Medical Imaging Analyst
Medical coder job in Cincinnati, OH
Our imaging services are growing rapidly, and we are currently seeking a full-time, office-based Medical Imaging Analyst to join our team. If you want an exciting career where you use your previous expertise and can develop and grow your career even further, then this is the opportunity for you.
Responsibilities
* Perform quality assurance checks on medical imaging data collected during medical and device clinical trials to ensure protocol specific requirements are met;
* Perform established image processing techniques (converting imaging formats, contouring, performing preliminary measurements of lesions and volumes) across multiple modalities (including but not limited to MRI, CT, US, ECHO, DXA, etc.) using proprietary software as well as other third party software;
* Assist in developing imaging protocols to obtain required study metrics based on clinical trial protocols;
* Write (in English) technical documents related to the study required imaging procedure
* Compile and maintain project-specific status reports and project timelines associated with imaging studies; and
* Perform project specific tasks in compliance with Good Clinical Practices (GCP), regulatory requirements (21CFR Part 11), applicable departmental and companywide SOPs, and project specific protocols
Qualifications
* Bachelor's Degree in biomedical engineering, biomedical sciences (or similar field), with knowledge of medical imaging from experience performing, reviewing, and/or analyzing medical images in either a research or clinical setting.
* 1-3 years of experience in clinical research or imaging related field, with at least 2 years of experience in an imaging center
* Experience working with clinical trials or within the pharmaceutical environment is preferred
TRAVEL: Minimal
Compensation
Your compensation will be based on your skills and experience. Medpace offers the following benefits for eligible positions: medical, dental, vision, 401(k), vacation policy, sick days, paid holidays, work from home flexibility, short-term disability, long-term disability, health savings and flexible savings accounts, life and AD&D insurance, and pet insurance. For more details, please discuss with your recruiter.
Medpace Overview
Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries.
Why Medpace?
People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today.
The work we've done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future.
Cincinnati Perks
* Cincinnati Campus Overview
* Flexible work environment
* Competitive PTO packages, starting at 20+ days
* Competitive compensation and benefits package
* Company-sponsored employee appreciation events
* Employee health and wellness initiatives
* Community involvement with local nonprofit organizations
* Discounts on local sports games, fitness gyms and attractions
* Modern, ecofriendly campus with an on-site fitness center
* Structured career paths with opportunities for professional growth
* Discounted tuition for UC online programs
Awards
* Named a Top Workplace in 2024 by The Cincinnati Enquirer
* Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024
* Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility
What to Expect Next
A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.
Auto-ApplyCoding Specialist I
Medical coder job in Norwood, OH
This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers.
Job Requirements:
High School Degree or GED
CPC-A, CPC, CCS-P, CCA
ICD-10-CM and CPT Coding Guidelines
Medical terminology
Anatomy
Physiology
Experience Related Fields
Job Responsibilities:
Assists with coding/billing questions from both internal and external customers. Which will include follow up on denials, research, review of charts for potential coding issues. Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary. Communicate with other clinical staff regarding documentation trends. Maintains a close working relationship with all departments and internal customers including leadership and consolidates effotrts to ensure appropriate and standardized coding procedures are followed. Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources. Maintains knowledge of current coding revisions and effectively communicates changes with provider. Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI.
Other job-related information:
Qualifications: Successful completion of a certification program from an accredited organization. Strong knowledge of anatomy, physiology, and medical terminology. Excellent typing and 10-key speed accuracy. Commitment to a high level of customer service. Superior mathmatical skills. Familarity with ICD-10 codes and procedures. Solid oral and written communication skills. Working knowledge of medical jargon and anatomy preferred. Able to work independently.
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continuous Learning - Consistently
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication - Consistently
Kneeling - Rarely
Lifting
Lifting 50+ Lbs - Rarely
Lifting 11-50 Lbs - Rarely
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Consistently
Standing - Frequently
Stooping - Rarely
Talking - Frequently
Thinking/Reasoning - Consistently
Use of Hands - Occasionally
Color Vision - Rarely
Visual Acuity: Far - Frequently
Visual Acuity: Near - Frequently
Walking - Occasionally
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS…
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS…
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service
Respect: ALWAYS…
• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS…
• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS…
• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community
Auto-ApplyCertified Medical Coder (on site)
Medical coder job in Cincinnati, OH
Anderson Hills Pediatrics' Expectations of all Employees:
Adhere to all Anderson Hills Pediatrics' Policies and Procedures
Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times
Maintain a positive and respectful attitude with all work-related contacts
Consistently reports to work prepared to perform the duties of the position
Meets productivity standards and performs duties as workload necessitates
Primary Function : Assists the Billing Manager with the claims submission and revenue cycle of the practice.
Major Duties and Responsibilities :
• Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information
• Update patient demographic information including insurance coverage; make changes/corrections as needed; verify patient insurance benefits when applicable
• Process required referrals to specialists and/or facilities
• Audit charges from EMR for accuracy in CPT /ICD-10 / HCPCS coding
• Pursue any outstanding claims and/or appeal any denied or underpaid claims
• Respond to requests for medical records from insurance companies
• Post patient and/or insurance remittances
• File insurance claims daily
• Perform daily close of the day
• Investigate, analyze, and follow up for collection of overdue accounts
• Initiate and respond to telephone inquiries from patients, insurance companies, others
• Process BCMH applications as needed
• Participate in quality improvement initiatives as needed
• Complete necessary training on topics including, but not limited to, care coordination, patient self-management, population management, and health literacy
• Attend monthly staff meetings and scheduled department meetings
• Other miscellaneous duties as assigned by the Billing Manager
Principle Working Relationships
Works with patients/families, insurance companies and Finance Manager
Works with physicians, other managers, and staff as needed
Qualifications:
Education: High school diploma
1-3 years of medical billing office experience preferred
Coding certification required
Experience in pediatrics preferred
Essential Skills and Abilities:
Demonstrate excellent listening skills and problem-solving skills
Ability to interpret, adapt and apply guidelines and protocols
Ability to willingly invest in change processes to improve efficiencies, compliance, and overall AHP performance
Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with physicians, other employees, and patients
Excellent critical thinking skills; exhibit sound judgment in decision making
Excellent communication (both oral and written)
Demonstrate strong customer service skills, including the ability to use appropriate judgment, independent thinking, and creativity when resolving customer issues
Initiative and ability to work independently, lead/work in teams, and deal persuasively and effectively with all levels throughout the organization.
Ability to manage multiple projects in varying stages of development; excellent problem-solving skills and attention to detail.
Must be able to receive constructive criticism and react quickly to change.
Ability to balance and shift multiple priorities.
Working Conditions:
Works in clinical areas as well as throughout the facility
Sits, stands, bends, lifts and moves intermittently during work hours
Relocation not available
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Cincinnati, OH
We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
* Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
* Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
* Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
* Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
* Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
* Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
* Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
* Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
* Associate's degree or higher in Engineering, Science or related degree required
* Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
* The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
* Knowledge of business processes and application of quality management standards.
* Good verbal and written communication skills and an eye for detail.
* Be self-motivated, flexible, and have excellent time management/planning skills.
* Can work under pressure.
* Willing to travel on business intensively.
* An enthusiastic and committed team player.
* Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyMedical Device QMS Auditor
Medical coder job in Cincinnati, OH
We exist to create positive change for people and the planet. Join us and make a difference too!
Job Title: QMS Auditor
Do you believe the world deserves excellence?
BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence.
Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets
Essential Responsibilities:
Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes.
Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate
Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame.
Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth.
Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team.
Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met.
Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested
Plan/schedule workloads to make best use of own time and maximize revenue-earning activity.
Education/Qualifications:
Associate's degree or higher in Engineering, Science or related degree required
Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience.
The candidate will develop familiarity with BSI systems and processes as they go through the qualification process.
Knowledge of business processes and application of quality management standards.
Good verbal and written communication skills and an eye for detail.
Be self-motivated, flexible, and have excellent time management/planning skills.
Can work under pressure.
Willing to travel on business intensively.
