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Medical records director full time jobs

- 24 jobs
  • Certified Medical Coder

    Infojini Inc. 3.7company rating

    Columbus, OH

    Certified Coding Specialist Duration: 06-07+ months with strong possibility of extension Shift timing: Mon- Fri: 8:00 a.m. and 5:30 p.m (8 hrs/day & 40 hrs/week) Pay Rate: $34/hr on W2 JOB ID- RFQ- ICD-10 Interview Process: Two-part in-person testing This is on-site position, 5 days a week. When a candidate has completed the probation period/training, it will be reviewed.BWC location, 30 W. Spring St., Columbus, OH Minimum Requirements: • Proficient in diagnosis coding using ICD-10-CM and in coding procedures using CPT and using nationally recognized correct coding guidelines. • Current coding credentials from AHIMA (CCS, RHIT, or RHIA) OR AAPC (CPC) • At least 2 years' experience in ICD-10-CM diagnosis and CPT coding • Ability to handle time-sensitive coding issues. • Resume with references.
    $34 hourly 4d ago
  • HIM Mgr of Denials Prevention and Appeals

    Southern Ohio Medical Center 4.7company rating

    Portsmouth, OH

    Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (Salaried) The Health Information Manager of Denials Prevention and Appeals works under the supervision of the Administrative Director of Health Information. The primary job duties include reviews denied claims, researches the reasons for denial, prepares appeals with clinical and coding evidence, collaborates with other departments, identifies denial trends for process improvement, and ensures appeals are submitted accurately to payers to resolve reimbursement issues as well as coordinates clinical appeals with outsource companies who assist our clinical and status appeals. Performs other duties as assigned. QUALIFICATIONS Education: * High School Diploma or successful completion of an equivalent High School Exam required. * Graduate from an accredited RHIT/RHIA program or Coding Certification through AHIMA or AAPC required. * Successful completion of a medical terminology course preferred. Licensure: * RHIT, RHIA, CCS, CPC-H, CDIP, or CDEI certification required. Experience: * Three years of acute hospital coding experience required. JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Analyzes denied claims to understand the reasons for denials, which may involve reviewing patient health records, medical policies, and payer requirements. 2. Validates the accuracy of clinical documentation and coding (MS-DRG's, APR-DRG's, payer policies for allowed and billable charges) for denied accounts. 3. Researches and compiles necessary supporting documentation and evidence-based research to support coding and charge related denials and rejects. 4. Writes appeals letters using the assistance of AI technology and templated forms in alignment with payer appeal policies for coding and charging related denials. 5. Monitors denial trends, identifies root causes and provides recommendations for process improvement. 6. Provides education to other departments to minimize future denials by implementing best practices for denial reductions. 7. Serves as a liaison and collaborates with other teams to resolve issues and develop solutions. 8. Communicates effectively with insurance companies and gathers information and facilitates audits. 9. Performs other duties as assigned. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.
    $58k-80k yearly est. 12d ago
  • Medical Coder 3 - Region 5

    A-Line Staffing Solutions 3.5company rating

    Columbus, OH

    Assist in monitoring and analyzing policies and procedures for the ICD policy and system support program. Serve as a medical policy resource, analyst, and technical expert advisor for coding systems. Analyze ICD reports for appropriate usage and assignment of ICD codes. Collaborate to resolve coding discrepancies related to CPT and HCPCS coding. Maintain high standards of accuracy and efficiency in coding practices. Draft and edit administrative policies and procedures as necessary. Critical Information Work hours are from 08:00 to 17:00. This position is on-site. Submissions must include resume, cover letter, and RTR. Education/Licenses Needed RHIA or RHIT degree and/or CCS/CCS-P/CPC certification required. Active membership in professional coding organizations (AAPC, AHIMA). Benefits: Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.
    $32k-41k yearly est. 6d ago
  • Coder

