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Medical coder jobs in Mack, OH

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Medical Coder
Surgical Coordinator
Medical Records Analyst
Medical Records Clerk
Medical Auditor
Medical Data Analyst
Medical Biller Coder
Certified Coding Specialist
Medical Records Technician
Health Information Specialist
  • Coding Specialist I

    Trihealth 4.6company rating

    Medical coder job in Norwood, OH

    This position abstracts provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. Job Requirements: High School Degree or GED CPC-A, CPC, CCS-P, CCA ICD-10-CM and CPT Coding Guidelines Medical terminology Anatomy Physiology Experience Related Fields Job Responsibilities: Assists with coding/billing questions from both internal and external customers. Which will include follow up on denials, research, review of charts for potential coding issues. Follow up with provider on any documentation that is insufficient or unclear and escalate where necessary. Communicate with other clinical staff regarding documentation trends. Maintains a close working relationship with all departments and internal customers including leadership and consolidates effotrts to ensure appropriate and standardized coding procedures are followed. Ensures understanding and compliance with coding protocols, rules and regulations from government agencies, insurance companies, and other resources. Maintains knowledge of current coding revisions and effectively communicates changes with provider. Maintains accurate and current CPT and ICD-10-CM resources within the billing and clinical systems. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes. Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly and in accordance with government and insurance were applicable. Ensure that all codes are current, active, and billiable according to CCI. Other job-related information: Qualifications: Successful completion of a certification program from an accredited organization. Strong knowledge of anatomy, physiology, and medical terminology. Excellent typing and 10-key speed accuracy. Commitment to a high level of customer service. Superior mathmatical skills. Familarity with ICD-10 codes and procedures. Solid oral and written communication skills. Working knowledge of medical jargon and anatomy preferred. Able to work independently. Working Conditions: Climbing - Rarely Concentrating - Consistently Continuous Learning - Consistently Hearing: Conversation - Consistently Hearing: Other Sounds - Frequently Interpersonal Communication - Consistently Kneeling - Rarely Lifting Lifting 50+ Lbs - Rarely Lifting 11-50 Lbs - Rarely Pulling - Rarely Pushing - Rarely Reaching - Rarely Reading - Consistently Sitting - Consistently Standing - Frequently Stooping - Rarely Talking - Frequently Thinking/Reasoning - Consistently Use of Hands - Occasionally Color Vision - Rarely Visual Acuity: Far - Frequently Visual Acuity: Near - Frequently Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS… • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS… • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS… • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS… • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS… • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community
    $51k-62k yearly est. Auto-Apply 9d ago
  • Certified Medical Coder (on site)

    Anderson Hills Pediatrics Inc.

    Medical coder job in Cincinnati, OH

    Anderson Hills Pediatrics' Expectations of all Employees: Adhere to all Anderson Hills Pediatrics' Policies and Procedures Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times Maintain a positive and respectful attitude with all work-related contacts Consistently reports to work prepared to perform the duties of the position Meets productivity standards and performs duties as workload necessitates Primary Function : Assists the Billing Manager with the claims submission and revenue cycle of the practice. Major Duties and Responsibilities : • Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information • Update patient demographic information including insurance coverage; make changes/corrections as needed; verify patient insurance benefits when applicable • Process required referrals to specialists and/or facilities • Audit charges from EMR for accuracy in CPT /ICD-10 / HCPCS coding • Pursue any outstanding claims and/or appeal any denied or underpaid claims • Respond to requests for medical records from insurance companies • Post patient and/or insurance remittances • File insurance claims daily • Perform daily close of the day • Investigate, analyze, and follow up for collection of overdue accounts • Initiate and respond to telephone inquiries from patients, insurance companies, others • Process BCMH applications as needed • Participate in quality improvement initiatives as needed • Complete necessary training on topics including, but not limited to, care coordination, patient self-management, population management, and health literacy • Attend monthly staff meetings and scheduled department meetings • Other miscellaneous duties as assigned by the Billing Manager Principle Working Relationships Works with patients/families, insurance companies and Finance Manager Works with physicians, other managers, and staff as needed Qualifications: Education: High school diploma 1-3 years of medical billing office experience preferred Coding certification required Experience in pediatrics preferred Essential Skills and Abilities: Demonstrate excellent listening skills and problem-solving skills Ability to interpret, adapt and apply guidelines and protocols Ability to willingly invest in change processes to improve efficiencies, compliance, and overall AHP performance Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with physicians, other employees, and patients Excellent critical thinking skills; exhibit sound judgment in decision making Excellent communication (both oral and written) Demonstrate strong customer service skills, including the ability to use appropriate judgment, independent thinking, and creativity when resolving customer issues Initiative and ability to work independently, lead/work in teams, and deal persuasively and effectively with all levels throughout the organization. Ability to manage multiple projects in varying stages of development; excellent problem-solving skills and attention to detail. Must be able to receive constructive criticism and react quickly to change. Ability to balance and shift multiple priorities. Working Conditions: Works in clinical areas as well as throughout the facility Sits, stands, bends, lifts and moves intermittently during work hours Relocation not available
    $38k-55k yearly est. Auto-Apply 54d ago
  • Medical Imaging Analyst

    Medpace 4.5company rating

    Medical coder job in Cincinnati, OH

    Our imaging services are growing rapidly, and we are currently seeking a full-time, office-based Medical Imaging Analyst to join our team. If you want an exciting career where you use your previous expertise and can develop and grow your career even further, then this is the opportunity for you. Responsibilities * Perform quality assurance checks on medical imaging data collected during medical and device clinical trials to ensure protocol specific requirements are met; * Perform established image processing techniques (converting imaging formats, contouring, performing preliminary measurements of lesions and volumes) across multiple modalities (including but not limited to MRI, CT, US, ECHO, DXA, etc.) using proprietary software as well as other third party software; * Assist in developing imaging protocols to obtain required study metrics based on clinical trial protocols; * Write (in English) technical documents related to the study required imaging procedure * Compile and maintain project-specific status reports and project timelines associated with imaging studies; and * Perform project specific tasks in compliance with Good Clinical Practices (GCP), regulatory requirements (21CFR Part 11), applicable departmental and companywide SOPs, and project specific protocols Qualifications * Bachelor's Degree in biomedical engineering, biomedical sciences (or similar field), with knowledge of medical imaging from experience performing, reviewing, and/or analyzing medical images in either a research or clinical setting. * 1-3 years of experience in clinical research or imaging related field, with at least 2 years of experience in an imaging center * Experience working with clinical trials or within the pharmaceutical environment is preferred TRAVEL: Minimal Compensation Your compensation will be based on your skills and experience. Medpace offers the following benefits for eligible positions: medical, dental, vision, 401(k), vacation policy, sick days, paid holidays, work from home flexibility, short-term disability, long-term disability, health savings and flexible savings accounts, life and AD&D insurance, and pet insurance. For more details, please discuss with your recruiter. Medpace Overview Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries. Why Medpace? People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today. The work we've done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future. Cincinnati Perks * Cincinnati Campus Overview * Flexible work environment * Competitive PTO packages, starting at 20+ days * Competitive compensation and benefits package * Company-sponsored employee appreciation events * Employee health and wellness initiatives * Community involvement with local nonprofit organizations * Discounts on local sports games, fitness gyms and attractions * Modern, ecofriendly campus with an on-site fitness center * Structured career paths with opportunities for professional growth * Discounted tuition for UC online programs Awards * Named a Top Workplace in 2024 by The Cincinnati Enquirer * Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024 * Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility What to Expect Next A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.
    $62k-89k yearly est. Auto-Apply 60d+ ago
  • Medical Device QMS Auditor

    Environmental & Occupational

    Medical coder job in Cincinnati, OH

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: * Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. * Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate * Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. * Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. * Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. * Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. * Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested * Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: * Associate's degree or higher in Engineering, Science or related degree required * Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. * The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. * Knowledge of business processes and application of quality management standards. * Good verbal and written communication skills and an eye for detail. * Be self-motivated, flexible, and have excellent time management/planning skills. * Can work under pressure. * Willing to travel on business intensively. * An enthusiastic and committed team player. * Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $34k-55k yearly est. Auto-Apply 12d ago
  • Medical Device QMS Auditor

    Bsigroup

    Medical coder job in Cincinnati, OH

    We exist to create positive change for people and the planet. Join us and make a difference too! Job Title: QMS Auditor Do you believe the world deserves excellence? BSI (British Standards Institution) is the global business standards company that equips businesses with the necessary solutions to turn standards of best practice into habits of excellence. Our Medical Devices (or Regulatory Services) team ensures patient safety while supporting timely market access for our clients' medical device products globally. BSI is an accredited ISO 13485 Certification Body recognized in many global markets Essential Responsibilities: Analyze quality systems and assess ISO 13485, CE Marking and MDSAP schemes. Prepare assessment reports and deliver findings to clients to ensure client understanding of the assessment decision and clear direction to particular items of corrective action where appropriate Recommend the issue, re-issue or withdrawal of certificates, and report recommendations in accordance with BSI policy, procedures and prescribed time frame. Maintain overall account responsibility and accountability for nominated accounts to ensure an effective partnership, whilst ensuring excellent service delivery and account growth. Lead assessment teams as required ensuring that team members are adequately briefed so that quality of service is maintained and that effective working relationships are sustained both with Clients and within the team. Provide accurate and prompt information to support services, working closely with them to ensure that client records are up to date and complete and that all other internal information requirements are met. Coach colleagues as appropriate especially where those members are inexperienced assessors or unfamiliar with clients' business/technology and assist in the induction and coaching of new colleagues as requested Plan/schedule workloads to make best use of own time and maximize revenue-earning activity. Education/Qualifications: Associate's degree or higher in Engineering, Science or related degree required Minimum of 4 years experience in the medical device field including at least 2 years must be hands-on medical device design, manufacturing, testing or clinical evaluation experience. The candidate will develop familiarity with BSI systems and processes as they go through the qualification process. Knowledge of business processes and application of quality management standards. Good verbal and written communication skills and an eye for detail. Be self-motivated, flexible, and have excellent time management/planning skills. Can work under pressure. Willing to travel on business intensively. An enthusiastic and committed team player. Good public speaking and business development skill will be considered advantageous. The salary for this position can range from $98,100 to $123,860 annually; actual compensation is based on various factors, including but not limited to, the candidate's competencies, level of experience, education, location, divisional budget and internal peer compensation comparisons. BSI offers a competitive salary, group-sponsored health and dental, short-term and long-term disability, a company-matched 401k plan, company paid life insurance, 11 paid holidays and 4 weeks paid time off. #LI-REMOTE #LI-MS1 About Us BSI is a business improvement and standards company and for over a century BSI has been recognized for having a positive impact on organizations and society, building trust and enhancing lives. Today BSI partners with more than 77,500 clients in 195 countries and engages with a 15,000 strong global community of experts, industry and consumer groups, organizations and governments. Utilizing its extensive expertise in key industry sectors - including automotive, aerospace, built environment, food and retail, and healthcare - BSI delivers on its purpose by helping its clients fulfil theirs. Living by our core values of Client-Centricity, Agility, and Collaboration, BSI provides organizations with the confidence to grow by partnering with them to tackle society's critical issues - from climate change to building trust in digital transformation and everything in between - to accelerate progress towards a better society and a sustainable world. BSI is an Equal Opportunity Employer dedicated to fostering a diverse and inclusive workplace.
    $34k-55k yearly est. Auto-Apply 13d ago
  • Senior EMR Analyst - Epic Cheers CRM

    Cincinnati Children's Hospital Medical Center 4.5company rating

    Medical coder job in Cincinnati, OH

    At Cincinnati Children's, we are committed to delivering exceptional, patient-centered experiences that extend far beyond the clinical visit. The Senior EMR Analyst - Epic Cheers plays a critical role in advancing this mission by supporting and enhancing our enterprise CRM capabilities. In this role, you will design, build, and optimize the Epic Cheers platform to strengthen how we communicate, engage, and partner with patients and families throughout their care journey. As a senior member of the EMR team, you'll collaborate closely with Patient Access, Marketing & Communications, Digital Experience, and clinical operational leaders to build automated, data-driven outreach and engagement workflows that help improve appointment adherence, streamline communication, and elevate the overall patient experience. Your technical expertise in Epic, combined with your understanding of CRM strategies and patient engagement needs, will directly influence how Cincinnati Children's builds long-term relationships with the families we serve. This role is ideal for an analyst who thrives at the intersection of technology, communication, and patient experience, bringing both strong configuration skills and the ability to partner with cross-functional stakeholders to translate goals into scalable, sustainable system solutions. Through your work with Epic Cheers, you will help Cincinnati Children's continue to advance its mission of improving child health through innovation, connection, and excellence in care. JOB RESPONSIBILITIES Build/Configuration/Release Mgmt * Analyze, design, implement, and maintain complex systems that greatly improves clinical care and patient management. * Support system testing. * Document testing outcomes. * Drives process improvement efforts. * Demonstrates advanced problem solving and technical solution skills. * Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions. * Contributes to strategic planning efforts. * Leads strategy and innovation in applicable clinical systems training and build environments to ensure currency and usability. * Independently develop and mentor others on education technology content for applicable use. * Drive the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need. Leadership and Mentoring * Take ownership of tasks with sense of urgency and drive them to completion. * Independent in work effort, escalating when appropriate. * Coordinate necessary resources and communicate impacts to the user community. * Collaborate with other team members to resolve issues and foster success with the customer base. * Serves as a mentor when working through details of a problem to reach a positive solution. * Set strategy and vision to support a user base through clinical system training and the creation and curation of expert education and training materials. * Strategize with end users to ensure that clinical system applications and accompanying training programs and materials remain current and support patient care delivery processes. * Network with internal and external experts to identify best practices for clinical system use and training. * Promote use of industry best practice tools for efficiency and innovative education and learning. Professional Growth & Development * Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections. * Conduct and participate in instructional sessions. * Use knowledge to improve skills. * Develop and maintain positive relationships, both internal and external to CCHMC. * Motivate people and encourage teamwork. * Work well with others and fosters a positive team environment. * Use knowledge to drive innovation. * Prepare oral and written presentations. Project Management * Lead the design, development, and implementation of new and enhanced EMR requests. * Develop and manage project plans and other project- related documentation for complex projects. * Manages multiple moderate to complex projects independently. * Determine the scope of complex projects. * Coordinate the appropriate resources needed. * Independently prioritize assigned tasks and projects. * Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues. * Independently works with cross functional teams to ensure proper integration. * Consult with and support the end user community to develop and validate requirements for system solutions. * Work with 3rd-party developers to review potential software development solutions for integrated build issues. Manage Customer Relationships * Develop collaborative professional relationships with customer group and key stakeholders. * Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support. * Plan, execute, and support a user base through clinical system training and the creation and curation of expert education and training materials. * Adhere to and promote continual adoption of change management policies and procedures. * Strong sense of personal accountability. * Model outstanding customer service behavior, including timely and effective follow-up with customers. * Always maintain CCHMC's service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES). JOB QUALIFICATIONS * Bachelor's degree in a related field OR equivalent combination of education and experience * 5+ years of work experience in a related job discipline PREFERRED QUALIFICATIONS * Existing or current Epic certifications strongly preferred, especially in: * Cadence * Ambulatory * MyChart * ADT (nice to have but not required) * Hands-on experience working within at least one of the Epic modules listed above. * Ability to obtain the Epic Cheers certification within 3 months of hire (required). * Demonstrated experience supporting EMR workflows, clinical operations, or patient access processes in an Epic environment. * Proven ability to partner with clinicians, and Epic operational teams, with IT to translate workflows needs and deliver effective Epic solutions. * Familiarity with healthcare data standards, patient scheduling/registration concepts, and frontline end-user support. Primary Location Remote Schedule Full time Shift Day (United States of America) Department IS Digital Health Employee Status Regular FTE 1 Weekly Hours 40 * Expected Starting Pay Range * Annualized pay may vary based on FTE status $91,520.00 - $116,688.00 Market Leading Benefits Including*: * Medical coverage starting day one of employment. View employee benefits here. * Competitive retirement plans * Tuition reimbursement for continuing education * Expansive employee discount programs through our many community partners * Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions * Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group * Physical and mental health wellness programs * Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: * Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years * Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding * Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) * One of the nation's America's Most Innovative Companies as noted by Fortune * Consistently certified as great place to work * A Leading Disability Employer as noted by the National Organization on Disability * Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $91.5k-116.7k yearly 23d ago
  • Senior Medical Data Analyst

    Global Channel Management

    Medical coder job in Mason, OH

    Senior Medical Data Analyst needs 5+ years experience with health plans or medical claims Senior Medical Data Analyst requires: Bachelors degree or equivalent work experience At least 5+ years experience with health plans or medical claims Experience with Claims Processing, Medical Plan Benefit Configuration (Facets platform a plus) HYBRID - 2 to 3x a week SQL and Database experience with basic queries. Excellent analytical and problem-solving skills Strong communication and interpersonal skills Senior Medical Data Analyst duties: Represent Product Configuration on cross-functional project teams to implement new Government/Medical-Surgical products Serve as the lead subject matter expert for Government/Medical-Surgical product configuration for the production team Partner with IT Configuration on Global Configuration requirements, perform data analysis, prototyping, and testing support for Government client setup requests. Develop and document the standard operating procedures for Government/Medical-Surgical product configuration Develop and train the team on the knowledge of Government/Medical-Surgical product configuration. Provide additional support working Commercial client setup and maintenance requests sent to the Plan Setup team when necessary Perform audits on client setup or maintenance request by following established team audit controls.
    $39k-57k yearly est. 60d+ ago
  • Medical Coding Appeals Analyst

    Elevance Health

    Medical coder job in Mason, OH

    Sign On Bonus: $1,000 **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. + Translates medical policies into reimbursement rules. + Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. + Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $39k-57k yearly est. 60d+ ago
  • Medical Records Specialist

    CSI Pharmacy

    Medical coder job in Olde West Chester, OH

    At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary Under general supervision, the Medical Records Specialist performs complex secretarial support for division manager and assigned staff. Responsible for medical record/document retrieval processes. Compensation Range: $20 - $24/hr (DOE) Location: West Chester, OH Schedule: (On-Site) Monday - Friday, 8:30am - 5:00pm Essential Duties and Responsibilities include the following. Other duties may be assigned as necessary. Accurately and efficiently retrieves medical records, via EMR access and fax Maintains high regard for patient privacy in accordance with the corporate privacy policies and procedures. Corresponds with pharmacy personnel requesting documents Scans, attaches, and files assigned documents Scans and files all patient paperwork including delivery tickets daily Receives/reviews all incoming correspondence and mail, routing it to the appropriate department or individual Prepares detailed outgoing correspondence Faxes documents as necessary Maintains files of correspondence Attends departmental meetings Organizes and maintains complex computerized and manual files, records, inventories, and data bases including backing up and purging systems, annotating files, and retrieving data in report form as required Ensures office efficiency is maintained Ensures security, integrity, and confidentiality of data and PHI information Attends and participates in Pharmacy in-services Consistently represents the company in a professional manner Maintains effective working relationship and cooperate with all personnel in the Company Adheres to the Company's compliance requirements as stated in the policy and procedure manual and all other related policies Performs other duties and responsibilities as assigned Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Provide the highest level of professionalism, responsiveness, and communication in order to build and maintain the maximum customer base possible. Must possess the ability to multi-task and frequently change direction. Education and/or Experience High school diploma or equivalent required with some specialized training. Three (3) years related secretarial experience. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job generally operates in a clerical office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines. While performing the duties of this position, the employee may travel by automobile and be exposed to changing weather conditions. Comments This description is intended to describe the essential job functions, the general supplemental functions, and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities, and requirements of a person so classified. Other functions may be assigned, and management retains the right to add or change the duties at any time. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer
    $20-24 hourly Auto-Apply 60d+ ago
  • Medical Records Specialist

    Cincinnati ASC LLC

    Medical coder job in Cincinnati, OH

    Job Description Key Responsibilities Scan and upload surgical charts, operative notes, and ancillary documents into the ASC's Electronic Health Record (EHR) system. Verify document accuracy and index files under correct patient and procedure categories. Maintain strict confidentiality and adhere to HIPAA and ASC-specific compliance standards. Collaborate with clinical teams to ensure records are complete after and after procedures. Assist with record transfers for audits, insurance requests, and quality reporting. Follow ASC protocols for document retention and secure destruction. Cross trained to manage the front desk and receptionist responsibilities Greet patients and visitors in a professional, courteous manner Manage patient check-in and check-out processes, including verifying insurance and collecting co-pays Obtain signatures on patient forms, where applicable Answer phones, respond to inquiries, and route calls appropriately
    $27k-35k yearly est. 13d ago
  • Health Information Clerk

    Primary Health Solutions 4.1company rating

    Medical coder job in Hamilton, OH

    Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R - Respect I - Innovation S - Stewardship E - Excellence Health Information Clerk Summary The Health Information Clerk will be responsible for establishing and maintaining the health information processing (electronic and hard copy) needs of the organization. This includes creating and maintaining patient records, providing assistance with records releases, conducting audits, etc. in compliance with state and federal regulations as well as HIPAA. The Health Information Clerk will understand and fully support the mission, vision, and value statements of Primary Health Solutions. A Day in the Life This reflects management's assignment of essential functions. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. · Conducts routine medical record-keeping operations and healthcare information management to ensure secure, accurate and reliable patient information management that complies with all applicable organizational, local, state, federal regulations. · Works closely with administration, vendors, and staff to support the requests from patients and outside entities for obtaining records to support patient care. · Follows established policies and procedures to ensure effective and compliant record management, makes suggestions for process improvements. · Assists in implementation of digital technologies and tools to gain efficiencies, facilitate record retrieval, and ensure secure storage. · Assist in facilitation of the retrieval, collection, and requests for medical records made by staff, patients, and affiliates. · Monitor, facilitate and track all records requests, releases, and authorizations within the Electronic Medical Record. · Abide by, adhere to, and conform to all applicable organizational, local, state, federal regulations. · Maintains an up to date understanding of applicable policies, processes, laws, and regulations relative to the processing of patient health information (PHI). · Report breaches, instances of non-compliance, patient complaints, problems, or similar instances to supervisor to protect patient health information. · Assist patients, staff and affiliates with medical records requests and questions. · Performs all other duties and tasks as assigned. Requirements Core Competencies · Customer Service: Committed to increasing customer satisfaction, sets proper customer expectations, assumes responsibility for solving customer problems, ensures commitments to customers are met. · Communication: Understand and communicate effectively with others using a variety of contexts and formats, which include writing, speaking, reading, listening and interpersonal skills. · Dependability: Meets commitments, works independently, accepts accountability, handles change, sets personal standards, stays focused under pressure, meets attendance/punctuality requirements. · Quality: Is attentive to detail and accuracy, is committed to excellence, looks for improvements continuously, monitors quality levels, finds root cause of quality problems, owns/acts on quality problems. · Productivity: Manages a fair workload, volunteers for additional work, prioritizes tasks, develops good work procedures, manages time well, and handles information flow. Success Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education/Experience · Associate degree or a similarly accredited program in health information technology preferred. · Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred. · At least 3 years of experience in a medical office setting. · Strong data entry skills. · Excellent verbal and written communication skills. · Advanced organization skills. · Attention to detail to ensure accuracy. · Familiarity with medical terminology. · Basic computer skills to scan, organize and access electronic health records. · Able to work independently and possess strong time management skills. · Excellent problem-solving skills. Language Skills Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization. Reasoning Ability Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Computer Skills To perform this job successfully, an individual should have the ability to gain knowledge of current practice management system, electronic medical record, Microsoft Word, text paging, Internet, and Intranet. Certificates, Licenses, Registrations Registered Health Information Technician (RHIT) or the Certified Electronic Health Records Specialist (CEHRS) preferred. Other Applicable Requirements Ability to speak Spanish desirable. Skill in maintaining records and recording test results. Skill with patients in lower socio-economic sectors of the community. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand; walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee are occasionally exposed to fumes or airborne particles, toxic or caustic chemicals and risk of radiation. The noise level in the work environment is usually moderate. Affirmative Action/EEO Statement It is the policy of Primary Health Solutions to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information, or any other protected characteristic under applicable law. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
    $30k-36k yearly est. 31d ago
  • Surgical Coordinator

