- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied...Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CenterWell (Columbus, OH)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- Highmark Health (Columbus, OH)
- …** EDUCATION ** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- OhioHealth (Columbus, OH)
- …**Job Description Summary:** This position is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, ... production to meet coding turnaround time targets, coding accuracy and education , processes, and system...and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide… more
- Humana (Columbus, OH)
- …for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG) + ... health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Humana (Columbus, OH)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- PwC IT Services Co. (Columbus, OH)
- …Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** Senior Associate **Job Description & Summary** At PwC, our people in software and ... contribute to root cause analysis. Participate in architecture decisions, enforce coding standards, and promote development best practices. Required Skills &… more
- SitusAMC (Columbus, OH)
- …equivalent from four-year College or technical school or equivalent combination of education and experience + Experienced professional with 5+ years of industry ... and/or relevant experience, typically with 1+ years in an Associate level role or external equivalent. + 5+ years...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- Datavant (Columbus, OH)
- …academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Datavant (Columbus, OH)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... Systems: Cerner PowerChart, 3M360.** You Will: + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,...will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's… more
- Datavant (Columbus, OH)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate… more
- Molina Healthcare (Columbus, OH)
- …different standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form). * Advanced understanding of key managed ... executive level strategy and leadership for team responsible for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- St. George Tanaq Corporation (Columbus, OH)
- …architecture diagrams, deployment/runbooks) in approved repositories. + Ensure secure coding , automated testing, CI/CD, and alignment with 508 accessibility and ... with CI/CD and DevSecOps integration. + Front-end development expertise designing and coding user interfaces with frameworks React.js and React + TypeScript. +… more
- Pearle Vision (Columbus, OH)
- …appointments * Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding ... the discretion of senior management. JOB TITLE: Optometric Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly;… more
- CVS Health (Columbus, OH)
- …the area of healthcare fraud, waste and abuse matters. + Working knowledge of medical coding ; CPT, HCPCS, ICD10 + Proficiency in Microsoft Office with advanced ... ability to understand and analyze health care claims and coding + Ability to travel up to 10% (approx....groups of people at different levels in any situation. ** Education ** Bachelor's degree or equivalent experience ( A bachelor's… more