Top 6 Appeals audit specialist Jobs in Columbus

Coding Specialist
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Research
- Mid-level
- Ability to climb stairs
MPPS Policy Deviations Senior Manager
CVS Health —Columbus, OH
- $67,900 - $182,549 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- Health insurance
- Dental insurance
4d
Revenue Cycle Manager
ST VINCENT FAMILY SERVICES —Columbus, OH
- Full-time
- Microsoft Excel
- Microsoft Access
- Writing skills
Quick Apply
3d
Property Manager
Upholdings —Columbus, OH
- $60,000 - $70,000 a year
- Weekends as needed
- Writing skills
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Denials Supervisor
Ensemble RCM LLC —Columbus, OH
- $52,100 - $78,150 a year
- Full-time
- Nursing
- Mid-level
- Case management
- Tuition reimbursement

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MPPS Policy Deviations Senior Manager
CVS Health —Columbus, OH
Bachelor's degree in Healthcare Administration, Nursing, or related field; relevant healthcare industry experience may be considered.
$67,900 - $182,549 a year
4d

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Coding Specialist
Nationwide Children's Hospital —Columbus, OH
As required by listed licensure and/or certification requirement. Conducts billing and coding audits to ensure accuracy and identify missed opportunities.
MPPS Policy Deviations Senior Manager
CVS Health —Columbus, OH
Bachelor's degree in Healthcare Administration, Nursing, or related field; relevant healthcare industry experience may be considered.
$67,900 - $182,549 a year
4d

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appeals audit specialist jobs near columbus

Coding Specialist

Nationwide Children's Hospital -
Columbus, OH

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Job Details

Full-time

Qualifications

Computer skills

Full Job Description

Overview:

Schedule: M-F (Day Shift)

On-site during probation period until cleared to work remote - employee must reside in Ohio.

Job Description Summary:

Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations.

Job Description:

Essential Functions:

Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges.
Reviews claims denials and appeals to identify coding errors. Performs coding and billing corrections and charge reconciliations.
Researches newly identified diagnoses and procedures for code assignments.
Maintains compliance with current coding guidelines and regulations.
Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding questions.
Conducts billing and coding audits to ensure accuracy and identify missed opportunities. Reports the results and recommends quality improvements.

Education Requirement:

As required by listed licensure and/or certification requirement.

Licensure Requirement:

(not specified)

Certifications:

RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.

Skills:

(not specified)

Experience:

Two years ofcoding experience, required.
Three years computer experience in a data processing capacity, required.

Physical Requirements:

OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking

FREQUENTLY: (none specified)

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

Additional Physical Requirements performed but not listed above:

Ability to multi-task within a demanding environment.

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

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appeals audit specialist jobs in columbus

Coding Specialist

MPPS Policy Deviations Senior Manager

Revenue Cycle Manager

Property Manager

Denials Supervisor

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