Coding Appeals Specialist - Hospital Billing TriHealth IncCoding Appeals Specialist - Hospital BillingOHIn this role, you'll apply your expertise in ICD‑9, ICD‑10, DRG, CPT, CDI, and hospital billing to resolve complex denials, collaborate with payers, and craft effective appeals that support maximum reimbursement. TriHealth offers Coding Denials Specialists the opportunity to make a meaningful impact by protecting revenue, reducing financial loss, and ensuring accurate, compliant coding practices across the organization.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorOH$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Supervisor Ensemble Health PartnersCoding SupervisorOHRemote$57,400–$86,100 / yearExperience We Love: 3 years of coding experience in either pro-fee or acute care setting to include inpatients, outpatients, and emergency department records or provider coding. Thorough working knowledge of coding classification systems to include Diagnosis Related Groups, (DRGs) and All Patient Refined - Diagnosis Related Groups, (APR-DRGs.).
Medical Coding Specialist Ensemble Health PartnersMedical Coding SpecialistOHRemote$20.45–$24.70 / hourRemain 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. We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology.
NewManager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditCleveland, 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.
Instructor, Medical Coding Cuyahoga Community CollegeInstructor, Medical CodingCleveland, OHPresents facilitative, well prepared, organized, and clear lectures and classroom activities consistent with the course syllabus (AAPC curriculum, medical terminology, anatomy & physiology, advanced medical coding, HCPCS coding, ICD-10 coding) and school policies. Continually promotes students' development and effective use of skills in areas such as critical and analytical thinking, evaluation, communication, professionalism, customer service, computation, problem solving, and decision-making.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorOHRemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Cleveland, 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.
Coding Educator Ensemble Health PartnersCoding EducatorOHRemote$62,500–$119,700 / yearPlan, develop, and present educational opportunities for workflow enhancements, clinical documentation improvement, coding and billing regulatory issues, charging processes, and other related revenue cycle trends. Experience We Love: 5 + years of coding and educational experience in Professional Fee Coding or consulting setting with preference for Cardiology, General Surgery, Neurosurgery or Ob GYN specialties.
Technology Engineer - JAVA/.NET/Security Code Review The PNC Financial Services Group IncTechnology Engineer - JAVA/.NET/Security Code ReviewStrongsville, OH$86,250–$158,125 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. PNC Employees take pride in our reputation and to continue building upon that we expect our employees to be: Customer Focused - Knowledgeable of the values and practices that align customer needs and satisfaction as primary considerations in all business decisions and able to leverage that information in creating customized customer solutions.
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.
Security Testing Specialist - Code Review/Java, .NET, Python Developer The PNC Financial Services Group IncSecurity Testing Specialist - Code Review/Java, .NET, Python DeveloperStrongsville, OH$91,000–$185,900 / yearIn addition, PNC generally provides the following paid time off, depending on your eligibility: maternity and/or parental leave; up to 11 paid holidays each year; 9 occasional absence days each year, unless otherwise required by law; between 15 to 25 vacation days each year, depending on career level; and years of service. Access Control (AC), Application Security, Application Security Code Review, Application Security Testing, Building Architecture, Customer Solutions, Disaster Recovery Planning, Information Security, Network Security, Physical Security, Risk Assessments, Security Technologies, Static Application Security Testing (SAST).
Assistant Director of Law - Code Enforcement City of ClevelandAssistant Director of Law - Code EnforcementCleveland, OH$75,000–$85,325 / yearAttorney duties will including helping to design and implement processes for enforcing the City's lead paint ordinances and regulations, and also include handling civil cases and criminal prosecutions in the Cleveland Housing Court; defending appeals of Housing Court cases in the Court of Appeals; representing City departments before local and state administrative appeal boards and handling appeals of the Board decisions in Common Pleas court and the Court of Appeals; Common Pleas court and the Court of Appeals; conducting legal review of various documents related to prosecution, demolition and other nuisance abatement activities; interacting with inspectors, managers, Council members and the public to address inquiries and complaints; handling subpoenas and public records requests, participating in special projects and other duties as assigned. The section is seeking an attorney who will focus on criminal prosecution and civil litigation to enforce the City's ordinances and procedures, including working to design and perfect processes for effective enforcement of strategic code enforcement by the City's Department of Building and Housing.
Dentist (Job Code: AL0212) Bright Now! DentalDentist (Job Code: AL0212)Cleveland, Ohio$75,712–$180,000 / weekSmile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone!® Smiles for patients, providers, employees, and community partners. Overview: At Bright Now Dental , supported by Smile Brands, you'll join a community of collaborative providers who are invested in growing their skills, building strong patient relationships, and creating a culture where everyone smiles.
General Practice Care - Associate Veterinarian - North Ridgeville , {State_Code UsvtaGeneral Practice Care - Associate Veterinarian - North Ridgeville , {State_CodeNorth Ridgeville, OhioAn exceptional veterinary hospital, with a dedicated team, is seeking an Associate Veterinarian to provide superior patient and client care to members of its community. of rewards and benefits that our partners may offer, but the specific details surrounding each hospital’s total rewards package will be provided by the hiring manager during each interview process.
Dentist (Job Code: AL0212) Smile Brands Group IncDentist (Job Code: AL0212)Cleveland, OH$75,712–$180,000 / weekAt Bright Now Dental, supported by Smile Brands, youll join a community of collaborative providers who are invested in growing their skills, building strong patient relationships, and creating a culture where everyone smiles. Veteran Careers: If you are active duty and seeking off-duty employment or a separated/retired military specialist looking to join a new team, we welcome a conversation.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelCleveland, 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.
Billing Specialist 838031 StiversBilling Specialist 838031Mayfield Heights, OHAs a Medical Billing Specialist, youll be responsible for managing insurance verification, submitting claims, following up on unpaid accounts, and handling denial appeals. If you're ready to start a rewarding career as a Medical Billing Specialist in Mayfield Heights, apply today or contact our recruiting team to learn more.
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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)OH$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
SIU Investigator III (Health Plan experience required) CareSourceSIU Investigator III (Health Plan experience required)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. Job Summary: The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateAvon, 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.
Sr. Billing Specialist Crossroads HealthSr. Billing SpecialistMentor, OHCrossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one's ability to pay. The Senior Billing Specialist is responsible for the billing, payment posting, and collection of accounts receivables and special projects assigned to assist with aging accounts receivable.
Denials Systems Analyst-AR Management (Hosp) MetroHealthDenials Systems Analyst-AR Management (Hosp)Cleveland, OHProvides comprehensive support for all denial management functions by conducting root-cause analysis of denied claims, recommending corrective actions, and driving process improvements to reduce future denials. Ensures efficient and effective business office operations through continuous monitoring of workflows, identifying process gaps, and analyzing opportunities for operational improvement while maintaining awareness of current industry best practices.
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.
Financial Counselor I Midwest Vision PartnersFinancial Counselor IStow, OHFull timeAlpine is a strong supporter of MVP, given their PeopleFirst philosophy, unparalleled track record, significant financial resources, and a commitment to building a platform that includes physician leadership at the highest levels. The Financial Counselor is responsible for creating patient financial responsibility forms, entering patient owed amounts in the practice management system, and collection of patient financial responsibility prior to surgery, all in well planned and timely fashion.
Coder - Remote ProMedica Health System IncCoder - RemoteOHRemote$41,200–$61,360 / yearThe organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Associate's or bachelor's degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions Program.
Patient Financial Services Representative Centers for Dialysis CarePatient Financial Services RepresentativeShaker Heights, OHFull timeCenters for Dialysis Care is seeking an experienced Patient Financial Services Representative to work out of our Corporate Office located in Shaker Heights, OH. This includes root cause analysis, contact with payers (via phone or paper/electronic status inquires), ensuring patient responsibility is properly and timely identified.
Practice Manager Optima DermatologyPractice ManagerRocky River, OHAssure clinic is open and appropriately staffed during regularly scheduled hours and special events and that all facilities and equipment are available, operational, safe, and clean. Prepare weekly and monthly operational dashboards and participate in weekly calls with all Practice Managers to review performance dashboards.
Billing Supervisor Ensemble Health PartnersBilling SupervisorOHRemote$52,100–$65,125 / yearThe 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.
Senior Revenue Integrity Analyst Dayton Children's HospitalSenior Revenue Integrity AnalystOHThe senior revenue integrity analyst works accounts in assigned Revenue Integrity work queues to facilitate accurate, compliant billing of patient accounts and assists revenue integrity analysts with completion of tasks and work queues. Job Details: The senior revenue integrity analyst is responsible for planning and oversight of the revenue integrity analysts' performance of essential department accountabilities, including reporting to department leadership about goal status.
Industrial Rehabilitation Nurse - PN: 20068801 State of OhioIndustrial Rehabilitation Nurse - PN: 20068801OHAbility to: interpret diagnoses, assess limitations & write accurate medical reports based on claim data; read & comprehend medical charts, manuals & journals; medical policy & guidelines; handle routine inquiries from & contacts injured workers, employers, physicians, attorney's, government officials, providers, or representative & general public. Reviews & analyzes subjective & objective evidence for medical indicators to determine if they were caused and/or have not been caused by the workplace injury/illness; identifies & reports claims situations where further clarification &/or development of medical evidence is required; and identifies claims situations where there is a need for physician review or exam.
Technical Business Analyst - Healthcare Billing Quadax, Inc.Technical Business Analyst - Healthcare BillingMiddleburg Heights, OH$85,000–$95,000 / yearPart timeThis role will serve as a critical link between business stakeholders and IT, ensuring that billing processes are optimized, compliant, and aligned with organizational goals. We are seeking a detail-oriented and technically proficient Technical Business Analyst with expertise in healthcare billing systems to join our team.
Allied Health Adjunct Professor Bryant & Stratton CollegeAllied Health Adjunct ProfessorParma, OHQualifications: Minimum of Master's degree in allied health (i.e MBA with Healthcare focus, MSN, or MD, DO, DC or in related field such as OT, PT, Medical lab technologists, Clinical Lab tech, respiratory therapists, and speech language pathologists, heath care administration with a clinical background). Founded in 1854, Bryant & Stratton College offers real-world education leading to bachelors, associates, and professional certificates after completion in the fields of healthcare, technology, legal, business, graphic design, and more.
Insurance Representative EverStaffInsurance RepresentativeMiddleburg Heights, OHYou will be responsible for following up on outstanding claims, resolving insurance and patient balance issues, and ensuring accurate reimbursement through effective communication, research, and problem?solving. Communicate with insurance payers and patients to address claim rejections and unpaid balances.
NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNCleveland, OhioOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Technical Business Analyst - Healthcare Billing Quadax Careers & CultureTechnical Business Analyst - Healthcare BillingMiddleburg Heights, OhioThis role will serve as a critical link between business stakeholders and IT, ensuring that billing processes are optimized, compliant, and aligned with organizational goals. We are seeking a detail-oriented and technically proficient Technical Business Analyst with expertise in healthcare billing systems to join our team.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystCleveland, 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.
NewAccounts Receivable Coordinator Deloitte Touche Tohmatsu LtdAccounts Receivable CoordinatorCleveland, 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.
NewA/R Specialist Well Street Urgent CareA/R SpecialistCleveland, OHIn this role, you will be responsible for researching and resolving insurance claim issues, managing denied and unpaid claims, and ensuring timely reimbursement across our urgent care centers. As one of the nations fastest-growing urgent care organizations, WellStreet operates urgent care centers across multiple states in partnership with leading health systems.
Outpatient Rehab Patient Assistant - Main Campus; 72hrs Biweekly; Days MetroHealthOutpatient Rehab Patient Assistant - Main Campus; 72hrs Biweekly; DaysCleveland, OHEnsures that assigned area(s) are in proper operational order, including checking equipment/accessories and maintaining patient care areas. Performs patient registration duties, including but not limited to scheduling appointments, tracking insurance authorizations, and ensuring the accuracy of payor data.
NewGeneral Application Staffing Solutions EnterprisesGeneral ApplicationCleveland, OHAbout Staffing Solutions Enterprises Staffing Solutions Enterprises is a women's owned business enterprise specializing in career matchmaking and recruitment solutions. Engineering/Scientific: Lab Technician (QA, Chemistry, Micro Lab), Microbiologist, Designer/Drafter, Chemist, Mechanical Engineer/Senior Engineer.
Medical Scribe CVS Health CorpMedical ScribeCleveland, 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.
Coder Quality Auditor Ensemble Health PartnersCoder Quality AuditorOHRemote$57,400–$99,000 / yearReporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder).
Coder III - Remote ProMedica Health System IncCoder III - RemoteOHRemote$45,968–$72,488 / yearThe organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Associate's or bachelor's degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions Program.
Manager, Clinical Payment Integrity Medical MutualManager, Clinical Payment IntegrityCleveland, OhioManages vendor relationships specific to clinical coding and claims payment audits, ensuring adherence to contractual limits, validating alignment between vendor deliverables and internal MMO activities to avoid duplication, and assessing cost effectiveness to ensure maximum value from vendor services. Provides leadership and oversight for the Clinical Review & Recovery teams to strengthen the effectiveness of the clinical coding and claims payment auditing program and provides clinical coding and clinical review expertise for the Medical Policy and Clinical teams.
Patient Navigator HealogicsPatient NavigatorWestlake, OhioLearn more about this role here: Healogics is the largest provider of advanced wound care services in the United States, treating more than 300,000 chronic wound patients annually across over 600 sites. All Healogics employees must perform their job responsibilities according to all Healogics policies, Hospital policies, as well as to accrediting organizations, federal and state regulation, and to the Centers for Medicare and Medicaid Services (CMS) guidelines, as applicable.
Medical Assistant Intern - Med Assistant Training Program (Paid), Parma, 80 hours MetroHealthMedical Assistant Intern - Med Assistant Training Program (Paid), Parma, 80 hoursCleveland, OHAcquires the knowledge, skills, and abilities related to Medical Terminology, Health Care Law and Ethics, Pharmacology, Anatomy and Physiology, Clinical and Laboratory Procedures, Medical Office procedures including Electronic Health Record documentation, and billing and coding. Acquires knowledge and experience needed to assist in supporting the team in the delivery of high value patient care to infants through geriatric patient populations.
Hospice Account Executive - Cleveland, OH UnitedHealth Group IncHospice Account Executive - Cleveland, OHCleveland, OHPrimary Responsibilities Build and maintain relationships with target referral sources to execute the bring care to more people growth strategy Implement manage and document consistent sales activities with multiple contacts in each referral source Seek to better understand the needs of customers to provide customized solutions and earn newcontinued referrals Expand the healthcare communitys use of our services by supporting knowledge and awareness of our solutions Serve as a liaison between our referral sources community our patientsfamilies facing end of life care and our agencies Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide. Clinical ›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.