    Promedica Health System 4.6company rating

    Toledo, OH

    **Department:** HIM Revenue Cycle **Weekly Hours:** 40 **Status:** Full time **Shift:** Days (United States of America) As a Coder at ProMedica, you are responsible for accurately coding diagnoses, procedures and other services to ensure medical records and billing are accurate. You will work with providers to ensure documentation is clear and complete and result in accurate coding. You will also review all claim edits and correct errors in a timely fashion. This role will code for practice and hospital charges for all departments supported by the Professional Billing Office. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. REQUIREMENTS + High School diploma or equivalent + Must be able to pass internal coding test. Proficient in ICD-10-CM, CPT and HCPCS coding. + Minimum of 1 year of physician/professional coding experience in a healthcare system or medical office setting; or equivalent combination of education and experience. + CPC, CCS-P, RHIT or RHIA certification required, or must obtain within 90-dayprobationary period. PREFERRED REQUIREMENTS + Knowledge of professional billing revenue cycle processes. + Knowledge and experience with Epic and other coding applications. + 2+ years of physician/professional coding experience in a health care systemor medical office setting. **ProMedica** is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus (****************************************************** . **Benefits:** We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It's what makes us one of the best places to work, and helps our employees live and work to their fullest potential. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact **************************** Equal Opportunity Employer/Drug-Free Workplace
    $38k-52k yearly est. 12d ago
  • Coder - FT40

    Wooster Community Hospital 3.7company rating

    Wooster, OH

    WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Coder MAIN FUNCTION: The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve re-imbursement and revenue compliance concerns. Involved in the charge capture process. RESPONSIBLE TO: System Director of Revenue Cycle MUST HAVE REQUIREMENTS: Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS/ or CCA eligible. If not credentialed at time of hire, then applicant must become credentialed in one of the four areas within 12 months of hire to remain employed. Ability to operate computer on a daily basis and perform basic office procedures. No written disciplinary action within the last 12 months. PREFERRED ATTRIBUTES: Completion of an accredited program in Health Information Technology. * Denotes ADA Essential * Follows Appropriate Service Standards POSITION EXPECTATIONS: * Reviews charts of all inpatient, outpatient surgeries, observations, clinic, special procedures, emergency room records, and outpatient testing or treatment room records, etc. on a daily basis in order to assign proper ICD10-CM and/or CPT codes for billing and statistical reports. * Utilizes encoder software to code and finalize bill * Able to prioritize most needed coding and code in a timely manner. * Abstracts demographic information as needed. * Works with Manager with problem accounts. Tracks down these accounts and works with the physician to complete these records and codes them for billing. * Reports any problems in coding, billing or registrations to the Manager. * Ensures that chart information supports the diagnosis and treatment. Charts must be thoroughly reviewed and discrepancies communicated to the physician for correction or further documentation. * Performs audits of revenue cycle processes utilizing reports from various software applications (i.e. Craneware, Meditech, Quadex, etc.) and report findings to the Manager. * Must be able to perform audits utilizing all source documents, including the medical record, itemized charges, UB92 and charging worksheets. * Performs revenue audits for clinical departments on a rotating basis as well as requested audits on an as needed basis. The need for an audit can be identified by PFS, HIM or clinical departments. * Performs charge capture processes for the specified categories of charges. 4/95 Revised Dates: 3/00, 6/00, 3/02, 9/03, 1/04, 3/05, 5/09, 11/10, 10/15, 2/20 Approved by Human Resources: Full time Monday thru Friday 8am-430pm 40 hours per week
    $57k-74k yearly est. 5d ago
  • Certified Coder - Fraud, Waste & Abuse (FWA)

