Coder
Medical coder job in Hilliard, OH
Job DescriptionAI Coder
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
Apply now to help train the next generation of programming-capable AI models!
Medical Coder CPC / CCS
Medical coder job in Columbus, OH
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Company Job Description/Day to Day Duties:
Job Summary
Directly responsible and accountable for performing chart reviews, physician education, and development of tools to ensure that our provider partners are compliant with Risk Adjustment. Provide overall coding expertise as well as administrative and technical oversight to ensure successful integration of Molina Medicare's Risk Adjustment initiatives. May require some travel to various provider partner locations
• Performs on-going chart reviews and abstracts diagnoses codes under the HCC Model.
• Develop an understanding of current billing practices in provider offices to ensure that diagnoses codes are submitted accordingly.
• Documents results/findings from chart reviews and provides feedback to management, providers, and office staff.
• Responsible for administrative duties such as planning, scheduling of chart reviews, obtaining of medical records, and provider training and education.
• Monitor HCC Coding Accuracy at various levels of detail (e.g., by state, by product, by demographic segmentations). Extract information necessary to identify where there are low performing physicians; follow up with plan for education and training. Continue to audit to ensure training is implemented.
• Resolve and track escalated issues. Track any coding issues identified either at the provider level (including Molina sites) or vendor; manage any non-compliance situation or potential fraud or abuse.
• Utilize discretion and autonomy to select provider for further training or audits; coordinate efforts with internal clients such as Coding Manager, RAMP Director, State Medicare Directors and Provider Services.
• Determine coding quality as it relates to CMS standards; selects physicians or vendors that require an audit.
Qualifications
Minimum Education/Qualifications/Licensures:
Coding Certification - Active CCS, CCS-P, or CPC credentialing
Coding guidelines knowledge
Travel required (with mileage)
Claims experience
Additional Information
Employment Type: Contract 6 months. With possibility of going perm.
Senior Certified Professional Coder, Special Investigations Unit (Aetna SIU)
Medical coder job in Columbus, OH
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.
**Activities include:**
+ Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
+ Handles complex coding reviews and will resolve complex issues with sensitivity. Including but not limited to claim reviews for legal, compliance or rework projects.
+ Provide detailed written summary of medical record review findings.
+ Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
+ Review and discuss cases with Medical Directors to validate decisions.
+ Independently research and accurately apply state or CMS guidelines related to the audit.
+ Assist with investigative research related to coding questions, state and federal policies.
+ Identify potential billing errors, abuse, and fraud.
+ Identify opportunities for savings related to potential cases which may warrant a prepayment review.
+ Maintain appropriate records, files, documentation, etc.
+ Uses department resources regularly and follows workflows with no assistance or intervention to perform daily work to meet metrics.
+ Mentor New Coders, providing training, coding, and record review guidance.
+ Collaboration with investigators, data analytics and plan leadership on SIU schemes.
+ Act as management back-up and supports the team when the manager is out of the office.
+ Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.
**Required Qualifications**
+ AAPC Coding certification - Certified Professional Coder (CPC)
+ 3+ years of experience in medical coding or documentation auditing.
+ Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10.
+ CMS 1500 and UB04 data elements
+ Experience with researching coding and policies.
+ Experience with Microsoft products; including Excel and Word
+ Prior experience auditing others' work and providing feedback.
+ Experience mentoring others.
+ Must be able to travel to provide testimony if needed.
**Preferred Qualifications**
+ 3+ years or more previous experience with Behavioral Health coding/auditing of records
+ Licensed Clinical Social Worker (LCSW)
+ Licensed Independent Social Worker (LISW)
+ Licensed Master Social Worker (LMSW)
+ Licensed Professional Counselor (LPC)
+ Excellent communication skills
+ Excellent analytical skills
+ Strong attention to detail and ability to review and interpret data.
**Education**
+ AAPC Certified Professional Coder Certification (CPC)
+ GED or High School diploma
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $112,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 12/06/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Inpatient Rehab Medical Coder - Part Time
Medical coder job in Lancaster, OH
Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.
The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice.
Essential Functions Include:
Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM).
Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
Maintains a 95% threshold for coding accuracy.
Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear.
Queries physician for clarification and diagnostic details as needed for accuracy and specificity in coding.
Remains up-to-date and knowledgeable of coding and diagnostic procedures and remains current on federal legislative changes.
Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to protect patient confidentiality.
Minimum Job Requirements
Minimal Education & Experience:
3 years medical coding experience OR Coding certification (AHIMA or AAPC) required.
Rehabilitation coding experience preferred.
Associate's degree in related field preferred.
Required Knowledge, Skills & Abilities
Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
Working knowledge of medical terminology, anatomy, and physiology.
Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians.
Physical Requirements Over the Course of a Shift
A significant amount of sitting and reaching.
Lifting/exerting of up to 10 lbs.
Sufficient manual dexterity to operate equipment and computer keyboard.
Close vision and the ability to adjust focus.
Ability to hear overhead pages.
#INDLAN
Auto-ApplyMedical Coding Specialist (2651, 2726)
Medical coder job in Westerville, OH
The Coding Specialist performs medical review of medical information.
Reviews medical information to collect data, insure appropriate billing of data and follow up on questions or concerns raised by nurse and physician reviewers or health care providers.
Applies knowledge of Medicare/Medicaid rules and regulations pertaining to appropriate billing and coding of Medicare or Medicaid accounts.
Assists with project development by serving on project teams as requested. Assists with project data analysis, reporting, and feedback. Offers quality improvement suggestions on project protocols and processes.
Coordinates and manages all aspects of the medical records logistics for UR and Quality Study Project records to include: the process flow of all records, the production and accuracy of barcode labels and denial folder labels, verifies accuracy and consistency of naming of convention within tracking software, identifies timetables for retaining records for on-site, off-site, and destruction.
Requirements:
Minimum 3 years inpatient clinical coding experience.
Demonstrated experience with DRG, APG, or other prospective reimbursement systems.
Demonstrated experienced in ICD-9-CM and CPT coding for the clinical area under evaluation for the specific contract to which position is assigned.
Demonstrated ability to analyze and evaluate medical information necessary to evaluate and collect specific health care information.
Medical Device QMS Auditor
Medical coder job in Columbus, OH
We exist to create positive change for people and the planet. Join us and make a difference too! 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 Columbus, OH
We exist to create positive change for people and the planet. Join us and make a difference too!
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-ApplyBilling and coding specialist
Medical coder job in Columbus, OH
Job Description: Billing and Coding Specialist
We are seeking a highly skilled and detail-oriented Billing and Coding Specialist to join our healthcare facility. The ideal candidate will have a strong background in medical billing and coding procedures and possess excellent organizational and communication skills. As a Billing and Coding Specialist, you will be responsible for ensuring accurate and timely billing processes, maximizing revenue, and minimizing discrepancies.
Responsibilities:
- Review and analyze medical records to assign appropriate codes using current coding guidelines (ICD-10, CPT, HCPCS).
- Ensure proper documentation is obtained from healthcare providers or physicians for accurate coding and billing purposes.
- Accurately enter coded data into the billing system and verify the validity of charges.
- Perform audits and quality assurance checks on billing and coding processes to ensure compliance with industry regulations, guidelines, and payer requirements.
- Communicate with healthcare providers, insurance companies, and patients to resolve coding and billing issues and ensure proper reimbursement.
- Collaborate with other departments, such as medical records, finance, and clinical staff, to optimize billing and coding processes.
- Stay updated on changes in coding and billing regulations and guidelines and ensure compliance.
- Identify and correct coding errors and discrepancies to minimize claim denials and revenue loss.
- Maintain up-to-date knowledge of billing and coding software systems to efficiently carry out job responsibilities.
- Prepare and submit billing claims to insurance companies or government healthcare programs.
Requirements:
- High school diploma or equivalent, or a degree/certification in medical billing and coding.
- Proven work experience as a Billing and Coding Specialist in a healthcare organization.
- In-depth knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines.
- Familiarity with medical terminology, procedures, and services to accurately assign appropriate codes.
- Proficient in using medical billing software and electronic health record systems.
