PHYSICIAN ADVISOR
Dayton, OH · On-site
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that ...
PHYSICIAN ADVISOR
Dayton, OH · On-site
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that ...
Inpatient Audit Specialist PRN Sign on Bonus
Columbus, OH · On-site
$25.50 - $29/hr
Develop and implement education for physicians, nursing, and other clinical staff to enhance ... Adhere to the American Health Information Management Association's code of ethics. * Maintain a ...
Inpatient Audit Specialist PRN Sign on Bonus
Columbus, OH · On-site
$25.50 - $29/hr
Develop and implement education for physicians, nursing, and other clinical staff to enhance ... Adhere to the American Health Information Management Association's code of ethics. * Maintain a ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
$26.25 - $29.75/hr
Educate and support physicians and PB coders in accurate, complete, and compliant clinical ... managers, physicians, etc. Maintains confidentiality and always protects sensitive data. Excel ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
$26.25 - $29.75/hr
Educate and support physicians and PB coders in accurate, complete, and compliant clinical ... managers, physicians, etc. Maintains confidentiality and always protects sensitive data. Excel ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
Norwood, OH · On-site
$26.25 - $29.75/hr
... coders, office managers, physicians, etc. • Maintains confidentiality and always protects sensitive data. • Excel Proficiency: Strong Excel skills including data management and data ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
Norwood, OH · On-site
$26.25 - $29.75/hr
... coders, office managers, physicians, etc. • Maintains confidentiality and always protects sensitive data. • Excel Proficiency: Strong Excel skills including data management and data ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
Norwood, OH · On-site
$25.25 - $28.50/hr
... coders, office managers, physicians, etc. • Maintains confidentiality and always protects sensitive data. • Excel Proficiency: Strong Excel skills including data management and data ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
Norwood, OH · On-site
$25.25 - $28.50/hr
... coders, office managers, physicians, etc. • Maintains confidentiality and always protects sensitive data. • Excel Proficiency: Strong Excel skills including data management and data ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
$26.25 - $29.75/hr
Educate and support physicians and PB coders in accurate, complete, and compliant clinical ... managers, physicians, etc. Maintains confidentiality and always protects sensitive data. Excel ...
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days
$26.25 - $29.75/hr
Educate and support physicians and PB coders in accurate, complete, and compliant clinical ... managers, physicians, etc. Maintains confidentiality and always protects sensitive data. Excel ...
Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required. * Physician Queries: Coordinate physician queries within the Meditech system, or contact ...
Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required. * Physician Queries: Coordinate physician queries within the Meditech system, or contact ...
Medical Coding Specialist (remote)
Boardman, OH · On-site +1
Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required. * Physician Queries: Coordinate physician queries within the Meditech system, or contact ...
Medical Coding Specialist (remote)
Boardman, OH · On-site +1
Assign accurate CPT codes for surgeries, anesthesia, pain management, and radiology services as required. * Physician Queries: Coordinate physician queries within the Meditech system, or contact ...
Certified Coding Analyst
$41K - $46K/yr
Perform coding research. Conduct complex business and operational analyses to assure payments are ... Management, Insurance, Healthcare or related field * 3+ years of Medical Billing or Physician ...
Certified Coding Analyst
$41K - $46K/yr
Perform coding research. Conduct complex business and operational analyses to assure payments are ... Management, Insurance, Healthcare or related field * 3+ years of Medical Billing or Physician ...
Revenue Cycle Manager
Zanesville, OH · On-site
Works with Coding Manager, Contract & Compliance Manager, and other Physician Services administration to monitor and coordinate responses to the latest regulatory billing/payment requirements of the ...
Revenue Cycle Manager
Zanesville, OH · On-site
Works with Coding Manager, Contract & Compliance Manager, and other Physician Services administration to monitor and coordinate responses to the latest regulatory billing/payment requirements of the ...