An enthusiastic and committed team player.
Good public speaking and business development skill will be considered advantageous.
The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off.
#LI-REMOTE
#LI-MS1
About Us
BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives.
Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments.
Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs.
Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world.
BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
Auto-ApplyEMR Analyst II - Epic Beaker
Medical coder job in Cincinnati, OH
Join a team transforming the future of diagnostics at one of the nation's top pediatric medical centers. As an Analyst, you'll play a pivotal role in optimizing laboratory workflows, enhancing data integrity, and ensuring clinicians have the tools they need to deliver world-class patient care. If you thrive in complex problem-solving, love partnering with clinical and technical teams, and want your work to directly improve the lives of children and families, this is the opportunity to make a measurable impact.
JOB RESPONSIBILITIES
Build/Configuration/Release Mgmt
* Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management.
* Support system testing.
* Document testing outcomes.
* Work to develop technical solutions.
* Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions.
* Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training.
* Independently develops educational technology content for applicable use.
* Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision.
* Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need.
Leadership
* Take ownership of tasks with sense of urgency and drive them to completion.
* Take initiative and know what needs to be done.
* Communicate to supervisor regarding overall issues, roadblocks.
* Identify the appropriate resources needed to complete small/medium projects.
* Support the communication on project-related issues and developments.
* Work with cross functional teams.
* Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital.
* Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes.
* Network with internal and external experts to identify best practices for clinical system use and training.
* Promote use of industry best practice tools for efficiency and inno
Professional Growth & Development
* Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections.
* Conduct and participate in instructional sessions.
* Use knowledge to improve skills.
* Develop and maintain positive relationships, both internal and external to CCHMC.
* Motivate people and encourage teamwork.
* Work well with others and fosters a positive team environment.
* Prepare oral and written presentations.
Project Management
* Support/and or lead the design, development, and implementation of new and enhanced application requests.
* Support and/or lead project plans and other project-related documentation for moderately complex projects.
* Determine the scope of moderately complex projects.
* Coordinate the appropriate resources needed.
* Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers.
* Seek the appropriate resources needed for activities.
* Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues.
* Effectively works with cross functional teams to ensure proper integration.
* Consult with and support the end user community to develop and validate requirements for system solutions.
Customer Support
* Develop collaborative professional relationships with customer group and key stakeholders.
* Demonstrates advanced troubleshooting skills.
* Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support.
* Independently critically thinks to work through details of a problem to reach a positive solution.
* Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials.
* Adhere to and promote continual adoption of change management policies and procedures.
* Interact with all levels of staff throughout the Medical Center in a collaborative manner.
* Strong sense of personal accountability.
* Model outstanding customer service behavior, including timely and effective follow-up with customers.
* Always maintain CCHMC s service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES).
JOB QUALIFICATIONS
* Bachelor's Degree or equivalent combination of education and experience
* 2+ years of work experience in a related job discipline
PREFERRED QUALIFICATIONS
* Experience working in an Anatomic Pathology laboratory (histology, cytology, or surgical pathology).
* Strong understanding of AP workflows, specimen handling, and reporting requirements.
* Prior Epic Beaker AP build or support experience preferred.
* Excellent problem-solving and communication skills.
Primary Location
Remote
Schedule
Full time
Shift
Day (United States of America)
Department
IS Lab Informatics System
Employee Status
Regular
FTE
1
Weekly Hours
40
* Expected Starting Pay Range
* Annualized pay may vary based on FTE status
$81,723.20 - $104,208.00
Market Leading Benefits Including*:
* Medical coverage starting day one of employment. View employee benefits here.
* Competitive retirement plans
* Tuition reimbursement for continuing education
* Expansive employee discount programs through our many community partners
* Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
* Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
* Physical and mental health wellness programs
* Relocation assistance available for qualified positions
* Benefits may vary based on FTE Status and Position Type
About Us
At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's.
Cincinnati Children's is:
* Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
* Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
* Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025)
* One of the nation's America's Most Innovative Companies as noted by Fortune
* Consistently certified as great place to work
* A Leading Disability Employer as noted by the National Organization on Disability
* Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us.