    Summa Health 4.8company rating

    Akron, OH

    Certified Coder, Special Investigations Unit Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Code with Integrity. Detect with Precision. Join Us as a Certified FWA Coder! Are you a certified coding professional with a sharp eye for detail and a passion for protecting healthcare integrity with experience reviewing medical records? Step into a high-impact role where your expertise helps uncover fraud, prevent waste, and ensure compliance across the healthcare system. We're looking for a Fraud, Waste, and Abuse (FWA) Certified Coder to join our Special Investigations Unit and play a critical role in safeguarding resources and promoting ethical billing practices. This position collaborates with investigators, clinical and compliance staff, and regulatory agencies. Summary: Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal Audit and the Fraud, Waste and Abuse (FWA) Committee for investigations and provider communication. Maintains knowledge of current schemes and ensures the SIU processes and procedures reflect industry norms. Formal Education Required: a. Bachelor's Degree, or equivalent combination of education and experience. Experience & Training Required: a. Three (3) years of health insurance or provider office experience to include: clinical review of medical records, and appropriate claims coding b. Three (3) years' experience of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. c. Active AAPC Coding certification - Certified Professional Coder (CPC). d. Accredited Healthcare Fraud Investigator (AHFI) certification preferred. e. LSS Yellow Belt Certified preferred. Essential Functions: 1) Conducts comprehensive medical record reviews to ensure billing is consistent with the information contained in the medical record. 2) Maintains a working knowledge of coding rules and industry coding guidelines. 3) Provides detailed written summary of medical record review findings. 4) Articulates findings to investigators, plan leadership, law enforcement, legal counsel, providers, state regulators, etc. 5) Reviews and discuss cases with Medical Directors to validate decisions. 6) Assist with investigative research related to coding questions, and state and federal policies. Makes recommendations for additional claim edits. 7) Identifies potential billing errors and provides suggestions for provider education and/or plan payment policies. 8) Identifies opportunities for savings related to potential cases resulting in a prepayment review. 9) Maintains appropriate records, files, documentation, etc. 10) Able to travel for meetings and to testify in legal hearings. 3. Other Skills, Competencies and Qualifications: a. Demonstrate intermediate proficiency in MS Office, Project, and database management. b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations. c. Demonstrate excellent analytical and problem-solving skills. d. Effectively conduct statistical analyses and accurately work with large amounts of data. e. Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. f. Ability to organize and manage time to accurately complete tasks within designated time frames in fast paced environment. g. Maintain current knowledge of and comply with regulatory and company policy and procedures. 4. Level of Physical Demands: a. Sit for prolonged periods of time. b. Bend, stoop, and stretch. c. Lift up to 20 pounds. d. Manual dexterity to operate computer, phone, and standard office machines. As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare.Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay
    $28.1-42.2 hourly 39d ago
  • BWC Coding Specialist, On-site - Full Time

    Get Well. Get Moving Again

    Lima, OH

    Summary: The BWC Coding Specialist is responsible for reviewing clinical documentation and accurately assigning CPT, ICD-10, and HCPCS codes for orthopaedic procedures and services. This role ensures compliance with coding guidelines, optimizes reimbursement, and supports efficient revenue cycle operations for the practice. General Summary of Duties: (Other duties may be assigned.) Review and assign accurate medical codes for diagnoses, procedures, and services using ICD-10, CPT, and HCPCS guidelines. Ensure coding compliance with federal, state, and payer regulations, as well as internal policies. Collaborate with physicians, clinical staff, and billing team to clarify documentation and resolve discrepancies. Monitor and stay updated on coding changes, regulations, and payer requirements. Assist with audits and quality assurance activities to minimize claim denials. Qualifications: 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. Education and Training: Required: Strong Ohio BWC knowledge and experience. Preferred: Certification as a CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or equivalent credential. 2+ years of orthopaedic medical coding experience. Strong knowledge of medical terminology, anatomy, and physiology - especially as it relates to musculoskeletal care. Proficient in EMR/EHR systems and Microsoft Office Suite. Exceptional attention to detail, accuracy, and organizational skills. Physical Demands and Working Conditions/Requirements: Requires prolonged periods of sitting at desk and working at computer Must have good computer and telephone communication skills and able to operate misc. office equipment Hearing and vision abilities within normal range, or corrected, to observe and communicate with patients and staff Ability to work in fast-paced environment in a professional medical office setting Reasonable accommodations may be made to enable individuals with disabilities to perform the necessary functions Position Type and Expected Hours of Work: Full time: 40 hours per week; day shift hours on weekdays Travel Requirements: Travel not anticipated Full-time Benefits Health, Dental, and Vision Insurance 401k Plan, 3% Safe Harbor Non-Elective Employer Contribution Employer-provided $25,000 Group Life Insurance Voluntary Life Insurance Short-Term and Long-Term Disability Accident, Hospital, Critical Illness/Cancer Benefits Mileage Reimbursement for travel between office locations Certificate and Continuing Education Reimbursement Accrual Paid Time Off (up to 19 days off within 1st year) 6 Paid Holidays Per Year Closed on Major Holidays
    $39k-57k yearly est. 60d+ ago
  • Outpatient Coding Specialist

