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

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.

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 Senior Systems Analyst - Willow Amb

JobAdX

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.

Epic Systems Analyst- Radiant/Cupid

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

Epic Senior Systems Analyst - Ambulatory

Epic Senior Systems Analyst - Radiant/Cupid

Epic Senior Systems Analyst - OnBase, Solarity & HIM

FULL_TIME

Perform thorough account and transaction analysis to identify suspicious or fraudulent activity across consumer and commercial DDAs, loans, lines of credit, debit and credit cards, technology products, and investment products. The ideal candidate will have strong experience in banking operations, fraud investigation, and SAR preparation and a proven ability to analyze transactions, identify suspicious activity, and drive timely case resolutions in accordance with policy .

Fraud Analyst

TEMPORARY

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

FEED

Duty 8: Develops and provides education to HIS Professional Coding Integrity Specialists other departments/associates, as necessary and medical staff (in collaboration with the CDI Specialists, Coding Integrity Auditor and Educator, as appropriate) regarding general coding education, regulatory updates, etc. Duty 4: Partners with Revenue Integrity, Patient Financial Services (PFS), and other areas, as appropriate, to conduct internal audits, as needed, of claims to ensure the accuracy and completeness of code capture (reconcile “hard” and “soft” coding); which is supported by clinical documentation.

Blanchard Valley Health System

HIS - Professional Coding Integrity Auditor & Educator - 40 hrs/wk

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

YEAR

Proven expertise in designing, developing, and implementing complex ETL solutions using Ab Initio, Unix Shell Scripting, Oracle SQL, and Control-M. This position will work closely with cross-functional teams to provide strategic direction, technical expertise, and ensure the solution meets the specific needs of the government.

Credence

Ab Initio Architect & Subject Matter Expert (SME)

Credence Mgmt Solutions

All sectors: Maintain awareness of industry trends (e.g., Healthcare, SaaS, and emerging tech sectors), with depth in digital health, medtech, therapeutics, AI in healthcare, healthcare venture investment, and changes in healthcare policy and reimbursement. Match mentors to companies based on need, and recruit healthcare experts such as clinicians, health system innovation leaders, regulatory and reimbursement consultants, pharma/medtech business development leaders, and healthcare-focused investors.

JumpStart Inc

Venture Program Manager

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He/She should possess a strong knowledge base of ICD-10-CM, CPT and HCPCS coding, financial analysis techniques, costing, federal and state regulatory processes, insurance billing, third party payor requirements, outcome measurements, medical information management and practice patterns. This position is responsible for auditing, training and monitoring of medical information and the quality of coding and provider documentation for Premier HealthNet, Premier Health Specialists and Upper Valley Professional Corp collectively known as The Premier Physician Network (PPN).

About Premier Health Partners <a href="http://www.premierhealthpartners.org/home.aspx" target="_blank">Premier Health Partners</a> (PHP) is a large health system serving southwest Ohio communities by improving the quality, affordability, and accessibility of health care. PHP Mission and Legacy for Better Health Care The <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=760" target="_blank">PHP Mission and Legacy</a> has always been to provide the most comprehensive, affordable and accessible health services and products for the betterment of health care in southwest Ohio. When you know more about our mission, vision, and values, and read about the success stories in our history; you’ll know why we’re the first choice for patients, physicians and employees in southwest Ohio. PHP Hospitals Our members include more than 65 member locations throughout southwest Ohio, including four hospitals: <ul> <li><a href="http://www.goodsamdayton.org/" target="_blank">Good Samaritan Hospital Dayton</a></li> <li><a href="http://www.miamivalleyhospital.org/" target="_blank">Miami Valley Hospital</a></li> <li><a href="http://www.atriummedcenter.org/" target="_blank">Atrium Medical Center</a></li> <li><a href="http://www.uvmc.com/" target="_blank">Upper Valley Medical Center</a></li> </ul> PHP Health Centers As part of our mission to bring quality health care closer to the people we serve, we’ve expanded our services through comprehensive health centers: <ul> <li><a href="http://www.goodsamdayton.org/gshdefault.aspx?id=11560" target="_blank">Good Samaritan North Health Center</a> in Englewood</li> <li><a href="http://www.miamivalleyhospital.org/mvhdefault.aspx?id=12738" target="_blank">Miami Valley South Hospital</a> in Centerville</li> </ul> How to Donate or Volunteer Find out <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=806" target="_blank">how to donate or volunteer</a> to impact the quality of health care at PHP and our member organizations. PHP has foundations to which you can make donations to improve the health care technology and facilities available to your community. You can also help by volunteering at our hospitals or health centers. PHP Vendor and Supplier Information Whether you’re currently a vendor working with PHP or a supplier interested in joining our partnership, you’ll find helpful information in our <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=824" target="_blank">vendor and supplier section</a>. Serving the Community PHP is dedicated to <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">serving the community</a> by making it our priority to bring quality, affordable health care choices closer to you. To make this happen, PHP created <a href="http://www.premiercommunityhealth.org/" target="_blank">Premier Community Health</a>, a non-profit organization dedicated to creating a healthier community through prevention, early detection, and disease management. <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=766" target="_blank">PHP’s investment</a> in the 23 communities we serve includes building health service centers, bringing health programs to the community, as well as being one of the largest employers in the area. We also are committed to helping the <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=770" target="_blank">under-served</a> of our community by providing financial aid, free services, and pre ions to people in need. We also believe in being a good neighbor by getting involved in numerous <a href="http://www.premierhealthpartners.org/moreaboutus.aspx?id=772" target="_blank">community programs and charities</a>. And, as part of our effort to build healthier communities, we have implemented a system-wide <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=822" target="_blank">ban on tobacco</a>. <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=762" target="_blank">Learn more about how we serve the community</a>. Awards and Recognition <a href="http://www.premierhealthpartners.org/aboutus.aspx?id=820" target="_blank">Read About Our Awards and Recognition</a>.

Premier Health Partners

CODING ANALYST

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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

Demonstrated 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.

Christ Hospital

Tchp Coding Educator - CBO Phys Div Coding - Full Time - Days

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Responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding of documentation provided for physician’s offices, specialty offices, hospitalist rounding, in office procedures, other as assigned. In this role, you will be responsible for the proper assignment of all CPT/HCPCS and ICD-10-CM diagnosis codes to ensure compliant coding across all assigned patient encounters.

Southwoods Health

Medical Coding Specialist (remote)

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Manages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum eight (8) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field.

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research.

Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach.

Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

Kaiser Permanente

Compliance Consultant V, Medical Coding - Risk Adjustment

The work is performed in a normal, professional office environment; The work area is adequately lighted, heated and ventilated; Typically, the employee may sit comfortably to perform the duties of the job and will perform repetitive motions with hands/fingers using a computer mouse and keyboard to type. Presents 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.

Coding Analyst Jobs in Ohio

Risk Compliance Analyst BC Forward

Epic Senior Systems Analyst - Willow Amb OhioHealth

Epic Systems Analyst- Radiant/Cupid OhioHealth

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

Epic Senior Systems Analyst - Ambulatory OhioHealth

Epic Senior Systems Analyst - Radiant/Cupid OhioHealth

Epic Senior Systems Analyst - OnBase, Solarity & HIM OhioHealth

Fraud Analyst BC Forward

Programmer/Analyst - Hybrid Genesis10

HIS - Professional Coding Integrity Auditor & Educator - 40 hrs/wk Blanchard Valley Health System

Programmer Analyst II, Mainframe - Hybrid Genesis10

Ab Initio Architect & Subject Matter Expert (SME) Credence

Venture Program Manager JumpStart Inc

CODING ANALYST Premier Health Partners

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

Coding Education & Quality Analyst OhioHealth Corp

Tchp Coding Educator - CBO Phys Div Coding - Full Time - Days Christ Hospital

Medical Coding Specialist (remote) Southwoods Health

Compliance Consultant V, Medical Coding - Risk Adjustment Kaiser Permanente

Instructor, Medical Coding Cuyahoga Community College

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