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Home Based Pharmaceutical Coding Jobs in Ohio (NOW HIRING)

Coding Educator

Cincinnati, OH · On-site

$26.25 - $29.75/hr

Works at Home Work Schedule: * Full Time (80 hours biweekly) * Day Shift * No Weekend, Holiday or ... Based on feedback from coding specialists, physician audit results and accuracy expectations as ...

Pharmacist-Home Care

Dayton, OH · On-site

$56.50 - $68/hr

... for providing pharmaceutical care, primarily of an intravenous therapy nature, to home care ... or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation ...

Works at Home Work Schedule: * Full-Time (80 hours biweekly) * Day Shift * No Weekend, Holiday or ... codes based on clinical documentation and official guidelines/regulations provided by government ...

Works at Home Work Schedule: * Full-Time (80 hours biweekly) * Day Shift * No Weekend, Holiday or ... codes based on clinical documentation and official guidelines/regulations provided by government ...

The primary role of the Home Infusion Nurse is to provide clinical care and education to home-based ... Willing and able to work with an interdisciplinary team of professionals including pharmacists and ...

The chosen candidate will support our home-based primary care in the community. The candidate will ... Collaboration with advanced practice providers, social workers, and pharmacists * ACGME accredited ...

Clinical Data Coder

Cincinnati, OH · On-site

$18 - $22.75/hr

Perform accurate coding of medical terms and medications utilizing industry-wide standards as well ... Office based culture with occasional WFH that provides flexibility for eligible positions after ...

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Home Based Pharmaceutical Coding information

What is home based pharmaceutical coding?

Home based pharmaceutical coding involves reviewing medical and pharmacy records to assign standardized codes for medications, treatments, and related healthcare services, all from a remote or home office setting. Professionals in this field work to ensure accurate coding for billing, insurance claims, and regulatory compliance. They typically use specialized software and must be knowledgeable about pharmaceutical terminology, coding systems like ICD-10 and CPT, and healthcare regulations. This role often requires certification and experience in medical coding or pharmacy technician work.

What are the key skills and qualifications needed to thrive as a home based pharmaceutical coder?

To thrive as a Home Based Pharmaceutical Coder, you need in-depth knowledge of pharmacology, medical terminology, and coding systems, typically supported by relevant certifications like Certified Pharmacy Technician (CPhT) or Certified Coding Specialist (CCS). Familiarity with electronic health records (EHRs), pharmacy management software, and coding systems such as ICD-10 and CPT is essential. Strong attention to detail, time management, and effective written communication are vital soft skills for remote success. These competencies ensure accurate coding, regulatory compliance, and efficient workflow in a virtual healthcare environment.

What are some common challenges faced by home based pharmaceutical coders, and how can they be overcome?

Home-based pharmaceutical coders often encounter challenges such as limited direct supervision, staying updated with evolving coding standards, and potential feelings of isolation. To overcome these, it's important to establish a reliable routine, participate in regular virtual team meetings, and stay connected with professional networks. Utilizing ongoing training resources and maintaining open communication with supervisors and peers also helps ensure accuracy and professional growth.

What is the difference between Home Based Pharmaceutical Coding vs Medical Billing and Coding?

AspectHome Based Pharmaceutical CodingMedical Billing and Coding
Required CertificationsCertified Professional Coder (CPC), CPC-H, or similarCertified Professional Coder (CPC), CPC-H, or similar
Work EnvironmentRemote, home-basedRemote or on-site healthcare settings
Industry UsagePharmaceutical companies, healthcare providersHospitals, clinics, physician offices
Job FocusAssigning codes to pharmaceutical products and prescriptionsBilling, coding diagnoses and procedures for patient records

Both roles require similar coding certifications and can be performed remotely. However, Home Based Pharmaceutical Coding specializes in pharmaceutical product coding, while Medical Billing and Coding focuses on patient records and billing processes. Understanding these differences helps job seekers choose the right career path in healthcare coding.

What are the most commonly searched types of Pharmaceutical Coding jobs in Ohio?

The most popular types of Pharmaceutical Coding jobs in Ohio are:

What are popular job titles related to Home Based Pharmaceutical Coding jobs in Ohio?

For Home Based Pharmaceutical Coding jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Home Based Pharmaceutical Coding jobs in Ohio look for?

The top searched job categories for Home Based Pharmaceutical Coding jobs in Ohio are:

What cities in Ohio are hiring for Home Based Pharmaceutical Coding jobs?

Cities in Ohio with the most Home Based Pharmaceutical Coding job openings:

Certified Coding Analyst

Columbus, OH

Healthcare Support Staffing
Recruiting and Staffing Services • 201 - 500 employees

$41K - $46K/yr

Full-time

Re-posted 27 days ago


Key responsibilities

  • Review high dollar claims for appropriate place of service, accurate coding, length of stay, and match to authorization.

  • Conduct coding research and analyze complex claims issues to ensure compliance and proper reimbursement.

  • Collaborate with finance and medical management departments to resolve issues affecting claim pricing and payment.


Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Position Purpose: 

Perform review of high dollar claims. Review for appropriate place of service, accurate coding, length of stay, match to authorization, and possible outlier DRG or Stop Loss pricing. Perform coding research. Conduct complex business and operational analyses to assure payments are in compliance with contract; identify areas for improvement and clarification for better operational efficiency resulting in better initiative, contract, and benefit implementation as well as better maintenance long term.

  • Perform review of high dollar claims for benefit and pricing determination.
  • Work collaboratively with Finance Department to determine appropriateness of pricing.
  • Work collaboratively with Medical Management Department to resolve any issues with medical review notes that affect claim pricing
  • Serve as a technical resource / coding subject matter expert for contract pricing related issues
  • Responsible for entire cycle of facility claims which includes verifying information on submitted claims, reviewing contracts, eligibility, and authorizations to determine reimbursement, and ensuring payment instructions are sent to claims department for claims payment
  • Identify key elements and processing requirements based on diagnosis, provider, contracts and policies and procedures utilizing broad based product or system knowledge to ensure timely payments are generated.
  • Conduct point of service review and resolution of high dollar claims that are pending and/or adjusted incorrectly including review, investigation, adjustment and resolution of claims, claims appeals, inquiries, and inaccuracies in payment of claims.
  • Collaborate with all departments to analyze complex claims issues and special claim projects.


Qualifications
  • Healthcare experience REQUIRED
  • Managed Care strongly PREFERRED 
  • Associate's degree in Business, Health Care Management, Insurance, Healthcare or related field
  • 3+ years of Medical Billing or Physician's office experience.
  • Extensive knowledge of coding and billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting, claims processing, and provider customer service.


Accepted Licenses/Certifications:

  • Registered Health Information Administrator (RHIA),
  • Registered Health Information Technician (RHIT),
  • Certified Coding Specialist (CCS),
  • Professional Coder-Payer (CPC-P) certification, Certified Professional Coder (CPC)


Additional Information

Shfit:  Monday- Friday; 8AM-5PM

Salary:  $41,000-$46,000 + 6% Annual Bonus + Medical Benefits take effect 30 days after start date




Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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