Coding Documentation and Compliance Coordinator St. Elizabeth HealthcareCoding Documentation and Compliance CoordinatorErlanger, KYJob Description: Coordination of internal audit program including review of all cases referred for coding review by coder referral to the Coding Compliance Work Queue's in Epic, by Quality Management Department, by Patient Safety & Accreditation and other internal customers to ensure compliance with Official Coding Guidelines and SEH Internal Coding Policies. Assists and conducts internal coding audits of all inpatient/outpatient coders for accuracy, and monitor coding audits for contracted entities.
Coding Rep II Cincinnati Children's Hospital Medical CenterCoding Rep IICincinnati, OHRemote$25.82–$32.28 / hourCertification/credentialed as Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT), or Registered Health Info Admin (RHIA) OR Certified Professional Coder (CPC) OR Certified professional Coder Apprentice (CPC-A) OR Certified Coding Specialist -Physician (CCS-P). Assigns ICD-10-CM and/or CPT codes to accounts in an accurate and ethical manner utilizing 3M encoding software and coding manuals.
TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coding Educator - CBO Phys Div Coding - Full Time - DaysNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditMason, OH$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Professional Coding Fee Analyst Dayton Children's HospitalProfessional Coding Fee AnalystOHJob Details: Ensures the accuracy, efficiency, and maximum financial return of Dayton Children''s professional billing claims for reimbursement. Ensures billing compliance; maintains knowledge of CPT and ICD-10 coding guidelines, as well as Medicare/Medicaid billing rules and regulations.
TCHP Coding Educator The Christ HospitalTCHP Coding EducatorNorwood, OHDemonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Cincinnati, OHIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Coder II, PBO Coding, Full Time, First Shift UC Health, LLCCoder II, PBO Coding, Full Time, First ShiftCincinnati, OHFull timeThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Coder II, Corporate Coding, Full Time, First Shift UC HealthCoder II, Corporate Coding, Full Time, First ShiftCincinnati, OHThe Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Lead Coding Specialist TriHealth IncLead Coding SpecialistNorwood, OHIncentives & Benefits: In addition to a comprehensive benefits package - including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement - this role offers competitive shift differentials, with the opportunity to earn up to an additional $7 per hour based on shift, hours worked, and organizational guidelines. TriHealth invests in your growth with ongoing training, coding guideline updates, and leadership support, ensuring you have the tools and resources to excel as a subject matter expert.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerOH$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Lead Product Manager- Agentic SDLC/ Claude Code P4170 84.51 LLCLead Product Manager- Agentic SDLC/ Claude Code P4170Cincinnati, OH$125,000–$207,000 / yearPowered by cutting-edge science, we utilize first-party retail data from more than 62 million U.S. households sourced through the Kroger Plus loyalty card program to fuel a more customer-centric journey using 84.51° Insights, 84.51° Loyalty Marketing and our retail media advertising solution, Kroger Precision Marketing. You will work closely with business stakeholders, software engineers, data scientists, and cross-functional teams to understand their needs, enable teams with reusable tools and patterns, and drive the evolution of the enterprise SDLC through AI.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelCincinnati, OhioThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorOH$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)OH$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistOH$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Optometric Technician West Point OpticalOptometric TechnicianCincinnati, OhioThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Traveling Optometric Technician West Point OpticalTraveling Optometric TechnicianCincinnati, OhioThe position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care.
Pharmacy Auditor - Payment Integrity Complex and Clinical Audit Elevance Health IncPharmacy Auditor - Payment Integrity Complex and Clinical AuditMason, OHIdentifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate units, excessive units, inappropriate or missing modifiers, excessive frequency, payments allowed in excess of the contract, excessive waste, equipment rentals that exceed the units billed. The Pharmacy Auditor will be responsible for screening, selecting, and auditing high cost drug (HCD), home infusion therapy (HIT), dialysis, and durable medical equipment (DME) claims to ensure they are billed accurately to the medical benefit.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateCincinnati, OHThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Director of Revenue Cycle Management The Healthcare ConneDirector of Revenue Cycle ManagementCincinnati, OhioRemoteCareer Opportunity : Director of Revenue Cycle Management Reports to: Chief Financial Officer Organization : The HealthCare Connection (THCC) Location : Cincinnati, OH - Lincoln Heights (Remote Position) About The HealthCare Connection : Founded in 1967, The HealthCare Connection was Ohio’s first Federally Qualified Health Center (FQHC). The Director collaborates closely with clinical, operational, finance, and third-party billing teams to ensure compliant, efficient, and financially sustainable revenue cycle operations that support access to high-quality patient care.