Comprehensive job description provided upon request.
Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
Medical Coding Appeals Analyst
Medical coder job in Mason, OH
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.
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.
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.
Senior Medical Data Analyst
Medical coder job in Mason, OH
Senior Medical Data Analyst needs 5+ years experience with health plans or medical claims
Senior Medical Data Analyst requires:
Bachelors degree or equivalent work experience
At least 5+ years experience with health plans or medical claims
Experience with Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus)
HYBRID - 2 to 3x a week
SQL and Database experience with basic queries.
Excellent analytical and problem-solving skills
Strong communication and interpersonal skills
Senior Medical Data Analyst duties:
Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products
Serve as the lead subject matter expert for Government/Medical-Surgical product configuration for the production team
Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests.
Develop and document the standard operating procedures for Government/Medical-Surgical product configuration
Develop and train the team on the knowledge of Government/Medical-Surgical product configuration.
Provide additional support working Commercial client setup and maintenance requests sent to the Plan Setup team when necessary
Perform audits on client setup or maintenance request by following established team audit controls.
Medical Records Specialist
Medical coder job in Cincinnati, OH
Job Description
Key Responsibilities
Scan and upload surgical charts, operative notes, and ancillary documents into the ASC's Electronic Health Record (EHR) system.
Verify document accuracy and index files under correct patient and procedure categories.
Maintain strict confidentiality and adhere to HIPAA and ASC-specific compliance standards.
Collaborate with clinical teams to ensure records are complete after and after procedures.
Assist with record transfers for audits, insurance requests, and quality reporting.
Follow ASC protocols for document retention and secure destruction.
Cross trained to manage the front desk and receptionist responsibilities
Greet patients and visitors in a professional, courteous manner
Manage patient check-in and check-out processes, including verifying insurance and collecting co-pays
Obtain signatures on patient forms, where applicable
Answer phones, respond to inquiries, and route calls appropriately
Medical Records Specialist
Medical coder job in Olde West Chester, OH
At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care.
CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission.
Summary
Under general supervision, the Medical Records Specialist performs complex secretarial support for division manager and assigned staff. Responsible for medical record/document retrieval processes.
Compensation Range: $20 - $24/hr (DOE)
Location: West Chester, OH
Schedule: (On-Site) Monday - Friday, 8:30am - 5:00pm
Essential Duties and Responsibilities
include the following. Other duties may be assigned as necessary.
Accurately and efficiently retrieves medical records, via EMR access and fax
Maintains high regard for patient privacy in accordance with the corporate privacy policies and procedures.
Corresponds with pharmacy personnel requesting documents
Scans, attaches, and files assigned documents
Scans and files all patient paperwork including delivery tickets daily
Receives/reviews all incoming correspondence and mail, routing it to the appropriate department or individual
Prepares detailed outgoing correspondence
Faxes documents as necessary
Maintains files of correspondence
Attends departmental meetings
Organizes and maintains complex computerized and manual files, records, inventories, and data bases including backing up and purging systems, annotating files, and retrieving data in report form as required
Ensures office efficiency is maintained
Ensures security, integrity, and confidentiality of data and PHI information
Attends and participates in Pharmacy in-services
Consistently represents the company in a professional manner
Maintains effective working relationship and cooperate with all personnel in the Company
Adheres to the Company's compliance requirements as stated in the policy and procedure manual and all other related policies
Performs other duties and responsibilities as assigned
Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Provide the highest level of professionalism, responsiveness, and communication in order to build and maintain the maximum customer base possible.
Must possess the ability to multi-task and frequently change direction.
Education and/or Experience
High school diploma or equivalent required with some specialized training.
Three (3) years related secretarial experience.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions.
Comments
This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time.
NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
CSI Pharmacy is an Equal Opportunity Employer
Auto-ApplySurgical Coordinator
Medical coder job in Cincinnati, OH
JOB TITLE: Surgical Coordinator DEPARTMENT: Surgery Scheduling BENEFITS: * Full Benefits Package - Medical, Vision, Dental and Life Insurance * 401k + Employer Matching * Paid Time Off and Paid Holidays * Paid Maternity Leave * Optical Education Reimbursement
* Competitive Base Pay
POSITION SUMMARY
Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures.
PERFORMANCE EXPECTATIONS
This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks.
* Schedules surgery and performs pre-surgery patient education regarding preparation for surgery and communicates with all associated facilities.
* Schedules and coordinates 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/collect for surgery payments for ECA and ESC.
EDUCATION REQUIREMENTS
* High School diploma or GED
* Experience in financial counseling is preferred.
* Must be able to provide proof of their identity and their right to work in the United States
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.
Auto-ApplyHealth Information Clerk
Medical coder job in Hamilton, OH
Our Mission
We meet people where they are and partner with them on their journey towards wellness.
Our Vision
The destination for servant leaders to provide comprehensive and exceptional care.
Our Values
R - Respect
I - Innovation
S - Stewardship
E - Excellence
Health Information Clerk Summary
The Health Information Clerk will be responsible for establishing and maintaining the health information processing (electronic and hard copy) needs of the organization. This includes creating and maintaining patient records, providing assistance with records releases, conducting audits, etc. in compliance with state and federal regulations as well as HIPAA. The Health Information Clerk will understand and fully support the mission, vision, and value statements of Primary Health Solutions.
A Day in the Life
This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time.
· Conducts routine medical record-keeping operations and healthcare information management to ensure secure, accurate and reliable patient information management that complies with all applicable organizational, local, state, federal regulations.
· Works closely with administration, vendors, and staff to support the requests from patients and outside entities for obtaining records to support patient care.
· Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements.
· Assists in implementation of digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage.
· Assist in facilitation of the retrieval, collection, and requests for medical records made by staff, patients, and affiliates.
· Monitor, facilitate and track all records requests, releases, and authorizations within the Electronic Medical Record.
· Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations.
· Maintains an up to date understanding of applicable policies, processes, laws, and regulations relative to the processing of patient health information (PHI).
· Report breaches, instances of non-compliance, patient complaints, problems, or similar instances to supervisor to protect patient health information.
· Assist patients, staff and affiliates with medical records requests and questions.
· Performs all other duties and tasks as assigned.
Requirements
Core Competencies
· Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met.
· Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills.
· Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements.
· Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems.
· Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow.
Success Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience
· Associate degree or a similarly accredited program in health information technology preferred.
· Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
· At least 3 years of experience in a medical office setting.
· Strong data entry skills.
· Excellent verbal and written communication skills.
· Advanced organization skills.
· Attention to detail to ensure accuracy.
· Familiarity with medical terminology.
· Basic computer skills to scan, organize and access electronic health records.
· Able to work independently and possess strong time management skills.
· Excellent problem-solving skills.
Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet.
Certificates, Licenses, Registrations
Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred.
Other Applicable Requirements
Ability to speak Spanish desirable. Skill in maintaining records and recording test results. Skill with patients in lower socio-economic sectors of the community.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate.
Affirmative Action/EEO Statement
It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information, or any other protected characteristic under applicable law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Medical Records Coordinator
Medical coder job in Dayton, OH
Job Address:
3800 Summit Glen Drive Dayton, OH 45449
Wood Glen Alzheimer's Community, a member of the CommuniCare Family of Companies, is currently recruiting a Medical Records Coordinator to join our team.
The Medical Records Coordinator will manage our Point Click Care system. Yes! This is the 21st century, and all our medical records are digital! Therefore, we need
you
to:
Ensure that active and inactive Point Click Care electronic health records accurately reflect the resident's condition from admission through discharge.
Ensure compliance of Point Click Care electronic health records.
Protect Point Click Care electronic health records from breaches of confidentiality, unauthorized use, theft, and damage.
WHAT WE OFFER
Beyond our competitive wages, we offer all full-time employees a variety of benefit options including:
Life Insurance
LTD/STD
Medical, Dental, and Vision
401(k) Employer Match with Flexible Spending Accounts
NOW OFFERING DAILY PAY! WORK TODAY, GET PAID TOMORROW.
