Coding Rep I Cincinnati Children's Hospital Medical CenterCoding Rep ICincinnati, OHRemote$22.18–$27.73 / hourCertification/credentialed as Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT) OR Registered Health Information Admin (RHIA) OR Certified Professional Coder (CPC) Certified Coding Associate (CCA) Certified professional Coder Apprentice (CPC-A) Certified Coding Specialist -Physician (CCS-P) OR Eligible to sit for credentials exam. Coding - Reviews and screens the medical record to abstract designated statistical and clinical data and enters reliable information into Epic, and/or Fastrack, as appropriate.
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.
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.
Coder II, PBO Coding, Physician Coding for Emergency Dept, Full Time, First Shift UC HealthCoder II, PBO Coding, Physician Coding for Emergency Dept, 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.
Coding and Billing Supervisor - Corporate Health TriHealth IncCoding and Billing Supervisor - Corporate HealthOHTriHealth leaders create a culture of engagement, safety & reliability and high performance by consistently modeling and utilizing the following TriHealth Way leadership competencies, tactics and ALWAYS Behaviors to drive strategic pillar results: Achievement of Annual Pillar Goals: 1) Safety/Quality, 2) Service, 3) Growth, 4) Culture/People, 5) Finance. Job Overview: Under the guidance of the Finance and Administrative Services Manager in Corporate Health, the Supervisor of Billing and Coding - Corporate Health will provide hands-on leadership and oversight of daily billing/coding operations within Corporate Health.
Medical Coding Appeals Analyst Elevance Health IncMedical Coding Appeals AnalystMason, OHWe 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. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Coding Specialist II TriHealth IncCoding Specialist IINorwood, OHJob Overview: This position abstract codes provider documentation and assigns specific and appropriate ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes based on clinical documentation and official guidelines/regulations provided by government and insurance carriers. In this position, you'll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices.
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.
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.
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.
TCHP Coding Educator The Christ Hospital Health NetworkTCHP 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.
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.
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.
LEAD MEDICAL BILLING SPEC-REMOTE Premier Health PartnersLEAD MEDICAL BILLING SPEC-REMOTEOHRemoteEnsure Team Members are completing tasks/job functions timely • Coders receive charges from centers • Coders code charges within 1 day/24 hours of receipt of charge from centers • Coded charges/charge slips to Charge Entry team same day as coding completed • Charge Review team defers any charge not accepted with notes indicating why the charge is deferred b. Faxes, mail, and courier items distributed immediately (utilizing mail boxes at front door rather than interrupting staff at work stations) • Charges received via fax are batched using a Batch cover sheet • Batch is logged into the Extraction Log on the CBO Shred Drive • Batch is delivered to the correct coding staff member's mailbox b.
SUPERVISOR: MEDICAL BILLING Premier Health PartnersSUPERVISOR: MEDICAL BILLINGOHAn effective Senior Team Lead will provide guidance to their team based on management direction, will use their experience and knowledge of the tools the team uses (e.g., EPIC), policies, and guidelines to educate team members, will identify areas for improvement systematically and within their team, and will communicate directly with management the status of resolved and outstanding issues/roadblocks within the team. A Team Lead should actively seek and seize opportunities for improvement, should be willing to take on additional responsibilities, assignments, and projects when needed, should be committed to organizational goals and be willing to put forth extra effort to reach organizational goals.
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.
Medical Billing Manager Dayton Center for Neurological DisordersMedical Billing ManagerCenterville, OhioEducation/Experience: Required: High School diploma and 5 years of Medical Office Billing experience Preferred: Degree or Certificate in Medical Office Billing Required: Billing/Coding Certification (Preferred Certifications: CPC, CPB,CPMA, CPCO) Language Ability: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Certificates and Licenses: Valid Driver's License Equipment: Multi-line telephone Facsimile machine Copier Postage meter Calculator Computer Printer Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
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.
Revenue Cycle Manager UC HealthRevenue Cycle ManagerCincinnati, OHJoin our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering.
BILLING QA COMPLIANCE SPEC Premier Health PartnersBILLING QA COMPLIANCE SPECOHGeneral Summary/Responsibilities: Under the general direction of the Supervisor Patient Financial Services this employee is responsible for the review of Inpatient and Outpatient accounts for billing and coding compliance for Patient Financial Services (PFS). The specialist is also responsible for understanding reimbursement aspects of the revenue cycle and will work to ensure Premier Health receives the appropriate reimbursement for charges billed.
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.
Optometric Technician FlorenceOptometric TechnicianFlorence, KentuckyThe 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.
Optometric Technician West Point OpticalOptometric TechnicianFlorence, KentuckyThe 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.
MEDICAL BILLING SPECIALIST II- Premier Health PartnersMEDICAL BILLING SPECIALIST II-OHThe Medical Billing Specialist works to ensure timely and accurate reimbursement on medical claims for physician services rendered. This position will submit claims utilizing insurance carrier guidelines and will also follow up on submitted claims that are unpaid, rejected, or denied.
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.
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.
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.
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.
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.
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, 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 - Pediatrics - Western Hills TriHealth IncMedical Assistant - Pediatrics - Western HillsOHJob 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.
NewLicensed Practical Nurse or Medical Assistant TriHealth IncLicensed Practical Nurse or Medical AssistantWilmington, 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. 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.
NewMedical 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.
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.
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.
Trauma Data Specialist I, Full Time, First UC HealthTrauma Data Specialist I, Full Time, FirstCincinnati, OHCompletes 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. 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.
Patient Account Representative Dayton Center for Neurological DisordersPatient Account RepresentativeCenterville, OhioThis person will communicate with patients, and coworkers, and practice leadership by answering a busy telephone queue, emails, chat messages, and TEAMs messages to assist with any questions regarding balances, billing, collections and reimbursement. The primary function of this position will be to be the main point of contact for patients that are calling in to the practice to discuss their balances, collect payments over the phone, set up payment plans, etc.
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.
Billing Patient Account Representative CompuNet Clinical Laboratories LLCBilling Patient Account RepresentativeOHPosition Summary: Under the supervision of the Billing Department Manager: perform the daily account processing tasks of the Billing Department including billing data entry, third party billing, cash application, account adjustments/ refunds; review denials and resubmit claims; answer incoming as well as place outgoing calls to both patients and clients while maintaining positive internal and external working relationships with patients, clients and third party payers. Responsibilities: Maintain organized workflow to allow efficient processing of accounts and to enable smooth transition of job duties during absences.
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.
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.
Business Analyst II Elevance Health IncBusiness Analyst IIMason, OHFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position¿ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.
Revenue Cycle Specialist NorthKey Community CareRevenue Cycle SpecialistCovington, 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.
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.