NewClinical Laboratory Processing and Billing Coordinator- Immediate Response Lab- Full Time- Days The Christ Hospital Health NetworkClinical Laboratory Processing and Billing Coordinator- Immediate Response Lab- Full Time- DaysDelhi Hills, OHThe specialist displays a commitment to customer service while completing assignments and engaging with customers in a polite, attentive, and conscientious manner and responds thoughtfully to inquiries regarding specimen collection and handling, laboratory intake processes, and test results. Recognizes and addresses any abnormal or unusual patient results, investigates inconsistent findings, and communicates significant patient data or results to the relevant individuals.
Medical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOhioRemoteRemain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
Outpatient Hospital Coding Supervisor ProMedicaOutpatient Hospital Coding SupervisorOhioRemoteBy collaborating with stakeholders, implementing process improvements and supporting coding policies and systems, you will help ensure timely account completion and maintain effective coding operations. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
NewCertified Professional Medical Coding Auditor TegriaCertified Professional Medical Coding AuditorOhioOur lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way. The role may recommend improvements to coding procedures as guidelines and requirements evolve, escalates findings that may signal a compliance or revenue concern to coding leadership for evaluation, and provides supporting documentation that leadership relies on when determining next steps.
DRG Senior Educator, Coding Ensemble Health PartnersDRG Senior Educator, CodingOhioRemoteThe DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.
Acute Coding Appeals Specialist Ensemble Health PartnersAcute Coding Appeals SpecialistOhioRemoteUnder indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns.
Coding Supervisor Ensemble Health PartnersCoding SupervisorOhioRemoteThorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.). 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding.
Pro Fee Coding Educator – Special Projects Ensemble Health PartnersPro Fee Coding Educator – Special ProjectsOhioRemoteIdentify and elaborate on education opportunities within audits to ensure discrepancies are addressed (though direct provider education is typically handled by compliance or Ensemble’s education team- this may change in the future as our team develops). Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Coding Educator Ensemble Health PartnersCoding EducatorOhioRemotePlan, develop, and present educational opportunities for workflow enhancements, clinical documentation improvement, coding and billing regulatory issues, charging processes, and other related revenue cycle trends. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.
Director, Coding Ensemble Health PartnersDirector, CodingOhioRemoteThe Director, Coding is a highly technical leadership role responsible for overseeing coding operations while driving data strategy, analytics, and performance optimization across the coding function. This role combines deep expertise in professional and/or facility coding with advanced technical capabilities, including the development of Power BI dashboards and the use of Copilot and Power Platform tools to deliver actionable insights.
Sales Manager CloudbedsSales ManagerOhioRemoteYou will be responsible for identifying and acquiring new business opportunities, building strong relationships with prospects, and showcasing how Cloudbeds’ industry-leading SaaS solutions are transforming the hospitality space. Since our founding in 2012, we've become the World's Best Hotel PMS Solutions Provider and landed on Deloitte's Technology Fast 500 again in 2024, but we're just getting started.
Engineer III - CICD Code Signing Automation (Remote) CrowdStrike IncEngineer III - CICD Code Signing Automation (Remote)OHRemote$120,000–$180,000 / yearAbout the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.
Insurance Authorization Specialist Ensemble Health PartnersInsurance Authorization SpecialistOhioRemoteThe Insurance Authorization Specialist is responsible for selecting accurate medical records for patient safety and working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Receptionist Alcohol and Drug Freedom CenterReceptionistMt Vernon, OHFull timeBased in Mount Vernon, Ohio, The Freedom Center is a non-profit community behavioral health center that has been providing quality behavioral healthcare to adults and adolescents for more than 46 years and seeks to make a positive difference in the lives of individuals living with mental health issues and substance use disorders. In addition to providing confidential and courteous support to our clients, the Receptionist aides the agency staff by answering and screening all incoming calls, maintaining the agency schedule, and assisting with external correspondence including fax and mailings.
Clinical Reviewer - Medical Coder & QA Ohio LivingClinical Reviewer - Medical Coder & QAOhioCurrent unencumbered license for the state of Ohio to practice as a Licenses Practical Nurse (LPN) preferred Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical Certificate for OASIS Specialist-Clinical. Responsible to process Home Health Starts of Care (SOC) or Hospice Admission Plans of Care timely working with their assigned Home Health and Hospice office.
Charge Master Analyst Sutter HealthCharge Master AnalystOH$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Billing Supervisor Ensemble Health PartnersBilling SupervisorOhioRemoteThe Supervisor will work with multiple disciplinaries including but not limited to Patient Access, Coding, Follow Up, Denials and any additional Revenue Management departments needed to aid in effort to ensure timely account review related to unbilled workflow. Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
Patient Registration Representative UK King's DaughtersPatient Registration RepresentativeOhioAt UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. Coordinates with patients, payers, and internal departments to collect missing information, resolve data errors, and reduce denials.
Informatics Consultant CVS Health CorpInformatics ConsultantOH$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Assistant Medical Director Medical MutualAssistant Medical DirectorOhioRemoteContributes to the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused improvement, and that initiatives are consistently implemented and successfully executed to achieve goals. Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols.