Health Information Coder jobs at Kettering Health Network

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. 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

**Why Mayo Clinic** Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans (************************************** - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national network. + Pre-Tax Savings: HSA and FSAs for eligible expenses. + Retirement: Competitive retirement package to secure your future. **Responsibilities** The HB OP Coder reviews, analyzes, and assigns codes from medical record documentation to include, but not limited to, medical diagnostic and procedural information for outpatient medical and surgical encounters on the facility claim. **Qualifications** Associate degree and a minimum of 2 years of hospital outpatient coding experience. Bachelor's Degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required. 1. Experience using the technical coding rules and regulations for hospital outpatient including injection and infusion hierarchical coding. Experience with Ambulatory Payment Classification (APC) logic, National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and hospital outpatient coding guidelines for official coding and reporting. 2. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process. 3. Experience of principles, methods, and techniques related to compliant healthcare billing/collections. Healthcare Financial Management Association (HFMA) Certification Preferred. ***This position is a 100% remote work. Individual may live anywhere in the US.** ****This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position.** _During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps._ **Exemption Status** Nonexempt **Compensation Detail** $26.11 - $38.89/ hour **Benefits Eligible** Yes **Schedule** Full Time **Hours/Pay Period** 80 **Schedule Details** Monday-Friday Normal Business Hours **International Assignment** No **Site Description** Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. (***************************************** **Equal Opportunity** All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law" (**************************** . Mayo Clinic participates in E-Verify (******************************************************************************************** and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. **Recruiter** Ronnie Bartz **Equal opportunity** As an Affirmative Action and Equal Opportunity Employer Mayo Clinic is committed to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or candidate. Women, minorities, veterans, people from the LGBTQ communities and people with disabilities are strongly encouraged to apply to join our teams. Reasonable accommodations to access job openings or to apply for a job are available.

The HB OP Coder reviews, analyzes, and assigns codes from medical record documentation to include, but not limited to, medical diagnostic and procedural information for outpatient medical and surgical encounters on the facility claim. Qualifications Associate degree and a minimum of 2 years of hospital outpatient coding experience. Bachelor's Degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required. 1. Experience using the technical coding rules and regulations for hospital outpatient including injection and infusion hierarchical coding. Experience with Ambulatory Payment Classification (APC) logic, National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and hospital outpatient coding guidelines for official coding and reporting. 2. In-depth knowledge of medical terminology, disease processes, patient health record content and the medical record coding process. 3. Experience of principles, methods, and techniques related to compliant healthcare billing/collections. Healthcare Financial Management Association (HFMA) Certification Preferred. *This position is a 100% remote work. Individual may live anywhere in the US. **This vacancy is not eligible for sponsorship / we will not sponsor or transfer visas for this position. During the selection process, you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question - Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps.

Summa Health Medical Group 1077 Gorge Blvd Akron, OH 44310 Can work remote after on-site training Part-Time Position / 20 Hours per Week Eligible for Part-Time Benefits Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding knowledge to make sure that the appropriate code was used given the support of the charge to be posted. Ensures that work is done accurately, timely, and in compliance with federal, state, and payer specific regulations. Supports the coordination of care through Patient-Centered Medical Home methodologies, as applicable. Formal Education Required: a. High school diploma or equivalent b. Completion of a formal medical coding training program c. Current coding certification required. CCA, CCS or CCS-P, CMC, CPC are acceptable. d. RHIT acceptable with the passing of a coding certification test within 90 days of hire. Experience & Training Required: a. Previous coding experience, including assigning of ICD-10 and CPT codes in a multi-specialty group setting, preferred Other Skills, Competencies and Qualifications: a. Ability to communicate verbally and in writing with providers b. Knowledge of electronic medical record contents and ability to screen for pertinent data, user knowledge Epic software a plus. c. Ability to prioritize work d. Attention to detail and analytical problem solving e. Ability to maintain the confidentiality of patient medical records f. Assumes accountability for demonstrating behaviors consistent with the customer service policy g. Ability to operate a PC h. Ability to be flexible and handle many tasks at one time, knowledge of Excel and Word. Population Specific Competency: a. Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently Equal Opportunity Employer/Veterans/Disabled $22.61/hr - $27.14/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

