Medical Records Coder and Abstractor II TriHealth IncMedical Records Coder and Abstractor IINorwood, OHJob Overview: Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG''s, APR-DRG''s, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Productivity guidelines for activities involved in the coding process are as follows: 1.25 Med/Surg cases per hour, 2 observations per hour, 2.5-3 OB/NB cases per hour, 3 Outpatient Surgeries per hour, 12 ED''s per hour, 34 Ancillaries 5=>150, 4=149-120, 3=119-100, 2=99-80, 1=
Workers Comp Claims Representative Elevate Patient Financial Solutions IncWorkers Comp Claims RepresentativeOHSpecifically, this position is focused on the effort to obtain Workers' Compensation injury details and insurance information from hospital, employers, patients and from other sources; submission of insurance bills and documentation to Workers' Compensation insurance carriers; review of payments and denials for potential appeal; writing and submitting appeals; and communication with insurance carriers, employers, attorneys and patients during the claims adjudication process to ensure that the hospital and/or medical providers receive appropriate payment on submitted bills and denied claims. Required computer skills: must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications.
(unposted) Home Health Registered Nurse (RN) - Eaton, OH UnitedHealth Group Inc(unposted) Home Health Registered Nurse (RN) - Eaton, OHEaton, OH$32.25–$48.40 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or from UnitedHealth Groups email domains or those of any of its operating divisions, supposedly conduct an interview via a Zoom meeting, offer a work-from-home job at Optum, email an application, send a fake check by next-day delivery through USPS, and ask recipients to pay a vendor a large dollar amount. Clinical › Corporate and business operations › Customer and support services › Early careers › Sales and account management › Technology and data › Physicians › Advanced practice clinicians › Pharmacy › Behavioral health › Nursing › Medical coding › Clinical support › U.S. › Ireland & UK › India › Philippines › Culture of Belonging › Employee Benefits › Blog.
Professional Billing Follow Up Rep II - Finance Cincinnati Children's Hospital Medical CenterProfessional Billing Follow Up Rep II - FinanceCincinnati, OH$18.16–$22.25 / hourThis role works closely with internal departments, payers, and patients to resolve billing issues, reduce denials, and ensure compliance with organizational and regulatory requirements. The Professional Billing Representative supports the revenue cycle by ensuring accurate and timely billing, claim resolution, payment posting support, and account follow-up activities.
HIM Coder Neuropsychiatric HospitalsHIM CoderHuber Heights, OhioFull timeOur hospitals provide patient-centered care through an interdisciplinary, multi-specialty approach, ensuring our patients receive the specialized support they need when they need it most. We dare to do things differently, bringing together compassionate care, specialized expertise, and an interdisciplinary approach to meet the unique needs of those we serve.
Program Integrity Clinical Reviewer II (Readmission experience preferred) CareSourceProgram Integrity Clinical Reviewer II (Readmission experience preferred)Dayton, OH$72,200–$115,500 / yearCareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. Excellent written and verbal communication skills with adeptness to create, present and evaluate present department, role-focused teaching materials across topics.
Vice President, Revenue Cycle The Christ Hospital Health NetworkVice President, Revenue CycleNorwood, OHThe VP, Revenue Cycle is responsible for network-wide end-to-end Revenue Cycle Management as it relates to patient access, registration, authorization, pre-service collections, HIM/coding functions, patient financial services including customer service, and physician billing/coding/customer service with the goal of optimizing reimbursement and maintaining patient information. • Develops strategy and oversees programmatic implementation efforts around: insourcing/outsourcing services; tools and technology deployed; managed care contracting, including various reimbursement models such as value-based care, at risk, and pay for performance payment vehicles.
Business Director, DDBP Cincinnati Children's Hospital Medical CenterBusiness Director, DDBPCincinnati, OH$100,526.40–$130,686.40 / yearBusiness Operations (Research) - Direct activities associated with the management of external funded projects, including but not limited to developing and executing Divisional operating procedures for timely and compliant submissions of grant proposals; work with Sponsored Programs and other institutional regulatory offices to interpret and ensure compliance with NIH and other external sponsor guidelines for the application and management of awards; develop and execute operational procedures to monitor and disseminate revenue and expense information with PIs to ensure appropriate expenditures; based on monthly and quarterly reports of expenditures, identify and correct errors, project future expenditures and prospectively manage all required changes; understand and manage to all sponsor requirements relating to carry forwards; work with Sponsored Programs offices and collaborating institutions to ensure timely execution of sub awards, invoicing, and receipt of all deliverables to include progress and financial reports; and oversee and prospectively manage research staff and space utilization related to current and planned research projects. Develop, implement, evaluate and manage the department's annual and capital budget to achieve the Divisional and Departmental objectives; establish internal controls for cash management; implement and maintain a process for financial controls and external financial audits; develop and implement accounts receivable management; analyze and monitor financial performance and report financial results to stakeholders; evaluate variances, determine underlying causes and identify, present, and implement proposed solutions; establish and monitor productivity metrics; ultimate accountability for compliance with organizational financial policies and procedures.
NewRegistered Nurse (RN) - Home Visits Help at HomeRegistered Nurse (RN) - Home VisitsDayton, OhioFull timeOverview: As the nation’s leading provider of high-quality home care services, we empower our clients to live independently, safely, and with dignity in their own homes. Work closely with field nurses, aides, and other staff to assign cases, manage schedules, and oversee the timely completion of patient visits.
Certified Medical Assistant, Orthopaedics, Fulltime, First Shift UC HealthCertified Medical Assistant, Orthopaedics, Fulltime, First ShiftOHAdministrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping. Return routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken.
Medical Assistant, Dermatology, Full Time, First Shift UC HealthMedical Assistant, Dermatology, Full Time, First ShiftCincinnati, OHMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Administrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping.
Certified Medical Assistant, OBGYN, Full Time, First Shift UC HealthCertified Medical Assistant, OBGYN, Full Time, First ShiftCincinnati, OHAdministrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping. Return routine patient telephone calls such as prescription refills or pre-certification for medication as directed from the Electronic Medical Record with appropriate and timely documentation regarding actions taken.
Certified Medical Assistant, Neurology, Full Time, First Shift UC HealthCertified Medical Assistant, Neurology, Full Time, First ShiftCincinnati, OHMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Administrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping.
Certified Medical Assistant, ObGyn, Full Time, First Shift UC HealthCertified Medical Assistant, ObGyn, Full Time, First ShiftWest Chester, OHMembers of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Administrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping.
MEDICAL CENTER REPRESENTATIVE Premier Health PartnersMEDICAL CENTER REPRESENTATIVEDayton, OHenters and updates patient demographic and insurance information into the computer chedules tests, follow-up, and referral appointments collects all co-pays and deductibles, addresses past due balances and payment plans. The Medical Center Representative is responsible for general clerical, receptionist, billing, referrals, patient registration, customer service for the operation of the business office in a medical center.
CLINICAL DOCUMENTATION SPEC Premier Health PartnersCLINICAL DOCUMENTATION SPECDayton, OHThis position requires a broad clinical knowledge base to accurately review the patient medical record for diagnosis clarification, principal diagnosis accuracy, and capture of additional comorbid conditions, including HACs, focused PSIs, and Vizient risk-adjusted diagnoses. Assign appropriate DRG/APR-DRG (Diagnosis-Related Group / All Patient Refined DRG), MCCs, and CCs to each reviewed record in the Clinical Documentation Integrity (CDI) documentation system using coding rules and guidelines.
Nurse Practitioner Hospice Amedisys, Inc.Nurse Practitioner HospiceRichmond, Indiana$50–$55 / hourPer diemOverview: PRN Make a difference every day as an Amedisys nurse practitioner Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Must meet physician-nurse practitioner restrictive collaborative requirements specific to state assigned to work by the Company and supply a copy of all active collaborating physician agreements and indicate whether these will be transferable to your employment with Amedisys.
Claims - Workers Comp Technician I - II Cincinnati Financial CorpClaims - Workers Comp Technician I - IICincinnati, OH$40,000–$50,000 / year167928'',''true'',''167928'',''false'',''Submission for the position: Claims - Workers Comp Technician I - II - (Job Number: 2600748)'',''false'',''167928'',''false'',''true'',''Claims - Workers Comp Technician I - II'',''2600748'',''US-OH-Fairfield'',''!*! '',''false'',''167928'',''167928'',''true'',''167928'',''false'',''Submission for the position: Claims - Workers Comp Technician I - II - (Job Number: 2600748)'',''false'',''167928'',''false'',''true''.
Claims - HQ Work Comp Specialist I Cincinnati Financial CorpClaims - HQ Work Comp Specialist ICincinnati, OH$45,000–$65,000 / year165687'',''true'',''165687'',''false'',''Submission for the position: Claims - HQ Work Comp Specialist I - (Job Number: 2600523)'',''false'',''165687'',''false'',''true'',''Claims - HQ Work Comp Specialist I '',''2600523'',''US-OH-Fairfield'',''!*! '',''false'',''165687'',''165687'',''true'',''165687'',''false'',''Submission for the position: Claims - HQ Work Comp Specialist I - (Job Number: 2600523)'',''false'',''165687'',''false'',''true''.
Nurse Practitioner PriMEDNurse PractitionerDayton, OhioThe Nurse Practitioner (APP/NP) positively impacts the quality of patient care and the overall functioning of the organization through the application of advanced nursing knowledge and skills to improve the overall health of patients. Nurse Practitioner Education, Experience, and Qualifications: A Master’s degree in the profession of nursing from a National League of Nursing accredited college or university, with a minimum of one year of experience, preferably in a Family Practice Office environment.