CONTRACTOR

POSTING_API

HOUR

External Fraud Investigators perform duties such as investigating multiple fraud typologies in accordance with policies and procedures, performing thorough account transaction analysis for the purpose of identifying suspicious or fraudulent activity, and filing Suspicious Activity Reports (SARs). -External Fraud Investigators may concentrate on one specific or many different fraud typologies such as external fraud, elder and vulnerable adult financial exploitation, technology related fraud, organized fraud rings and anti-money laundering depending on business needs within Fraud Investigations.

BC Forward

Risk Compliance Analyst

UNKNOWN

ADAPTED_NOW

This position develops knowledge of healthcare workflows, system integration, and project delivery practices while partnering with operational leaders and end users to translate business requirements into reliable Epic configuration, integrations, and reporting—supporting safe patient care, efficient revenue cycle operations, and regulatory compliance while meeting Service Level Agreements (SLAs) for supported applications. The Systems Analyst Epic supports the design, build, testing, training, deployment, and ongoing support of Epic applications to optimize clinical and operational workflows.

Together WE can make a difference. OhioHealth is a not-for-profit, faith-based health system that has served central Ohio since 1891. As an organization with a strong and vibrant culture, OhioHealth associates work together to bring our core values of integrity, compassion, excellence and stewardship to life. We believe that embracing professionals with diverse backgrounds, religions, cultures and experiences creates a more innovative and productive workforce that enhances our ability to pursue continuous improvement. We’re proud to be recognized as one of FORTUNE’s 100 Best Companies to Work For® ten years in a row! Join us! Apply online at: <a href="http://jobsatohiohealth.com/" target="_blank">JobsatOhioHealth.com</a> WE are in your neighborhood. As part of a large and diverse healthcare system, OhioHealth associates benefit from the broad range of career opportunities and clinical settings available throughout our system. Whether you thrive in a busy Level I Trauma Center or you prefer the pace of a regional Critical Access Hospital, you will become part of a team that is dedicated to serving others.Our hospital locations include:<ul> <li>Doctors Hospital Nelsonville </li> <li>MedCentral Shelby Hospital </li> <li>OhioHealth O'Bleness Hospital </li> <li>OhioHealth Doctors Hospital </li> <li>OhioHealth Dublin Methodist Hospital</li><li>OhioHealth Grady Memorial Hospital</li><li>OhioHealth Grant Medical Center </li> <li>OhioHealth Hardin Memorial Hospital </li> <li>OhioHealth Marion General Hospital </li> <li>OhioHealth MedCentral Mansfield Hospital </li> <li>OhioHealth Riverside Methodist Hospital</li> </ul> Benefits OhioHealth is dedicated to the personal and professional well-being of every associate. We offer competitive compensation, a family-friendly benefits package and a strong team culture with opportunities for professional growth. <ul> <li>Medical, Dental and Vision Benefits </li> <li>Flexible Spending Accounts </li> <li>Life and Disability Insurance </li> <li>Paid Time-off </li> <li>Employee Assistance Program </li> <li>Tuition Reimbursement</li><li>Retirement Plan (403b/401k)</li> </ul>

OhioHealth

Epic Systems Analyst - Sched/Reg (Grand Central, Prelude, Cadence, Welcome)

JobAdX

Epic Systems Analyst- Radiant/Cupid

Partners closely with operational leaders and end users to translate business requirements into reliable Epic configuration, integrations, and reporting—supporting safe patient care, efficient revenue cycle operations, and regulatory compliance while achieving Service Level Agreements (SLAs) relative to the supported applications. The Senior Systems Analyst Epic will play a crucial role in designing, building, testing, training, deploying, and supporting Epic applications to optimize clinical and operational workflows.

Epic Senior Systems Analyst - Willow Amb

Epic Senior Systems Analyst - Ambulatory

Epic Senior Systems Analyst - Radiant/Cupid

Epic Senior Systems Analyst - OnBase, Solarity & HIM

TEMPORARY

FULL_TIME

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. Experience with cloud-based technologies and multiple platform environments, including GCP, AWS, Azure, IaC/Terraform, Agile delivery, Azure DevOps, CI/CD pipelines, Git, cloud security, IAM, and policy validation.

Genesis10 is a professional technology services firm that operates under the brand names Genesis10, Dev10 and New Journey.  
 
<ul>
<li style="margin: 0; vertical-align: baseline; overflow-wrap: break-word; font-kerning: none">Genesis10 focuses on IT and business roles at Fortune 500 companies throughout the U.S. </li>
<li style="margin: 0; vertical-align: baseline">Dev10 provides entry-level professionals paid programming instruction to work on compelling projects at great companies as a Software Developer or Data Professional. </li>
<li style="margin: 0; vertical-align: baseline">New Journey focuses on placing individuals in non-IT roles.    </li>
</ul>
Our team of experienced recruiters can help you find the ideal job to help your build your career.  We care about people.  We care about you.

Genesis10

Programmer/Analyst - Hybrid

Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. The successful candidate will work closely with developers, business analysts, and quality assurance teams to support application enhancements, production support activities, and project-based development efforts.

Programmer Analyst II, Mainframe - Hybrid

FEED

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Minimum Qualifications: High School or GED (Required)CCS - Certified Coding Specialist - American Health Information Management Association, CCSP - Cisco Certified Security Professional - CISCO - Computer Information System Company, CPC - CPC Certified Professional Coder - AAPC American Academy of Professional Coders, CPCH - Certified Professional Coder - Hospital - AAPC American Academy of Professional Coders, RHIA - Registered Health Information Administrator - American Health Information Management Association. Education The Education and Quality Analyst educates physicians, coders, failed claims specialists and clinical documentation specialists on coding, vascular interventional radiology, billing, clinical documentation and coding compliance.

OhioHealth Corp

Coding Education & Quality Analyst

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Remain 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.

Ensemble Health Partners

Medical Coding Specialist

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Preferred 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. How you will make an impact: Sets the strategic direction for audit methodologies, oversees team development, and ensures that audits meet the industry's best practices and payer-specific requirements.

YEAR

Elevance Health Inc

DRG Coding Audit Manager

Under 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.

Acute Coding Appeals Specialist

Assigns either ICD-10-CM and PCS codes for inpatient visits or assigns ICD-10 CM codes, professional and technical EM levels, and surgical CPT codes for physician visits at commercially reasonable production rates and at a consistent 95% or greater quality level. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

Savista

Inpatient Coding Specialist - Facility

CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Flexing/extending of neck, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting. Physical Requirements: OCCASIONALLY: Bend/twist, Climb stairs/ladder, Lifting / Carrying: 0-10 lbs, Pushing / Pulling: 0-25 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking.

Nationwide Children's Hospital

Coding Specialist

Elevance Health

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The 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.

DRG Senior Educator, Coding

Thorough 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.

Coding Supervisor

Provides a harmonious working relationship, promoting empowerment, that also inspires, motivates and models supportive behaviors, that result in higher level of productivity and an atmosphere of teamwork. Responsible for coordinating and managing all activities relative to coding and abstracting of records while ensuring compliance with all regulatory rules and the American Hospital Association (AHA) Official Coding Guidelines, AMA and CMS Coding Guidelines.

Coding Analyst Jobs in Columbus, OH

Risk Compliance Analyst BC Forward

Epic Systems Analyst - Sched/Reg (Grand Central, Prelude, Cadence, Welcome) OhioHealth

Epic Systems Analyst- Radiant/Cupid OhioHealth

Epic Senior Systems Analyst - Willow Amb OhioHealth

Epic Senior Systems Analyst - Ambulatory OhioHealth

Epic Senior Systems Analyst - Radiant/Cupid OhioHealth

Epic Senior Systems Analyst - OnBase, Solarity & HIM OhioHealth

Programmer/Analyst - Hybrid Genesis10

Programmer Analyst II, Mainframe - Hybrid Genesis10

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Coding Education & Quality Analyst OhioHealth Corp

Medical Coding Specialist Ensemble Health Partners

DRG Coding Audit Manager Elevance Health Inc

Acute Coding Appeals Specialist Ensemble Health Partners

Inpatient Coding Specialist - Facility Savista

Coding Specialist Nationwide Children's Hospital

DRG Coding Audit Manager Elevance Health

DRG Senior Educator, Coding Ensemble Health Partners

Coding Supervisor Ensemble Health Partners

Hospital Based Coding Manager Ensemble Health Partners

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