#LI-Remote Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law. Job Overview The Senior Professional Coder performs at an advanced level medical coding position and serves as an expert utilizing ICD-10 and CPT4 classification system coding to all diagnoses, treatments and procedures in all types of Hospital, Clinic and Ambulatory Surgical Center (ASC) locations at stated minimum performance levels. In addition, the Senior Professional Coder provides coding insight and guidance to clinical staff, Clinical Documentation Improvement (CDI), Professional Coder 1 and Professional Coder II positions as well as Revenue Cycle leadership. Responsibilities Responsibilities: Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely Reconcile correct coding edits and discrepancies prior to final coding Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers Acts as a key liaison for the physicians and clinical staff as it relates to coding and compliance Interacts with physicians and other professional staff of documentation issues relating to coding data Acts as a mentor to Coder I and Coder 2 staff Provides system and workflow training to newly employed coders Prepares and presents education in conjunction with the Revenue Integrity Professional Coding Educator Primary contact for Revenue Cycle team throughout Shriners Hospitals for Children (SHC) system to assist with coding questions Act as back up for Revenue Integrity Professional Coding Lead This is not an all-inclusive list of this job's responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications Minimum: 7 years of coding experience in inpatient/outpatient professional surgery Experience with Surgery Coding guidelines, E/M Coding Guidelines, CPT Coding, ICD-10, Modifiers, HCPCS and CCI edits Pediatric, orthopedic and/or injury coding experience Experience with education and presentations Functional knowledge of Medical Terminology Functional knowledge of professional coding practice standards Functional knowledge of MS Office High School Diploma or GED Current CCS-P (AHIMA) or CPC (AAPC)

The Physician Coding Denials Specialist performs appropriate efforts to ensure receipt of expected reimbursement for services provided by the Physician. Reviews and analyzes medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential re-bills. Maintains a working knowledge and stays abreast of ICD diagnosis codes, CPT physician service codes, coding principles, modifier usage, medical terminology, governmental regulations, protocols and third-party payer requirements pertaining to billing, coding, and documentation. The Physician Coding Denials Specialist will also handle audit-related and compliance responsibilities. Additionally, this position will actively manage, maintain and communicate denial / appeal activity to appropriate stakeholders and report suspected or emerging trends related to payer denials. This position requires anticipating and responding to a wide variety of issues/concerns and works independently to plan, schedule and organize activities that directly impact Physician reimbursement. This position will support change management by tracking and communicating trends and root cause to support future prevention with internal customers and stakeholders as well as with payers and third parties. This role is key to securing reimbursement and minimizing avoidable write-offs. Job Expectations: * Performs critical research and timely and accurate actions including preparing and submitting appropriate appeals or re-billing of claims to resolve coding denials to ensure collection of expected payment and mitigation of denials * Maintains extensive caseload of coding denials. * Formulates strategy for prioritizing cases and maintains aging within appropriate ranges with minimal direction or intervention from Leadership. * Acts as a liaison among all department managers, staff, physicians and administration with respect to coding denials issues. * Assists with the development of denial reports and other statistical reports. * Reviews insurance coding-related denials, including but not limited to: Diagnosis codes not supported, incorrect or invalid CPT codes, modifier issues, and/or general coding error denials. * Responsible for reviewing assigned diagnostic and procedural codes against patient charts using ICD-10-CM, CPT, or any other designated coding classification system in accordance with coding rules and regulations. * Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. * Contacts insurance carriers as appropriate to resolve claim issues * Maintains payer portal access and utilizes said portal to assist in reviewing commercial medical policies * Maintains working knowledge of regulatory and third-party policies and requirements to ensure compliance; remains current with applicable insurance carriers' timely filing deadlines, claims submission processes, and appeal processes and escalates timely filing requests to leadership. * Assists with short-notice timely filing deadlines for accounts with coding issues. * Provides feedback to the coding leadership team regarding coding denials. * Compiles training material and educational sessions associated with coding denial-related topics and presents such educational materials. Collaboratively works with the coding education team & coding compliance team to assist in providing education to coders, physicians and mid-level providers. * Monitors for coding trends, works collaboratively with the revenue cycle teams to prevent avoidable denials and reduce revenue loss. * Identifies, quantifies and communicates risk concerns to leadership and supports mitigation efforts as appropriate. Demonstrates the ability to analyze coded data to identify areas of risk and provide suggestions for documentation improvement. Required Qualifications * 5 years coding-related experience such as coding, abstracting, Data Quality in coding function type as required by position * 1 year experience in managing and appealing denials * 1 year expertise in reading and interpreting commercial payer medical policies * Certified Coding Specialist-Professional (CCS-P) or * Certified Professional Coder (CPC) Preferred Qualifications * Bachelor in HIM * 7+ years of coding related experience such as coding, abstracting, Data Quality in coding function type as required by position * Epic experience in either Resolute Physician Billing * Registered Health Info Admin * Registered Health Info Tech Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer The posted pay range is for a 40-hour workweek (1.0 FTE). The actual rate of pay offered within this range may depend on several factors, such as FTE, skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization values pay equity and considers the internal equity of our team when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Fairview are looking for PB/EM Coder 2 to join our team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift. The role will require that you are able to work one weekend a month. The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging. Responsibilities * Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards. * Actively participates in creating and implementing improvements. * Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines. * Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned. * Extracts required information from electronic medical record and enters encoder and abstracting system. * Follows-up on unabstracted accounts to assure timely billing and reimbursement. * Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines. * Meets departmental productivity and quality standards * Complete projects as assigned. * Timely and accurate work * Contributes to the process or enablement of collecting expected payment Required Qualifications * Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle) * 1 year of coding experience * Basic knowledge of Windows-based computer software. Epic and Microsoft Teams. * Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary. * Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) or Certified Coding Specialist (CCS) or Professional Coder Cert (CPC) or Certified Coding Specialist - Professional (CCS-P) or Professional Coder- Hospital (CPC-H) or Certified Outpatient Coding (COC) or AAPC specialty certifications Preferred Qualifications * B.S./B.A. in HIM * 2 years of coding experience Benefit Overview Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: ***************************************************** Compensation Disclaimer An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored. EEO Statement EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status