- Excellent attention to detail and ability to maintain accuracy in a fast-paced environment.
- Strong analytical and problem-solving skills to identify and resolve coding-related issues.
- Effective written and verbal communication skills for interacting with providers, insurance companies, and patients.
- Strong organizational and time management skills to meet deadlines and handle multiple tasks simultaneously.
- Ability to work independently and in a team, with strong interpersonal skills.
- Familiarity with healthcare compliance and privacy regulations, such as HIPAA.
If you have a passion for accurate coding, billing integrity, and optimizing revenue cycles, we invite you to apply for this position. Your contribution as a Billing and Coding Specialist will be crucial in ensuring the financial success of our healthcare facility and providing quality patient care.
Medical Billing and Coding Specialist
Medical coder job in Columbus, OH
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!
Auto-ApplyPGA Certified STUDIO Performance Specialist
Medical coder job in Columbus, OH
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
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.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyMedical Records Clerk
Medical coder job in Columbus, OH
Ohio Gastroenterology Group is the leading provider of general advanced GI procedures with several state-of-the-art facilities throughout Central Ohio. We employ a talented team of specialists who perform more GI procedures each year than any other practice in our area.
We currently have a full-time opening for a Medical Records Clerk.
Job Description
JOB TITLE: MEDICAL RECORDS CLERK
Job Objective: Maintain the flow of charts, faxes, record requests and reports in medical records department
Office Location: Americana Parkway
DOT Code: 43-4071.00
FLSA Classification: Non-Exempt
Reports to: Referrals, Recalls, and Medical Records Supervisor. Daily assignments and direction may, however, be provided by Human Resources Manager, Director of Operations, Patient Access Manager, Team Lead, or the physicians.
Interfaces with: Patients, Physicians, co-workers at all OGGI locations, Hospital personnel, and outside vendors/clients.
Duties and Responsibilities
Primary Job Functions1:
· Retrieve and file patient documentation from multiple streams, including hardcopies and electronic files.
· Process electronic faxes and filing in a timely manner, uploading patient documents to chart.
· Send out faxes as requested by office staff or physicians.
· Take incoming requests for copies of medical records, billing associated fees, following disclosure policy for releasing medical records.
· Process hospital documentation post visit, including pathology, consults, and procedure reports.
· Answer medical records phone calls and resolve caller's inquires.
· Process medical records requests by patients or other physicians according to policy and HIPAA guidelines.
Secondary Job Functions:
· Merge duplicate patient accounts.
· Maintain pharmacy and provider contact information database.
· Maintain confidentiality of personal and financial information by utilizing HIPAA's guidelines and regulations.
· Attend all office meetings or in-services as required.
· Any other tasks as requested by the physician, practice manager, human resource manager and/or the office supervisor2
· Assist other departments with scanning
Knowledge, Skills, and Abilities
· Ability to communicate with diversified levels of patients, staff members, external providers and/or agencies
· Fluent in English
· Knowledge of modern office procedures and methods including telephone communications, office systems, and record keeping
· Knowledge of modern business communication, including style and format of letters, memoranda, minutes, and reports
· Skill to use a personal computer and various software packages, including internet.
· Ability to establish priorities, work independently, and proceed with objectives with little supervision
· Ability to handle and resolve problems
· Ability to organize work material to ensure accuracy of patient records.
· Neat appearance and a professional demeanor.
Credentials and Experience
· Must have high school diploma or equivalent
· Experience working in a medical records department preferred, preferably in a medical office setting.
Special Requirements
· Willingness to learn new tasks, be cross trained within the office, and be flexible with workload to help office flow, including assisting co-workers.
· Willingness to work occasional overtime.
Physical Demands
· Applies the principles of body mechanics in lifting or moving boxes or equipment (occasional).
· Must be able to sit (frequent), stand (frequent), walk (frequent), stoop (frequent), bend over (frequent), and type on keyboard (frequent).
· Ability to communicate in person and by phone (frequent)
Work Environment
· Medical office requiring occasional contact with adult patients
Ohio Gastroenterology Group offers a nice life/work balance and a great benefits package that includes:
Medical, dental and vision coverage- benefits are effective the first of the month following 30 days of employment
Company paid life insurance and short term disability
Generous paid time off plans (vacation, sick and personal)
7 paid holidays
Two retirements plans:
401(k) plan that offers a 3% safe harbor contribution with immediate vesting as well as annual profit sharing contributions.
Cash balance pension plan - company contributes 2.5% and offers full vesting after 3 years of employment.
Tuition reimbursement programs
Employee appreciation programs
Uniform reimbursement programs
Growth opportunities
Learning and development training
Apply now to join a great company!
Real Estate Records Coordinator
Medical coder job in Columbus, OH
Manifest Solutions is currently seeking a Real Estate Records Coordinator for a position in Columbus, OH.
Responsible for developing and maintaining all real estate records in an electronic real estate database dealing with the acquisitions, sale and management of real estate required for company operations including; lease and rental payments/revenue, all related property records, and railroad permits for fee owned and leasehold assets.
Track acquisition and sale of real estate and lease data to provide internal and external benchmarks.
Provides and creates reports to assist with monthly reporting and tracking.
Manages and acts in a co-lead role to organize the maintenance of property records which include: deeds, leases, surveys, easements, exhibits and other legal real estate documents within the electronic real estate database.
Receive, examine, obtain, and organize information from the company's real estate records to process the lease revenue/payments, and conduct real estate research of fee owned and leasehold assets held for the company.
Coordinate and create work orders and payment of invoices for real estate transactions through the Company's accounting and recordkeeping systems (PeopleSoft).
Process and administer the lease payments through the electronic real estate database and receipt of lease revenue using PeopleSoft.
Manages and acts in a co-lead role to organize the maintenance of property records which include: deeds, leases, surveys, easements, exhibits and other legal real estate documents within the electronic real estate database.
Receive, examine, obtain, and organize information from the company's real estate records to process the lease revenue/payments, and conduct real estate research of fee owned and leasehold assets held for the company.
Coordinate and create work orders and payment of invoices for real estate transactions through the Company's accounting and recordkeeping systems (PeopleSoft).
Process and administer the lease payments through the electronic real estate database and receipt of lease revenue using PeopleSoft.
Coordinates directly with the Land Agents and Supervisor for the tracking of purchase, sale and lease contracts from the Legal department, Business Units, Accounting and Land Agents.
Pay all other real estate related invoices through the Company's accounting and recordkeeping systems (PeopleSoft).
Acts in a co-lead role for research within Power Plant for company owned and leased assets to help coordinate and organize the sale and disposition of property.
Minimum Requirements:
Associate Degree in Land Records Management, Business, Real Estate, Paralegal or Paralegal Certificate or High School Diploma.
Associate Degree or Paralegal Certificate and a minimum three or more years of commercial real estate or commercial title examiner/abstractor, real estate or industry related experience. High School Diploma and a minimum of five or more years of commercial real estate or commercial title examiner/abstractor, real estate or industry related experience.
Notary public (Preferred)
Ability to maintain company real estate records in a land database; work with and assist the team lead in organizing this effort.
Has a reasonable understanding of real estate and the importance of accurate and detailed record keeping.
Attention to detail and proficient in multitasking.
Ability to handle large volume real estate transactions.
Ability to meet tight deadlines.
Ability to work independently.
Excellent writing and communication skills.
Proficient Computer skills in Word and Excel.
Quant Analytics Associate Senior - Management Information System
Medical coder job in Columbus, OH
JobID: 210673946 JobSchedule: Full time JobShift: : Join our team as a senior quantitative analytics associate, where you'll collaborate with business partners to design innovative, automated solutions using cutting-edge technologies, driving operational efficiency in a dynamic, learning-focused environment.
As a Quant Analytics Associate Senior within DART (Data, Analytics and Reporting Team), you will play a crucial role in the DART MIS (Management Information System) setup and will be tasked with delivering effective business solutions. You will collaborate closely with various stakeholders and management levels to ensure the delivery of the most optimal solutions. As a member of the DART team you will leverage a broad technology suite to implement automated solutions and deliver data driven insights.
