Medical Records Reviewer jobs in Ohio

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Programmer Analyst
Olah Healthcare - Columbus, OH
You’ll receive a robust compensation package, 401(k), medical insurance and bonus plan. You will be utilizing standard programming languages and scripting tools...
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Certified Professional Coder – REMOTE
The CSI Companies - 120 reviews - Cincinnati, OH
ICD-10 ICD 10 , medical claims, charts, patient account, billing, coding, biller, coder, claims, processor, patients, AR revenue, HIM, health information, data,...
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Site Data Collectors, Medical - CNA/MA (SDC)

Inovalon - 245 reviews - Amlin, OH
Inovalon is the nation’s largest medical record reviewer. Inovalon is currently recruiting Medical Assistants, Certified Nursing Assistants, and Medical Clerks...

Specialist, Medical Necessity Claims Reviewer

Molina Healthcare - 400 reviews - Columbus, OH
Identifies and refers all cases not meeting medical necessity criteria and guidelines to the Medical Director for evaluation....

Specialist, Medical Necessity Claims Reviewer

Molina Healthcare - 400 reviews - Columbus, OH
Identifies and refers all cases not meeting medical necessity criteria and guidelines to the Medical Director for evaluation....

Medicaid Health Systems Specialist 2

State of Ohio Jobs - Franklin County, OH
$54,413 a year
Reviewer - Prior Authorization (RN). Reviews medical documents submitted with Prior Authorization (PA) requests by participating Medicaid providers for approval...

Clinical Reviewer/Medical Coder (ICD-10)

Ohio Living Home Health & Hospice - Corporate - Columbus, OH
Experience with ICD-10 medical coding required. Two years of medical-surgical, medical records management, or healthcare billing experience required.....

Medicaid Health Systems Specialist 2

State of Ohio - 235 reviews - Franklin County, OH
$54,413 a year
Reviewer - Prior Authorization (RN). Reviews medical documents submitted with Prior Authorization (PA) requests by participating Medicaid providers for approval...

Clinical DRG Auditor

HMS - 535 reviews - Nevada, OH
Reviews medical information to collect data, ensure appropriate billing of data and follow up on concerns raised by nurse and physician reviewers or other...

Appeals & State Hearings Coordinator

CareSource - 91 reviews - Dayton, OH 45402 (Downtown area)
Pull member denial charts from Medical Management. Forward cases to the dental reviewer / pharmacist for review and determination....

Clinical Quality Care Analyst

CareSource - 91 reviews - Dayton, OH 45402 (Downtown area)
Request medical records, review documentation and assign a severity level to each Quality of Care case or forward to appropriate medical/dental/specialty...

Quality Assurance Coordinator ( OH Workers Compensation)

IME Resources - Dublin, OH 43017
Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists....

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