Do you have what it takes to become our next Medical Records Coordinator?
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
High School graduate or GED equivalent.
Computer proficiency required.
Previous medical records or other relevant healthcare experience.
Point Click Care experience preferred.
Nursing Home experience required. No certification needed.
THE COMMUNICARE COMMITMENT
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
Auto-ApplyMedical Records
Medical coder job in Olde West Chester, OH
Pay $14 - $22 Depending on Certification/Credentials
This position may not be currently open at one of the Carespring buildings but by applying here, you will be considered when/if a position becomes available based on where the facility of need is located and your listed home address. If you have questions, please contact the recruiter.
Come join our team as a Medical Records Coordinator at our state of the art, skilled nursing facility. This position maintains the medical records in accordance with State and Federal regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records.
Why Our Staff Have Chosen to Work Here!
Competitive Wages with low cost, high quality medical and dental insurance
RESPONSIBILITIES:
Performs routine audits of in-house charts upon admission and at least quarterly, to ensure completeness and accuracy. Completes focus audits and PI audits on specific topics as directed by Administrator or Regional Medical Records Director.
Provides notification to the staff on deficiencies found in the record and does follow-up to ensure the in-house records are complete.
Assembles the medical records of discharged residents.
Analyzes discharged charts for completeness and follows up with staff and physicians to ensure discharged records are completed.
Processes requests for medical information as directed by the Administrator, Regional Medical Records Director and/or corporate Risk Manager (i.e., requests from residents, attorneys, for insurance reimbursement, in response to a subpoena).
Maintains Release of Information Log for all requests for medical records and copies released for payment, continuity of care, and health care operations.
Completes Accounting of Disclosures form according to HIPAA policies and files in resident's chart.
Maintains the confidentiality of medical records by ensuring confidentiality of health information.
Monitors physician visits and reports non-compliance to the DON/Administrator at least monthly.
Purges charts, maintains destruction log, and maintains information for records at off-site storage facility.
Assigns ICD-9 CM codes for resident diagnoses. Inputs diagnoses and codes in HCS system.
Coordinates physician dictation with outside transcription company.
Files any loose sheets needing to be attached to the record.
Maintains supply of forms in department and on nursing units.
Completes discharge/transfer notice when necessary for transfers to hospital or expired residents. Inputs discharge/transfer data in HCS system and ECS.
Forwards requested records to Carespring Case Manager for managed care updates.
Serves as facility contact person to oversee Record Retention and Destruction Policy working with each department as documents/records are boxed for long term storage. Sign-off on each Record Log to confirm proper completion.
Performs other duties as assigned.
QUALIFICATIONS:
Maintains or is willing to obtain Medical Records Certification
Detail oriented person and can complete tasks on a need based schedule
PointClickCare experience is preferred.
Knowledge of Microsoft Word, Excel highly encouraged.
Advanced Therapy Center is an EOE/M/F/D/V and Smoke-Free Workplace
Technical SME EMR - Travel Required
Medical coder job in Dayton, OH
Emerging Tech is seeking a Technical SME to support the Department of Veterans Affairs (VA) Electronic Health Record Modernization (EHRM) program. The Technical SME will provide hands-on and remote guidance during pre-deployment operations across multiple sites. This role ensures seamless system integration, resolves complex technical issues in real time, and collaborates with on-site teams to prepare for operational readiness and maintain performance standards.
Key Responsibilities:
Serve as the primary technical advisor during pre-deployment operations, collaborating with cross-functional teams to ensure systems are deployment-ready and aligned with operational objectives.
Identify, escalate, and resolve complex technical issues in real time, while directing systems integration to ensure compatibility with enterprise and legacy IT environments.
Plan, design, and oversee deployment of enterprise-wide information architectures-including hardware, software, middleware, communications, and security components-while maintaining documentation and recommending process improvements.
Ensure compliance with open systems architecture standards and support implementation of complex information management solutions.
Contribute to program and project planning, milestone development, and business case analysis, including evaluation of alternative solutions and assessment of business impacts.