Coder-3 Available Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Job Responsibilities Job Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physican office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new speciality areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications Experience Description Minimum Required Preferred/Desired Over one year of experience in physician /professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in coding physician/professional outpatient (ancillary, emergency department, or outpatient surgery, etc) records utilizing ICD-9-CM and CPT-4 . Two years experience in an acute care facility, professional office or integrated health system. One year of documented successful physician education. Education Description Minimum Required Preferred/Desired Skill and proficiency in coding physician/professional and outpatient (ancillary, emergency department, oupatient surgery, etc. ) records utilizing ICD-9-CM and CPT -4 through 5 years experience in an acute care facility, professional office or intergrated health system. Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. CPC, CPC-H, CPC-P, CCS, CCS-P Associates degree Training Description Minimum Required Preferred/Desired CPC, CPC-H, CPC-P, CCS, CCS-P,HCPCS, ICD-10, ICD-9, CPT-4 Special Skills Description Minimum Required Preferred/Desired Physician education, leadership, mentoring, workflow documentation Licensure Description Minimum Required Preferred/Desired One of the following: Certified Coding Specialist (CSS), Certified Coding Specialist Physician (CCSP), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC/CPCH), Certified Professional Coder Payer (CPCP). COC/CPCH;CPC-P ;CCS-P;CPC;CCS Reporting Relationships Does this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. Reporting Relationships No Work Environment Functional Demands Label Short Description Full Description Sedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart Light Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher) Medium High energy level Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient) Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer. Functional Demands Rating Sedentary Activity Level Throughout Workday Physical Activity Requirements - Sitting Continuous Physical Activity Requirements - Standing Occasional Physical Activity Requirements - Walking Occasional Physical Activity Requirements - Climbing (e.g., stairs or ladders) Occasional Physical Activity Requirements - Carry objects Occasional Physical Activity Requirements - Push/Pull Occasional Physical Activity Requirements - Twisting Occasional Physical Activity Requirements - Bending Occasional Physical Activity Requirements - Reaching Forward Occasional Physical Activity Requirements - Reaching Overhead Occasional Physical Activity Requirements - Squat/Kneel/Crawl Occasional Physical Activity Requirements - Wrist position deviation Frequent Physical Activity Requirements - Pinching/fine motor activities Occasional Physical Activity Requirements - Keyboard use/repetitive motion Continuous Physical Activity Requirements - Taste or smell Physical Activity Requirements - Talk or hear Frequent Sensory Requirements Color Discrimination Near Vision Far Vision Depth Perception Hearing Yes Accurate Accurate Minimal Moderate Environmental Requirements - Blood-Borne Pathogens Not Anticipated Environmental Requirements - Chemical Not Anticipated Environmental Requirements - Airborne Communicable Diseases Not Anticipated Environmental Requirements - Extreme Temperatures Not Anticipated Environmental Requirements - Radiation Not Anticipated Environmental Requirements - Uneven Surfaces or Elevations Not Anticipated Environmental Requirements - Extreme Noise Levels Not Anticipated Environmental Requirements - Dust/Particular Matter Anticipated Environmental Requirements - Other