    Cincinnati Eye Institute 4.4company rating

    Medical coder job in Cincinnati, OH

    JOB TITLE: Surgical Coordinator DEPARTMENT: Surgery Scheduling BENEFITS: * Full Benefits Package - Medical, Vision, Dental and Life Insurance * 401k + Employer Matching * Paid Time Off and Paid Holidays * Paid Maternity Leave * Optical Education Reimbursement * Competitive Base Pay POSITION SUMMARY Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures. PERFORMANCE EXPECTATIONS This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks. * Schedules surgery and performs pre-surgery patient education regarding preparation for surgery and communicates with all associated facilities. * Schedules and coordinates pre-op appointments with the patient and/or the patient's care giver. * Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances. * Counsel patients for Physician Fee and Eye Surgery Center. * Follow up/collect for surgery payments for ECA and ESC. EDUCATION REQUIREMENTS * High School diploma or GED * Experience in financial counseling is preferred. * Must be able to provide proof of their identity and their right to work in the United States If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered. EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
    $28k-33k yearly est. Auto-Apply 60d+ ago
  • Medical Records

    Carespring 4.1company rating

    Medical coder job in Olde West Chester, OH

    Pay $14 - $22 Depending on Certification/Credentials This position may not be currently open at one of the Carespring buildings but by applying here, you will be considered when/if a position becomes available based on where the facility of need is located and your listed home address. If you have questions, please contact the recruiter. Come join our team as a Medical Records Coordinator at our state of the art, skilled nursing facility. This position maintains the medical records in accordance with State and Federal regulations as well as professional standards of practice and facility policies and procedures to ensure complete, timely, and accurate medical records. Why Our Staff Have Chosen to Work Here! Competitive Wages with low cost, high quality medical and dental insurance RESPONSIBILITIES: Performs routine audits of in-house charts upon admission and at least quarterly, to ensure completeness and accuracy. Completes focus audits and PI audits on specific topics as directed by Administrator or Regional Medical Records Director. Provides notification to the staff on deficiencies found in the record and does follow-up to ensure the in-house records are complete. Assembles the medical records of discharged residents. Analyzes discharged charts for completeness and follows up with staff and physicians to ensure discharged records are completed. Processes requests for medical information as directed by the Administrator, Regional Medical Records Director and/or corporate Risk Manager (i.e., requests from residents, attorneys, for insurance reimbursement, in response to a subpoena). Maintains Release of Information Log for all requests for medical records and copies released for payment, continuity of care, and health care operations. Completes Accounting of Disclosures form according to HIPAA policies and files in resident's chart. Maintains the confidentiality of medical records by ensuring confidentiality of health information. Monitors physician visits and reports non-compliance to the DON/Administrator at least monthly. Purges charts, maintains destruction log, and maintains information for records at off-site storage facility. Assigns ICD-9 CM codes for resident diagnoses. Inputs diagnoses and codes in HCS system. Coordinates physician dictation with outside transcription company. Files any loose sheets needing to be attached to the record. Maintains supply of forms in department and on nursing units. Completes discharge/transfer notice when necessary for transfers to hospital or expired residents. Inputs discharge/transfer data in HCS system and ECS. Forwards requested records to Carespring Case Manager for managed care updates. Serves as facility contact person to oversee Record Retention and Destruction Policy working with each department as documents/records are boxed for long term storage. Sign-off on each Record Log to confirm proper completion. Performs other duties as assigned. QUALIFICATIONS: Maintains or is willing to obtain Medical Records Certification Detail oriented person and can complete tasks on a need based schedule PointClickCare experience is preferred. Knowledge of Microsoft Word, Excel highly encouraged. Advanced Therapy Center is an EOE/M/F/D/V and Smoke-Free Workplace
    $32k-40k yearly est. 3d ago
  • Medical Biller & Coder

    Cssl

    Medical coder job in Trotwood, OH

    The job duties of medical billing and coder include: Enter patient information into computer files, and possibly also in paper records Organize, manage, and sort paperwork (including patients' charts) Continue to enter data as patients are subjected to diagnostic tests and receive treatments Translate the information into alphanumeric medical code Prepare and mail billing statements Submit claims to insurance companies and other third-party payers Process payments from insurance companies Post transactions and reconcile payments to patient ledgers Collect and manage patient account payments Identify past-due bills and recommended collection actions Ensure that the facility is reimbursed for all services provided Resolve conflicts regarding payments and reimbursements Write reports and provide information to government agencies Respond in writing and on the telephone to patients' questions about billing Investigate and report instances of insurance fraud Provide information and prepare documents for legal inquiries and litigation Ensure the confidentiality of patients' personal information Perform clerical duties that may include answering the telephone, greeting patients, and sorting mail
    $32k-42k yearly est. 60d+ ago
  • Pro Fee Coding Spec - Miamisburg - Professional Svc Coding - FT Days

    Kettering Health Network 4.7company rating

    Medical coder job in Miamisburg, OH

    Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits Corresponds with providers on pending claims to facilitate resolution Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies Communicate appropriately with providers, leaders, and staff Researches and resolves concerns timely Educational Requirements: High School Diploma or equivalent RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification Prior experience in professional fee coding/billing Knowledge and Skill: CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits Medical Terminology and Anatomy & Physiology Computer and EPIC Applications Excellent verbal and written communication skills Abilities: Charge Review WQ [Edits] Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Claim Edit WQ [Edits] Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Follow Up WQ [Denials] Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Departmental Responsibilities Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits Follow procedures pertaining to position Researches and resolves concerns timely Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
    $43k-54k yearly est. Auto-Apply 60d+ ago
  • Area Lead Health Information Specialist

    Datavant

    Medical coder job in Covington, KY

    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 (Covington, GA 30014) * 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 positions. * 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. * Mentor HIS staff for further professional development. * Inform senior leadership of issues, opportunities or challenges. * Assist throughout the region with training, mentoring and/or coverage as needed. * Participate and assist with onboarding activities for new employees. * Assist with Quality Assurance tasks as directed by management. * Acts in a lead role with staff regarding general questions and assists with new hire training and developmental training. * Leads training sessions for timely staff development. * 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. * 1 year Health Information related experience. * 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. * Presentation skills for small group settings. * Forward thinking and ability to problem solve. Bonus points if: * 2+year Health Information related experience. * Meets and/or exceeds Company's Productivity Standards. * 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 Privacy Policy.
    $24k-32k yearly est. Auto-Apply 24d ago
  • Certified Medical Coder (on site)

    Anderson Hills Pediatrics Inc.

    Medical coder job in Cincinnati, OH

    Anderson Hills Pediatrics' Expectations of all Employees: Adhere to all Anderson Hills Pediatrics' Policies and Procedures Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times Maintain a positive and respectful attitude with all work-related contacts Consistently reports to work prepared to perform the duties of the position Meets productivity standards and performs duties as workload necessitates Primary Function: Assists the Billing Manager with the claims submission and revenue cycle of the practice. Major Duties and Responsibilities: • Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information • Update patient demographic information including insurance coverage; make changes/corrections as needed; verify patient insurance benefits when applicable • Process required referrals to specialists and/or facilities • Audit charges from EMR for accuracy in CPT /ICD-10 / HCPCS coding • Pursue any outstanding claims and/or appeal any denied or underpaid claims • Respond to requests for medical records from insurance companies • Post patient and/or insurance remittances • File insurance claims daily • Perform daily close of the day • Investigate, analyze, and follow up for collection of overdue accounts • Initiate and respond to telephone inquiries from patients, insurance companies, others • Process BCMH applications as needed • Participate in quality improvement initiatives as needed • Complete necessary training on topics including, but not limited to, care coordination, patient self-management, population management, and health literacy • Attend monthly staff meetings and scheduled department meetings • Other miscellaneous duties as assigned by the Billing Manager Principle Working Relationships Works with patients/families, insurance companies and Finance Manager Works with physicians, other managers, and staff as needed Qualifications: Education: High school diploma 1-3 years of medical billing office experience preferred Coding certification required Experience in pediatrics preferred Essential Skills and Abilities: Demonstrate excellent listening skills and problem-solving skills Ability to interpret, adapt and apply guidelines and protocols Ability to willingly invest in change processes to improve efficiencies, compliance, and overall AHP performance Exceptional interpersonal skills, including the ability to establish and maintain effective relationships with physicians, other employees, and patients Excellent critical thinking skills; exhibit sound judgment in decision making Excellent communication (both oral and written) Demonstrate strong customer service skills, including the ability to use appropriate judgment, independent thinking, and creativity when resolving customer issues Initiative and ability to work independently, lead/work in teams, and deal persuasively and effectively with all levels throughout the organization. Ability to manage multiple projects in varying stages of development; excellent problem-solving skills and attention to detail. Must be able to receive constructive criticism and react quickly to change. Ability to balance and shift multiple priorities. Working Conditions: Works in clinical areas as well as throughout the facility Sits, stands, bends, lifts and moves intermittently during work hours Relocation not available
    $38k-55k yearly est. Auto-Apply 39d ago
  • EMR Analyst II - Epic Beaker

    Cincinnati Children's Hospital Medical Center 4.5company rating

    Medical coder job in Cincinnati, OH

    Join a team transforming the future of diagnostics at one of the nation's top pediatric medical centers. As an Analyst, you'll play a pivotal role in optimizing laboratory workflows, enhancing data integrity, and ensuring clinicians have the tools they need to deliver world-class patient care. If you thrive in complex problem-solving, love partnering with clinical and technical teams, and want your work to directly improve the lives of children and families, this is the opportunity to make a measurable impact. JOB RESPONSIBILITIES Build/Configuration/Release Mgmt * Analyze, design, implement, and maintain moderately complex systems that greatly improves clinical care and patient management. * Support system testing. * Document testing outcomes. * Work to develop technical solutions. * Utilize development lifecycle process, operating procedures, and documentation to implement and support system solutions. * Where applicable, collaborate on the scheduling of the applicable clinical systems training and build environments to ensure currency and usability to support end user training. * Independently develops educational technology content for applicable use. * Recommends opportunities for and participates in process improvement to advance education and learning processes, content tracking, content review and revision. * Drives the use of multivariate learning modalities to cover the adult learning spectrum and clinical system education need. Leadership * Take ownership of tasks with sense of urgency and drive them to completion. * Take initiative and know what needs to be done. * Communicate to supervisor regarding overall issues, roadblocks. * Identify the appropriate resources needed to complete small/medium projects. * Support the communication on project-related issues and developments. * Work with cross functional teams. * Attend and participate in design and leadership team meetings for the various clinical applications deployed throughout the hospital. * Consult with end users to ensure that clinical system applications and accompanying training programs and materials support global and unique patient care delivery processes. * Network with internal and external experts to identify best practices for clinical system use and training. * Promote use of industry best practice tools for efficiency and inno Professional Growth & Development * Maintain currency in the field by participating in educational opportunities provided by vendor and other customer connections. * Conduct and participate in instructional sessions. * Use knowledge to improve skills. * Develop and maintain positive relationships, both internal and external to CCHMC. * Motivate people and encourage teamwork. * Work well with others and fosters a positive team environment. * Prepare oral and written presentations. Project Management * Support/and or lead the design, development, and implementation of new and enhanced application requests. * Support and/or lead project plans and other project-related documentation for moderately complex projects. * Determine the scope of moderately complex projects. * Coordinate the appropriate resources needed. * Prioritize, organize, and complete assigned tasks and associated documentation upon directives from supervisor or customers. * Seek the appropriate resources needed for activities. * Coordinate and facilitate communication between internal and external parties on assigned tasks and related issues. * Effectively works with cross functional teams to ensure proper integration. * Consult with and support the end user community to develop and validate requirements for system solutions. Customer Support * Develop collaborative professional relationships with customer group and key stakeholders. * Demonstrates advanced troubleshooting skills. * Ensure outstanding end-user support is provided, including ongoing monitoring of Service Level Agreements for incident management and collaboration with other areas to ensure customer-centered incident management and support. * Independently critically thinks to work through details of a problem to reach a positive solution. * Plan and execute the support for a user base through clinical system training and the creation and curation of advanced education and training materials. * Adhere to and promote continual adoption of change management policies and procedures. * Interact with all levels of staff throughout the Medical Center in a collaborative manner. * Strong sense of personal accountability. * Model outstanding customer service behavior, including timely and effective follow-up with customers. * Always maintain CCHMC s service standards of being Courteous, Attentive, Respectful and Enthusiastic team members, and Safe (CARES). JOB QUALIFICATIONS * Bachelor's Degree or equivalent combination of education and experience * 2+ years of work experience in a related job discipline PREFERRED QUALIFICATIONS * Experience working in an Anatomic Pathology laboratory (histology, cytology, or surgical pathology). * Strong understanding of AP workflows, specimen handling, and reporting requirements. * Prior Epic Beaker AP build or support experience preferred. * Excellent problem-solving and communication skills. Primary Location Remote Schedule Full time Shift Day (United States of America) Department IS Lab Informatics System Employee Status Regular FTE 1 Weekly Hours 40 * Expected Starting Pay Range * Annualized pay may vary based on FTE status $81,723.20 - $104,208.00 Market Leading Benefits Including*: * Medical coverage starting day one of employment. View employee benefits here. * Competitive retirement plans * Tuition reimbursement for continuing education * Expansive employee discount programs through our many community partners * Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions * Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group * Physical and mental health wellness programs * Relocation assistance available for qualified positions * Benefits may vary based on FTE Status and Position Type About Us At Cincinnati Children's, we come to work with one goal: to make children's health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children's. Cincinnati Children's is: * Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years * Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding * Recognized as one of America's Best Large Employers (2025), America's Best Employers for New Grads (2025) * One of the nation's America's Most Innovative Companies as noted by Fortune * Consistently certified as great place to work * A Leading Disability Employer as noted by the National Organization on Disability * Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC) We Embrace Innovation-Together. We believe in empowering our teams with the tools that help us work smarter and care better. That's why we support the responsible use of artificial intelligence. By encouraging innovation, we're creating space for new ideas, better outcomes, and a stronger future-for all of us. Comprehensive job description provided upon request. Cincinnati Children's is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
    $81.7k-104.2k yearly 3d ago
  • Surgical Coordinator - Medical Arts Building Clifton

    Cincinnati Eye Institute 4.4company rating

    Medical coder job in Cincinnati, OH

    Company: Cincinnati Eye Job Title: Surgical Coordinator Department: Ophthalmology Reports To: Clinic Manager Deliver excellent patient-centered care by ensuring the financial and surgical communication process is complete for patients having surgical procedures. ESSENTIAL DUTIES AND RESPONSIBILITIES This position will require flexibility and a broad knowledge base, with ability to perform any of the below tasks. Schedule surgery, perform pre-surgery patient education regarding preparation for surgery and communicate with all associated facilities. Schedule and coordinate pre-op appointments with the patient and/or the patient's care giver. Check every patient chart for insurance benefits, prepare a cost summary and counsel patients regarding finances. Counsel patients for Physician Fee and Eye Surgery Center. Follow up on and collect surgery payments. Other duties as assigned. QUALIFICATIONS Desire to gain industry knowledge and training Demonstrates initiative in accomplishing practice goals Ability to grow, adapt, and accept change Consistently creating a positive work environment by being team-oriented and patient-focused Ability to interact with all levels of employees in a courteous, professional manner at all times Reliable transportation that would allow employee to go to multiple work locations with minimal notice Commitment to work over 40 hours to meet the needs of the business Ability to work weekends when applicable EDUCATION AND/OR EXPERIENCE High School diploma or GED equivalent is required Experience in financial counseling is preferred Experience working with insurance is preferred LICENSES AND CREDENTIALS Minimum Required: None SYSTEMS AND TECHNOLOGY Proficient in Microsoft Excel, Word, PowerPoint, Outlook PHYSICAL REQUIREMENTS This role requires a variety of physical activities to effectively perform essential job functions. The position involves frequent walking (75%), sitting (50%), and standing (50%), with regular bending, stooping, and reaching (25-50%). Employees must be able to lift, carry, push, and pull items up to 25 lbs. Strong fine motor skills and full use of hands are essential, as the role demands constant grasping, writing/typing, and use of technology. Visual and auditory acuity-including color, depth, peripheral vision, and the ability to adjust focus-is required 100% of the time. Occasional driving or climbing may also be necessary. If you need assistance with this application, please contact **************. Please do not contact the office directly - only resumes submitted through this website will be considered. EyeCare Partners is an equal opportunity/affirmative action employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
    $28k-33k yearly est. Auto-Apply 60d+ ago
  • Medical Records Tech - HIMS Operations - Miamisburg - FT/Days

    Kettering Health Network 4.7company rating

    Medical coder job in Miamisburg, OH

    Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview Kettering Health Miamisburg Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. 142 bed facility Awarded with 100 Top Hospital by IBM Watson Health for the 10 th time in 2019. In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States. Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department. KH Miamisburg received several awards from Healthgrades: Outstanding Patient Experience Award (2017-2019) America's 100 Best Hospitals for Prostate Surgery Award (2020) Joint Replacement Excellence Award (2020) Preferred Qualifications The Medical Records Tech role supports the System of Kettering Health in its' mission through the timely and quality processing of protected health information in compliance with federal, state, and system standards, as well as system policies and procedures that accomplish the confidential and accurate completeness of patient records. This Scanning team position posting is for an on-site (remote work not supported) Medical Records Tech position within the HIMS Operations department at one of our Kettering Health campuses; however, because Medical Records Tech positions are considered a part of the Kettering Health System Services division, members may be required to transfer, at any time, to perform duties and responsibilities at other campuses within the entire Kettering Health system. Transfers to other campuses are rare but may be necessary with limited prior notice, mileage is reimbursable for short term transfers. While not a direct patient care position, this position will require physically being present on units and passing through areas with on-going active patient care. Medical Records Tech's posted to the HIMS Operations Scanning team must be able to balance work that allows for independent workflow while simultaneously fostering an environment of support and teamwork for assuring a balanced workload and optimal productivity. Medical Records Tech's must possess adaptability and flexibility to organize and prioritize workload to meet quality and productivity standards, learn new concepts/skills, and participate in continuous process improvement activities requiring articulation of problems and potential solutions in a professional and confidential manner. Medical Records Tech's posted to the HIMS Operations Scanning team can expect to perform the following daily duties and responsibilities (this list is not all inclusive) which do require dexterity of whole body, potential extensive walking/pushing of carts, lifting/handling of paper/plastic products, and involves repetitive motions; additionally requires the understanding and ability to use electronic information systems and software applications for team workflow and process functionalities (heavy screen/system use time)): The capture/pickup of paper-based records from a variety of locations such as direct nursing units and collection boxes. The prepping for scanning of paper-based records which includes manual manipulation (use of staple removers, removal of binding materials, etc.) to ensure proper scanning equipment fit. Additionally, the use of critical thinking skills in the verification and quality review and assembly of protected health information. Pre-Indexing of documentation for scanning involves the continuation of prepping/manipulation of documentation activities but now introduces the physical use of scanning devices (users will be required to understand the functionality as well as physically use and maintain assigned large scanning equipment). Functionality of OnBase software is used to digitally managed scanned imaging. Indexing (Full Indexing) allows for users the opportunity to review and ensure correct image quality and documentation filing. Quality Assurance/Verification actions allow for users the continued opportunity to review and ensure image quality and documentation filing before final committal/filling of documentation into patient records. Additionally, tasks related to the analysis of other patient record elements may be required. Storage/Stagging will require users to maintain proper workflow time management skills to ensure both timely completion of workflow task and the ability to maintain an organized and clean workstation/office environment. Use of Microsoft (MS) Office products such as Excel, Teams, and Word for collaboration and communication purposes, this includes the use of landline telecommunication equipment. Additionally, users must of able to use Multi-Functional Devices for printing, scanning, and faxing (digital faxing options are also used). JOB REQUIREMENTS Required Licenses AHIMA Credentialed Preferred. Minimum Education Courses in medical record office procedures, medical terminology, as well as anatomy and physiology are desired. Minimum Work Experience One to two years of experience in health information/medical recordkeeping systems. Required Skills Medical terminology required. Must possess excellent customer service skills exhibiting composure, tact, and maturity required in the interaction with physicians, co-workers, other customers, and patients. Must possess excellent verbal, telephonic, and digital communication etiquette. Must possess an aptitude for clerical tasks with a desire for accuracy in detail, organized tasks. Must have critical thinking and problem-solving abilities. Ability to prioritize and balance workload. Basic computer literacy required.
    $33k-41k yearly est. Auto-Apply 60d+ ago

Learn more about medical coder jobs

How much does a medical coder earn in Mack, OH?

The average medical coder in Mack, OH earns between $33,000 and $65,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Mack, OH

$46,000

What are the biggest employers of Medical Coders in Mack, OH?

The biggest employers of Medical Coders in Mack, OH are:
  1. Anderson Hills Pediatrics Inc.
  2. UC Health
  3. Robert Half
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