Medical Coding Specialist jobs in Lima, OH
The Medical Coding Specialist III- Certified assigns required DRG (diagnosis-related grouping) codes. Abstracts clinical information from medical records and assigns the appropriate ICD or CPT codes using industry-standard coding guidelines. Being a Medical Coding Specialist III- Certified performs quality audits of work. Works with coding databases and software to input and maintain data according to standard procedures. In addition, Medical Coding Specialist III- Certified maintains and up-to-date knowledge of coding and documentation requirements. Requires a medical coding certification. The exact type of coding certification may vary based on the clinical setting or a medical specialty focus. May require an associate degree. The AAPC Certified Professional Coder (CPC) certification is typically required. The Certified Coding Specialist (CCS) certification is also a typical requirement. Typically reports to a supervisor or manager. Being a Medical Coding Specialist III- Certified works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Working as a Medical Coding Specialist III- Certified typically requires 3-5 years of related experience, or may need 2 years experience with additional specialized training and/or certification. (Copyright 2024 Salary.com)
Recently Added Medical Coding Specialist jobs
Coding & Documentation Specialist, EMR Lead
- Orthopedic One
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Arlington, OH
FULL_TIME
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POSITION SUMMARY
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Educates new providers and provides updates regarding coding, documentation, MIPS and EMR related tasks relevant to Therapy Services. Review and assign diagnosis and procedure codes after review of medical documentation for both internal and external purposes. Assist and train therapy staff in EMR related tasks including; templates, schedules and work flows.
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RESPONSIBILITIES AND ACCOUNTABILITIES
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Orthopedic Coding:
- Review therapy notes for billable providers prior to releasing note to Patient Accounts department for:
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Presence of physician order and/or referral
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Documentation of prior authorization
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Quality and accuracy of note
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8 minute rule compliance
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CPT code assignment
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ICD-10 coding and sequence
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- Generate reports and follows up as needed on unsigned progress notes by therapy providers and physicians
- Provide feedback to Therapy Services leadership regarding documentation quality
- Prepare and organizes documentation in response to carrier audits, denials and take backs.
- Handle confidential information regarding patient records with knowledge of release of information policies.
- Contact billable providers to clarify documentation and conventions in order to provide detailed coding information.
- Assist interdepartmental and intra-departmental associates on coding practices and conventions in order to provide detailed coding information.
- Participate in the development of coding policies and procedures as identified.
- Maintain a cohesive working relationship with staff and management (inter and intra-departmental) and working as a team to achieve optimal efficiency.
- Communicates directly with billable providers to ensure that clinical documentation is coded timely, accurately, and in compliance with CMS guidelines and national coding initiatives.
- Identify and clarify missing, conflicting, or nonspecific clinician documentation related to diagnosis and procedures.
- Review coding denials from payers and recommend appropriate action to resolve the claim based on payer guidelines.
- Serve as a resource to Patient Accounts leadership when needed for orthopedic specific coding, denials, and other tasks associated with claim payment
- Review therapy notes for billable providers prior to releasing note to Patient Accounts department for:
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Electronic Medical Record (EMR) Lead
- Develop EMR training manual for therapy and conducts training based on departmental/individual needs
- Perform chart reviews under the supervision of department leadership.
- Identify inefficiencies and non-compliant documentation and work flow trends during chart reviews.
- Assist with staff education when issues of non-compliance have been identified and follows up to ensure resolution.
- Assist with designing new templates and making changes to schedules.
- Maintain short hand library and ensures it is up to date on the network drive.
- Conduct presentations and group education as needed for any major changes or updates in EMR, MIPS and other related work.
- Address process improvement and work flow review with the goal of improving documentation and decreasing provider time in completion of documentation.
- Proactive management of billing related messaging to provider with the goal of identifying trends effecting claims payment and decreasing provider distractions from patient care.
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TEAMWORK
- Teamwork:
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Willingly provides coverage, volunteers assistance, and maintains workflows within department as needed without direct instruction/supervision.
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Works cooperatively and refrains from participating in negative conversations.
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Shares knowledge and insights with co-workers in a constructive manner.
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Works to solve problems and address conflicts with appropriate person directly before involving leadership or uninvolved peers.
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Is considerate of others in the work environment with regard to taking breaks or meal periods, use of computer and phone, noise level in the department, etc.