    Uhhospitals

    Ohio

    Outpatient Coding Specialist - (25000CFN) Description A Brief OverviewResponsible for accurately and timely coding of outpatient and professional medical records following established coding, CMS regulations and hospital guidelines. Reviews all types of encounters and accurately codes diagnostic and procedural information following coding guidelines and regulations information including, facility specific guidelines and federal regulations. What You Will DoReviews patient encounters and assigns diagnostic ICD-10-CM and or/procedural CPT codes according to established coding, CMS and hospital guidelines. Responsible for accurately coding hospital ancillary, ED, same day surgery, observation and/or professional physician services encounters. Maintains productivity and quality rate according to established standards. Ensures optimal CPT /ASC/APC/APG assessment. Understanding and ability to resolve coding specific edits such as CCI, LCD, NCD and MUE. Works within UH billing time frames. Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Additional ResponsibilitiesParticipates in educational and informational activities. Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. Qualifications EducationHigh School Equivalent / GED (Required) Associate's Degree or Bachelor's preferably in HIM (Preferred) Work Experience1+ years Of ICD-10-CM and/or CPT coding experience (Preferred) Knowledge, Skills, & AbilitiesMedical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge. (Required proficiency) Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem solving ability. (Required proficiency) Notable client service, communication, presentation and relationship building skills. (Required proficiency) Ability to function independently and as a team player in a fast-paced, demanding work environment. (Required proficiency) Must have strong written and verbal communication skills. (Required proficiency) Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i. e. printers, copy machine, FAX machine, etc. ). Must be able to proficiently work within with multiple systems. (Required proficiency) Licenses and CertificationsCertified Professional Coder (CPC) CPC, CPC-A, CPC-H, or CPC-P (Required Upon Hire) or Certified Coding Specialist (CCS) CCS, CCS-P (Required Upon Hire) or Registered Health Information Technologist (RHIT) (Required Upon Hire) or Registered Health Information Administration (RHIA) (Required Upon Hire) or Certified Coding Associate (CCA) (Required Upon Hire) or Radiology Coding Certification (RCC) (Required Upon Hire) or Radiation Oncology Certified Coder (ROCC) (Required Upon Hire) or Certified Hematology and Oncology Coder (CHONC) (Required Upon Hire) Physical DemandsStanding OccasionallyWalking OccasionallySitting ConstantlyLifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing RarelyStooping RarelyKneeling RarelyCrouching RarelyCrawling RarelyReaching RarelyHandling OccasionallyGrasping OccasionallyFeeling RarelyTalking ConstantlyHearing ConstantlyRepetitive Motions FrequentlyEye/Hand/Foot Coordination FrequentlyTravel Requirements10% Primary Location: United States-Ohio-Shaker_HeightsWork Locations: 3605 Warrensville Center Road 3605 Warrensville Center Road Shaker Heights 44122Job: Medical Billing / Coding / RecordsOrganization: UHHS_CodingSchedule: Full-time Employee Status: Regular - ShiftDaysJob Type: StandardJob Level: ProfessionalTravel: Yes, 10 % of the TimeRemote Work: YesJob Posting: Dec 10, 2025, 5:00:00 AM
    $40k-59k yearly est. Auto-Apply 8h ago
  • Outpatient Coder

    Dayton Childrens Hospital 4.6company rating

    Ohio

    Facility:Work From Home - OhioDepartment:HIM - Hospital CodingSchedule:Full time Hours:40Job Details:Under general supervision of the Coding Manager, the Coding Analyst supports Dayton Children's goals for reimbursement through accurate and timely diagnosis and procedural coding of emergency department, specialty clinic, inpatient, observation, outpatient surgery, and outpatient ancillary. This includes the examination and interpretation of the electronic medical documentation to assign and report the appropriate diagnostic and procedural codes for the services provided for clean claim submission. Department Specific Job Details: Shift Monday-Friday 8am-5pm (flexible) No weekends or holidays Education High School Diploma or GED (required) A.A.S. in Health Information Technology or B.S. In Health Information Management is preferred Experience 2+ years coding experience ( preferred ) Certifications One of the following certifications are required: RHIA RHIT CCS CCS-P Education Requirements: High School (Required) Certification/License Requirements: [Cert] CCS: Certified Coding Specialist - American Health Information Management Association, [Cert] CCS-P: Certified Coding Speciralist Physician-based - American Health Information Management Association - American Health Information Management Association, RHIA - Registered health Information Administrator - American Health Information Management Association, RHIT - Registered health Information Technician - American Health Information Management Association
    $38k-45k yearly est. Auto-Apply 4d ago
  • Surgical Coder - Ppc