Acts as a coding subject matter expert and primary liaison for Avita physicians, providers, office managers, and information technology staff and vendors. Oversees and follows-up on audits of ...
Acts as a coding subject matter expert and primary liaison for Avita physicians, providers, office managers, and information technology staff and vendors. Oversees and follows-up on audits of ...
Strong understanding of hospital and physician revenue cycle workflows, including patient access, charge capture, coding, billing, claims management, denial prevention, payment posting, and accounts ...
Strong understanding of hospital and physician revenue cycle workflows, including patient access, charge capture, coding, billing, claims management, denial prevention, payment posting, and accounts ...
Minimum of five (5) years of physician and/or facility coding experience The Coding Compliance ... management responsibilities. Requirements (Skills amp; Background) * Demonstrated expertise in ...
Minimum of five (5) years of physician and/or facility coding experience The Coding Compliance ... management responsibilities. Requirements (Skills amp; Background) * Demonstrated expertise in ...
Coding Specialist II
Cincinnati, OH · On-site +1
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
Coding Specialist II
Cincinnati, OH · On-site +1
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
Coding Specialist II
Cincinnati, OH · On-site
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
Coding Specialist II
Cincinnati, OH · On-site
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
Coding Specialist II
Cincinnati, OH · Remote
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
Coding Specialist II
Cincinnati, OH · Remote
Provides coding expertise to department management, coding staff, clinical staff, and billing staff ... AHIMA (Certified Coding Specialist-Physician [CCS-P] * Certified Coding Specialist [CCS]
... physician). Monitors the results of the program for quality improvement and timeliness. Manages ... Coding accuracy is critical to the Medical Center's Integrity Program and accurate reimbursement.
... physician). Monitors the results of the program for quality improvement and timeliness. Manages ... Coding accuracy is critical to the Medical Center's Integrity Program and accurate reimbursement.
Billing Specialist I
Columbus, OH · On-site
$18.50 - $25/hr
... Coding Manager, Director of Revenue Cycle, Director of Finance, Office Manager, Human Resource Manager or Director, Chief Operating Officer, Director of Operations, or the Physicians. Interfaces With:
Billing Specialist I
Columbus, OH · On-site
$18.50 - $25/hr
... Coding Manager, Director of Revenue Cycle, Director of Finance, Office Manager, Human Resource Manager or Director, Chief Operating Officer, Director of Operations, or the Physicians. Interfaces With:
Billing Specialist I
$18.50 - $25/hr
... Coding Manager, Director of Revenue Cycle, Director of Finance, Office Manager, Human Resource Manager or Director, Chief Operating Officer, Director of Operations, or the Physicians. Interfaces With:
Quick apply
Billing Specialist I
$18.50 - $25/hr
... Coding Manager, Director of Revenue Cycle, Director of Finance, Office Manager, Human Resource Manager or Director, Chief Operating Officer, Director of Operations, or the Physicians. Interfaces With:
Physician Coding Manager information
What are the key skills and qualifications needed to thrive as a physician coding manager?
To thrive as a Physician Coding Manager, you need expertise in medical coding, strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems, and often a credential such as CCS, CPC, or RHIA. Familiarity with electronic health record (EHR) systems, coding audit tools, and coding compliance software is typically required. Excellent leadership, attention to detail, and effective communication skills help manage coding teams and ensure accurate documentation. These abilities are crucial for ensuring regulatory compliance, optimizing revenue cycles, and maintaining data integrity in healthcare organizations.
What is the difference between Physician Coding Manager vs Medical Coding Specialist?
| Aspect | Physician Coding Manager | Medical Coding Specialist |
|---|---|---|
| Certifications | AHIMA or AAPC CPC, CCS, or CPC-H | AHIMA or AAPC CPC, CCS, or CPC-H |
| Work Environment | Healthcare facilities, hospitals, clinics | Medical offices, billing companies, healthcare providers |
| Job Focus | Oversees coding teams, ensures compliance, manages coding processes | Performs detailed medical coding, reviews records, assigns codes |
| Common Usage | Healthcare management, coding departments | Medical billing, coding departments, healthcare providers |
The Physician Coding Manager and Medical Coding Specialist roles both require coding certifications and work within healthcare settings. The manager oversees coding teams and ensures compliance, while the specialist focuses on detailed coding tasks. Both roles are essential in healthcare revenue cycle management, but differ mainly in responsibility level and scope.