DART is poised to be the central analytics group for all functions in the CCB (Consumer and community Banking) Operations. We are a global group with presence in US, India & Philippines.
Job responsibilities:
* Support day-to-day operations/tasks related to a functional area or business partner
* Ensure projects are completed according to established timelines
* Participate in cross-functional teams as an SME (subject matter expert)
* Assemble data, build reports/dashboards, and provide input on out of the box solutions for our business partners
* Lead and deliver complex reporting projects independently
* Identify risks and opportunities along with potential solutions in order to unlock value
* Identify, analyze, and interpret trends or patterns in complex data sets
* Innovate new methods for managing, transforming, and validating data
* Partner closely with business stakeholders to identify impactful projects, influence key decisions with data, and ensure client satisfaction
Required qualifications, capabilities, and skills:
* Minimum 5 years demonstrated experience leveraging analytics and data mining to deliver tangible business improvements
* Bachelor's degree in Business or related field (Economics, Engineering, Physical Sciences, Mathematics, Operations Research, Statistics, Computer Science)
* First-hand experience & knowledge of querying different databases & other source systems for data analysis required for reporting
* Technical knowledge and/or experience using various data visualization (e.g. Tableau) and data wrangling tools (e.g. Python, R, SQL, Alteryx)
* Experienced in programming with Python, knowledge of machine learning, Data lake, snowflake, AWS
* Excellent verbal and written communication skills - ability to summarize findings into concise, high level points geared towards the audience and visually depict key data and findings
* Demonstrated ability to positively interface with other departments, colleagues, senior management and external customers is required
Preferred qualifications, capabilities, and skills:
* Experience within the banking industry
* Strong attention to detail and accuracy - proven ability to produce quality results timely
* Intellectually curious, eager to learn new things with an eye towards innovation
* Strategic, able to focus on business goals
* Excellent, at solving unstructured problems independently
* Highly organized, able to prioritize multiple tasks
* Strong, communicator able to build relationships with key stakeholder
This role does not offer visa sponsorship. This position will require the incumbent to work on site 5 days a week.
Auto-ApplyCancer Registrar II
Medical coder job in Columbus, OH
We are so glad you are interested in joining Sutter Health! Sutter Health, Northern California's largest health network with 29 acute care hospitals, more than 5,000 primary care physicians and specialists, home health, occupational health, psychiatric care and more provides comprehensive medical services in more than 100 Northern California communities. Our mission, vision and values lay the foundation for our day-to-day work in doctors' offices, home health and hospice programs, hospitals, laboratories, research facilities, administrative offices and medical education services. As a unified health care network, we partner to spread innovation, improve access to health care services and put our patients' needs first-all to achieve the highest levels of quality, access and affordability.
Assures complete and accurate data are collected and maintained for all reportable malignancies, including reportable benign tumors. Review any applicable data from the patient's medical record, including imaging, pathology, treatment summaries, physician's office notes, in- and out-patient visits. Stay abreast of industry changes by regulatory organizations, learn from constructive feedback, work independently, and make decisions with limited information. Uses knowledge of cancer disease processes, tumor nomenclature, medical terminology, medical procedures, anatomy, and physiology.
Additional Requirements:
EDUCATION:
* Associate's: Associate of Arts degree in a health-related field.
* Completion of accredited Cancer Registrar training program.
CERTIFICATION & LICENSURE:
* ODS-Oncology Data Specialist.
TYPICAL EXPERIENCE:
* 1-year recent relevant experience.
SKILLS AND KNOWLEDGE:
* Possess written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook), CNExT cancer data collection, electronic health records (EHR), and EPIC.
* Prioritize assignments and work within standardized policies, procedures, and scientific methods to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's protected health information (PHI).
* Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.
Pay range (CA, NJ, WA): $35.28-$44.09 / hr.
Pay range (CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA): $32.08-$40.09 / hr.
Pay range (AZ, AR, ID, LA, MO, MT, SC, TN, UT): $29.40-$36.75 / hr.
