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Claims Edit Coder Jobs in Ohio (NOW HIRING)

Donatech

Medical Coder III

Columbus, OH · On-site

$17.50 - $23.25/hr

Claims processing and healthcare delivery systems * Health information systems and database ... Ability to draft and edit policies and procedures * Strong project management and organizational ...

Alpha Rae Personnel, Inc.

Medical Coders

Columbus, OH · On-site

$18 - $24/hr

Position Overview We are seeking an experienced and detail-oriented Medical Coder III (Level II) to ... Claims processing and healthcare delivery systems * Health information systems and database ...

Eye Care Partners

Perform edit checks on data entered prior to transmittal and corrects errors as indicated ... claims, for completeness and accuracy, before submission to minimize claim denial. * Assist lead or ...

Eye Care Partners

Coding Specialist

Cincinnati, OH

Perform edit checks on data entered prior to transmittal and corrects errors as indicated ... claims, for completeness and accuracy, before submission to minimize claim denial. * Assist lead or ...

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All JobsClaims Edit Coder JobsClaims Edit Coder Jobs in Ohio

Claims Edit Coder information

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are popular job titles related to Claims Edit Coder jobs in Ohio?

For Claims Edit Coder jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Claims Edit Coder jobs in Ohio look for?

The top searched job categories for Claims Edit Coder jobs in Ohio are:

What cities in Ohio are hiring for Claims Edit Coder jobs?

Cities in Ohio with the most Claims Edit Coder job openings:

Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in Ohio as of August 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 77% In-person, and 23% Remote job distribution.

Medical Coder III

Donatech

Columbus, OH • On-site

$17.50 - $23.25/hr

Other

Re-posted 18 days ago

Job description

CANDIDATES MUST BE LOCAL TO COLUMBUS, OH.
Position Overview
We are seeking an experienced and detail-oriented Medical Coder III (Level II) to support coding operations by monitoring, analyzing, and implementing accurate and efficient medical coding processes. This role serves as a coding resource and technical expert for diagnostic and procedural coding systems, ensuring compliance with applicable coding guidelines, regulations, and organizational policies.
The ideal candidate will possess strong analytical skills, extensive knowledge of ICD, CPT, and HCPCS coding systems, and experience researching and resolving coding discrepancies while maintaining a high level of accuracy and efficiency.
Required Qualifications
  • Candidates must be local.
  • 3-4 years of recent medical coding experience
  • One of the following credentials is required:
    • RHIT (Registered Health Information Technician)
    • RHIA (Registered Health Information Administrator)
    • CCS (Certified Coding Specialist)
    • CCS-P (Certified Coding Specialist - Physician-Based)
    • CPC (Certified Professional Coder)
  • Active membership and participation with a professional coding organization, such as:
    • AAPC (American Academy of Professional Coders)
    • AHIMA (American Health Information Management Association)
  • RHIA or RHIT degree and/or CCS, CCS-P, or CPC certification
  • Strong understanding of:
    • ICD-9 and ICD-10 coding systems
    • CPT and HCPCS coding
    • Human anatomy and physiology
    • Healthcare regulations and accreditation standards
    • Claims processing and healthcare delivery systems
    • Health information systems and database management
    • Healthcare laws, regulations, and standards
Technical Skills
  • Proficiency with Microsoft Office, including:
    • Word
    • Excel
    • Outlook
    • Access
    • PowerPoint
  • Experience with data collection, analysis, and reporting
  • Strong written and verbal communication skills
  • Ability to maintain accurate records and databases
  • Ability to define problems, conduct research, analyze data, and draw conclusions
  • Ability to draft and edit policies and procedures
  • Strong project management and organizational skills
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About Donatech

Sourced by ZipRecruiter

Donatech Corporation, based in Fairfield, IA, US, is a prominent player in the industry of engineering services. The company operates in the technology sector, delivering professional technical services. Their products and services encompass a broad range of subject matter expertise for various government industries and commercial clients. Donatech was created with the vision of providing world-class, holistic solutions tailoring to the unique needs of their clients.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Fairfield, IA, US

Year founded

1987

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