PAR - Medical Coding Compliance Specialist

PAR - Medical Coding Compliance Specialist - (2400594) Job Summary: Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with assigning and maintaining diagnoses medical codes. Evaluates requests for adherence to Company policies for the most precise medical codes....

PAR - Medical Coding Compliance Specialist - (2400594) Job Summary: Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with assigning and maintaining diagnoses medical codes. Evaluates requests for adherence to Company policies for the most precise medical codes....

Job Summary: Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with assigning and maintaining diagnoses medical codes. Evaluates requests for adherence to Company policies for the most precise medical codes. Audits vendors for quality assurance of risk adjustment coding...

Job Summary:Optimizes/reviews documentation for the application of risk adjustment coding for ACA (Affordable Care Act) and MA (Medicare Advantage) with assigning and maintaining diagnoses medical codes. Evaluates requests for adherence to Company policies for the most precise medical codes. Audits vendors for quality assurance of risk adjustment coding for...

General Summary: Responsible for reviewing, analyzing, disseminating and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance and the Quality and Compliance Committee. Works under the Supervision of the Quality and Compliance Director Principal Duties...

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare...

Toledo Clinic's ENT Office OpportunityAs a part-time Medical Office Coder/Biller, you will play a vital role in applying CPT and ICD-10 codes to procedures performed for The Toledo Clinic. This position requires approximately 24-30 hours per week of flexible (M-F) work.We are seeking an experienced professional who can accurately track patient visits and...

Under general supervision, performs typically routine to moderately complex initial and ongoing practitioner, provider, and organization data entry and credentialing into the various modules of the Provider Data Management System. Ensures compliance Data Specialist, Credentialing, Specialist, Data Entry, Technology, Insurance

Description The Case Manager II position allows you the flexibility to work at home as long as you reside within a 50-mile radius of the Toledo, OH Medical Mutual office. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our...

Job DescriptionJob DescriptionDescription:General Summary:The purpose of this position is to serve as an integral member of the Compliance department team to educate the agency on local, state, and federal regulations, create systems of accountability, and report agency performance. This person will monitor patient and stakeholder satisfaction; maintain the...

General Summary: Responsible for reviewing, analyzing, disseminating, and reporting data on chart audits as well as audit documentation requirements of services billed per pre-established criteria approved by the Director of Compliance. Responsible for the processing of Medicare and other insurance carrier audit requests, such as Performant Audits, Targeted...

We are seeking a skilled Medical Laboratory Specialist to join our team in Toledo, Ohio. As a Medical Laboratory Specialist, you will be responsible for examining specimens using microscopes to evaluate specimen quality and detect abnormal hormone conditions.About the RoleThe ideal candidate will have strong analytical skills and attention to detail, with...

About the RoleThis is an exciting opportunity to join our MMS team as a Senior Transparency Specialist. In this role, you will be responsible for providing operational support in the areas of Clinical Trial Transparency, Clinical Trial Data Sharing, and Redaction and anonymization of clinical trial documents. You will work closely with clients and internal...

OneStaff Medical is seeking a highly skilled Mobile Medical Laboratory Specialist to join their team in Toledo, Ohio.About the Job:This 13-week assignment offers the opportunity to work as a Cytotechnologist, examining specimens using microscopes to evaluate specimen quality and detect abnormal hormone conditions.As a Mobile Medical Laboratory Specialist,...

About the RoleWe are seeking a skilled Medical Imaging Specialist to join our team for a 13-week travel assignment in Ohio. As a Special Procedures/Angio/IR Tech, you will be responsible for providing high-quality imaging services and collaborating with healthcare professionals to ensure exceptional patient care.

As a key member of Erie Construction Mid-West Inc.", you will oversee the recruitment and onboarding of our subcontractors. Ensure seamless collaboration with cross-functional teams to guarantee compliance with insurance and licensing regulations, aligning with our company agreement.About the RoleThis position requires exceptional written and verbal skills,...

Pay: $18 - $20 an hour Fully Remote •Weekends Off •Opportunities for Growth •Work-Life Balance APS Medical Billing, located in Toledo, Ohio is seeking an experienced Credentialing & Provider Enrollment Specialist to be part of our team. The Credentialing / Provider Enrollment verifies that the credentials of healthcare providers are in compliance with...

Bon Secours Mercy Health is a leading healthcare organization dedicated to delivering high-quality care and improving the health of our communities. As a Respiratory Care Specialist, you will play a vital role in providing exceptional patient care and supporting our mission.Salary: $60,000 - $80,000 per yearAbout the RoleThis position involves working under...

About the Job:Kaiser Permanente - Southern CA Medical Group is seeking a skilled Occupational Medicine Specialist to join our team. As an Occupational Medicine Specialist, you will provide medical care to patients who have suffered work-related injuries or illnesses.Responsibilities:Conduct physical examinations and diagnose conditionsDevelop treatment plans...

Petroleum Equipment Maintenance Specialist Job Description:OverviewPetro-Com Corp is a leading provider of petroleum equipment services, and we are currently seeking an experienced Petroleum Equipment Maintenance Specialist to join our team. This role will be responsible for maintaining and repairing various types of equipment found at commercial and retail...