NewMedical Billing Manager Dayton Center For Neurological Disorders IncMedical Billing ManagerDayton, OH$55,000–$70,000 / yearThe Medical Billing Manager will oversee the financial operations of the billing department, ensuring accuracy and efficiency in claims processing, payment collection and revenue cycle management. Job Description Dayton Center for Neurological Disorders (DCND), one of the largest physician owned and operated private practices in Ohio, is seeking a Medical Billing Manager to be based in our Centerville office.
NewPrior Authorization Specialist Riverhills NeurosciencePrior Authorization SpecialistCincinnati, OH$18–$22 / hourYour responsibilities include:Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirementsCoordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determinationFacilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patientsEnsure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin proceduresMonitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheetInitiate patient education on available assistance programsBackground and Experience:1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practicePain Management experience is a plusExperience with an Electronic Medical Record (EMR) and practice management systemKnowledge of Medicare/Medicaid and major insurance carrier's guidelinesWorking knowledge of ICD-9-10 medical coding and billing and medical terminologySuperior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendorsIf you're eager to contribute to a world-class healthcare team, apply today. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.
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.
DRG Coding Auditor Principal Elevance Health IncDRG Coding Auditor PrincipalMason, OH$122,240–$183,360 / yearSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Coder II, Corporate Coding, Outpatient Ancillary Services, Full Time, First Shift UC HealthCoder II, Corporate Coding, Outpatient Ancillary Services, 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 Rep I Cincinnati Children's Hospital Medical CenterCoding Rep ICincinnati, OHRemote$22.18–$27.73 / hourCincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years. Begin or continue your coding career while supporting accurate coding and timely billing across hospital-based ancillary services.
DRG Coding Auditor Principal Elevance HealthDRG Coding Auditor PrincipalMason, OhioSpecializes in review of DRG coding via medical record and attending physician's statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients.
Coder II, Acute Care, Corporate Coding, Full Time, First Shift UC HealthCoder II, Acute Care, 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.
Coding Specialist I TriHealth IncCoding Specialist INorwood, OHJob Overview: This position abstracts 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.
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.
Coding Educator TriHealth IncCoding EducatorNorwood, OHProvides physician feedback initial and ongoing education, training and technical support in regard to proper clinical documentation guidelines, service selection, charge capture and timely submission, healthcare data accuracy and coding principles. Job Overview: Under the direction of the Coding Manager, responsible for conducting coding education programs for coding specialists and physicians to ensure correct coding, legal compliance and complete charge capture.
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.
TCHP Coder Associate - CBO Department Phys Div Coding - Full Time - Days The Christ Hospital Health NetworkTCHP Coder Associate - CBO Department 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. Requires a working knowledge of Medicare regulations on charging and billing practices (UB92 and 1500/HCFA), knowledge of CPT and HCPCS coding, and the ability to read/analyze itemized billing statements, medical records, & lab reports.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationCincinnati, OhioThisroleservesasakeypartnerbetweenCodingOperations,RevenueCycle,ClientServices,Technology,Implementation,andoperationalleadershipteamstoensureseamlesscodingtransitions,operationalreadiness,compliance,andlong-termsuccess. Theidealcandidatewillbringdeepexpertisein professionalfee(physician)coding ,revenuecycleoperations,codingcompliance,providereducation,andclientrelationshipmanagement.
NewClinical Document Specialist (RN), Corporate Coding Services, Full Time, First Shift UC Health, LLCClinical Document Specialist (RN), Corporate Coding Services, Full Time, First ShiftCincinnati, OHFull timeMembers 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. UC Health is hiring a Full Time Clinical Documentation Improvement Specialist for Corporate Coding Services The Clinical Documentation Improvement Specialist will work with physicians to facilitate appropriate clinical documentation to ensure that the level of services and acuity of care are accurately reflected in the medical record.
Coding Rep II Cincinnati Children's Hospital Medical CenterCoding Rep IICincinnati, OHRemote$25.82–$32.28 / hourThis role reviews medical records, assigns accurate ICD-10-CM and/or CPT codes, resolves documentation needs, and contributes ideas that strengthen coding processes. Bring your coding experience to work that supports timely, accurate billing across emergency and urgent care services.
4529- Coding Specialist Innovaccer Inc4529- Coding SpecialistOHExcellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. We celebrate diversity and are committed to fostering an inclusive workplace where all employees feel valued and empowered regardless of any characteristic protected by federal, state or local law including, without limitation, race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, medical condition, disability, age, marital status, or veteran status.
Lead Product Manager- Agentic SDLC/ Claude Code (P4170) 84.51°Lead Product Manager- Agentic SDLC/ Claude Code (P4170)Cincinnati, OH; ChicagoPowered 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.
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 Specialist Equitas Health, Inc.Medical Billing SpecialistDayton, OH$23.56–$32.98 / hourPart timeWith 22 offices in 12 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. This encompasses going beyond giving and receiving instructions and includes but is not limited to (a) performing work activities requiring interacting or speaking with others, and (b) responding appropriately to constructive feedback or suggestions for improvement from a supervisor.