Top 45 Coding specialist Jobs in Middletown Oh

Physician Claims Resolution Specialist
ProScan Imaging, LLC —Cincinnati, OH
- Full-time
- Background check
- Customer service
- HIPAA
- Health savings account
- Health insurance
Quick Apply
13d
Medical Scribe for Ophthalmology Practice
Midwest Eye Center —Hamilton, OH
- Full-time
- HIPAA
- High school diploma or GED
- Clinic
- Health savings account
- AD&D insurance
7d
Medical Scribe for Ophthalmic Practice
Midwest Eye Center —Cincinnati, OH
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health savings account
- AD&D insurance
Coding Specialist I
TriHealth —Norwood, OH
- Full-time
- Hybrid work
- Anatomy knowledge
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days
The Christ Hospital Health Network —Norwood, OH
- Full-time
- Anatomy knowledge
- Writing skills
- Data analysis skills
Medical Billing Specialist
Equitas Health, Inc. —Dayton, OH
- Hybrid work
- Microsoft Outlook
- Medical office experience
- HIPAA
Quick Apply
MEDICAL BILLING SPECIALIST II-
Premier Health Specialists —Moraine, OH
- Full-time
- Mid-level
- Office
- High school diploma or GED
Coding Compliance Specialist
Prestige Billing Services, Ltd. —Miamisburg, OH
- Full-time
- HIPAA
- Analysis skills
- Continuous improvement
Quick Apply
Prior Authorization and Medical Records Coordinator- Outpatient Behavioral Health
TriHealth —Cincinnati, OH
- Full-time
- CPR Certification
- Vital signs
- Psychiatry
- Health insurance
- Dental insurance
Quick Apply
12d
Specialized Coder - Cardiology, Vascular and CVTS
Ensemble RCM LLC —Blue Ash, OH
- $29.75 - $32.70 an hour
- Full-time
- Microsoft Excel
- Computer literacy
- Research
- Tuition reimbursement
BILLING QA COMPLIANCE SPEC
System Support —Moraine, OH
- Mid-level
- 3 years
- High school diploma or GED
Rev Integrity Specialist - Charge Description Master
Kettering Health —Miamisburg, OH
- Full-time
- Mid-level
- Analysis skills
- 1 year
Access Representative, Admitting & Registration, Full-Time, First
UC Health, LLC —West Chester, OH
- Full-time
- Computer literacy
- High school diploma or GED
- Analysis skills
Quick Apply
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
The Christ Hospital Health Network —Norwood, OH
- Full-time
- Anatomy knowledge
- Microsoft Excel
- Hospital
Billing Specialist - Payment Poster
Community Health Alliance-Ohio —Fairfield, OH
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
- Mileage reimbursement
- Paid holidays
Quick Apply
10d
Prior Authorization Specialist
Riverhills Neuroscience —Cincinnati, OH
- $18 - $22 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 1 year
- Free parking
- Profit sharing
Quick Apply
7d
Pro Fee Coding Educator – Special Projects
Ensemble RCM LLC —Blue Ash, OH
- $62,500 - $119,700 a year
- Full-time
- Surgery
- 5 years
- Research
- Tuition reimbursement
Billing Specialist
Southwest Ohio ENT Specialists Inc —Dayton, OH
- $17 - $22 an hour
- Computer literacy
- Writing skills
- Research
Quick Apply
Revenue Recovery Associate Analyst I
Ensemble RCM LLC —Blue Ash, OH
- $49,800 - $74,700 a year
- Full-time
- Customer service
- 5 years
- Office
- Tuition reimbursement
Physician Coding Liaison
Ensemble RCM LLC —Blue Ash, OH
- $57,400 - $99,000 a year
- Full-time
- 5 years
- Mid-level
- Ob/Gyn
- Tuition reimbursement

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Physician Claims Resolution Specialist

ProScan Imaging, LLC -
Cincinnati, OH

Quick Apply

Job Details

Full-time
13 days ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Phone communication
Customer service
HIPAA
High school diploma or GED
Organizational skills
Business Administration
Associate's degree
Medical terminology

Full Job Description

ProScan Imaging is seeking a full-time, Physician Claims Resolution Specialist at our Midtown location.

Position Summary: The Physician Claims Specialist is responsible for managing and resolving physician-related billing issues to ensure timely and accurate claim reimbursement. This role serves as the primary liaison between the billing department, physicians, coding staff, credentialing, and payer representatives to resolve documentation, coding, enrollment, and claim issues that require physician involvement. The specialist works proactively to reduce denials, improve reimbursement, and maintain compliance with payer and regulatory requirements.

Essential Duties and Responsibilities:

● Review and resolve physician-related billing edits, denials, and claim rejections.

● Obtain missing physician documentation, signatures, or clarifications needed for claim submission.

● Communicate directly with physicians and clinical staff regarding documentation deficiencies affecting reimbursement.

● Research denied or unpaid claims to determine root cause and coordinate resolution.

● Monitor payer-specific requirements related to physician enrollment, credentialing, documentation, and billing guidelines.

● Collaborate with Coding, Credentialing, Revenue Cycle, and Clinical Operations to resolve billing issues efficiently.

● Track and follow up on outstanding physician-related requests to ensure timely resolution.

● Identify trends in denials or documentation issues and recommend process improvements.

● Maintain accurate documentation of follow-up activities within the billing system.

● Assist with appeals by gathering supporting documentation and physician statements when needed.

● Monitor aging accounts requiring physician action and prioritize based on timely filing requirements.

● Educate providers on common documentation issues that impact reimbursement.

● Participate in special projects, audits, and workflow improvement initiatives.

● Maintain compliance with HIPAA, CMS regulations, payer guidelines, and company policies.

Knowledge, Skills, and Abilities:

● Strong understanding of medical billing, claims processing, and revenue cycle management.

● Knowledge of CPT, ICD-10-CM, HCPCS, and payer billing guidelines.

● Excellent analytical and problem-solving skills.

● Strong written and verbal communication skills with the ability to interact professionally with physicians and leadership.

● Ability to prioritize multiple assignments and meet deadlines.

● Detail-oriented with strong organizational skills.

● Proficient in Microsoft Office, billing systems, and electronic medical records.

● Ability to work independently while collaborating effectively across departments.

Minimum Qualifications:

● High school diploma or equivalent required.

● Associate's degree in Healthcare Administration, Business, or related field preferred.

● Minimum of 2 years of experience in medical billing, physician billing, denial management, or revenue cycle operations.

● Experience working with physician documentation and payer requirements preferred.

Preferred Qualifications:

● Experience with radiology or diagnostic imaging billing.

● Knowledge of Medicare, Medicaid, and commercial insurance regulations.

● Certification such as CPB, CPC, or CRCR is a plus.

Physical Requirements:

● Prolonged periods of sitting and computer work.

● Ability to communicate effectively by phone, email, and in person.

● Ability to occasionally lift up to 15 pounds.

Work Environment:

This position is primarily performed in an office environment and may be eligible for a hybrid work arrangement based on departmental needs and company policy.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Education:

High school or equivalent (Required)

Experience:

Medical terminology: 1 year (Preferred)
Customer Service: 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

coding specialist jobs in middletown oh

Physician Claims Resolution Specialist

Medical Scribe for Ophthalmology Practice

Medical Scribe for Ophthalmic Practice

Coding Specialist I

TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days

Medical Billing Specialist

MEDICAL BILLING SPECIALIST II-

Coding Compliance Specialist

Prior Authorization and Medical Records Coordinator- Outpatient Behavioral Health

Specialized Coder - Cardiology, Vascular and CVTS

BILLING QA COMPLIANCE SPEC

Rev Integrity Specialist - Charge Description Master

Access Representative, Admitting & Registration, Full-Time, First

TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days

Billing Specialist - Payment Poster

Prior Authorization Specialist

Pro Fee Coding Educator – Special Projects

Billing Specialist

Revenue Recovery Associate Analyst I

Physician Coding Liaison

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