A/R Billing Specialist ENA IncA/R Billing SpecialistCincinnati, OHPosition Summary: The Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorOH$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Assistant - Pediatrics TriHealth IncMedical Assistant - PediatricsCincinnati, OHProvides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders. Job Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up.
Medical Assistant- Kenwood Internal Medicine TriHealth IncMedical Assistant- Kenwood Internal MedicineCincinnati, OHJob Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. Provides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders.
Medical Assistant- Finneytown Pediatrics TriHealth IncMedical Assistant- Finneytown PediatricsOHJob Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. Provides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders.
Licensed Practical Nurse/Medical Home Coordinator TriHealth IncLicensed Practical Nurse/Medical Home CoordinatorOHJob Overview: This position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. Documents all aspects of care accurately, including clinical calls, rooming questions, procedures, orders, prescriptions, pharmacy coordination, and workflow tasks; manages MyChart and patient messages in a timely manner.
Medical Assistant TriHealth IncMedical AssistantCincinnati, OHProvides accurate/complete documentation of clinical calls and patient rooming info as well as order entry, pending prescriptions, noting current pharmacy, and enter edit workflows to result orders. Job Overview: This position provides both direct patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up.
Trauma Data Specialist I, Full Time, First UC HealthTrauma Data Specialist I, Full Time, FirstCincinnati, OHData Abstraction: Obtains, abstracts, and enters all appropriate patient-related information into the appropriate databases in an accurate and timely manner by: Obtaining information by monitoring daily trauma patient admissions, transfers, and discharges, and confirming all patients and patient changes on the registry, autopsy, and patient identification logs. Completes a variety of Trauma, Burn, and Acute Care Surgery Registry tasks, including data collection, data entry and retrieval, data quality and integrity, data analysis, and display and statistical conversion for the purpose of research, performance improvement, injury prevention, education, billing, and outcome measurements.
Director of Revenue Cycle Management HEALTHCARE CONNECTION, INC.,THEDirector of Revenue Cycle ManagementCincinnati, OHThe Director collaborates closely with clinical, operational, finance, and third-party billing teams to ensure compliant, efficient, and financially sustainable revenue cycle operations that support access to high-quality patient care. Key Responsibilities: Direct and oversee all revenue cycle operations including registration, charge capture, coding, billing, claims processing, payment posting, denial management, collections, and reimbursement analysis.
Prior Authorization Specialist Riverhills NeurosciencePrior Authorization SpecialistCincinnati, OHFull timeSuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors. Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet.
Executive Case Manager (Remote) ValerisExecutive Case Manager (Remote)Cincinnati, OhioRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
A/R Billing Specialist Carvaka, LLCA/R Billing SpecialistCincinnati, OHPart timeThe Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.
Insurance Biller - Hybrid St. Elizabeth HealthcareInsurance Biller - HybridKYComplete special projects & tasks by the established time frame which can include organizing workload and/or associates for successful account resolution: proactively notify supervisor of any barriers that prohibit billing and/or payment of claims. Job Summary: This position is responsible for timely and accurate billing of assigned accounts to a variety of payors using the computerized patient accounting systems.
Billing Associate Specialist Ensemble Health PartnersBilling Associate SpecialistCincinnati, OH$17–$18.65 / hourCollaborate closely with Billing and Denials Management to identify trends, recommend new claim rules and edits, and support compliant billing practices, in addition to monitoring electronic claim transfers and helping manage unbilled accounts across all systems. Works daily electronic 277s, RTPs, failed bills, late charges, rebills, and failed claims within host systems and billing vendors, while also processing hardcopy claims and attaching required documentation such as EOBs and medical records.
Financial Operations Analyst Lead - Payment Integrity Datamining Elevance Health IncFinancial Operations Analyst Lead - Payment Integrity DataminingMason, OHMinimum Requirements: Requires a BA/BS in accounting or finance and a minimum of 5 years' experience in a finance/health insurance field capacity and experience with relational databases and mainframe and client server report writers; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Radiologic Technologist II Interventional Radiology SEH Saint Elizabeth Medical CenterRadiologic Technologist II Interventional RadiologyEdgewood, KentuckyProfessionally trained individual who produces high quality radiographs for all interventional studies, assists with sterile setup, and maintains sterile technique throughout procedures. Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystCincinnati, OH$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
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.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorCincinnati, OH$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Radiologic Technologist II Interventional Radiology St. Elizabeth HealthcareRadiologic Technologist II Interventional RadiologyKYJob Summary: Professionally trained individual who produces high quality radiographs for all interventional studies, assists with sterile setup, and maintains sterile technique throughout procedures. Youll review patient histories, take precautions to prevent adverse reactions, and strictly follow safety protocols to ensure safe and effective care.
Registered Nurse (RN) - Home Visits Help at Home LLCRegistered Nurse (RN) - Home VisitsOHAs 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.
NewPatient Access Representative - Part Time Equitas HealthPatient Access Representative - Part TimeCincinnati, OhioWith 17 offices in 11 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, Gender Affirming Care, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.
RCM Specialist I Gravity Diagnostics LLCRCM Specialist ICovington, KYEmployees must remain vigilant against phishing and social engineering tactics and promptly report any suspicious activity or potential breaches to the IT Security Team. You''ll dive into denied and rejected insurance claims, identify the causes, and drive resolutions that help support our mission of delivering exceptional care.
RCM Specialist I Gravity DiagnosticsRCM Specialist ICovington, KentuckyRCM Specialist I Department: Revenue Cycle Management Reports to: Senior Manager of Revenue Cycle Pay Group: Non-Exempt Do you love solving puzzles and making processes work better? Employees must remain vigilant against phishing and social engineering tactics and promptly report any suspicious activity or potential breaches to the IT Security Team.
Licensed Practical Nurse TriHealth IncLicensed Practical NurseCincinnati, OHJob Overview: This position provides both direct and indirect patient care in a primary care office and works with care delivery providers to identify gaps in care, contacts patients to schedule required care, and provides referral follow up. Other Related Information: Age-related competencies, experience with multiple age groups, understanding of recommended screenings based on age groups, understanding of chronic disease management process, and experience with patient centered medical home.
NewPatient Access Representative - Part Time Equitas Health, Inc.Patient Access Representative - Part TimeCincinnati, OHPart timeWith 17 offices in 11 cities, it serves more than 67,000 individuals in Ohio, Kentucky, and West Virginia each year through its diverse healthcare and social service delivery system focused around: primary and specialized medical care, retail pharmacy, dental, behavioral health, HIV/STI prevention, advocacy, and community health initiatives. Must have sensitivity to, interest in and competence in cultural differences, HIV/AIDS, minority health, Gender Affirming Care, sexual practices, chemical dependency and a demonstrated competence in working with persons of color, and gay/lesbian/bisexual/transgender community.
Health Information Management Tech NorthKey Community CareHealth Information Management TechCovington, KYFull timeWith multiple convenient locations throughout the Northern Kentucky region (Kenton, Boone, Campbell, Grant, Carroll, Gallatin, Pendleton, and Owen counties), NorthKey offers a wide array of mental health, substance use, and developmental disabilities services unparalleled in the region. Since 1966, NorthKey Community Care (NorthKey) has provided effective and efficient mental health, substance use, and developmental disabilities services to the Northern Kentucky region with the commitment to providing the right service, at the right time, and in the right place.
Claims Resolution Specialist Lee Hecht HarrisonClaims Resolution SpecialistCincinnati, OH$19–$23 / hourGeneral Description: This position focuses on following up on unpaid claims, utilizing aging reports, filing appeals when appropriate, and maintaining strong communication with insurance carriers, patients, and internal stakeholders. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Asst- Medical Certified UC HealthAsst- Medical CertifiedCincinnati, 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.