Job Title: Senior Information Intelligence & Solutions Associate Fully Remote - Must be US Based Type: Contract Duration: 12 months Pay Range $45-52/hr (Please no agencies, we cannot work C2C). Job Description: Our client is is seeking an accomplished and highly technical Senior Associate, Information Intelligence & Solutions to join the Competitive Intelligence & Library Services department. This is a critical contract role focused on managing and expanding our key intelligence and library platforms, specifically in preparation for the global launch of new platform. The ideal candidate has deep competitive intelligence experience within the pharmaceutical industry and advanced technical platform skills. Key Responsibilities The Senior Associate will be primarily responsible for the management and strategic evolution of the team's core information platforms: + Platform Management: Serve as a key manager for two critical Client's platforms: ORION (CCC's RightFind) and NOVA (Northern Light's SinglePoint), which provide access to library and competitive intelligence services, respectively. + Strategic Expansion: Help expand the capabilities and strategic vision for competitive intelligence across the organization. + Global Project Launch: Play a vital role in preparing the new platform for its major global launch in early 2026, ensuring the platform is ready for "prime time." Required Qualifications Education & Experience + Minimum Degree Required: Completed Bachelor's degree (A completed Master's degree is a plus, particularly from Library Graduate Programs). + Experience: Minimum of 5 years of direct Competitive Intelligence (CI) experience. + Industry Knowledge: Pharma industry-related experience is a must - no other industry can be considered for this role Technical Skills + Demonstrated proficiency in Competitive Intelligence (CI) best practices. + Familiarity with or experience using Artificial Intelligence (AI) tools in an intelligence context. + Proficiency in data visualization tools, including Power BI and general Data Visualization. + Highly Desired: Deep experience with Northern Light's SinglePoint platform Desired Skills & Attributes + Project Management skills with proven ability to drive complex, global projects. + Exceptional Attention to Detail. + Ability to succeed in a fast-paced environment and adapt to global operational requirements (no preference for time zone). + Demonstrated eagerness to learn and grow. + Strong verbal and written English communication skills. + Membership or engagement with professional organizations such as SCIP (Society for Competitive Intelligence Professionals) or PhMTI (Pharma and Med Tech Information) is a plus. System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law. #M- #LI- #DI- Ref: #568-Clinical System One, and its subsidiaries including Joulé, ALTA IT Services, CM Access, TPGS, and MOUNTAIN, LTD., are leaders in delivering workforce solutions and integrated services across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan. System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