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- Teamwork:
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POLICIES AND PROCEDURES
- Policies and Procedures
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Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
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Provides assistance and support to leadership in implementing policies and procedures as necessary.
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Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
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- Policies and Procedures
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QUALIFICATIONS
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Education, Experience, Certification and Licensure Requirements:
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High School Diploma or equivalent required. Previous medical billing experience, preferably in an orthopedic surgery specialty is required. Candidates must have current certification as a Certified Professional Coder or equivalent. Proficiency with software including practice management systems and Microsoft Excel.
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- 16 Days Ago
Medical Billing Specialist
- Wyandot County Public Health
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Upper Sandusky, OH
FULL_TIME
- Full-time Medical Billing SpecialistPrimary responsibilities include: Health insurance claim submissions; accurate CPT and ICD coding, management of accounts receivable; administer billing software; p...
- 2 Months Ago
Medical Billing Specialist
- Northwest Ohio Orthopedics & Sports Medicine, Inc
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Findlay, OH
FULL_TIME
- Description: Medical Billing Specialist § Responsible for all aspects of accounts receivable § Working insurance denials and non-payments § Charge entry for various visits § Discussions with patients ...
- 2 Months Ago
Medical Director
- Theoria Medical
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Defiance, OH
PART_TIME
- Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hou...
- 3 Days Ago
Medical Director
- Theoria Medical
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Celina, OH
PART_TIME
- Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hou...
- 1 Day Ago
Medical Director
- Theoria Medical
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Kalida, OH
PART_TIME
- Position Type: Part-time, exemptCompensation: Up to $400,000 annually monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hou...
- 1 Month Ago
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0 Medical Coding Specialist jobs found in Lima, OH area
Registered Nurse (RN) - OB/GYN - 13-week local contract
- ACI Federal
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Lima, OH
- Registered Nurse (RN) - OB/GYN - 13-week local contract EOE Statement We are an equal employment opportunity employer. A...
- 12/13/2024 12:00:00 AM
Licensed Practical Nurse (OH)
- Homestead at Towne Center
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Van Wert, OH
- Position Purpose The purpose of this position is to oversee, provide, and coordinate nursing care in compliance with fac...
- 12/13/2024 12:00:00 AM
Travel Nurse RN - Home Health - $2,033 per week
- Continuum Medical Staffing
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Lima, OH
- Continuum Medical Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Lima, Ohio. Job Descript...
- 12/12/2024 12:00:00 AM
PHARMACY/TECHNICIAN
- Kroger
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Saint Marys, OH
- Job Description Provide exceptional customer service to help people live healthier lives by treating our customers/emplo...
- 12/12/2024 12:00:00 AM
Housing Manager - HardinCrest
- United Church Homes
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Kenton, OH
- Community Name: HardinCrest The Housing Manager position is responsible for managing the operations, leasing activity, r...
- 12/12/2024 12:00:00 AM
Pharmacy/Technician
- Kroger
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Sidney, OH
- Provide exceptional customer service to help people live healthier lives by treating our customers/employees in a fair a...
- 12/11/2024 12:00:00 AM
LPN
- Sunrise Senior Living
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Findlay, OH
- : Sunrise Senior Living was again certified as a Great Place to Work by Activated Insights. This is the 7th time Sunrise...
- 12/11/2024 12:00:00 AM
Patient Care Technician - PCT - Dialysis
- Fresenius Medical Care
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Lima, OH
- Join our Skilled Nursing Facilities-Home Therapies unit team •Rated as one of Forbes' U.S. Best Employers •Paid one-on-o...
- 12/9/2024 12:00:00 AM
About Lima, Ohio
Lima (/ˈlaɪmə/ LY-mə) is a city in and the county seat of Allen County, Ohio, United States. The municipality is located in northwestern Ohio along Interstate 75 approximately 72 miles (116 km) north of Dayton and 78 miles (126 km) south-southwest of Toledo.
As of the 2010 census, the city had a population of 38,771. It is the principal city of and is included in the Lima, Ohio metropolitan statistical area, which is included in the Lima–Van Wert–Wapakoneta, OH, combined statistical area. Lima was founded in 1831.
The Lima Army Tank Plant, built in 1941, is the sole producer of the M1 Abrams....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Coding Specialist jobs
$51,132 to $66,820
Lima, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago