This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
**ESSENTIAL RESPONSIBILITIES**
+ Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements.
+ Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding.
+ Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies.
+ Engages in RPM Coding educational meetings and annual coding Summit.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ None
**Substitutions**
+ None
**Preferred**
+ Associate degree in medical billing/coding, health insurance, healthcare or related field preferred.
**EXPERIENCE**
**Required**
+ 3 years HCC coding and/or coding and billing
**Preferred**
+ 5 years HCC coding and/or coding and billing
**LICENSES or CERTIFICATIONS**
**Required** (any of the following)
+ Certified Professional Coder (CPC)
+ Certified Risk Coder (CRC)
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Attention to Detail
+ Written and Oral Presentation Skills
+ Written Communications
+ Communication Skills
+ HCC Coding
+ MS Word, Excel, Outlook, PowerPoint
+ Microsoft Office Suite Proficient/ - MS365 & Teams
**Language (Other than English):**
None
**Travel Requirement:**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
**Position Type**
Remote Office-based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Occasionally
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$26.49
**Pay Range Maximum:**
$41.03
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J273522
$26.5-41 hourly 30d ago
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Medical Coder CPC / CCS
Healthcare Support Staffing
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.
$39k-58k yearly est. 60d+ ago
Coder II (Clinic & E/M Coding)
Baylor Scott & White Health 4.5
Medical coder job in Columbus, OH
**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:
+ We serve faithfully by doing what's right with a joyful heart.
+ We never settle by constantly striving for better.
+ We are in it together by supporting one another and those we serve.
+ We make an impact by taking initiative and delivering exceptional experience.
**Benefits**
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
+ Eligibility on day 1 for all benefits
+ Dollar-for-dollar 401(k) match, up to 5%
+ Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
+ Immediate access to time off benefits
At Baylor Scott & White Health, your well-being is our top priority.
Note: Benefits may vary based on position type and/or level
**Job Summary**
+ The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties.
+ The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references.
+ These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.).
+ The Coder 2 will abstract and enter required data.
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**Essential Functions of the Role**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**Key Success Factors**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
**Belonging Statement**
We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.
**QUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ Must have ONE of the following coding certifications:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$26.7 hourly 43d ago
Medical Coding Specialist (2651, 2726)
HMS 4.5
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.
$34k-43k yearly est. 60d+ ago
Medical Coder 3 - Region 5
A-Line Staffing Solutions 3.5
Medical coder job in Columbus, OH
Assist in monitoring and analyzing policies and procedures for the ICD policy and system support program.
Serve as a medical policy resource, analyst, and technical expert advisor for coding systems.
Analyze ICD reports for appropriate usage and assignment of ICD codes.
Collaborate to resolve coding discrepancies related to CPT and HCPCS coding.
Maintain high standards of accuracy and efficiency in coding practices.
Draft and edit administrative policies and procedures as necessary.
Critical Information
Work hours are from 08:00 to 17:00.
This position is on-site.
Submissions must include resume, cover letter, and RTR.
Education/Licenses Needed
RHIA or RHIT degree and/or CCS/CCS-P/CPC certification required.
Active membership in professional coding organizations (AAPC, AHIMA).
Benefits:
Benefits are available to full-time employees after 90 days of employment.
A 401(k) with company match is available after 1 year of service.
This is an AI-formatted job description; recruiter confirmation required.
$32k-41k yearly est. 40d ago
Medical Device QMS Auditor
Environmental & Occupational
Medical coder job in Columbus, 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.
$36k-58k yearly est. Auto-Apply 47d ago
Medical Device QMS Auditor
Bsigroup
Medical coder job in Columbus, 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.
$36k-58k yearly est. Auto-Apply 48d ago
Medical Records Spec/Ops
Netcare Corp 4.3
Medical coder job in Columbus, OH
GENERAL DESCRIPTION :
Responsible for processing and maintaining medical records in accordance with established procedures and time frames to assure prompt and easy accessibility by staff. Also responsible for handling verbal and written requests for client information in accordance with established procedures and time frames.
POSITIONS SUPERVISED: None
ESSENTIAL DUTIES AND RESPONSIBILITIES :
Run daily report of admissions and discharges from the previous day(s), and update most current client lists.
Receive and log in all packets and loose materials:
Date stamp all packets on the date received.
Enter the date received in the correct log on the server.
Log in loose filing to assure that it gets incorporated into the charts preferably before being scanned
Preps and scan packets within 5 days of receipt by:
a. Organizing documents following chart organization procedures, verifying that papers are in the correct file.
b. Pulling and incorporating any loose filing into the prepped packet before sending it out for imaging.
c. Removing staples as necessary.
Taping smaller documents onto 8-1/2” by 11” paper. e.g., post-it's and business cards.
Unfolding any folded documents.
Cutting and/or shrinking documents as necessary to allow them to be scanned.
When applicable, stamp documents as “Poor document quality” when documents may not readable when scanned.
h, Verifies documents are scanned completely and readable.
Correcting errors in scanned charts, including removing misfiled documents and scanning them to the correct charts when necessary.
Adding Telehealth consents, Probate affidavits, and Mobile Crisis documentation (pink slips, signed treatment plans, ROIs) and other documentation to Avatar chart as necessary.
6. Responds quickly and appropriately to verbal and written requests for information from staff, outside agencies/professionals, clients, and/or family members in accordance with established procedures.
a. Checks the fax machine first thing in the morning and throughout the day for incoming faxes, particularly from agencies on the Extranet.
b. Verifies validity of ROI. Return any releases that do not meet criteria.
c. Assuming the ROI is valid, create the PDF and fax, OR store it in the correct agency subfolder in the file on the server, and post it with the morning and afternoon transfers.
d. Prioritize requests from:
1. Other service providers, including ADAMH agencies and hospitals.
2. Those with specific Need By dates, e.g., court dates, disability hearings, etc.
3. Clients/family members to be completed within 30 days, obtaining appropriate approvals before releasing.
7. Posts information for referrals/continuity of care to the ADAMH Extranet by 9:30 am and 3 pm daily following established procedures. Also checks periodically during the day for additional postings and processes these. Keeps record of information posted. Updates Release of Information (ROI) log to indicate requests received as well as information released via Extranet.
8. Processing hospital referral packets, CSU and Miles House referrals from hospitals according to procedure, including destruction of records if person does not come to Netcare
9. Retrieves and distributes caller alerts and other information such as on-call schedules via the secure web site and posts to the appropriate file folders.
10. Chart/Packets retrieval, including:
Accurately and quickly locating and retrieving charts/packets for staff upon request, including verifying SSN and/or DOB.
Assist staff as needed to locate and access imaged documents.
11. Contributes to a positive and professional working environment.
12. Keeps supervisor apprised of internal and external problems/issues encountered in carrying out job duties.
13. Participates in staff development activities.
14. Other duties as necessary or assigned.
ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:
Ability to accurately file both alphabetically and numerically.
Ability to operate and utilize a PC for data entry and retrieval.
Ability to work independently with minimal supervision.
Ability to work cooperatively with a variety of professional, administrative, and clerical staff.
Ability to work with clients, professionals, and others outside of the organization.
Ability to speak and hear well enough to interact with co-workers and others in person or over the telephone a majority of the time.
Ability to see and read well enough to accurately recognize Standard English language as used in the maintenance of client records.
Ability to grasp charts to be retrieved from shelving, storage boxes, or other.
Ability to climb 1-3 steps on a stepladder to file and/or retrieve charts.
Ability to reach above the head and to bend and stoop to file or retrieve charts.
Ability to lift boxes of records weighing up to 30 lbs. on a regular basis.
MINIMUM QUALIFICATIONS:
High School Diploma required. Medical records experience required.
The statements herein are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
$25k-31k yearly est. Auto-Apply 31d ago
Billing and coding specialist
Dream An Blessing Consulting
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.
$33k-42k yearly est. 60d+ ago
Medical Billing and Coding Specialist
Critical Care Transport 4.5
Medical coder job in Columbus, OH
Job Description
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!
$33k-43k yearly est. 24d ago
Medical Records Coordinator
Communicare 4.6
Medical coder job in Springfield, OH
Job Address:
2615 Derr Road Springfield, OH 45503
Allen View Healthcare Center, 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.
This position will be responsible for medical records and assisting our social worker and a social service designee.
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.
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.
$27k-32k yearly est. Auto-Apply 23d ago
Health Information Specialist II - LRH
Datavant
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 8:00AM-4:30 PM EST
+ Location: This role will be performed at one location (Remote)
+ Comfortable working in a high-volume production environment.
+ Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical status.
+ Documenting information in multiple platforms using two computer monitors.
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance **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.
+ 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.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$16-$20.50 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$16-20.5 hourly 32d ago
Health Info Mgmt Serv Clerk
Encompass Health 4.1
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
$32k-41k yearly est. Auto-Apply 60d+ ago
Senior Coder - Outpatient
Highmark Health 4.5
Medical coder job in Columbus, OH
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days.
**ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (60%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work.(5%)
+ Acts as a mentor and subject matter expert to others. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School/GED
+ 5 years of Hospital and/or Physician Coding
+ 1 year of Coding - all specialties and service lines
+ Extensive knowledge in Trauma/Teaching/Observation guidelines
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Any of the following:
+ Certified Coding Specialist (CCS)
+ Registered Health Information Technician (RHIT)
+ Registered Health Information Associate (RHIA)
+ Certified Coding Specialist Physician (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
Preferred
+ Associate's Degree
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J270102
$23-35.7 hourly 33d ago
Medical Records Spec/Ops
Netcare Corp 4.3
Medical coder job in Columbus, OH
GENERAL DESCRIPTION:
Responsible for processing and maintaining medical records in accordance with established procedures and time frames to assure prompt and easy accessibility by staff. Also responsible for handling verbal and written requests for client information in accordance with established procedures and time frames.
POSITIONS SUPERVISED: None
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Run daily report of admissions and discharges from the previous day(s), and update most current client lists.
Receive and log in all packets and loose materials:
Date stamp all packets on the date received.
Enter the date received in the correct log on the server.
Log in loose filing to assure that it gets incorporated into the charts preferably before being scanned
Preps and scan packets within 5 days of receipt by:
a. Organizing documents following chart organization procedures, verifying that papers are in the correct file.
b. Pulling and incorporating any loose filing into the prepped packet before sending it out for imaging.
c. Removing staples as necessary.
Taping smaller documents onto 8-1/2” by 11” paper. e.g., post-it's and business cards.
Unfolding any folded documents.
Cutting and/or shrinking documents as necessary to allow them to be scanned.
When applicable, stamp documents as “Poor document quality” when documents may not readable when scanned.
h, Verifies documents are scanned completely and readable.
Correcting errors in scanned charts, including removing misfiled documents and scanning them to the correct charts when necessary.
Adding Telehealth consents, Probate affidavits, and Mobile Crisis documentation (pink slips, signed treatment plans, ROIs) and other documentation to Avatar chart as necessary.
6. Responds quickly and appropriately to verbal and written requests for information from staff, outside agencies/professionals, clients, and/or family members in accordance with established procedures.
a. Checks the fax machine first thing in the morning and throughout the day for incoming faxes, particularly from agencies on the Extranet.
b. Verifies validity of ROI. Return any releases that do not meet criteria.
c. Assuming the ROI is valid, create the PDF and fax, OR store it in the correct agency subfolder in the file on the server, and post it with the morning and afternoon transfers.
d. Prioritize requests from:
1. Other service providers, including ADAMH agencies and hospitals.
2. Those with specific Need By dates, e.g., court dates, disability hearings, etc.
3. Clients/family members to be completed within 30 days, obtaining appropriate approvals before releasing.
7. Posts information for referrals/continuity of care to the ADAMH Extranet by 9:30 am and 3 pm daily following established procedures. Also checks periodically during the day for additional postings and processes these. Keeps record of information posted. Updates Release of Information (ROI) log to indicate requests received as well as information released via Extranet.
8. Processing hospital referral packets, CSU and Miles House referrals from hospitals according to procedure, including destruction of records if person does not come to Netcare
9. Retrieves and distributes caller alerts and other information such as on-call schedules via the secure web site and posts to the appropriate file folders.
10. Chart/Packets retrieval, including:
Accurately and quickly locating and retrieving charts/packets for staff upon request, including verifying SSN and/or DOB.
Assist staff as needed to locate and access imaged documents.
11. Contributes to a positive and professional working environment.
12. Keeps supervisor apprised of internal and external problems/issues encountered in carrying out job duties.
13. Participates in staff development activities.
14. Other duties as necessary or assigned.
ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES:
Ability to accurately file both alphabetically and numerically.
Ability to operate and utilize a PC for data entry and retrieval.
Ability to work independently with minimal supervision.
Ability to work cooperatively with a variety of professional, administrative, and clerical staff.
Ability to work with clients, professionals, and others outside of the organization.
Ability to speak and hear well enough to interact with co-workers and others in person or over the telephone a majority of the time.
Ability to see and read well enough to accurately recognize Standard English language as used in the maintenance of client records.
Ability to grasp charts to be retrieved from shelving, storage boxes, or other.
Ability to climb 1-3 steps on a stepladder to file and/or retrieve charts.
Ability to reach above the head and to bend and stoop to file or retrieve charts.
Ability to lift boxes of records weighing up to 30 lbs. on a regular basis.
MINIMUM QUALIFICATIONS:
High School Diploma required. Medical records experience required.
The statements herein are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
$25k-31k yearly est. Auto-Apply 30d ago
Medical Billing and Coding Specialist
Critical Care Systems International, Inc. 4.5
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!
$33k-43k yearly est. Auto-Apply 60d+ ago
Health Information Specialist I
Datavant
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.
Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.
By joining Datavant today, you're stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
**Position Highlights:**
+ Full-Time: Monday-Friday 8:30-5:00 PM OR 8:00-4:30pm EST
+ Location: This role will be performed - Remote - WFH
+ Processing medical records along with by taking calls from patients, insurance companies, and attorneys to provide medical records status
+ Documenting information on multiple platforms using two computer monitors.
+ Preferred Customer Service and Data Entry and Release of Information experience
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan with matching contributions & Tuition Reimbursement
**You will:**
+ Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
+ Maintain confidentiality and security with all privileged information.
+ Maintain working knowledge of Company and facility software.
+ Adhere to the Company's and Customer facilities Code of Conduct and policies.
+ Inform manager of work, site difficulties, and/or fluctuating volumes.
+ Assist with additional work duties or responsibilities as evident or required.
+ Consistent application of medical privacy regulations to guard against unauthorized disclosure.
+ Responsible for managing patient health records.
+ Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
+ Prepares new patient charts, gathering documents and information from paper sources and/or electronic health records.
+ Ensures medical records are assembled in standard order and are accurate and complete.
+ Creates digital images of paperwork to be stored in the electronic medical record.
+ Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
+ Answering of inbound/outbound calls.
+ May assist with patient walk-ins.
+ May assist with administrative duties such as handling faxes, opening mail, and data entry.
+ Must meet productivity expectations as outlined at a specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax machines, printers, and other general office equipment on a regular basis.
+ Professional verbal and written communication skills in the English language.
+ Detail and quality oriented as it relates to accurate and compliant information for medical records.
+ Strong data entry skills.
+ Must be able to work with minimum supervision responding to changing priorities and role needs.
+ Ability to organize and manage multiple tasks.