What is a physician coding manager?
A Physician Coding Manager is a healthcare professional responsible for overseeing the medical coding process for physician services within a healthcare organization. They manage a team of coders, ensure compliance with coding regulations, and work to optimize coding accuracy and efficiency. Their role is crucial in ensuring that physicians are properly reimbursed for their services and that the organization avoids legal and financial risks related to coding errors. Physician Coding Managers also provide training, conduct audits, and collaborate with other departments to maintain high standards of coding practices.
How does a physician coding manager typically collaborate with clinical staff to ensure accurate documentation and coding compliance?
A Physician Coding Manager regularly works closely with physicians, nurses, and other clinical staff to clarify documentation and ensure that medical records accurately reflect the care provided. This collaboration often involves conducting training sessions, providing feedback on documentation practices, and addressing coding queries. By fostering open communication, the manager helps reduce coding errors, supports compliance with regulatory standards, and improves overall revenue cycle performance. Effective partnerships with clinical teams are essential for maintaining both the accuracy and integrity of medical coding.
What cities in Ohio are hiring for Physician Coding Manager jobs? Cities in Ohio with the most Physician Coding Manager job openings:
Job description
The Physician Advisor - CDI, Coding & Quality serves as a key clinical leader supporting Premier Health's goals to advance documentation accuracy, revenue integrity, and quality performance across the health system. This role focuses on optimizing case mix index (CMI), risk adjustment, and clinical documentation excellence through collaboration with the CDI, Coding, and Quality teams.
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population.
Key Responsibilities
1. Clinical Documentation Integrity (CDI) Leadership
• Provide secondary review of complex CDI and Coding queries escalated by the CDI and Coding teams.
• Review and resolve escalations involving Query disagreement, Clinical Validation, or incomplete response.
• Partner with the CDI Manager to establish standardized escalation criteria and ensure timely resolution of all high-impact queries.
• Conduct focused "second-look" reviews of no-CC/MCC or CC-only cases to identify missed documentation opportunities and support CMI improvement.
• Serve as a liaison between the CDI, Coding, and Physician teams to promote consistency in documentation practices.
2. Provider Engagement and Education
• Conduct one-on-one meetings with providers to review query metrics, patterns, and opportunities for improvement.
• Deliver targeted education sessions on documentation best practices, MCC/CC capture, and quality measure alignment.
• Participate in residency and faculty education (Internal Medicine, Family Practice, Trauma, Critical Care, etc.) including lectures and QIPS elective rotations on CDI and professional billing documentation.
• Partner with the CDI Manager and Quality leadership to develop and disseminate system-wide education tools and tip sheets.
3. CMI and Quality Improvement
• Analyze and communicate CMI trends by service line; support interventions to drive improvement aligned with Vizient benchmarks.
• Collaborate with Digital Health team to refine dashboards and enable data-driven improvement strategies.
• Participate in pre-claim mortality and risk adjustment reviews, focusing on REM score optimization and accurate capture of clinical risk variables.
• Support PSI/HAC reviews from a CDI perspective in partnership with Quality and CDI teams.
4. Interdisciplinary Collaboration
• Serve as a clinical resource to the CDI, Coding, and Quality departments on complex documentation and regulatory compliance questions.
• Partner with Digital Health to support AI-enabled CDI nudges, EHR workflow optimization, and system note-template refinement and creation for service lines.
• Contribute to system-wide initiatives related to mortality O/E, LOS O/E, and cost efficiency performance, Vizient facility ranking and Elix Hauser risk adjustment methodologies.
