Top 14 Coding specialist Jobs in Marysville Oh

Appeals-Billing Specialist | Patient Financial Services, Full-Time
Memorial Health Ohio —Marysville, OH
- Full-time
- Microsoft Excel
- Hospital
- Mid-level
- Free parking
- Paid holidays
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Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
- Full-time
- High school diploma or GED
- Senior level
Scheduling Specialist | Pre-Admission Testing (PAT) | Full-Time, Benefits Eligible
Memorial Health Ohio —Marysville, OH
- Full-time
- Hospital
- High school diploma or GED
- Associate's degree
- Free parking
- Paid holidays
Quick Apply
12d
Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
- Full-time
- Remote
- Computer literacy
- Mid-level
- Microsoft Office
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Full-Time Home Health OASIS Auditor (HCS-O or COS-C )
National Church Residences —Dublin, OH
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
4d
RN CDI Specialist
Medasource —United States
- $45 - $50 an hour
- Full-time
- Remote
- Nursing
- Anatomy knowledge
- RN License
- Health insurance
- Dental insurance
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6d

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Medical Claims Clearinghouse Specialist
Orthopedic One —Westerville, OH
Responsible for the accurate entry of physician and ancillary charges into Claims Clearinghouse module. Identifies solutions and responds professionally to…
Billing Specialist
Integrated Services for Behavioral Health —Columbus, OH
A high school diploma or GED is required, a bachelor's degree, is preferred. Interact with payment/clearinghouse portals. ISBH and customer-required content.
$23.85 - $28.02 an hour
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Medical Claims Clearinghouse Specialist
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Medical Coder 3
Iannarino Fullen Group —Columbus, OH
Knowledge of:* (1)ICD diagnostic codes for medical diagnoses, assignments, groupings & medical treatment, (2)agency statutes, rules, policies & procedures, (3)…
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13d

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Appeals-Billing Specialist | Patient Financial Services, Full-Time

Memorial Health Ohio -
Marysville, OH

Quick Apply

Job Details

Full-time

Benefits

Free parking
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Vision insurance
Life insurance

Qualifications

Microsoft Excel
Coding for hospital billing
Documentation tools
Productivity software
Medical terminology

Full Job Description

We are looking for a Appeals-Billing Specialist to join our collaborative team at Memorial Health!

What You'll Do:

Appeals Management:

Understands payer requirements per hospital contracts and payer policies, ensuring adherence to all payer requirements.
Knowledge of payer contracts specific to timely filing deadlines and retro-authorization timelines
Collaborates with various departments throughout the organization to confirm all necessary information for the appeal is accurate and supported through medical documentation.
Collaborate with Billing Representatives to ensure appeals and/or additional documentation is provided timely for reimbursement, collecting data and creating appeal based on payer requirements.
Reviews denial type, payor authorization approval information documented on the account, confirms timely claim submission as required by the payer
Confirms coding, service admit and discharge dates, patient level of care and patient status are correct prior to appeal submission
Maintains claims appeal logs, tracking to ensure payor reimbursement based on payor contract terms and payer specific rules
Enters complete and appropriate account documentation in Health Information System (HIS) identifying all actions taken for all accounts
Knowledge of all payer contract updates and provider bulletins pertaining to various appeal processes.
Reviews Epic workqueue Appeals Communication for denied claims requiring an appeal
Formulates appeal letters, assembles appropriate medical records, and other pertinent information necessary to complete the appeal process.
Understanding of all tools necessary to process payor specific information; Real-Time Eligibility (RTE), MyAbility-Insurance Discovery, MyCGS, and so forth
Knowledge of Current Procedure Terminology (CPT) and ICD-10 Diagnosis Codes
Contacts guarantor and/or payor in the event clarification is needed

Specialty Billing for Sexual Assault Forensic Examination (SANE) Program & Medicare Short Stay:

Serves as a liaison between Patient Financial Services and Emergency Department SANE coordinator to ensure billing is accurate and appropriate for claims submission to the Ohio State Attorney General’s Office.
Prepare all documentation for SANE claim submission
Manage and prepare all accounts for Medicare Short Stay claim billing through the various stages of the billing process in accordance with CMS billing guidelines.
Track all Short Stay billing accounts, ensuring each step is accurate and timely.

Retro Authorization Management:

Manage all retro authorizations when the Current Procedural Terminology (CPT) code on the claim does not match the code that was authorized with the payor; work queue Precert CPT not on Code Integration.

Requirements

1 - 3 years of hospital billing & claim appeals and hospital reimbursement experience preferred; associate or bachelor’s degree preferred. Knowledge of revenue cycle functions, registration experience, understanding of health insurance and government programs, billing processes, managed care contracts, coordination of benefits with ability to interpret explanation of benefits desired. Knowledge of hospital third party billing requirements, Current Procedural Terminology (CPT), International Classification of Disease (ICD)-9, ICD-10 and modifiers Knowledge of office practices and procedures, medical terminology, and the ability to communicate effectively. Must be proficient with Microsoft Word, Excel, and PowerPoint

Shift
1st

Hours
80 per pay (every two weeks)

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Life Insurance
Flexible Spending Account

Time Off

Vacation
Sick Leave
11 Paid Holidays
Personal Day

Retirement

Ohio Public Employee Retirement System
Deferred Compensation

Other

Tuition Reimbursement
Kidzlink Daycare Center
Employee Recognition
Free Parking
Wellness Center
Competitive Salaries
Community/Family Atmosphere

Location:

Approx. 25 minutes away from Dublin, OH
Approx. 30 minutes away from Hillard, OH
Approx. 30 minutes away from Delaware, OH
Approx. 30 minutes away from Powell, OH

We look forward to seeing your application!

It is our commitment to inclusivity and diversity and our ongoing determination to provide a welcoming and inclusive environment for all staff and guests of the Hospital, regardless of age, color, disability, gender, gender expression or gender identity, genetic information, national origin, race, religion, sexual orientation, or veteran status. For any questions or needed accommodations, please contact Memorial Health Human Resources at 937.578.2701.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

coding specialist jobs in marysville oh

Appeals-Billing Specialist | Patient Financial Services, Full-Time

Medical Claims Clearinghouse Specialist

Scheduling Specialist | Pre-Admission Testing (PAT) | Full-Time, Benefits Eligible

Medical Billing and Accounts Receivable Specialist

Full-Time Home Health OASIS Auditor (HCS-O or COS-C )

RN CDI Specialist

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