Qualifications:
Minimum Qualifications
5+ years of professional work experience.
Ability to travel up to 70%.
Experience planning, designing, and overseeing deployment of complex enterprise or large-scale information architectures.
Knowledge of integrating enterprise applications with legacy IT systems.
Experience supporting program/project planning and milestone development.
Skilled in business case analysis, alternative solution evaluation, and assessment of resulting business impacts.
Bachelor's degree in information systems, Computer Science, Engineering, Business, or related field, or an additional 8 years of relevant experience may be substituted in lieu of a degree.
Preferred Qualifications
Experience supporting VA programs.
Experience implementing Electronic Health Records (EHR) systems.
What We Offer:
Generous paid time off (PTO) and federal holidays
401(k) plan, health, dental, and vision insurance, and other standard benefits
Remote-first flexibility with opportunities for long-term career growth
Mission-driven work supporting federal health IT and scheduling solutions
Professional development in EHRM workflows, project management, and solution advisory
Auto-ApplyMedical Biller & Coder
Medical coder job in Trotwood, OH
The job duties of medical billing and coder include:
Enter patient information into computer files, and possibly also in paper records
Organize, manage, and sort paperwork (including patients' charts)
Continue to enter data as patients are subjected to diagnostic tests and receive treatments
Translate the information into alphanumeric medical code
Prepare and mail billing statements
Submit claims to insurance companies and other third-party payers
Process payments from insurance companies
Post transactions and reconcile payments to patient ledgers
Collect and manage patient account payments
Identify past-due bills and recommended collection actions
Ensure that the facility is reimbursed for all services provided
Resolve conflicts regarding payments and reimbursements
Write reports and provide information to government agencies
Respond in writing and on the telephone to patients' questions about billing
Investigate and report instances of insurance fraud
Provide information and prepare documents for legal inquiries and litigation
Ensure the confidentiality of patients' personal information
Perform clerical duties that may include answering the telephone, greeting patients, and sorting mail
Pro Fee Coding Spec - Miamisburg - Professional Svc Coding - FT Days
Medical coder job in Miamisburg, OH
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.
Auto-ApplyMEDICAL RECORDS CLERK
Medical coder job in Dayton, OH
Job Description
Responsibilities/Standards:
Pay range starts at $11.50/hr and goes up with experience.
General
Attend department, clinic or company meetings as required
Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
Consistently work in a positive and cooperative manner with fellow staff members.
Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
Attend required annual in-service programs.
Demonstrate knowledge and understanding of all company policies and procedures.
Specific Duties
Run assigned reports and prepare clinic for needed physicians. This involves checking the need to update registration paperwork for each scheduled patient and printing off any needed documents.
Take/distribute documents that we have received from outside sources, such as referrals, to the staff so they are available in time for the patient's appointment.
Scan into ICS all medical papers so they are available for Path Forward to index.
Distribute lab results and prescription refills to staff that are received by fax and mail.
Sort and distribute mail daily.
Answer phones.
Assures all urgent issues are handled after the end of the business day. Escalate issues to needed manager as situation requires.
Assist with medical records requests received from medical offices.
Process outside storage requests in a timely manner.
Performs other tasks as required by management.
Education/Experience Required:
Must be high school graduate or equivalent.
Physical Requirements:
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs.
Work Environment:
This position requires employees to work in close quarters, tight spaces, and on their feet for extended periods of time.
Certified Medical Coder (on site)
Medical coder job in Cincinnati, OH
Anderson Hills Pediatrics' Expectations of all Employees:
Adhere to all Anderson Hills Pediatrics' Policies and Procedures
Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times
Maintain a positive and respectful attitude with all work-related contacts
Consistently reports to work prepared to perform the duties of the position
Meets productivity standards and performs duties as workload necessitates
Primary Function: Assists the Billing Manager with the claims submission and revenue cycle of the practice.