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.28 to $44.09 / hour. CA, NJ, WA Pay Range is $35.28 to $44.09 / hour. CO, FL, GA, IL, MI, NV, NC, OH, OR, PA, TX, VA Pay Range is $32.08 to $40.09 / hour. AZ, AR, ID, LA, MO, MT, SC, TN, UT Pay Range is $29.40 to $36.75 / hour.
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Area Health Information Specialist I (Onsite)
Medical coder job in Columbus, OH
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.
Position Highlights:
Full-time Monday - Friday 8AM - 4:30 PM CST; located in (Columbus, OH)
Position covers multiple sites, so travel is required between 3 locations as needed for coverage
Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays)
Opportunity for growth within the company
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 record.
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.
May schedules pick-ups.
Assist with training associates in the HIS I position.
Generates reports for manager or facility as directed.
Must exceed level 1 productivity expectations as outlined at specific site.
Participates in project teams and committees to advance operational strategies and initiatives as needed.
Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Must be 18 years of age or older.
Able to travel local/regionally 75% or more of the time.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
1-year Health Information related experience
Meets and/or exceeds Company's Productivity Standards
Basic computer proficiency.
Comfortable utilizing phones, fax machine, 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:
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.
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, 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 .
Auto-ApplyHealth Info Mgmt Serv Clerk
Medical coder job in Westerville, OH
Mount Carmel Rehabilitation Hospital an affiliate of Encompass Health 597 Executive Campus Drive Westerville, OH 43082
The HIMS Service Clerk is critical for assisting hospital staff and hospital leadership with several areas that are critical to high quality patient care, including\: data entry, patient records, charts, and files management, as well as assisting the HIMS Supervisor with chart research and FIM scores. In addition, this position is responsible for maintaining associated logs and records in accordance with established priorities and procedures of the Medical Records Department.
Why work for us?BenefitsWork with a national leader! Our goal is to attract and retain the best healthcare professionals at our hospitals. We offer a comprehensive and competitive benefits package that includes medical, dental, vision, 401(k), college savings plan, employee assistance program, pre-paid legal plan and much more. For more information on available benefits, please click here. Who are we?We are the nation's leading provider of rehabilitative services with over 100 acute rehabilitation hospitals in 26 states including Puerto Rico!Depending on the hospital location you will have the opportunity to work in a 30-200 bed acute care rehab hospital providing quality treatment through a large group of healthcare professionals such as\: Physical Therapist, Occupational Therapist, Registered Nurses, Pharmacists, and other licensed assistants. Working with us means you work with a team of medical staff that are all dedicated to returning our patients to the highest level of functioning possible.In fact, with an average of 80% of our patients returning home, we are proud to be recognized as a national leader for inpatient rehabilitation. To learn more about being a part of this successful team, please check us out at ******************************* Job Code\: 100083
License or Certification\:
* Must have High School or equivalent (GED)
Experience*Hospital experience - preferred
* Attention to Detail - focus on the little things!
Environmental Conditions\: * Indoor, temperature controlled, smoke-free environment.
* Exposure or potential exposure to blood and body fluids may be required.
* Handicapped accessibility.
* May be required to work weekdays and/or weekends, evenings and or night shifts if needed to meet deadlines.
* May be required to work on religious and/or legal holidays on scheduled days/shifts.
* Will be required to work as necessary during disaster situations, i.e. before, during or after a disaster.
* May be required to stay after workday to assist after a disaster situation until relief arrives.
Job Code\: 100083
Auto-ApplyMedicare Member Engagement Specialist (Spanish, Chinese, Korean preferred)
Medical coder job in Columbus, OH
Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member issues in areas involving member impact and engagement including: New Member Onboarding, member plan benefits education, and the development/maintenance
of Member Materials.
**Knowledge/Skills/Abilities**
+ Conducts direct outreach to new Medicare members to provide personal assistance with their new MAPD, DSNP, and MMP plans. Serves as an advocate to ensure members are well informed about plan benefits, provider options and how to use their new plan benefits.
+ Serve as the member's navigator during the onboarding process and address any plan questions and anticipate any issues that may arise. Determine the nature of the member's needs and interests; inform members of their plan resources and benefits with a focus on the member's area of interest/needs; and follow up with member to ensure needs are met and member is having a positive plan experience. Develop relationship with member to be the go-to person with any future issues or questions.
