma or GED required. Preferred: * Medical Coding education * Previous coding experience

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Mangement Shift/schedule: Full Time (40 hrs/wk) Works under the supervision of the HIM Manager. The primary function of the HIM Technician is to demonstrate competency in both quality and productivity for their assigned base job, demonstrate competency in bookmarks, scanning, analysis and quality checks. May be asked to assist in working revenue reports that require distribution of incomplete work to coders and other staff. Performs other duties as assigned. REQUIREMENTS Education: * High School Diploma or equivalent required * Basic typing/computer course strongly preferred * Medical terminology and/or anatomy course preferred * Health information technician certification or equivalent preferred * Certified Electronic Health Records Specialist (CEHRS) preferred Licensure: * None Experience: * HIM experience preferred JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. * Demonstrates competency in the entire electronic record process (bookmarks, scanning, assembly, analysis, re-analysis, quality checks, post assembly documents, deficiency additions and resolution within their base job assignment. * Operates all health data software currently used in our electronic record process, record retrieval and record tracking. * Answers telephone and completes written requests for information as per procedure. * Complete productivity and goal sheets as directed. * Performs other duties as assigned by the supervisor. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

Title: Medical Record Comp Analyst Department Org: Health Info Management - 108890 Employee Classification: B5 - Unclass Full Time AFSCME HSC Bargaining Unit: AFSCME HSC Primary Location: HSC H Shift: 1 Start Time: 0800 End Time: 1630 Posted Salary: $19.27 - $22.59 Float: False Rotate: False On Call: False Travel: False Weekend/Holiday: False Job Description: Responsible for assisting physicians and other clinicians with record completion in compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards, Centers for Medicare and Medicaid Services (CMS) regulations and other regulatory agency requirements. Manage the incomplete record process for physicians and other clinicians. Direct communications, facilitate and trouble shoot for the medical staff and other clinicians relating to their record completion needs. Monitors the physician suspension policy and communicates suspension information to the medical staff, ancillary departments, management and hospital administration. Provide excellent customer service to the medical staff and other clinicians. Monitors documentation quality to ensure standards are met. Minimum Qualifications: 1. Associate degree in Health Information Technology or minimum 5 years' experience in HIT/HIM required 2. RHIT certification preferred 3. 1 year previous experience in medical records required Preferred Qualifications: Conditions of Employment: To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position. Equal Employment Opportunity Statement: The University of Toledo is an equal opportunity employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation. The University is dedicated to attracting and retaining the best and brightest talent and fostering a culture of respect. The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact HR Compliance at ************************ or ************ between the hours of 8:30 a.m. and 5 p.m. or apply online for an accommodation request. Computer access is available at most public libraries and at the Office of Human Resources located in the Center for Administrative Support on the UToledo Main Campus.

CHCGD is seeking a full-time medical records clerk to maintain patient charts ensuring timely completeness and organization of patient s charts and medical records, while ensuring strict patient confidentiality and privacy. Principal Duties and Responsibilities: Performs medical records duties as appropriate. Must ensure that confidentiality of patient information is observed by following company policies and procedures. Ensures that a health record is maintained on each patient in a confidential and secure manner. Sends paper charts to storage. Maintains database of records stored offsite; sends and retrieves charts to and from storage in accordance with record retention guidelines. Reviews and processes request for subpoenas received from outside providers, agencies, schools, and attorneys in compliance with applicable state laws. This person will perform a wide range of duties, including chart retrieval and filing, processing release of information, tracking chart location, overseeing the chart copying service, scanning/filing medical documents to EHR chart, managing HIE documents in the holding tank, and other duties as assigned. Required Knowledge, Experience or Licensure/Registration High School Diploma or equivalent and knowledge of medical terminology, typing and filing. Experience with NextGen EHR preferred. Basic computer skills required. Minimum of 1 year experience in medical records, preferably in an office practice setting. Qualified candidates must have a working knowledge of HIPAA regulation, medical terminology, and be proficient in alpha and numerical filing. Strong telephone, customer service, organizational, computer and communication skills are required. Must be able to multitask and work in a fast paced environment. Requires a high degree of responsibility, responsiveness. Must be flexible to work in and move from site to site as needed. Must be able to respond and interact with physicians, the public and patient care team members in a courteous and collaborative manner.

Job DescriptionCompany: Cincinnati Eye Institute Job Title: Surgical CoordinatorDepartment: Ophthalmology Reports To: Clinic Manager Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures. ESSENTIAL DUTIES AND RESPONSIBILITIES This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks. Schedule surgery, perform pre-surgery patient education regarding preparation for surgery and communicate with all associated facilities. Schedule and coordinate pre-op appointments with the patient and/or the patient's care giver. Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances. Counsel patients for Physician Fee and Eye Surgery Center. Follow up on and collect surgery payments. Other duties as assigned. QUALIFICATIONS Desire to gain industry knowledge and training Demonstrates initiative in accomplishing practice goals Ability to grow, adapt, and accept change Consistently creating a positive work environment by being team-oriented and patient-focused Ability to interact with all levels of employees in a courteous, professional manner at all times Reliable transportation that would allow employee to go to multiple work locations with minimal notice Commitment to work over 40 hours to meet the needs of the business Ability to work weekends when applicable EDUCATION AND/OR EXPERIENCE High School diploma or GED equivalent is required Experience in financial counseling is preferred Experience working with insurance is preferred LICENSES AND CREDENTIALS Minimum Required: None SYSTEMS AND TECHNOLOGY Proficient in Microsoft Excel, Word, PowerPoint, Outlook PHYSICAL REQUIREMENTS This role requires a variety of physical activities to effectively perform essential job functions. The position involves frequent walking (75%), sitting (50%), and standing (50%), with regular bending, stooping, and reaching (25-50%). Employees must be able to lift, carry, push, and pull items up to 25 lbs. Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Visual and auditory acuity-including color, depth, peripheral vision, and the ability to adjust focus-is required 100% of the time. Occasional driving or climbing may also be necessary. If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered. EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. * Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits * Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 * Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy] * Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits * Corresponds with providers on pending claims to facilitate resolution * Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies * Communicate appropriately with providers, leaders, and staff * Researches and resolves concerns timely Educational Requirements: High School Diploma or equivalent RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification Prior experience in professional fee coding/billing Knowledge and Skill: CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits Medical Terminology and Anatomy & Physiology Computer and EPIC Applications Excellent verbal and written communication skills Abilities: Charge Review WQ [Edits] * Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Claim Edit WQ [Edits] * Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Follow Up WQ [Denials] * Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. * Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Departmental Responsibilities * Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies * Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits * Follow procedures pertaining to position * Researches and resolves concerns timely Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits Corresponds with providers on pending claims to facilitate resolution Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies Communicate appropriately with providers, leaders, and staff Researches and resolves concerns timely Educational Requirements: High School Diploma or equivalent RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification Prior experience in professional fee coding/billing Knowledge and Skill: CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits Medical Terminology and Anatomy & Physiology Computer and EPIC Applications Excellent verbal and written communication skills Abilities: Charge Review WQ [Edits] Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Claim Edit WQ [Edits] Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Follow Up WQ [Denials] Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Departmental Responsibilities Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits Follow procedures pertaining to position Researches and resolves concerns timely Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.