Major Duties and Responsibilities:
• Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information
• Update patient demographic information including insurance coverage; make changes/corrections as needed; verify patient insurance benefits when applicable
• Process required referrals to specialists and/or facilities
• Audit charges from EMR for accuracy in CPT /ICD-10 / HCPCS coding
• Pursue any outstanding claims and/or appeal any denied or underpaid claims
• Respond to requests for medical records from insurance companies
• Post patient and/or insurance remittances
• File insurance claims daily
• Perform daily close of the day
• Investigate, analyze, and follow up for collection of overdue accounts
• Initiate and respond to telephone inquiries from patients, insurance companies, others
• Process BCMH applications as needed
• Participate in quality improvement initiatives as needed
• Complete necessary training on topics including, but not limited to, care coordination, patient self-management, population management, and health literacy
• Attend monthly staff meetings and scheduled department meetings
• Other miscellaneous duties as assigned by the Billing Manager
Principle Working Relationships
Works with patients/families, insurance companies and Finance Manager
Works with physicians, other managers, and staff as needed
Qualifications:
Education: High school diploma
1-3 years of medical billing office experience preferred
Coding certification required
Experience in pediatrics preferred
Essential Skills and Abilities:
Demonstrate excellent listening skills and problem-solving skills
Ability to interpret, adapt and apply guidelines and protocols
Ability to willingly invest in change processes to improve efficiencies, compliance, and overall AHP performance
Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with physicians, other employees, and patients
Excellent critical thinking skills; exhibit sound judgment in decision making
Excellent communication (both oral and written)
Demonstrate strong customer service skills, including the ability to use appropriate judgment, independent thinking, and creativity when resolving customer issues
Initiative and ability to work independently, lead/work in teams, and deal persuasively and effectively with all levels throughout the organization.
Ability to manage multiple projects in varying stages of development; excellent problem-solving skills and attention to detail.
Must be able to receive constructive criticism and react quickly to change.
Ability to balance and shift multiple priorities.
Working Conditions:
Works in clinical areas as well as throughout the facility
Sits, stands, bends, lifts and moves intermittently during work hours
Relocation not available
Auto-ApplyTechnical SME EMR - Travel Required
Medical coder job in Dayton, OH
Job Description
Emerging Tech is seeking a Technical SME to support the Department of Veterans Affairs (VA) Electronic Health Record Modernization (EHRM) program. The Technical SME will provide hands-on and remote guidance during pre-deployment operations across multiple sites. This role ensures seamless system integration, resolves complex technical issues in real time, and collaborates with on-site teams to prepare for operational readiness and maintain performance standards.
Key Responsibilities:
Serve as the primary technical advisor during pre-deployment operations, collaborating with cross-functional teams to ensure systems are deployment-ready and aligned with operational objectives.
Identify, escalate, and resolve complex technical issues in real time, while directing systems integration to ensure compatibility with enterprise and legacy IT environments.
Plan, design, and oversee deployment of enterprise-wide information architectures-including hardware, software, middleware, communications, and security components-while maintaining documentation and recommending process improvements.
Ensure compliance with open systems architecture standards and support implementation of complex information management solutions.
Contribute to program and project planning, milestone development, and business case analysis, including evaluation of alternative solutions and assessment of business impacts.
Qualifications:
Minimum Qualifications
5+ years of professional work experience.
Ability to travel up to 70%.
Experience planning, designing, and overseeing deployment of complex enterprise or large-scale information architectures.
Knowledge of integrating enterprise applications with legacy IT systems.
Experience supporting program/project planning and milestone development.
Skilled in business case analysis, alternative solution evaluation, and assessment of resulting business impacts.
Bachelor's degree in information systems, Computer Science, Engineering, Business, or related field, or an additional 8 years of relevant experience may be substituted in lieu of a degree.
Preferred Qualifications
Experience supporting VA programs.
Experience implementing Electronic Health Records (EHR) systems.
What We Offer:
Generous paid time off (PTO) and federal holidays
401(k) plan, health, dental, and vision insurance, and other standard benefits
Remote-first flexibility with opportunities for long-term career growth
Mission-driven work supporting federal health IT and scheduling solutions
Professional development in EHRM workflows, project management, and solution advisory
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