+ Log all contacts in a database.
+ Participate in Member engagement work groups as needed to ensure Medicare member needs are being anticipated and addressed.
+ Participates in regular member benefits training with health plan, including the member advocate/engagement role.
**Job Qualifications**
**REQUIRED EDUCATION:**
High School diploma.
**REQUIRED EXPERIENCE:**
2 years experience in customer service, consumer advocacy, and/or health care systems. Experience
conducting intake, interviews, and/or research of consumer or provider issues. Excellent written and verbal communication skills to collaborate internally and externally with members, providers, team members, and manager. Basic understanding of managed healthcare systems and Medicare.
**PREFERRED EDUCATION:**
Associate's or Bachelor's Degree in Social Work, Human Services, or related field.
**PREFERRED EXPERIENCE:**
Experience with Medicare and Medicare managed plans such as MAPD, DSNP, and MMP.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $21.16 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Utilization Management Specialist
Medical coder job in Columbus, OH
Job Details SUN Behavioral Columbus LLC - Columbus, OH Full Time Bachelors None Days Health CareDescription
Responsible for the coordination and implementation of case management strategies pursuant to the Case Management process. Plans and coordinates care of the patient from pre-hospitalization through discharge. Responsible for authorization of appropriate services for continued stay and through discharge. Conducts reviews with insurance companies to ensure coverage for patient admissions. Participates in performance improvement activities. Attends 80% of staff meetings. Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, Assessment and Referrals Department. Attends treatment team meetings as scheduled.
Position Responsibilities:
Clinical / Technical Skills
(40% of performance review)
Reviews intake assessment on patient within 24 hours of admission (patients meeting screening criteria).
Develops, implements and evaluates individualized patient care plans to meet the needs of patients.
Reviews care and treatment for appropriateness against screening criteria and for infection prevention and control, quality and risk assessment; documenting same in computerized database.
Performs follow-up assessments per Case Management Plan and/or department policy.
Utilizes clinical pathways whenever ordered by physician, to facilitate coordination of patient care.
Evaluates patient care plans on a regular basis and updates the care plans when needed.
Plans patient care in collaboration with all members of the healthcare team.
Consults with other departments, as appropriate, to collaborate in patient care and performance improvement activities. Collaborates with other departments to identify operational problems and develop solutions/resolution.
Works with all members of the healthcare team to assure a collaborative approach is maintained in care and treatment of the patient.
Works closely with social worker to integrate psychosocial management of patient/family needs.
Works with third party payers to validate need for patient care and home care environment needs.
Reviews patient care activities for occurrences and trends that affect the quality, cost effectiveness and delivery of services. Assures that the outcome of review is appropriately maintained in the computer database.
Assumes responsibility for timely completion of required case management reports for hospital leadership, regulatory bodies, health plans, insurance carriers, etc.
Possesses knowledge of Medicare, Medicaid and private insurance providers.
Assists the Utilization Management Department with all utilization activities as requested and directed.
Participates in education on and implementation of clinical guidelines and protocols.
Documentation meets current standards and policies.
Functions as a patient/family advocate ensuring each patient receives the most cost-effective care possible.
Maintains optimal continuum of patient care through efficient and effective planning, assessing and coordination of healthcare services.
Demonstrates an ability to be flexible, organized and function under stressful situations.
Maintains a good working relationship both within the department and with other departments.
Remains current on case management theory and practice, psychosocial issues current within the community and the healthcare environment.
Safety
(15% of performance review)
Strives to create a safe, healing environment for patients and family members
Follows all safety rules while on the job.
Reports near misses, as well as errors and accidents promptly.
Corrects minor safety hazards.
Communicates with peers and management regarding any hazards identified in the workplace.
Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
Participates in quality projects, as assigned, and supports quality initiatives.
Supports and maintains a culture of safety and quality.
Teamwork
(15% of performance review)
Works well with others in a spirit of teamwork and cooperation.
Responds willingly to colleagues and serves as an active part of the hospital team.
Builds collaborative relationships with patients, families, staff, and physicians.