Performance Expectations
• Achieve a sizeable conversion rate on escalated CDI/Coding queries.
• Demonstrate measurable CMI improvement in targeted service lines.
• Support system improvement in key Vizient metrics (Mortality O/E, Cost O/E, LOS O/E).
• Maintain provider query agreement rate ≥80% and consistent educational engagement.
Qualifications
Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required.
• Licensure: Active Ohio medical license (or eligibility for licensure).
• Experience:
- Minimum 3 years of clinical practice experience.
- Prior involvement in CDI, and or quality improvement preferred 1-2 years' experience
- Strong working knowledge of ICD-10, MS-DRG/APR-DRG systems, and risk adjustment models Vizient, CMS, Elixhauser etc.
• Skills:
- Excellent communication and teaching skills.
- Ability to interpret clinical and coding guidelines with precision.
- Proficiency with EHR systems (Epic experience preferred).
The Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population.
Key Responsibilities
1. Clinical Documentation Integrity (CDI) Leadership
• Provide secondary review of complex CDI and Coding queries escalated by the CDI and Coding teams.
• Review and resolve escalations involving Query disagreement, Clinical Validation, or incomplete response.
• Partner with the CDI Manager to establish standardized escalation criteria and ensure timely resolution of all high-impact queries.
• Conduct focused "second-look" reviews of no-CC/MCC or CC-only cases to identify missed documentation opportunities and support CMI improvement.
• Serve as a liaison between the CDI, Coding, and Physician teams to promote consistency in documentation practices.
2. Provider Engagement and Education
• Conduct one-on-one meetings with providers to review query metrics, patterns, and opportunities for improvement.
• Deliver targeted education sessions on documentation best practices, MCC/CC capture, and quality measure alignment.
• Participate in residency and faculty education (Internal Medicine, Family Practice, Trauma, Critical Care, etc.) including lectures and QIPS elective rotations on CDI and professional billing documentation.
• Partner with the CDI Manager and Quality leadership to develop and disseminate system-wide education tools and tip sheets.
3. CMI and Quality Improvement
• Analyze and communicate CMI trends by service line; support interventions to drive improvement aligned with Vizient benchmarks.
• Collaborate with Digital Health team to refine dashboards and enable data-driven improvement strategies.
• Participate in pre-claim mortality and risk adjustment reviews, focusing on REM score optimization and accurate capture of clinical risk variables.
• Support PSI/HAC reviews from a CDI perspective in partnership with Quality and CDI teams.
4. Interdisciplinary Collaboration
• Serve as a clinical resource to the CDI, Coding, and Quality departments on complex documentation and regulatory compliance questions.
• Partner with Digital Health to support AI-enabled CDI nudges, EHR workflow optimization, and system note-template refinement and creation for service lines.
• Contribute to system-wide initiatives related to mortality O/E, LOS O/E, and cost efficiency performance, Vizient facility ranking and Elix Hauser risk adjustment methodologies.
Performance Expectations
• Achieve a sizeable conversion rate on escalated CDI/Coding queries.
• Demonstrate measurable CMI improvement in targeted service lines.
• Support system improvement in key Vizient metrics (Mortality O/E, Cost O/E, LOS O/E).
• Maintain provider query agreement rate ≥80% and consistent educational engagement.
Qualifications
Education: Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required.
• Licensure: Active Ohio medical license (or eligibility for licensure).
• Experience:
- Minimum 3 years of clinical practice experience.
- Prior involvement in CDI, and or quality improvement preferred 1-2 years' experience
- Strong working knowledge of ICD-10, MS-DRG/APR-DRG systems, and risk adjustment models Vizient, CMS, Elixhauser etc.
• Skills:
- Excellent communication and teaching skills.
- Ability to interpret clinical and coding guidelines with precision.
- Proficiency with EHR systems (Epic experience preferred).