Kettering HealthNewRev Integrity Specialist - Charge Description Master Kettering HealthRev Integrity Specialist - Charge Description MasterMiamisburg, OHCoding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months). Review and resolve claim edits in work queues using Epic or billing scrubber systems.
Blanchard Valley Health SystemPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Facility Medical Billing Specialist - 40 hrs/wk, 1st shiftFindlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Blanchard Valley Health SystemPFS Facility Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Facility Medical Billing Specialist (PRN)Findlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN) Blanchard Valley Health SystemPFS Professional Medical Billing Specialist (PRN)Findlay, OhioDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Blanchard Valley Health SystemHIS - Professional Coding Integrity Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemHIS - Professional Coding Integrity Specialist - 40 hrs/wk, 1st shiftFindlay, OhioThe primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas. Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
Blanchard Valley Health SystemTranscription Secretary (PRN) Blanchard Valley Health SystemTranscription Secretary (PRN)Findlay, OhioDuty 2: Properly dispatches reports for signing and insures that all copies are distributed to proper ordering physician location, transmits all requested fax results while monitoring incomplete faxes, call results when requested. The purpose of a Transcription Secretary is to transcribe anatomic pathology medical reports on diagnostic work-ups, therapeutic procedures, and clinical resumes for inclusion in medical records and for transmission to physicians or other medical facilities.
Toledo Clinic IncMEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5) Toledo Clinic IncMEDICAL CODER - CARDIOLOGY OFFICE - M-F (8-5)Toledo, OHGeneral Summary: Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors. • Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules, census/rounding sheets and appointment schedules.
Area TempsCertified Medical Coder Area TempsCertified Medical CoderBeachwood, OHWork hours for this position could range between 24-40 hours each week and would have flexibility with times between 7a.m. to 6 p.m. We are seeking a Certified Medical Coder who has strong Anesthesia coding experience.
Trinity Health SystemOutpatient Coder, Medical Records Trinity Health SystemOutpatient Coder, Medical RecordsSteubenville, OHPreforms functions required under the Clinical Documentation Improvement Program, which includes interaction with the CDI monitor tool. Graduate of medical records program with either a credential of CCS/RHIT preferred or eligible to sit for credentialing exam.
UC Health, LLCCoder II, PBO Coding, Full Time, First Shift UC Health, LLCCoder II, PBO Coding, Full Time, First ShiftCincinnati, OHFull timeThe 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.
SummaCare IncNewCertified Coder Special Investigations Unit SIU SummaCare IncCertified Coder Special Investigations Unit SIUAkron, OH$28.10–$42.15 / hourSummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2026 by the Centers for Medicare and Medicaid Services (CMS). Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations.
UC HealthCoder II, Corporate Coding, Full Time, First Shift UC HealthCoder II, 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.
UC Health, LLCCoder I, Full Time, First Shift, Oral Surgery Revenue Cycle UC Health, LLCCoder I, Full Time, First Shift, Oral Surgery Revenue CycleCincinnati, OHFull timeThe Non-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. The Coder I uses established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing.
Ohio State University Physicians, Inc.NewCertified Coder Ohio State University Physicians, Inc.Certified CoderColumbus, Ohio$23.84–$35.76 / hourWith over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. Qualifications: High School diploma or GED; Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years’ experience directly related to coding and reimbursement for physician services; or equivalent combination of education and experience.
Medpace, Inc.Clinical Data Coder Medpace, Inc.Clinical Data CoderCincinnati, OhioQualifications : BSN and RN with applicable experience is required, or more advanced clinical degree (including PharmD) is accepted; Strong critical thinking, organizational, and multi-tasking skills required; Experience with using MedDRA and WHO Drug dictionaries preferred; and. Develop and maintain coding guidelines; Issue queries on adverse events, medications, and medical history terms to ensure high quality coding; Work collaboratively with the Medical, Data Management, Safety and Biostatistics teams to meet needs of the study; and.
Ensemble Health PartnersCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorOHMinimum Education: Associates degree or equivalent experience 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)CCS-P (Certified Coding Specialist-Phys Based)CCS (Certified Coding Specialist)CMPA (Certified Professional Medical Auditor)RHIA (Registered Health Information Administrator)RHIT (Registered Health Information Technician)#LI-HB1#LI-REMOTEJoin an award-winning companyFive-time winner of "Best in KLAS" 2020-2022, 2024-2025Black Book Research''s Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group''s RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. The Opportunity: CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $57,400 to $99,000 annually based on experienceThe Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes.
Area TempsMedical Biller - Part-time Area TempsMedical Biller - Part-timeParma, OHWe have an immediate opening for a Medical Biller who will be responsible for managing patient billing processes, ensuring accurate claim submissions, and facilitating communication between healthcare providers, patients, and insurance companies. Analyze and address denied claims by identifying reasons for denial, appealing decisions when appropriate, and implementing corrective actions to prevent future denials.
Blanchard Valley Health SystemPFS Professional Medical Billing Specialist - 40 hrs/wk. Blanchard Valley Health SystemPFS Professional Medical Billing Specialist - 40 hrs/wk.Findlay, OHFull timeDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Blanchard Valley Health SystemPFS Professional Medical Billing Specialist - 40 hrs/wk, 1st shift Blanchard Valley Health SystemPFS Professional Medical Billing Specialist - 40 hrs/wk, 1st shiftFindlay, OHFull timeDuty 3: Corrects all claims issues prior to submission which may be, but are not limited to, quality audits of patient demographic information and insurance eligibility, cross referencing with previous services, verifying payer authorizations, identifies and bills missing and late charges and corrects all necessary discrepancies. Duty 9: Identifies high-risk accounts, prioritizes follow up efforts, efficiently contacts various insurance payors to determine reasons for outstanding claims and proactively communicates to facilitate timely payment of submitted claims.
Premier Health PartnersLEAD MEDICAL BILLING SPEC-REMOTE Premier Health PartnersLEAD MEDICAL BILLING SPEC-REMOTEMoraine, OHRemoteEnsure 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.
VitalsearchgroupNewMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelCincinnati, 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.
North Central Mental Health Services, Inc.Medical Billing Analyst North Central Mental Health Services, Inc.Medical Billing AnalystColumbus, OH$27This role requires strong analytical skills, attention to billing detail and the ability to reconcile financial and claims data across multiple payer sources. Assist with identification of missing or incomplete charges to ensure all billable services are entered and reconciled by month-end.
TriHealth IncNewLicensed Practical Nurse/Medical Home Coordinator TriHealth IncLicensed Practical Nurse/Medical Home CoordinatorWest Chester, 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.
UC Health, LLCMedical Assistant, Neurosurgery, Full Time, First Shift UC Health, LLCMedical Assistant, Neurosurgery, 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. Administrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping.
UC HealthMedical Assistant, Neurosurgery, Full Time, First Shift UC HealthMedical Assistant, Neurosurgery, Full Time, First ShiftCincinnati, OHMembers 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. Administrative Duties: Using computer applications Answering telephones Greeting patients Updating and filing patient medical records Coding and filling out insurance forms Scheduling appointments Arranging for hospital admissions and laboratory services Handling correspondence, billing, and bookkeeping.
Bryant & Stratton CollegeMedical Assisting Adjunct Professor Bryant & Stratton CollegeMedical Assisting 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 bachelor's, associate's, and professional certificates after completion in the fields of healthcare, technology, legal, business, graphic design, and more.
Premier Health PartnersNewBILLING & 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.
West Virginia University MedicineWVUH - Professional Coding Auditor-Educator West Virginia University MedicineWVUH - Professional Coding Auditor-EducatorOHCertification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders. EXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred.
US Heart and VascularCoding Compliance Auditor (2223) US Heart and VascularCoding Compliance Auditor (2223)Franklin, OHPosition Summary: The Coding Compliance Auditor performs internal medical record audits and prepares compliance auditing reports, subsequent educational materials and training as directed by the Compliance and Privacy department. Audits include regular compliance medical record audits or focused review projects for ongoing review of coding and documentation for cardiovascular specialties to support compliance with coding and documentation rules and regulations.
Ohio State University Physicians, Inc.Coding Auditor Ohio State University Physicians, Inc.Coding AuditorColumbus, Ohio$60,026.47–$90,039.71 / year
The Christ Hospital Health NetworkTCHP Coding Educator The Christ Hospital Health NetworkTCHP 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.
St. Elizabeth HealthcareNewSpecialist Clinical Coding II St. Elizabeth HealthcareSpecialist Clinical Coding IICincinnati, OHCommunicates with Corporate Coding Manager, Coding Team Leader, CDI Specialists, Patient Accounts staff and fellow coders in a professional manner as needed regarding held accounts, coding changes, coding questions, physician queries, rebills, etc. Completes various reports such as productivity reports, statistical reports and log sheets in order to maintain an accurate source of reference material and other documentation.
Eye Care Partners Career OpportunitiesNewCoding Specialist Eye Care Partners Career OpportunitiesCoding SpecialistBlue Ash, OHThe Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-9-CM/ICD 10)), and the American Medical Associations Current Procedural Terminology Manual (CPT). Provide technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and codes that do not conform to approved coding principles and guidelines.
Kettering Health NetworkRev Integrity Specialist Charge Description Master Kettering Health NetworkRev Integrity Specialist Charge Description MasterKettering, OHJob Requirements: Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months) RHIT and RHIA preferred. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistCincinnati, OH$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
MetroHealthMgr FQHC Billing & Revenue Integrity-Ar Management (Prof) MetroHealthMgr FQHC Billing & Revenue Integrity-Ar Management (Prof)Cleveland, OHEnsures all activities related to collection functions include, but are not limited to; claim status, denial management, aged account follow up and resolution for Patient Financial Services are coordinated with other revenue management functions to meet customer requirements, maximize revenue collection and achieve best practice targets. Works closely with clinical departments to align processes with government, payer, and internal charge capture policies; provides education to the clinical departments.
UC HealthNewTrauma Data Specialist I, Full Time, First UC HealthTrauma Data Specialist I, Full Time, FirstCincinnati, OHCompletes a variety of Trauma, Burn, and Acute Care Surgery Registry tasks, including data collection, data entry and retrieval, data quality and integrity, data analysis, and display and statistical conversion for the purpose of research, performance improvement, injury prevention, education, billing, and outcome measurements. Obtains, abstracts, and enters all appropriate patient-related information into the appropriate databases in an accurate and timely manner by: Obtaining information by monitoring daily trauma patient admissions, transfers, and discharges, and confirming all patients and patient changes on the registry, autopsy, and patient identification logs.
Elevance Health IncManager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditCleveland, OH$115,020–$207,216 / yearAnticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Ensemble Health PartnersAcute Coding Appeals Specialist Ensemble Health PartnersAcute Coding Appeals SpecialistOH$22.45–$24.70 / hourUnder 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.
Elevance Health IncProvider Reimbursement Manager- Behavior Health Elevance Health IncProvider Reimbursement Manager- Behavior HealthMason, OHMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; 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.
Carvaka, LLCA/R Billing Specialist Carvaka, LLCA/R Billing SpecialistCincinnati, OHPart timeThe Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.
Bryant & Stratton CollegeAllied Health Adjunct Professor - Billing and Coding Bryant & Stratton CollegeAllied Health Adjunct Professor - Billing and Codingakron, 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 bachelor's, associate's, and professional certificates after completion in the fields of healthcare, technology, legal, business, graphic design, and more.
NECCONewA/R Billing Specialist NECCOA/R Billing SpecialistCincinnati, OHThe Claims Management Specialist is responsible for managing the billing and claims lifecycle to ensure accurate claim submission, timely reimbursement, regulatory compliance, and effective collaboration with internal and external stakeholders. We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)OH$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Memorial HospitalBilling Representative | Patient Financial Services, Full-Time Memorial HospitalBilling Representative | Patient Financial Services, Full-TimeMarysville, OHEmployee performs within the prescribed limits of the hospitals and departments Ethics and Compliance program and is responsible to detect, observe and report compliance variances to their immediate supervisor, or upward through the chain of command, the Compliance Officer, or the hospital hotline. Manages account review and processing from system WQs, insures timely follow-up on all unpaid claims within appropriate billing cycle; manages system denial remark module, taking steps to rectify current denial.
Midwest Eye Services, LLC - OhioCollections Billing Representative, On-site, Maumee, OH Midwest Eye Services, LLC - OhioCollections Billing Representative, On-site, Maumee, OHMaumee, OH$19–$22 / hourPart timeIn this role, you will work under the direction of the A/R and Collections Manager to ensure timely and accurate collection of insurance payments. This position plays a key role in maintaining healthy accounts receivable and supporting overall revenue cycle performance.
FirstHand Health IncNewNurse Practitioner FirstHand Health IncNurse PractitionerOhio, OHThe Centralized Health Guide is responsible for virtual whole person assessments and management of our vulnerable population, collaborating closely with community primary care and behavioral health providers, as well as an internal team of triage registered nurses and psychiatric nurse practitioners. Supporting individuals in developing and exercising self management skills and skills skills person-centered care around their individual goals and preferences via motivational interviewing and holistic care planning.
The Christ Hospital Health NetworkNewTCHP Patient Financial Services Representative - CBO Phys Div Billing - Full Time - Days The Christ Hospital Health NetworkTCHP Patient Financial Services Representative - CBO Phys Div Billing - Full Time - DaysNorwood, OHInteracts and works with other areas of the patient financial services team to identify and resolve issues related to the billing and collections of medical claims, as well as patient and insurance provider payment posting. Provides support for all aspects of the Revenue Cycle billing and collections process, including but not limited to: Responsible for the research and resolution of all unpaid claims and the preparation of appeals for rejected or denied claims.
CareSourceManager SIU CareSourceManager SIUDayton, OH$83,000–$132,800 / yearCertified Fraud Examiner (CFE), Certifications through America’s Health Insurance Plans (AHIP), Healthcare Anti-Fraud Association (HCAFA) and/or Managed Healthcare Professional (MHP), Accredited Health Care Fraud Investigator (AHFI), and/or Certified Professional Coder (CPC) are preferred . $83,000.00 - $132,800.00 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.
All-Stat PortableNewBilling Specialist All-Stat PortableBilling SpecialistYoungstown, OHFull timeWe deliver high-quality bedside diagnostics to patients in skilled nursing facilities, rehab centers, and private residences. Why You’ll Love This Role Meaningful impact: Your work directly supports accurate billing, compliance, and timely reimbursement.