+ Able to respond to requests in a fast-paced environment.
**Bonus points if:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
_At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$15-18.3 hourly 59d ago
Medical Records Clerk
A-Line Staffing Solutions 3.5
Medical coder job in Pleasantville, OH
(Medical Records Clerk) Mental Health Information Technician - $17/hr
Schedule: Monday-Friday, 9:00 AM-5:00 PM (onsite) Pay Rate: $17.00 per hour
Interested? Call or text me at 469-890-1205, Madison Meredith, Staffing Manager II
A-Line Staffing, mmeredith@ainestaffing.com
Position Overview
We are seeking a detail-oriented and reliable Health Information Technician to support health records operations within a mental health facility.
You'll play an essential role in maintaining complete and compliant patient records while collaborating with healthcare and administrative teams.
Key Responsibilities
Review, catalog, and verify medical reports for completeness and accuracy.
Prepare charts for new admissions and ensure all forms, reports, and signatures are complete.
Compile and type statistical reports (daily/monthly census, admissions, discharges, etc.).
File, log, and retrieve health information records.
Provide medical record information in accordance with confidentiality regulations.
Coordinate with departments regarding health information procedures.
Maintain compliance with all HIPAA and facility policies.
Qualifications
Minimum Requirements:
9 months of experience or coursework in records management.
3 months of experience or coursework in medical terminology.
3 months of experience or coursework in typing.
Proficiency in Microsoft Word or similar software.
Strong attention to detail and organizational skills.
Preferred:
Knowledge of health information technology.
Understanding of Medicare/Medicaid documentation standards.
Experience proofreading and identifying errors in medical reports.
Interested? Call or text me at 469-890-1205, Madison Meredith, Staffing Manager II
A-Line Staffing, mmeredith@ainestaffing.com
$17 hourly 26d ago
Coder - Inpatient
Highmark Health 4.5
Medical coder job in Columbus, OH
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES**
+ Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
+ Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
+ Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
+ Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
+ Performs other duties as assigned or required. (5%)
**QUALIFICATIONS:**
Minimum
+ High School / GED
+ 1 year in Hospital coding
+ Successful completion of coding courses in anatomy, physiology and medical terminology
+ Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC)
+ Familiarity with medical terminology
+ Strong data entry skills
+ An understanding of computer applications
+ Ability to work with members of the health care team
Preferred
+ Associate's degree in Health Information Management or Related Field
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$23.03
**Pay Range Maximum:**
$35.70
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at *****************************
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
Req ID: J272373
$23-35.7 hourly 37d ago
Health Information Specialist I
Datavant
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.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associates must at all times safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
**Position Highlights**
**This is a Remote Role**
+ Full Time: Monday -Friday 8-4:30 CST
+ Ability working in a high-volume environment
+ ROI (Release of Information) Processing
+ Documenting information in multiple platforms using two computer monitors.
+ Proficient in Microsoft office (including Word and Excel)
**Preferred Skills**
+ Knowledge of HIPAA and medical terminology
+ Familiar with different EHR and Billing Systems
+ Experience working with subpoenas
**We offer:**
+ Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor
+ Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)
+ Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
**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.
+ Must meet productivity expectations as outlined at specific site.
+ May schedules pick-ups.
+ Other duties as assigned.
**What you will bring to the table:**
+ High School Diploma or GED.
+ Ability to commute between locations as needed.
+ Able to work overtime during peak seasons when required.
+ Basic computer proficiency.
+ Comfortable utilizing phones, fax 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:**
+ Experience in a healthcare environment.
+ Previous production/metric-based work experience.
+ In-person customer service experience.
+ Ability to build relationships with on-site clients and customers.
+ Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15-$18.32 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
How much does a medical coder earn in Columbus, OH?
The average medical coder in Columbus, OH earns between $33,000 and $69,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.
Average medical coder salary in Columbus, OH
$48,000
What are the biggest employers of Medical Coders in Columbus, OH?
The biggest employers of Medical Coders in Columbus, OH are: