Clinical documentation improvement specialist full time jobs - 76 jobs
Quality Improvement Specialist (HEDIS)
Centene Corporation 4.5
Columbus, OH
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
*****POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN THE STATE OF KENTUCKY, INDIANA OR OHIO*****
**Position Purpose:** Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position exists to support the health plans in the clinical aspect of medical record review.
+ Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes
+ Provide clinical support to the medical record abstraction, over-read and audit processes
+ Monitor performance on established contractual quality indicators.
+ Analyze, track and trend results
+ Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders
+ Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model.
+ Monitor and report PIPs progress through closure.
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Bachelor's degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience in related healthcare experience.
**License/Certification:** Valid state clinical license preferred (i.e.- LPN, RN, etc.)
**Experience:** Experience in HEDIS or NCQA or related topics preferred Pay Range: $56,200.00 - $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$56.2k-101k yearly 2d ago
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Clinical Documentation Support Specialist
Andhealth
Columbus, OH
Full Time Columbus, OH AndHealth is on a mission to radically improve access and outcomes for the most challenging chronic health conditions with the goal of making world-class specialty care accessible and affordable to all. We partner with health systems, community health centers, plans, and employers to remove barriers to care to ensure all people have access to the care they deserve.
We are looking for a ClinicalDocumentation Support Specialist who will play an essential connective role between AndHealth and our partners' EHRs. At AndHealth, every care journey involves multiple systems and teams-and that's where you come in. You'll ensure clinical information flows precisely and promptly in both directions, translating real-time updates into clear, accurate documentation while coordinating with providers and staff across organizations. This is not a passive, back-office role; it's a frontline opportunity to enable whole-person care across care teams, prevent errors, and make it possible for clinicians to spend more time with patients. If you thrive on connecting the dots, navigating ambiguity, and making healthcare smoother and more human through gold-standard documentation, this is the role where you'll do your most meaningful work.
What you'll do in the role:
* Replicate accurate, timely clinical information (e.g., referrals, appointments, orders, care updates, etc.) from AndHealth into our partners' EHRs, following site-specific conventions, documentation standards, and required fields.
* Retrieve and reconcile key updates from partner EHRs back into AndHealth systems so statuses and records match across platforms.
* Lead the creation and iteration of these processes and their associated documentation (SOPs) and manage versioning and change tracking.
* Serve as the first problem-solver for documentation exceptions (missing records, conflicting statuses, misrouted referrals); resolve directly or escalate swiftly to the appropriate owner.
* Serve as AndHealth's EHR-based "Front Door", as you facilitate high-quality communication loops among providers, clinic staff, schedulers, and AndHealth teams to clarify orders, close gaps, and keep everyone aligned.
* Deliver a "wow" experience in every interaction by being proactive, precise, and easy to work with-so providers feel confident in our process and patients benefit from seamless care.
* Train and support teammates as the team grows, while partnering with the Product and Engineering teams to surface friction points and propose process improvements.
Education & Licensure Requirements:
* Bachelor's degree preferred but not required.
Other Skills or Qualifications:
* Experience with Epic or other Electronic Health Record (EHR) preferred
* Background in a primary care and/or hospital setting preferred
* Experience with highly regulated data and/or document entry preferred
* Strong communication skills.
* Excellent relationship building skills.
Here's what we'd like to offer you:
* Equal investment and support for our people and patients.
* A fun and ambitious start-up environment with a culture that takes on important things, takes risks, and learns quickly.
* The ability to demonstrate creativity, innovation, and conscientiousness, and find joy in working together.
* A team of highly skilled, incredibly kind, and welcoming employees, every one of whom has something unique to offer.
* We know that the overall success of our business is a collaborative effort, and we strive to provide ongoing opportunities for our employees to learn and grow, both personally and professionally.
* Full-time employees are eligible to participate in our benefits package which includes Medical, Dental, Vision Insurance, Paid time off, Short- and Long-Term Disability, and more.
Work Environment:
The work environment characteristics described here are representative of those encountered while performing the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* The noise level in the work environment is usually quiet.
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* While performing the duties of this job, the employee is regularly required to sit, stand, talk, visualize, or hear.
We are an equal opportunity and affirmative action employer. We embrace diversity and are committed to creating an inclusive environment for all employees. Applicants will be considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, disability, or veteran status.
$37k-69k yearly est. 16d ago
Health Information Specialist I
Datavant
Columbus, OH
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
Position Highlights:
Full-time Monday - Friday 8AM - 4:30 PM; located in (Columbus. OH)
Full time benefits including medical, dental, vision, 401K, tuition reimbursement - Paid time off (including major holidays)
in-person - Opportunity for growth within the company
You will:
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company's and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Detail and quality oriented as it relates to accurate and compliant information for medical records.
Strong data entry skills.
Must be able to work with minimum supervision responding to changing priorities and role needs.
Ability to organize and manage multiple tasks.
Able to respond to requests in a fast-paced environment.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our .
$29k-40k yearly est. Auto-Apply 12d ago
Clinical UM Nurse
Centerwell
Columbus, OH
**Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
**Use your skills to make an impact**
**Required Qualifications**
+ Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability to obtain non compact licensure
+ No less than 3 - 5 years of Medical Surgery, Heart, Lung or Critical Care Nursing experience required
+ Prior clinical experience preferably in an acute care, skilled or rehabilitation clinical setting
+ Comprehensive knowledge of Microsoft Word, Outlook and Excel)
+ Ability to work independently under general instructions and within a team
+ Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
+ Must be willing to be in weekend rotation and possible holiday coverage.
**Preferred Qualifications**
+ 3 or more years' experience in a high volume and fast paced environment
+ Previous experience in utilization management
+ Education: BSN or bachelor's degree in a related field
+ Health Plan experience
+ Previous Medicare/Medicaid Experience a plus
+ Call center or triage experience
+ Bilingual is a plus
**Additional Information**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-19-2026
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$71.1k-97.8k yearly 6d ago
BMS CODER - FT40 1st Shift
Wooster Community Hospital 3.7
Wooster, OH
Job Description
The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided.
Job Requirements
Minimum Education Requirement
Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire.
Minimum Experience Requirement
Three years' experience in medical office billing preferred.
Working knowledge of computers, billing and basic office software, especially Excel.
Ability to communicate with all levels of staff.
Analytical ability to detect trends in reimbursement/collections and to recommend or take corrective action.
Prior experience using encoder software.
Demands are typical of a position in a medical billing office, with extensive periods of sitting at a desk working on a computer. External applicants, as well as position incumbents who become disabled, must be able to perform the essential functions, either unaided or with the assistance of a reasonable accommodation, to be determined on a case-by-case basis.
Required Skills
Because medical billing duties are so varied, a flexible skill set is needed to perform them well. The following skills and personality traits are necessary to succeed in the field of medical billing/collections.
Ability to multi-task
Ability to understand insurance denials and payer remittances
Ability to understand different insurance policies/coverages
Ability to employ people skills to handle different personalities and situations
Essential Functions
Coder responsibilities below are subject to change as the job demands change:
Using encoder software to compliantly apply appropriate CPT/HCPC and ICD codes to claims.
Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims.
Promptly reports any trends or issues impacting timely coding and billing of claims to management team. Collaborates with team, including providers, practice managers and revenue cycle to resolve.
Act as a consultant for billing/coding questions from BMS practice staff.
Maintain coding credential and staying up to date on changing guidelines by obtaining an appropriate number of CEUs
Researching unpaid claims. Submitting appeals as necessary.
Researching and resolving credit balances.
Employee Statement of Understanding
I understand that this document is intended to describe the general nature and level of work being performed. The statements in this document are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Monday thru Friday 8am to 430pm
Full Time FTE 40 hour per week
$57k-74k yearly est. 28d ago
Clinical Liaison - Inpatient Rehab
Select Medical 4.8
Columbus, OH
Ohio Health Rehabilitation Hospital
*A joint venture with Select Medical & Hospital*
Columbus, OH
Annual Base Salary between $70,000 and $95,000
Starting salary will align with candidates' years of relevant work experience.
Liaisons are eligible for uncapped monthly bonuses.
Clinical Liaison (RN, OT, PT, or SLP)
Clinical liaisons are highly competent nurses and therapists who understand the business side of health care. Working in local acute care hospitals, CLs educate patients and families on the goals of medical rehabilitation. They assess patients to determine individual care needs, review medical records, and meet with hospital teams to coordinate safe and timely transfers to our hospitals. CLs build strong relationships that help to build business through an increase of referrals and admissions.
Responsibilities
Position Summary
In this highly visible, challenging and rewarding position, you will assume a leadership role, developing and nurturing professional relationships with case managers, physicians and clinicians in acute care hospitals; educating staff, patients and families regarding rehabilitation services provided by our rehabilitation hospital. In addition, you will assess patients with rehab diagnosis, on-site at referring hospitals for admission to the rehab hospital and manage the referral process.
Specific Duties
Creates target lists of contacts and decision makers in assigned hospitals. Develops relationships, provides excellent customer service and educates referral sources on services provided by the hospital.
Demonstrates positive referrer satisfaction and account retention.
Educates potential patients and families on acute rehabilitation and benefits of program(s). Distributes collateral materials appropriately.
Supports Sales and Marketing through educational programs, tours, meetings, etc. in assigned hospitals.
Develops strategies to grow market share in core business lines in assigned hospitals. Creates quarterly goals and objectives and submits to supervisor.
Works with VP/Director Business Development to identify opportunities for expansion of strategic business initiatives.
Qualifications
Minimum Qualifications
Current and valid state licensure or eligibility for state licensure as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist required. Multi-state licensure required based on geographical territory.
Preferred Experience
Two years related experience working in a clinical healthcare setting or previous experience working in a clinical liaison role preferred.
Demonstrated competency with the preadmission process including assessments and relationship building in a rehabilitation setting or in another post-acute care setting preferred.
Proven track record in sales and marketing with a least one year experience in a related position preferred.
Demonstrated computer proficiency.
Must exercise sound judgment in handling professional/confidential nature of health care sales.
Additional Data
Why Join Us:
Earn More: Uncapped monthly bonus program
Start Strong: Extensive and thorough orientation program to ensure a smooth transition into our setting
Recharge & Refresh: Generous PTO and Paid Sick Time for full-time team members to maintain a healthy work-life balance
Your Health Matters: Comprehensive medical/RX, health, vision, employee assistance program (EAP) and dental plan offerings for full-time team members
Invest in Your Future: Company-matching 401(k) retirement plan, as well as life and disability protection for full-time team members
Your Impact Matters: Join a team of over 44,000 committed to providing exceptional patient care
Equal Opportunity Employer, including Disabled/Veterans
$10k-55k yearly est. Auto-Apply 58d ago
Clinical System Liaison
Uhhospitals
Cleveland, OH
Clinical System Liaison - (25000CLJ) Description A Brief OverviewLiaison will primarily be responsible for independently analyzing, resolving and/or escalating physician/clinician concerns relating to enterprise-wide electronic medical record (EMR), physician portal, and Personal Health Record (PHR) systems.
Also consults and collaborates with physicians and IT&S Clinical project teams in order to jointly resolve advanced technical issues that surface.
What You Will DoMaintains a deep understand of EMR and related clinical systems capabilities, and a detailed understanding of the EMR functionality, and is able to independently apply that knowledge to properly respond to work flow situations.
Exercises independent judgment when proactively or reactively addressing physician and clinical end-user adoption issues.
Develops and maintains key physician and sponsor relationships within the organization and motivates clinical end-user adoption of the EMR.
Educates and trains end-users to adapt the system to meet their clinical workflow needs.
Coaches clinical end-users on the system functionality and how to integrate the EMR to facilitate their daily workflow.
Actively participates on the IT&S eClinical systems implementation team by providing detailed feedback, analysis and recommendations regarding technical issues that surface.
Independently seeks solutions to issues raised as needed.
Facilitates and/or leads physician (end-user) focus groups and complies and responds to feedback as needed.
Creates and facilitates communication strategies to key EMR clinical communities, including senior leadership, as needed.
Develops own work and travel schedule to be able to provide direct on-call and/or on-site support needed (24/7) for UH physicians/clinicians across assigned, local UH facilities.
Implements EMR change management plans relating to physician adoption.
Utilizes adoption measurements tools, and timely prepares and submits technology data/reports.
Additional ResponsibilitiesPerforms other duties as assigned.
Complies with all policies and standards.
For specific duties and responsibilities, refer to documentation provided by the department during orientation.
Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients.
Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.
Qualifications EducationHigh School Equivalent / GED (Required) Bachelor's Degree (Preferred) Work Experience3+ years Experience in clinical workflow (Required) Clinical Liaison, or face-to-face IT&S support vs.
help desk support, experience (Preferred) Knowledge, Skills, & Abilities Strong sills in MS Office suite with emphasis on Power Point, Excel and Microsoft Project.
(Required proficiency) Knowledge of Eclipsys or other EMR< Portal, or PHR knowledge.
(Preferred proficiency) Experience with clinical system implementation.
(Preferred proficiency) Demonstrated ability to communicate with a wide variety of end-users, at varying technology skill levels.
(Preferred proficiency) Experience interfacing with salary level professionals and senior management.
(Preferred proficiency) Demonstrated ability to think critically, solve problems and meet client expectations.
(Required proficiency) Notable client service, communication, presentation and relationship building skills.
(Required proficiency) Ability to exercise independent judgment and maintain confidentiality.
(Required proficiency) Ability to integrate technology in a patient care setting, and function independently in a fast-paced environment.
(Required proficiency) Positive approach to work and the work environment.
(Required proficiency) Strong project management and organizational skills.
(Required proficiency) Licenses and CertificationsRegistered Nurse (RN), Ohio and/or Multi State Compact License (Required) or Registered Respiratory Therapist (RRT) (Required) or Registered Dietitian (RD) (Required) or Physical Therapist (PT) (Required) or Registered Pharmacist (R.
Ph) (Required) or Other health care professional licensure (Required) Physical DemandsStanding Occasionally Walking Occasionally Sitting Constantly Lifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing Rarely Stooping Rarely Kneeling Rarely Crouching Rarely Crawling Rarely Reaching Rarely Handling Occasionally Grasping Occasionally Feeling Rarely Talking Constantly Hearing Constantly Repetitive Motions Frequently Eye/Hand/Foot Coordination Frequently Travel Requirements10% Primary Location: United States-Ohio-ClevelandOther Locations: United States-Ohio-Shaker_HeightsWork Locations: 11100 Euclid Avenue 11100 Euclid Avenue Cleveland 44106Job: Information TechnologyOrganization: UHHS_Health_SystemSchedule: Full-time Employee Status: Regular - ShiftDaysJob Type: StandardJob Level: ProfessionalTravel: Yes, 10 % of the TimeRemote Work: NoJob Posting: Jan 8, 2026, 2:29:52 PM
$43k-85k yearly est. Auto-Apply 6h ago
Clinical Liaison
Lifepoint Health 4.1
Ohio
Clinical Liaison (CL), Inpatient Rehabilitation Full-time
Your experience matters
University Hospitals - Parma Medical Center is operated jointly with Lifepoint Health and University Hospitals. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Clinical Liaison joining our team, you're embracing our promise to provide superior patient care that exceeds industry standards as well as patient expectations. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.
How you'll contribute
A Clinical Liaison who excels in this role:
Builds and maintains referral relationships to drive appropriate admissions to the hospital
Assist and coordinate in-take and pre-admission screening process
Perform on-site (typically in referring facility) clinical judgment to determine appropriateness of patient for admission
Communicates to patients and family's rehabilitation and facility options. Communicates to patients determined appropriate for admission the patient's expectations and requirements for participation
Secures information relating to patients' resources and benefits
Functions as initial contact for external case management and discharge planner personnel with payors and hospital facilities
Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.
What we're looking for
Applicants should have a Clinical Licensure (RN, PT, OT, SLP, MSW) and a Bachelor's degree. Additional requirements include:
Previous marketing/sales experience preferred
Previous clinical experience preferred with demonstrated skills in clinical assessment and EMR systems
Formal Sales Training preferred
Valid driver's license
EEOC Statement
University Hospitals Parma Medical Center is an Equal Opportunity Employer. University Hospitals Parma Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.
$61k-76k yearly est. Auto-Apply 19d ago
NP for Surgical Specialist Clinic
Ohiohealth 4.3
Columbus, OH
**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
** Summary:**
M-F, 8-5
Seeing primarily follow up surgery patients
The ideal candidate will have advanced practice experience in pre/post operative care and/or wound care.
The Advanced Practice Provider (APP), Physician Assistant (PA), or Advanced Practice Registered Nurse (APRN) including Clinical Nurse Specialist (CNS) or Nurse Practitioner (NP), work in collaboration with the physician primarily in the hospital-based inpatient setting caring for acute, chronically ill, or injured patients. May perform various levels of invasive procedures.
**Responsibilities And Duties:**
Works under direction and in consultation/collaboration with physician and may perform services authorized by the supervising/collaborating physician that are part of the physician's normal course of practice and expertise. Promotes quality outcomes and initiatives. Must have a Supervision Agreement (SA) or Standard Care Arrangement (SCA) with a physician in like practice. Practices within applicable state laws, appropriate boards, and in accordance with his/her/their SA/SCA and delineation of privileges.
**Minimum Qualifications:**
Master's Degree (Required) BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing
**Additional Job Description:**
**MINIMUM QUALIFICATIONS**
Must have a current Physician Assistant License to practice in Ohio and maintain this from the State Medical Board of Ohio. Must have and maintain a current Certification from the national certifying body National Commission on Certification of Physician Assistants (NCCPA).
**OR**
Must have a current APRN license to practice from the Ohio Board of Nursing and maintain this licensure from the State Nursing Board of Ohio. Must have and maintain current Certification from a national certifying body American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP), or American Association of Critical-Care Nurses (AACN).
**Work Shift:**
Day
**Scheduled Weekly Hours :**
40
**Department**
Surgical Specialists Doctors
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
$53k-67k yearly est. 60d+ ago
MedTech Part Time Clinical Nurse Consultant - Cincinnati, OH
Iqvia 4.7
Cincinnati, OH
The Part Time Clinical Consultant (PTCC) role is an exciting opportunity to join IQVIA. IQVIA/MedTech takes the approach to helping customers drive healthcare forward in this challenging, fast-paced environment. We help customers accelerate results, improve patient outcomes, and unleash new opportunities.
This part time position will be responsible for providing case support, patient management, and education to both new and existing accounts within an assigned client Franchise/Region.
Duties and Responsibilities:
Acquire and demonstrate a working knowledge of our products/therapies and develop an understanding of their applications.
Improve patient outcomes by delivering ventricular medical device education in a variety of settings, including but not limited to, the ICU, OR, and Cath Lab.
Ventricular medical device case support, including on call support.
Complete proactive rounds for patients receiving support and provide assistance.
Collaborate with the Clinical Support Center (CSC) for ongoing additional support as necessary
Maintain clinical competency in current product line, patient management, and remain up to date on most relevant information through continual learning and education
Some travel may be needed
Job Qualifications:
Clinical certification required; Registered Nurse (RN)/Advanced Practice Provider (APP) license strongly preferred or relevant experience.
3+ years' experience with a strong clinical background in the Cardiac ICU (CICU), Cardiovascular ICU (CVICU), Cardiovascular OR (CVOR), or Catheterization Lab (Cath Lab) required; CVICU experience highly preferred.
Some industry experience preferred, but not required.
Significant experience with ventricular medical device is required (minimum of 10 cases/patients supported).
Must provide a minimum of (2) days of live support within the field (case support, patient rounding, providing education), with a total of (5) days of availability per month.
Availability must include (1) weekend per month.
Ability to work on weekends, nights, holidays as well as weekdays.
Ability to work at other hospitals aside from base location.
#LI-CES
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at **********************
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. **********************/eoe
The potential base pay range for this role is $60.00-$85.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
$60-85 hourly Auto-Apply 8d ago
Clinical / Hospital Liaison
Communicare 4.6
Springfield, OH
Job Address:
2615 Derr Road Springfield, OH 45503
Clinical / Hospital Liaison
The CommuniCare Family of Companies, is currently looking for an experienced Sales/Marketing professional for the position of Clinical / Hospital Liaison overseeing referrals in the Dayton and Springfield, OH market. Medical credentials such as RN, LPN, or LSW preferred.
This position will work closely with the hospitals in the Dayton and Springfield, OH market.
We are looking for true marketers who get out, hit the pavement, and bring in referrals! Salary plus monthly bonus potential!
The Clinical and Hospital Liaison is a full time salaried position with salary based on experience. We now offer monthly bonus incentives. All CommuniCare employees enjoy a team oriented and friendly work environment. We strive to plan company activities often and make work fun.
WHAT WE OFFER
We offer competitive salaries and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.
Do you have what it takes to become a successful Clinical / Hospital Liaison at CommuniCare?
QUALIFICATIONS AND EXPERIENCE REQUIREMENTS
Must have:
2+ years' experience successfully marketing to Hospital accounts for referral / census growth in the Long-Term Care Industry
RN, LPN, LSW or other medical credentials preferred
Established referral contacts/community relationships
Excellent written and verbal communication skills
Must be comfortable with sales techniques such as cold calling and contact planning with hospitals
JOB RESPONSIBILITIES
As Hospital Liaison, you will:
Build sales relationships by daily interactions with physicians and discharge planners at hospitals to ensure referral/admissions.
Maintain sales territory in order to meet census goals. Must be comfortable with sales techniques such as cold calling and contact planning.
Perform pre-admission assessments of the clinical status of patient referrals and evaluation of patient needs.
Serve as an educational resource for patients, families, hospitals, and healthcare professionals.
Actively assist the referring and accepting institutions in addressing requirements of specific patients.
Monitor marketing activity through CRM software.
If you can be a team player and team leader, we want you on our team! Submit your resume now for confidential consideration!
$34k-52k yearly est. Auto-Apply 4d ago
Clinic Nurse
Family Allergy & Asthma 3.4
Milford, OH
Job DescriptionDescription:Description
Job Title: Clinic Nurse
Employment Classification: Non-exempt, Hourly
Days: Full-time; Monday-Friday Monday-Newport Tues,Wed,Thurs -Milford Friday-Mason
Travel: Yes, between Newport, Milford, Mason clinics
Position Summary
The Clinic Nurse is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of their manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides direct nursing care during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company's core values.
Summary of Duties and Responsibilities
Get rooms ready for patients and prepare for allergy testing each morning
Calibrate PFT sensor daily
Escort patients to a treatment room and prepare them for the doctor's visit
Assist the doctor with skin testing and other procedures as ordered
Send prescriptions, complete asthma care plans and discharge summaries
Complete documentation in the EMR system
Prepare and administer any medications requested by the doctor
Pulmonary function testing, FeNO testing, and peak flow monitoring
Patient education regarding medications and environmental control
Prepare and administer nebulized medication and patient education (if needed)
Scan testing sheets
Schedule appointments for outpatient procedures
Administer allergy injections and complete all duties of the shot room
Keep clinical area and exam rooms organized and stocked with supplies
Keep samples and sample bags stocked on shelves
Communicate with injection room staff when emergency medications are used and need to be reordered
Check refrigerator temperatures daily and log on chart
Complete tasks in Triage throughout the day
Works with providers, nurses, and patients to resolve questions concerning medications, health education, and medical advice within skill level and scope of practice
Submits electronically/faxes new prescriptions and refill prescriptions according to physician orders
Acquire pre-certs/prior authorizations for patient needs
Follows through in a timely manner on patients' requests
Records and maintains complete and accurate records of patient and physician communications regarding medical care according to the standard medical record documentation requirements
Retrieves messages from phone and electronic submissions in a timely manner and responds to patient needs according to medical priority
Assists the patient by acquiring the appropriate appointment, as needed
Other tasks as needed and/or delegated
Prepare patient information folders and Environmental Control packets
Prepare I.D. and scratch trays
Order supplies, as necessary, through the approved clinic procedure
Shut down and plug in computers (pack, if needed), and plug in otoscopes at end of day
Transport supplies (box) to and from satellite offices as needed
Maintain and follow HIPAA policies and procedures
Effectively manage emergency procedures and protocols
Cover Injection Room and/or Front Offices as needed
Regular closing of offices
Train new staff as needed, or directed
Work with Healix & Specialty pharmacies to process Biologics/IVIG prescriptions and forms:
Track shipments and inventory of Biologics
Obtain prior authorizations as needed
Other relevant duties as assigned by Director and/or Manager
Requirements
Abilities, Knowledge and Skills
Effective communication skills to include:
Ability to fluently speak and read English
Ability to read and interpret documents such as safety rules, handbooks, policies, patient care plans and procedure manuals
Ability to communicate effectively, verbally and written, with all levels of staff and patients
Education, Prior Work Experience, Special Skill And Knowledge Requirements
Diploma in Nursing- LPN/RN with an active and unrestricted OH Nursing License, or an eNLC multistate nursing license
1 to 2 years nursing experience in an office setting, preferred
Previous allergy/asthma experience preferred
CPR certification required
Valid Driver's License required
Active CPR Certification
Acceptable results on Office of Inspector General, State Medicaid Exclusions, Abuse Registry Checks, Background Screenings, Drug Screen, and Sanction Checks
Ability to travel to satellite offices as needed
Must be at least 18 years of age
Physical Demands and Work Environment
Physical Demands
The physical demands described, here, are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the physical demands.
While performing the duties of this job, the employee is regularly required to use hands to handle, or feel objects, tools, or controls; reach with hands and arms; and talk or hear.
The employee frequently is required to stand, walk, stoop, kneel, crouch, reach, push, pull, bend and sit. On average, injection room or clinic staff may be standing or walking 80% of their shift.
The employee must occasionally lift and/or move up to 30 pounds.
Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
Specific communication abilities required by this job include the ability to talk and hear in order to converse with others, discern, convey, express oneself, and exchange information.
Work Environment
The work environment characteristics described here are representative of those an employee may encounter while performing the essential functions of this job.
The noise level in the work environment is usually moderate; lighting is in the standard range.
The employee is subject to infectious waste, potential exposure to allergens in concentrated forms, diseases, and conditions.
EEOC Compliance
Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Please use link to complete this survey to be considered: ********************************* M7SYDhF
Requirements:
$49k-70k yearly est. 6d ago
MEDICAL CODER/ENT OFFICE - M-F (8:00-4:30) Toledo OH
Toledo Clinic 4.6
Toledo, OH
Toledo Clinic's ENT Department is seeking a full-time Coder. This position requires a strong knowledge of ICD-10 and CPT codes and previous coding experience in a medical office setting. This position will work Monday-Friday, 8-4:30. No weekends or holidays.
General Summary:
Responsible for application of CPT and ICD-9 (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.
Principal Duties & Responsibilities:
Example of Essential Duties:
Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.
Demographic registration/updates for all patients
3) Enters charges into claim entry in eCW
4) Monitors, submits, correct all claim activity
5) Create workflow processes to ensure accuracy and accountability
Other Essential Duties May Include (but are not limited to):
6) Assists patients and/or insurance companies with billing and authorization questions.
7) Coordinate with providers to ensure all visits are accounted for utilizing hospital call schedules,census/rounding sheets and appointment schedules.
8) Regularly update providers on medical policy insurance changes.
9) Other duties as assigned
Knowledge, Skills & Abilities Required:
Required:
-
Knowledge of ICD10 and CPT codes and manuals required
- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame
- Demonstrates adaptability to expanded roles.
- CPC or CCS-P or able to pass Toledo Clinic's comprehensive coding test
- Adheres to all Toledo Clinic policies and procedures
Education:
- HS diploma or GED required.
Preferred:
- Medical Coding education
- Previous coding experience
$42k-48k yearly est. Auto-Apply 8d ago
Coder - Coding Specialist
Direct Staffing
Zanesville, OH
40 hours/week, Monday - Friday, 8a-4:30p
CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire
Qualifications
Associates Degree in HIM required OR must have at least two years of hospital-based coding experience
Sorry, no NEW GRADS
Associates and 1 year of hospital-based experience would be acceptable
Additional InformationAll your information will be kept confidential according to EEO guidelines.
Direct Staffing Inc
$40k-60k yearly est. 60d+ ago
CLINICAL NURSE-CN
Premier Health Partners 4.7
Dayton, OH
Position: Registered Nurse (RN) Dept: SE8 Interventional Cardiology Advanced Care Inpatient Unit Shift: Full Time 7pm - 7:30am / 72 Hours per Pay Facility: Miami Valley Hospital Sign on Bonus The Clinical Nurse is a registered nurse (RN) who partners with and advocates for patients/families/significant others to provide physical, emotional and spiritual support which impacts patient outcomes in a safe environment. The RN functions in a versatile role that demonstrates professionalism and promotes excellence and autonomy in the practice of Nursing. The RN utilizes the nursing process in conjunction with evidence-based principles to care for a diverse caseload of patients within the department scope of service. The RN serves as guide, healer, collaborator, teacher, leader and sentry. The RN collaborates with, and guides care delivered by the inter-professional team. The RN is accountable for compliance with the Ohio Nurse Practice Act, Nursing Code of Ethics and applicable regulatory standards. Education: Graduation from accredited school of nursing; BSN preferred. Licensure/Certification/Registration: * Valid Ohio RN license * Current BLS certification required at the time of hire. Experience: Minimum 1 year of acute care hospital RN experience is preferred. Knowledge/Skills: *
Must be able to multitask with constant interruptions while maintaining a pleasant demeanor * Basic computer knowledge * Strong organization skills * Effective interpersonal and communication skills
$51k-66k yearly est. 26d ago
Pro Fee Coding Spec - Professional Svc Coding
Kettering Medical Center Network 3.5
Miamisburg, OH
Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist
Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.
* Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
* Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
* Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
* Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
* Corresponds with providers on pending claims to facilitate resolution
* Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
* Communicate appropriately with providers, leaders, and staff
* Researches and resolves concerns timely
Educational Requirements:
High School Diploma or equivalent
RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification
Prior experience in professional fee coding/billing
Knowledge and Skill:
CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits
Medical Terminology and Anatomy & Physiology
Computer and EPIC Applications
Excellent verbal and written communication skills
Abilities:
Charge Review WQ [Edits]
* Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Claim Edit WQ [Edits]
* Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Follow Up WQ [Denials]
* Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
* Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Departmental Responsibilities
* Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
* Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
* Follow procedures pertaining to position
* Researches and resolves concerns timely
Overview
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. 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.
$51k-62k yearly est. Auto-Apply 37d ago
Pro Fee Coding Spec - Professional Svc Coding
Kettering Health Network 4.7
Miamisburg, OH
Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements
This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation.
KPN Pro Fee Coding Specialist
Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10
Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Corresponds with providers on pending claims to facilitate resolution
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Communicate appropriately with providers, leaders, and staff
Researches and resolves concerns timely
Educational Requirements:
High School Diploma or equivalent
RHIT, RHIA, CCS, CCS-P, CPC or eligible specialty certification
Prior experience in professional fee coding/billing
Knowledge and Skill:
CPT, HCPCS, Modifiers, ICD-10, and CMS NCCI Edits
Medical Terminology and Anatomy & Physiology
Computer and EPIC Applications
Excellent verbal and written communication skills
Abilities:
Charge Review WQ [Edits]
Reviews, researches and responds to Charge Review WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Claim Edit WQ [Edits]
Reviews, researches and responds to Claim Edit WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Follow Up WQ [Denials]
Reviews, researches and responds to Follow Up WQ edits pertaining to coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Corresponds and communicates appropriately with providers on coding, CMS NCCI edits, and/or medical necessity requirements to facilitate resolution.
Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits
Departmental Responsibilities
Responsible for participating in departmental goals, KHN mission and implemented KHN/KPN policies
Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI edits
Follow procedures pertaining to position
Researches and resolves concerns timely
Overview
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. 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.
$43k-54k yearly est. Auto-Apply 34d ago
Clinical Nurse (RN)
Allervie Health
Springdale, OH
Clinical Nurse, Full-time, Springdale, OH At AllerVie Health, our team members are unified around our mission to help patients achieve and maintain optimal health and quality of life - free from the symptoms and suffering of allergies, asthma, and related immunological conditions. From our physician and clinical roles to our administrative and operational support roles and everything in between, we change lives for the better - giving people their lives, health, and vitality back in real, tangible ways. We live every day on a mission and wake up excited to tackle new challenges and provide people with health solutions.
Job Summary:
AllerVie is hiring an experienced Registered Nurse (RN) to join our dynamic and growing care team in our allergy and immunology clinic. We're seeking candidates with a positive attitude, a high level of professionalism, and the ability to thrive in a fast-paced, team-based environment.
As part of our collaborative care model, the RN will play a vital role in supporting comprehensive patient care, including medical history intake, medication reconciliation, allergy testing, treatment administration, and immunotherapy support. This position requires strong clinical judgment, proficiency in EMR systems, and a thorough understanding of allergy practice and related procedures.
Location: 422 Ray Norrish Dr, Springdale, OH, 45246
Pay Range: Starting pay is $33, depending on experience.
Key Responsibilities:
Gather and assess patient information by physical assessments and review
Supports Physician and Nurse Practitioner in all clinical aspects of allergy care
Perform Allergy Skin Testing and Injections, Pulmonary Function Tests, and additional clinical skills
Educate patients on procedures, therapies, and medications
Maintain proper documentation in patient charts
Complete routine clinical tasks to support medical providers
Handle all administrative and medical related duties in a timely manner
Perform other job-related duties as assigned
Qualifications, Education, and Experience:
Licensed Registered Nurse with a minimum of 1 year of relevant clinical experience
Respiratory and allergy care experience is a plus
Strong clinical judgment and comprehensive understanding of disease states
Proficient in using Electronic Medical Records (EMR); EMR experience required
Skilled in Microsoft Office Suite or similar software
Excellent verbal and written communication skills
Exceptional organizational skills and meticulous attention to detail
Demonstrated ability to thrive in fast-paced and occasionally high-stress environments
Strong multitasking and time-management abilities
Associate's degree, vocational, or technical nursing education required; Bachelor's degree preferred
When you join AllerVie, you join a crucial workforce that provides meaningful care and service to our allergy patients. We value the knowledge and experience you bring to AllerVie, and we reward your efforts and dedication with a competitive compensation and benefits offering that allows you to offer your best to our patients.
We Offer:
Medical, Dental, and Vision Insurance Plans
Employer HSA contribution
Employer-paid Life Insurance
Supplemental benefit offerings
401(k) Plan with employer match
Generous PTO and paid holidays
Learn About Us:
LinkedIn - ************************************************************ View=all
Instagram: *****************************************
AllerVie Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
$33 hourly 5d ago
LPN Supervisor Memory Care
Copeland Oaks 3.9
Sebring, OH
Join our team at Copeland Oaks as a Full time afternoon LPN Supervisor in our Assisted Living Memory Care Unit. In this exciting role, you will have the opportunity to showcase your leadership abilities while providing top-notch care to our residents. As an LPN Supervisor, you will play a crucial role in ensuring the well-being of those under our care, while supervising the CNAs. If you are passionate about Nursing and are looking for a fulfilling role where you can make a difference in the lives of others, this opportunity is perfect for you.
Copeland Oaks is a senior community for adults 55 and older in every stage of living - all in one beautiful village-like setting. Located in Sebring in northeast Ohio at the crossroads of Mahoning, Columbiana and Stark counties. It's an ideal blend of serene country living with the conveniences of nearby city life. We offer complete independent living with added options ranging from light housekeeping and meals to memory care and skilled nursing assistance to an onsite medical center.
Our Assisted Living residents are able to live in a "nearly independent" apartment like setting, while having the reassurance of onsite nursing assistance and services.
Are you excited about this LPN Supervisor job?
As an LPN Supervisor in our Memory Care Unit, you can expect a dynamic role that involves specialized care while overseeing the daily operations of our nursing staff. Your responsibilities will include providing guidance to team members, coordinating care plans, and ensuring the highest level of patient care is maintained.
Each day, you will have the opportunity to apply your Nursing skills in a supportive and collaborative environment, where teamwork and compassion are valued. With training and mentorship provided, you will quickly adapt to your new role and make a meaningful impact on the lives of those we serve.
Would you be a great LPN Supervisor?
To excel as an LPN Supervisor at Copeland Oaks, strong leadership and communication skills are essential. As a key member of our Nursing team, you should possess excellent problem-solving abilities and the capacity to make quick, informed decisions. Attention to detail and a compassionate demeanor will aid you in providing top-quality care to our residents. Additionally, the ability to work effectively under pressure and collaborate with colleagues is paramount in this role. A proactive mindset and a commitment to upholding high standards of Nursing practice will set you up for success in this dynamic and rewarding position.
With a passion for Nursing and a dedication to enhancing the well-being of others, you will thrive in our supportive environment at Copeland Oaks.
BENEFITS
Medical Insurance
Dental Insurance
Vision Insurance
Short Term Disability Insurance
Long Term Disability Insurance
Life Insurance
Critical Illness Insurance
Accident Insurance
Access to an onsite Wellness Facility, indoor heated pool and walking trails
Discounted price to local golf club
403(b) Retirement Plan with company match
REQUIREMENTS
Qualified candidates are LPNs in good standing with the State of Ohio. Prior experience working with memory care residents is a plus.
Will you join our team?
If you think this job is a fit for what you are looking for, applying is a snap - just follow the instructions on this page. Good luck!
Applicants who have disqualifying offenses under Senate Bill 160 may be disqualified from employment. As part of the pre-employment process, Copeland Oaks conducts Criminal Background checks through the Ohio Bureau of Criminal Identification & Investigation (BCI) and the Federal Bureau of Investigation (FBI). Crandall Medical Center also conducts pre-employment Drug Testing.
$40k-54k yearly est. 60d+ ago
LPN Supervisor Hiring Bonus
Crandall Medical Center 3.7
Sebring, OH
$3,000 Hiring Bonus $26.48 - $31.46 Crandall Medical Center, a non-profit skilled nursing and rehabilitation center, is hiring various LPN positions. We are located in the Village of Sebring, right off of Rt 62 between Salem and Alliance. Did you know that Newsweek ranked Crandall Medical Center as one of the top Nursing Homes in Ohio? This happens by having kind, caring, compassionate, team oriented and reliable nursing staff.
LPN Supervisors assist with many levels of care including dementia care, IVs, wound care, orthopedic care, post-surgical care, med pass, rehabilitation services and numerous chronic health conditions.
LPN Supervisors provide leadership to CNAs. LPN Supervisors also work closely with our RN Supervisors, physicians and management team to ensure our high standards of resident care.
LPN Supervisors
* Hourly pay based on experience
* $26.48 - $31.46
* Full time Hiring Bonus
* $3,000
* Part time Hiring Bonus
* $1,500
* PRN
* Receives premium pay
* Afternoons
* Midnights
* 8 or 12-hour shifts
* Shift Differentials
* Perfect Attendance Incentive
* Discounts to local Golf Club
* Free access to an onsite Wellness Facility, indoor heated pool and walking trails
* 403(b) Retirement Plan with company match
* Benefit Options
* Medical Insurance
* Dental Insurance
* Vision Insurance
* Short Term Disability Insurance
* Long Term Disability Insurance
* Life Insurance
* Critical Illness Insurance
* Accident Insurance
Professional Experience/Educational Requirements:
Graduate of approved LPN School of Nursing
Certification / Licensure:
Current and in good standing State of Ohio LPN license
Proof of valid Pharmacology course
Are you ready to work for a top ranked Skilled Nursing Facility? We welcome the opportunity to discuss all that we have to offer. For more details call our ADON, Brooke Day at ************.
Find us on Indeed.com or go directly to our website at ******************************
Like us on Facebook! facebook.com/CrandallMedicalCenter
Crandall Medical Center is an Equal Opportunity Employer
Applicants who have disqualifying offenses under Senate Bill 160 may be disqualified from employment. As part of the pre-employment process, Crandall Medical Center conducts Criminal Background checks through the Ohio Bureau of Criminal Identification & Investigation (BCI) and the Federal Bureau of Investigation (FBI). Crandall Medical Center also conducts pre-employment Drug Testing.
$3k monthly 60d+ ago
Learn more about clinical documentation improvement specialist jobs