    Premier Health 4.7company rating

    Ohio

    Centralized Billing Office Remote/ Full-time/ 80 hours per pay The Surgical Coder works to ensure timely, accurate, and compliant coding of physician services for the purpose of maximizing reimbursement within current payer guidelines. This position is part of a centralized billing office and provides both procedural, E/M, and ICD-10 coding services for the multi-specialty practices within PPN. Nature and Scope The Surgical Coder is responsible for reviewing chart documentation, within the scope defined by CBO leadership, for the purpose of extracting appropriate procedural, E/M, and ICD-10 codes to best represent provider services performed and documented. This position is specialty based and requires expanded knowledge of various functions within the coding and billing process. The Surgical Coder is expected to interact with PPN providers for the purpose of enhancing physician engagement and confidence by providing feedback and education as requested. Qualifications High School diploma or equivalency certificate. 2-3 years of previous healthcare coding experience required, AAPC or AHIMA coding certification preferred. Knowledgeable about third party billing regulations and CPT/ICD coding. Proficient computer and data entry skills. Effective problem-solving skills and ability to work independently. Working knowledge of spreadsheet applications. Proven record of dependability. Effective verbal and written communication skills. Detail Oriented and ability to prioritize work Effective time-management skills .
    $39k-49k yearly est. 2d ago
  • Medical Billing and Coding Specialist

    Critical Care Systems International, Inc. 4.5company rating

    Columbus, OH

    Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office. Candidates must possess an active coding certification with Hospital ICD-10 coding experience. Additional experience in Ambulance billing is a plus, as well as background in billing Medicare, Medicaid and commercial insurance including appeals & reconsiderations. Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Hours are Monday through Friday, 7:30am-4:00pm. Salary DOE. This is a full-time position, and is benefits eligible. Critical Care Transport is proud to offer employer-sponsored health insurance, matching 401k, paid vacation, bi-weekly direct deposit, and additional insurance options through Colonial Life. Critical Care Transport is a leading provider of Emergency and Non-Emergency medical services in the Greater Central Ohio region. Our highly-trained staff of EMS professionals, Communication Specialists, Accounts Receivable Specialists, and Fleet Mechanics work together to provide optimal service to our patients and customers. If you want to join our exciting, dynamic, and rewarding team, please fill out an application and attach your resume detailing your qualifications and references. If you have any questions at all, please feel free to contact Justin at ************. We look forward to meeting you!
    $33k-43k yearly est. Auto-Apply 60d+ ago
  • Utilization Management Specialist

