NewPI Medical Coding Reviewer II (CPC, RHIT or RHIA required) CareSourcePI Medical Coding Reviewer II (CPC, RHIT or RHIA required)Dayton, OH$54,500–$87,300 / yearJob Summary: The Program Integrity Medical Coding Reviewer II is responsible for review of medical record audit activities, dispute support as needed, medical records work queues as well as claim reviews for provider pre-payment and post-payment functions. CareSource 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.
BILLING & CODING COMPLIANCE ANALYST Premier Health PartnersBILLING & CODING COMPLIANCE ANALYSTDayton, OHCCS - Certified Coding Specialist An AHIMA credential for advanced-level coders skilled in inpatient and outpatient coding, data quality, and DRG assignment. Definitions: RHIA - Registered Health Information Administrator A credential from AHIMA for professionals who manage health information systems, ensure data integrity, oversee compliance with privacy laws, and often hold leadership roles in HIM departments.
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.
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.
NewMedical 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.
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.
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.
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.
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.
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.
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 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.
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.
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.
Director, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy) CareSourceDirector, Pharmacy Clinical Strategy(Preferred Experience in Medical Drug Management Strategy)Dayton, OH$135,600–$237,400 / yearJob Summary: The Director, Pharmacy Clinical Strategy leads the strategic development of formulary management best practices & industry-leading, market-competitive formulary and medical drug strategies across all CareSource lines of business and markets. Essential Functions: Ensures the efficient operational management of the formulary and medical drug management and clinical policy/criteria development teams with emphasis on execution, outcomes, continual improvement and performance enhancement.
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.
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.
PHYSICIAN ADVISOR Premier Health PartnersPHYSICIAN ADVISORDayton, OHThe Physician Advisor provides expert second-level reviews, leads provider education, and partners closely with the CDI Manager, Coding Manager and interdisciplinary teams to ensure that documentation accurately reflects the clinical complexity, severity of illness, and quality outcomes of Premier Health's patient population. The Physician Advisor - CDI, Coding & Quality serves as a key clinical leader supporting Premier Health's goals to advance documentation accuracy, revenue integrity, and quality performance across the health system.
MANAGER: CBO A/R (REMOTE) Premier Health PartnersMANAGER: CBO A/R (REMOTE)OHRemoteManagers are expected to develop and maintain good relationships with employees, peers, PPN staff, and leaders, to ensure our customers receive the level of service necessary to build confidence and trust in the network and for our providers. The CBO A/R Manager works with the CBO Administrator to develop, implement, and maintain efficient and effective workflows to ensure revenue/cash optimization and to limit risks associated with coding and billing practices.
Medical Scribe CVS Health CorpMedical ScribeDayton, OH$17–$28.46 / hourScribes receive extensive on-the-job training in clinical workflows, value-based medicine, preventative care for chronic conditions, accurate and specific documentation, population health data streams, and team based care. This is an excellent opportunity for pre-med track individuals looking to gain practical, paid experience in a clinical setting before applying to an MD/DO/PA/NP program, as well as those pursuing careers in Health Informatics, Public Health, Healthcare Administration, Medical Coding, and other related fields.
Chief Simulation Architect | The System Sage Infinity LabsChief Simulation Architect | The System SageDayton, OhioWhat We offer: As a nationally recognized Great Place to Work® and Military Times® Best for Vets: 2025 Employer, we prioritize employee well-being and experience, fostering a culture that values dedicated teams and committed individuals. Your work may include: Leading a highly technical, fast-paced team developing MS&A frameworks and digital engineering environments for the DoW.
Home Health Account Executive-Dayton UnitedHealth Group IncHome Health Account Executive-DaytonKettering, OHClinical ›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. Technology and data Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Clinical Content & Editing Reimbursement Manager Elevance Health IncClinical Content & Editing Reimbursement ManagerMason, OH$80,940–$140,580 / yearPreferred Skills, Capabilities, & Experiences: 5+ years of claims editing, payment integrity, provider reimbursement, clinical content development, or healthcare payer experience with health plans and/or claims editing software vendors, including expertise in billing, coding, revenue cycle, and claims adjudication preferred. This role partners with cross-functional teams to translate healthcare coding and reimbursement policies into clinical editing content and reimbursement solutions that improve financial performance, reduce administrative expenses, and enhance claims payment integrity across Commercial, Medicare, and Medicaid lines of business.
Practice Manager II Heart & Vascular Kettering Health NetworkPractice Manager II Heart & VascularKettering, OHEnsures a smooth and efficient operation of the practice to include, but not limited to, hiring and training staff, working with the physicians daily, monitoring and controlling costs, assuring accurate and timely charge capture and edit/error work queue resolution, and overseeing staff productivity. Manages the practice to include front desk procedures, bookkeeping, patient billing, office/clinical supplies, petty cash operation, budget, collections, insurance, and evaluates work process and patient service issues for continuous improvement opportunities.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerOHRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help 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.
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.
Provider Reimbursement & Prepay Editing Director Elevance Health IncProvider Reimbursement & Prepay Editing DirectorMason, OH$102,960–$169,884 / yearThe Provider Reimbursement & Prepay Editing Director is responsible for leading key provider reimbursement and prepay editing functions and initiatives across the enterprise and serves as subject matter expert regarding provider reimbursement strategies, reimbursement policy implementation, and claims editing practices. Works with medical directors, contract negotiators, coding teams, cost of care staff, payment integrity partners, and provider relations staff to identify and implement best practice solutions to manage costs and reimburse services appropriately.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)Mason, OhioThe Diagnosis Related Group Clinical Validation Auditor-RN is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such aPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
NewAccounts Receivable Specialist Dayton Physicians NetworkAccounts Receivable SpecialistVandalia, OHEssential Duties and Responsibilities: Reviews all outstanding claims filed to designated payers and/ or patient accounts for which payment or denial has not been received within 28 days of billing; Utilizes reporting capabilities of practice management system to generate reports and data used in working claims in the various aging buckets; Utilizes the capabilities of practice management system to correct and/or appeal as necessary; Utilizes the designated payer websites for effective follow-up and claim rebills; Utilizes the designated payer provider telephone centers for assistance in claim follow-up and collections; Attend webinars as well as various teaching seminars sponsored by designated payers; Receives from payment posting all zero pay and denied claims for research, correction and rebill, write-off, or transfer to patient responsibility; Contacts patients with regard to any unpaid claims; maintains accurate documentation within the practice management system of actions taken to resolve outstanding claims; Maintains compliance with FDCPA at all times; Follow all health care privacy and safety rules and adheres to Dayton Physicians Core Values; Other duties as assigned. Accounts Receivable Specialist requires knowledge of claims processing in a managed care environment, commercial payer environment along with government payers and knowledge of the Fair Debt Collections Practice Act (FDCPA) and other legal policies regarding collecting debt from patients.
PATIENT FINANCIAL ADVOCATE- HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE- HYBRIDCenterville, OH3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred.
PATIENT FINANCIAL ADVOCATE - HYBRID Premier Health PartnersPATIENT FINANCIAL ADVOCATE - HYBRIDDayton, OH3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred.
Software Developer Torch Technologies IncSoftware DeveloperOHWorking alongside cybersecurity engineers, network engineers, network/server administrators, and a dedicated engineer, you will contribute to a culture of security and automation throughout the software development lifecycle. As a Software Developer your duties will include the following, but are not limited to: Architecture, Design & Innovation: Collaborate with cybersecurity engineers and other developers to design and implement secure software architectures.
AI-Native Software Engineer Elevance Health IncAI-Native Software EngineerOH$112,640–$176,640 / yearMinimum Requirements: Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years experience on one platform, multi database, multi language or multi business application; or any combination of education and experience, which would provide an equivalent background. Experience building or integrating AI agents, tool/function calling, RAG, memory, model routing, evaluations, guardrails, observability, and secure API/tool access strongly preferred.
Sr. Staff / Senior DevSecOps Engineer SciTecSr. Staff / Senior DevSecOps EngineerDayton, OHFor the past forty-five plus years, we have supported Department of Defense customers by developing innovative remote sensing algorithms, tools, and techniques to deliver world-class data exploitation capabilities supporting missile defense; intelligence, surveillance, & reconnaissance; space domain awareness; and aircraft survivability missions. The ideal candidate is a strong individual contributor with deep Configuration as Code (CaC), Infrastructure as Code (IaC), and Kubernetes expertise ready to make a real impact and solve complex challenges with passion.
Web Developer Alakaina Foundation Family of CompaniesWeb DeveloperDayton, OHBAH includes Keaki Technologies, LLC; Laulima Government Solutions, LLC; Kpono Government Services, LLC; Kapili Services, LLC; Po`okela Solutions, LLC; Kkaha Solutions, LLC; and Pololei Solutions, LLC. This includes writing requirements, creating system design documents, relational database diagrams (ERDs), test plans, deployment plans, training material, and other project management artifacts.
MEDICAL CENTER REPRESENTATIVE Premier Health PartnersMEDICAL CENTER REPRESENTATIVEDayton, OHThe 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. The MCR is responsible for daily scheduling, incoming calls, patient registration, billing/collection functions, and other duties as assigned.
Manager, TCHP Practice - Mason Internal Medicine - Full Time - Days The Christ HospitalManager, TCHP Practice - Mason Internal Medicine - Full Time - DaysMason, OHQuality Management and Patient Experience: Support the practice in participation of organizational, regional and governmental quality programs, such as: Meaningful Use, PQRS, HEDIS, CPCi (primary care), PCMH (primary care), Diabetes Recognition Program, Public Reporting of Quality Data. Responsible for the day-to-day management of a physician office, supervises clinical and administrative personnel, assigns and monitors tasks and responsibilities, monitors financial indicators and performance of office, and acts as a liaison between administration, office personnel and physicians.
NewSoftware Engineer, Senior GRVTYSoftware Engineer, SeniorDayton, OHThis is hands-on engineering work — you will be designing and building Python-based software tools that support optical signature modeling, spectral data analysis, and machine learning-enabled sensor workflows. 9+ years of professional software development experience, with demonstrated focus on scientific computing, algorithm development, data processing, or related technical domains or 7+ years of experience and a Masters degree.
Cybersecurity ISSE (Principal) Torch Technologies IncCybersecurity ISSE (Principal)Kettering, OHDuties performed by the ISSE may include but not limited to the following: Completes and maintains required cybersecurity certification IAW AFMAN 17-1303; Ensures all AF IT cybersecurity-related documentation is current and accessible to properly authorized individuals; Supports the PM or ISO in maintaining current authorization to operate, approval to connect (if required), and implementing corrective actions identified in the plan of actions and milestones; Coordinates, with the PM and AO staffs, development of an ISCM strategy and monitors any proposed or actual changes to the system and its environment; Continuously monitors the IT and environment for security-relevant events; Assesses proposed configuration changes for potential impact to the cybersecurity posture; Assesses the quality of security controls implementation against performance indicators; Ensures cybersecurity-related events or configuration changes that impact AF IT authorization or adversely impact the security posture are formally reported to the AO and other affected parties, such as IOs, stewards, and AOs of interconnected IT; Ensures all ISSOs and privileged users receive necessary technical training and obtain cybersecurity certification IAW AFMAN 17-1301, Computer Security (COMPUSEC), AFMAN 17-1303, and maintain proper clearances IAW DoDI 8500.01; and, Ensures the AF IT is acquired, documented, operated, used, maintained, and disposed of properly IAW DoDI 5000.02 and DoDI 8510.01. Without this support to the Program Management Office (PMO) under GBS, the Government would not be able to complete the required documentation, reporting, and program management support required for a Business Acquisition Category (BCAT) II program.
Junior Software Developer ParallaxJunior Software DeveloperBeavercreek, OhioProgramming Languages: Python, Java, C++, Go, Rust, JavaScript/TypeScript, SQL, NoSQL, TensorFlow, Pytorch, Matplotlib, OpenCV • Proficiency with DevSecOps Tools: Docker, Kubernetes, Jenkins, GitLab CI/CD, Terraform, Ansible, security scanning tools • Cloud Platforms: AWS, Azure, GCP with emphasis on secure deployments and compliance. • Data Science & AI/ML: Feature engineering, model training, hyperparameter tuning, MLOps pipelines • Architecture and Orchestration Frameworks: RAG (Retrieval-Augmented Generation) and Agentic workflows; LangGraph, CrewAI with the ability to design multi-step “reasoning loops”.
Manager, TCHP Practice - Mason Internal Medicine - Full Time - Days The Christ Hospital Health NetworkManager, TCHP Practice - Mason Internal Medicine - Full Time - DaysMason, OHResponsible for the day-to-day management of a physician office, supervises clinical and administrative personnel, assigns and monitors tasks and responsibilities, monitors financial indicators and performance of office, and acts as a liaison between administration, office personnel and physicians. • Manage office based components of the Revenue Cycle while working collaboratively with the Central Billing Office to manage billing and collection activities: timely management of submission and open encounters, collection of co-payments and patient balance.