The ability to retrieve, communicate, and present data and information both verbally and in writing as required
Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
Demonstrates adequate skills in all forms of communication.
Adheres to the Standards of Behavior
Integrity
(15% of performance review)
Strives to always do the right thing for the patient, coworkers, and the hospital
Adheres to established standards, policies, procedures, protocols, and laws.
Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
Completes required trainings within defined time periods.
Exemplifies professionalism through good attendance and positive attitude, at all times.
Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
Ensures proper documentation in all position activities, following federal and state guidelines.
Compassion
(15% of performance review)
Demonstrates accountability for ensuring the highest quality patient care for patients.
Willingness to be accepting of those in need, and to extend a helping hand
Desire to go above and beyond for others
Understanding and accepting of cultural diversity and differences
Qualifications
Education
Required: Current unencumbered RN in the state of employment, or Masters degree in healthcare administration or behavioral health, with an unencumbered license as LPC, LMFT, LSW, LISW, LISW-S, LPCC, LPCC-S, LMSW, or LCSW, or state equivalent license. CPR and hospital-selected de-escalation technique certification.
Maintains education and development appropriate for position.
Experience
Required: One or more years case management experience.
Preferred: One or more years acute hospital, home health, hospice, inpatient mental facility experience required (as applicable).
May substitute education for required experience.
Health Information Technician
Medical coder job in Orient, OH
Job Title: Health Information Technician - 13-Week Contract Medical Edge Recruitment is seeking a dedicated Health Information Technician for an immediate 13-week contract in Orient, OH. This vital role supports corrections facility operations by managing and maintaining accurate health information. If you are detail-oriented with a background in health information technology and record management, this opportunity offers a rewarding way to contribute to critical health services while advancing your career. Join our team and be part of a trusted partner committed to your success and professional growth.
Pay Package:
$20 per hour
Required Skills:
Knowledge of health information technology
Completion of at least 3 courses or 9 months experience in records management
Completion of at least 1 course or 3 months experience in medical terminology
Completion of at least 1 course or 3 months experience in typing
High school diploma or equivalent
Preferred Education and Experience:
Coursework or experience in medical terminology and records management
Previous experience in health information management, particularly in corrections or similar settings
Other Requirements:
High school diploma or equivalent
Knowledge of health information technology systems
Ability to work consistently from 8am to 4pm
Must pass criminal record check as mandated by state law for employment in corrections
Why Choose Medical Edge?
Medical Edge offers a robust support system dedicated to your success. We provide competitive pay, comprehensive benefits-including medical, dental, and vision-referral bonuses, weekly direct deposit, travel and housing stipends, extensive housing networks, corporate discounts, and a rewards and recognition program. Our dedicated Licensing & Compliance team and 24/7 support ensure you are well-supported throughout your assignment.
Embark on your next rewarding assignment with Medical Edge Recruitment-where your talent meets exceptional support. We simplify the process and prioritize personalized, honest relationships to help you reach your professional goals. Adventure awaits; let Medical Edge Recruitment guide you to your next opportunity!
Homecare Reimbursement Specialist- Homecare Finance
Medical coder job in Columbus, OH
Typical M-F business hours. Temporary for 6 months, with possibility of becoming permanent in early 2026.
Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies, including Medicaid and self-pay. Maintains current knowledge of changes in billing requirements and regulations and assists in resolving billing problems.
Job Description:
Essential Functions:
Verifies patient insurance coverage and eligibility for homecare services.
Processes and submits insurance claims for reimbursement.
Communicates with patients, insurance companies, and healthcare providers to resolve billing issues.
Maintains accurate and up-to-date patient records and billing information.
Monitors and tracks outstanding claims and follows up on unpaid or denied claims.
Ensures compliance with all relevant regulations and guidelines related to homecare billing and reimbursement.
Education Requirement:
High School Diploma or equivalent, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
(not specified)
Experience:
Two years ofexperience billing public and private insurers for medical services using computerized billing system, required.
Homecare services experience, preferred.
Physical Requirements:
OCCASIONALLY: Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Standing, Walking
FREQUENTLY: (none specified)
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
Talking on the phone / in person Frequently (34 - 66%)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
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