    Sun Behavioral Health Group 3.5company rating

    Columbus, OH

    Job Details SUN Behavioral Columbus LLC - Columbus, OH Full Time Bachelors None Days Health CareDescription Responsible for the coordination and implementation of case management strategies pursuant to the Case Management process. Plans and coordinates care of the patient from pre-hospitalization through discharge. Responsible for authorization of appropriate services for continued stay and through discharge. Conducts reviews with insurance companies to ensure coverage for patient admissions. Participates in performance improvement activities. Attends 80% of staff meetings. Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical Services, Nursing, Assessment and Referrals Department. Attends treatment team meetings as scheduled. Position Responsibilities: Clinical / Technical Skills (40% of performance review) Reviews intake assessment on patient within 24 hours of admission (patients meeting screening criteria). Develops, implements and evaluates individualized patient care plans to meet the needs of patients. Reviews care and treatment for appropriateness against screening criteria and for infection prevention and control, quality and risk assessment; documenting same in computerized database. Performs follow-up assessments per Case Management Plan and/or department policy. Utilizes clinical pathways whenever ordered by physician, to facilitate coordination of patient care. Evaluates patient care plans on a regular basis and updates the care plans when needed. Plans patient care in collaboration with all members of the healthcare team. Consults with other departments, as appropriate, to collaborate in patient care and performance improvement activities. Collaborates with other departments to identify operational problems and develop solutions/resolution. Works with all members of the healthcare team to assure a collaborative approach is maintained in care and treatment of the patient. Works closely with social worker to integrate psychosocial management of patient/family needs. Works with third party payers to validate need for patient care and home care environment needs. Reviews patient care activities for occurrences and trends that affect the quality, cost effectiveness and delivery of services. Assures that the outcome of review is appropriately maintained in the computer database. Assumes responsibility for timely completion of required case management reports for hospital leadership, regulatory bodies, health plans, insurance carriers, etc. Possesses knowledge of Medicare, Medicaid and private insurance providers. Assists the Utilization Management Department with all utilization activities as requested and directed. Participates in education on and implementation of clinical guidelines and protocols. Documentation meets current standards and policies. Functions as a patient/family advocate ensuring each patient receives the most cost-effective care possible. Maintains optimal continuum of patient care through efficient and effective planning, assessing and coordination of healthcare services. Demonstrates an ability to be flexible, organized and function under stressful situations. Maintains a good working relationship both within the department and with other departments. Remains current on case management theory and practice, psychosocial issues current within the community and the healthcare environment. Safety (15% of performance review) Strives to create a safe, healing environment for patients and family members Follows all safety rules while on the job. Reports near misses, as well as errors and accidents promptly. Corrects minor safety hazards. Communicates with peers and management regarding any hazards identified in the workplace. Attends all required safety programs and understands responsibilities related to general, department, and job specific safety. Participates in quality projects, as assigned, and supports quality initiatives. Supports and maintains a culture of safety and quality. Teamwork (15% of performance review) Works well with others in a spirit of teamwork and cooperation. Responds willingly to colleagues and serves as an active part of the hospital team. Builds collaborative relationships with patients, families, staff, and physicians. The ability to retrieve, communicate, and present data and information both verbally and in writing as required Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word. Demonstrates adequate skills in all forms of communication. Adheres to the Standards of Behavior Integrity (15% of performance review) Strives to always do the right thing for the patient, coworkers, and the hospital Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence. Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources. Completes required trainings within defined time periods. Exemplifies professionalism through good attendance and positive attitude, at all times. Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws. Ensures proper documentation in all position activities, following federal and state guidelines. Compassion (15% of performance review) Demonstrates accountability for ensuring the highest quality patient care for patients. Willingness to be accepting of those in need, and to extend a helping hand Desire to go above and beyond for others Understanding and accepting of cultural diversity and differences Qualifications Education Required: Current unencumbered RN in the state of employment, or Masters degree in healthcare administration or behavioral health, with an unencumbered license as LPC, LMFT, LSW, LISW, LISW-S, LPCC, LPCC-S, LMSW, or LCSW, or state equivalent license. CPR and hospital-selected de-escalation technique certification. Maintains education and development appropriate for position. Experience Required: One or more years case management experience. Preferred: One or more years acute hospital, home health, hospice, inpatient mental facility experience required (as applicable). May substitute education for required experience.
    $76k-93k yearly est. 60d+ ago
  • Coding Specialist - HIM Revenue Specialist

    Promedica 4.5company rating

    Toledo, OH

    Department: HIM Revenue Cycle Weekly Hours: 40 Status: Full time Shift: Days (United States of America) As a Coding Specialist, you will conduct audits of physician/provider documentation and coding for office and surgical procedure encounters. You will research and communicate government and private insurance carrier coding/billing policies and provide regularly scheduled education for providers and staff on appropriate coding and billing. In this role, you will review code change requests and conduct review of coding denials or other payer requests. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. REQUIREMENTS * Associate degree, preferably in a health information management or related field * Extensive knowledge of ICD-10, CPT and HCPCS coding. * Minimum of 3 years of physician/professional complex surgical and E&M coding experience in a health care system or medical office setting * CPC, CCS-P, CPMA, RHIT or RHIA PREFERRED REQUIREMENTS * Bachelor's Degree in health information management or related field * 3+ years of physician/professional complex surgical and E&M coding experience in a health care system or medical office setting * 1-2 years of experience in professional coding auditing and provider education ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus. Benefits: We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It's what makes us one of the best places to work, and helps our employees live and work to their fullest potential. Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact ************************ Equal Opportunity Employer/Drug-Free Workplace
    $97k-132k yearly est. 4d ago
  • HIS Clerk

    Ashtabula County Medical Center 4.3company rating

    Ashtabula, OH

    Provides support to the daily operations of the Health Information Services Department MINIMUM QUALIFICATION Education, Knowledge, Skills and Abilities Must be a high school graduate or equivalent. Computer-literate Must possess excellent written and oral communication skills Ability to maintain confidentiality Required Length and Type of Experience Previous office experience required Previous medical record or medical office experience preferred Required Licensure or Certification None Required Physical and Environmental Demands Stretching, bending, lifting, repetitive hand movement, sitting. Ability to read and comprehend medical records Benefits: * Competitive salary package * Extensive benefit package including medical, dental, vision, and life insurance (Benefits on Day 1!) * Accident & critical illness insurance * Tuition Reimbursement * Short-Term & Long-Term Disability Insurance * Paid Maternity Leave * Employee Assistance Program * Paid Time Off * Employee Wellness Plan that pays you for being healthy * 403(b) and Roth Retirement Plan with company matching * We are a qualifying employer for the Public Service Loan Forgiveness (PSLF) Program which allows you to receive forgiveness of the remaining balance of your Direct Loans after you have made 120 qualifying monthly payments while working full-time for a qualifying employer
    $28k-35k yearly est. 6d ago
  • Medical Records Coordinator

    Communicare 4.6company rating

    Dayton, OH

    Job Address: 3800 Summit Glen Drive Dayton, OH 45449 Wood Glen Alzheimer's Community, a member of the CommuniCare Family of Companies, is currently recruiting a Medical Records Coordinator to join our team. The Medical Records Coordinator will manage our Point Click Care system. Yes! This is the 21st century, and all our medical records are digital! Therefore, we need you to: Ensure that active and inactive Point Click Care electronic health records accurately reflect the resident's condition from admission through discharge. Ensure compliance of Point Click Care electronic health records. Protect Point Click Care electronic health records from breaches of confidentiality, unauthorized use, theft, and damage. WHAT WE OFFER Beyond our competitive wages, we offer all full-time employees a variety of benefit options including: Life Insurance LTD/STD Medical, Dental, and Vision 401(k) Employer Match with Flexible Spending Accounts NOW OFFERING DAILY PAY! WORK TODAY, GET PAID TOMORROW. Do you have what it takes to become our next Medical Records Coordinator? QUALIFICATIONS & EXPERIENCE REQUIREMENTS High School graduate or GED equivalent. Computer proficiency required. Previous medical records or other relevant healthcare experience. Point Click Care experience preferred. Nursing Home experience required. No certification needed. THE COMMUNICARE COMMITMENT A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
    $27k-32k yearly est. Auto-Apply 54d ago
  • Coder - Coding Specialist

    Direct Staffing

    Zanesville, OH

    40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Qualifications Associates Degree in HIM required OR must have at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable Additional InformationAll your information will be kept confidential according to EEO guidelines. Direct Staffing Inc
    $40k-60k yearly est. 60d+ ago
  • Medical Records

    Foundations Health Solutions 4.5company rating

    Streetsboro, OH

    We are looking for an experienced Medical Records clerk to join our team at our new upcoming skilled nursing facility, located in Streetsboro, Ohio! Opening December 2025! Boulder Crossing Health & Rehabilitation, a BRAND-NEW skilled nursing facility in Streetsboro, OH is currently seeking an experienced Medical Records clerk to join our team! Medical Records clerk creates new medical records and retrieves existing medical records by gathering appropriate record folders and contents; assigning and recording new record numbers; verifying existing record numbers; inputting and recording locations to computer; delivering records. Must have experience in Medical Records and knowledge in HIPPA compliance. Why Work with Us? Brand-New, 96 Bed Skilled Nursing Facility: Work in a modern, comfortable, and fully equipped environment. Competitive wages and benefits. Opportunities for career growth and development. A supportive and friendly team environment. Opportunities to make a lasting impact in the lives of our residents. We love our employees as much as we love our residents, and it shows through the working environment we provide. Often you will see teamwork taking place, because we strive for a "Culture of Care". Together, we'll provide exceptional care and improve lives every day. We are an Equal Opportunity Employer and promote a drug-free workplace. We also offer a robust offering of benefits to Full Time employees including, but not limited to: competitive pay, medical, dental, vision, disability, life, paid time off, tuition reimbursement and a voluntary 401(k) match retirement savings plan. #FSHP
    $29k-36k yearly est. 60d+ ago
  • Health Information Services Clerk - Health Information Services - FT 1.0 (80 hrs biweekly)

    Memorial Health System 4.3company rating

    Marietta, OH

    Job Details Marietta, OH Full Time 8-Hour Day Shift Clerical SupportDescription In an environment of continuous quality improvement, the Health Information Services Clerk is responsible for organizing inpatient and outpatient medical records and coordinating their completion with physicians and ancillary personnel. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times. Job Functions: Organizes inpatient and outpatient medical records through the EMR system. Coordinates their completion with physicians and ancillary personnel through the EMR system. Protects the security of the medical record to ensure that confidentiality is maintained. Reviews records for completion, accuracy, and compliance with regulations Assumes all other duties and responsibilities as necessary. Qualifications Minimum Education/Experience Required: Minimum of 2 years of experience in hospital, medical office or clinic setting in healthcare required. Previous education in medical terminology, anatomy and physiology, or graduate/certification from medical office program preferred. Special Knowledge, Skills, Training: Ability to read, write and do math as generally demonstrated by a high school diploma or GED. Computer skills (windows based), typing, filing, knowledge of medical terminology, special knowledge of rules and laws concerning release of information and HIPAA. The ability to maintain confidentiality. Must be able to communicate orally and in written form with physicians. Must be highly organized and a self-starter, demonstrates initiative. Compensation Details: Education, experience, and tenure may be considered along with internal equity when job offers are extended. Benefits: Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees. To learn more about the many benefits we offer, please visit our website at ************************** Bonus Eligibility: Available to qualifying full or flex time employees. Eligibility will be determined upon offer. Memorial Health System is an equal opportunity provider and employer. If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at ******************************************* or at any USDA office, or call ************** to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax ************** or email at ***********************. * Memorial Health System is a federal drug-free workplace. This policy prohibits marijuana use by employees.
    $26k-34k yearly est. 60d+ ago
  • Advanced Practice Provider-OCCUPATIONAL HEALTH

    FTMC

    Norwalk, OH

    Caring For the Community You Love Choose a career to make a difference in people's lives every day, choose Fisher-Titus! Perks of working at Fisher-Titus: * Hours of Work- Full time * Comprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more! * Shift, Weekend & PRN differential About Fisher-Titus: Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. Vision: Be the first choice for healthcare and employment within our community Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community General Summary: Work in collaborating with the physician, practices medicine through performance of physical exams, diagnosis and treatment of illnesses, ordering and interpretation of tests, providing education on preventative health care, and prescription of medication as needed. Essential Functions: * Perform comprehensive patient history & physicals. * Providing and coordinating medical care for assigned patients in inpatient setting to include establishing diagnoses, formulating and implementing care plans, and follow-up care. * Screening patients to determine the need for appropriate care. * Ordering diagnostic studies, and other special tests such as MRI, CT Scans, etc. * Carrying out health promotions, disease prevention activities, and patient education. * Ordering or obtaining laboratory specimens. * Ordering ancillary services included but not limited to Pharmacy, Social Services, Physical Medicine and Rehabilitation therapies, DME, etc. * Writing orders for or prescribing medications. * Provide education to patients and family members when necessary. * Documenting progress notes and summaries in the patient record and writing patient orders on assigned patients. * Consulting specialty services as needed for collaborative care. * Providing outpatient services as assigned - such as presurgical testing.
    $36k-59k yearly est. 48d ago
  • SURGICAL CODER - PPC

    Premier Health Partners 4.7company rating

    Moraine, OH

    Centralized Billing Office Remote/ Full-time/ 80 hours per pay The Surgical Coder works to ensure timely, accurate, and compliant coding of physician services for the purpose of maximizing reimbursement within current payer guidelines. This position is part of a centralized billing office and provides both procedural, E/M, and ICD-10 coding services for the multi-specialty practices within PPN. Nature and Scope The Surgical Coder is responsible for reviewing chart documentation, within the scope defined by CBO leadership, for the purpose of extracting appropriate procedural, E/M, and ICD-10 codes to best represent provider services performed and documented. This position is specialty based and requires expanded knowledge of various functions within the coding and billing process. The Surgical Coder is expected to interact with PPN providers for the purpose of enhancing physician engagement and confidence by providing feedback and education as requested. Qualifications - External Qualifications * High School diploma or equivalency certificate. * 2-3 years of previous healthcare coding experience required, AAPC or AHIMA coding certification preferred. * Knowledgeable about third party billing regulations and CPT/ICD coding. * Proficient computer and data entry skills. * Effective problem-solving skills and ability to work independently. * Working knowledge of spreadsheet applications. * Proven record of dependability. * Effective verbal and written communication skills. * Detail Oriented and ability to prioritize work * Effective time-management skills .
    $39k-49k yearly est. 2d ago

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