Certified Coder, Special Investigations Unit Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Code with Integrity. Detect with Precision. Join Us as a Certified FWA Coder! Are you a certified coding professional with a sharp eye for detail and a passion for protecting healthcare integrity with experience reviewing medical records? Step into a high-impact role where your expertise helps uncover fraud, prevent waste, and ensure compliance across the healthcare system. We're looking for a Fraud, Waste, and Abuse (FWA) Certified Coder to join our Special Investigations Unit and play a critical role in safeguarding resources and promoting ethical billing practices. This position collaborates with investigators, clinical and compliance staff, and regulatory agencies. Summary: Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal Audit and the Fraud, Waste and Abuse (FWA) Committee for investigations and provider communication. Maintains knowledge of current schemes and ensures the SIU processes and procedures reflect industry norms. Formal Education Required: a. Bachelor's Degree, or equivalent combination of education and experience. Experience & Training Required: a. Three (3) years of health insurance or provider office experience to include: clinical review of medical records, and appropriate claims coding b. Three (3) years' experience of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. c. Active AAPC Coding certification - Certified Professional Coder (CPC). d. Accredited Healthcare Fraud Investigator (AHFI) certification preferred. e. LSS Yellow Belt Certified preferred. Essential Functions: 1) Conducts comprehensive medical record reviews to ensure billing is consistent with the information contained in the medical record. 2) Maintains a working knowledge of coding rules and industry coding guidelines. 3) Provides detailed written summary of medical record review findings. 4) Articulates findings to investigators, plan leadership, law enforcement, legal counsel, providers, state regulators, etc. 5) Reviews and discuss cases with Medical Directors to validate decisions. 6) Assist with investigative research related to coding questions, and state and federal policies. Makes recommendations for additional claim edits. 7) Identifies potential billing errors and provides suggestions for provider education and/or plan payment policies. 8) Identifies opportunities for savings related to potential cases resulting in a prepayment review. 9) Maintains appropriate records, files, documentation, etc. 10) Able to travel for meetings and to testify in legal hearings. 3. Other Skills, Competencies and Qualifications: a. Demonstrate intermediate proficiency in MS Office, Project, and database management. b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations. c. Demonstrate excellent analytical and problem-solving skills. d. Effectively conduct statistical analyses and accurately work with large amounts of data. e. Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. f. Ability to organize and manage time to accurately complete tasks within designated time frames in fast paced environment. g. Maintain current knowledge of and comply with regulatory and company policy and procedures. 4. Level of Physical Demands: a. Sit for prolonged periods of time. b. Bend, stoop, and stretch. c. Lift up to 20 pounds. d. Manual dexterity to operate computer, phone, and standard office machines. As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare.Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

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. Responsibilities & Requirements JOB SUMMARY • Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. • Impacts delivery of quality patient care and enhanced clinical decision making process. • Supports clinical outcomes measurement and assessment process for service lines. • Completes assigned duties and other related tasks. • The list is not inclusive, duties may be modified to fulfill departmental needs or goals. JOB REQUIREMENTS Minimum Education Associate degree or higher in Health Information Management - Preferred Required Licenses [Ohio, United States] Coder, Health Information RHIT or RHIA certification and/or CCS certification. Member of AHIMA - preferred RHIT/RHIA eligible will also be considered with coding/abstracting experience preferred (must sit for the exam at first available offering after completion of RHIT/RHIT program including passing their certification exam within one year of the first attempt.) Minimum Work Experience Two years of experience coding in acute outpatient hospital setting Required Skills • Proficient in data entry using Microsoft Office Suite products. • Proficient user of 3M CRS and CAC. • Ability to navigate Epic EMR. • Strong written and verbal communication. • Application of medical terminology successfully translated to codeable language. • Strength in anatomy and physiology associated with disease process. • Knowledge of regulatory and governing body coding and billing guidelines. ORGANIZATIONAL EXPECTATIONS New Hire/Annual Competencies • Accurate code assignment both ICD-10 CM and CPT. • Accurate abstracting for all required fields. • Meets productivity expectations. • Meets performance in quality assurance with acceptable score. • Accurately processes payer edits to promote clean claims for billing. Preferred Qualifications Certified Coding Specialist (CCS) credential

Full-Time Days, 8:00am-4:30pm (M-F) Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Prepares patient charts for processing. Scans patient charts. Works designated Epic work queues to verify system-assigned deficiencies are present and allocates if missing/incomplete. Minimum Qualifications: 1. Formal Education Required: a. High School Diploma or equivalent. 2. Experience & Training Required: a. Two (2) years experience in a Medical Office or Experience in a Health Information Management Department with Electronic Health Record experience. b. Computer Experience - specifically Microsoft Outlook, Excel, and Word. 3. Other Skills, Competencies and Qualifications: a. Ability to pass Medical Terminology exam as administered by Human Resources. b. Ability to pass a Typing exam administered by Human Resources with a minimum of 30 wpm. c. Ability to pass Microsoft Word, Excel, and Outlook exam as administered by Human Resources. d. Must maintain confidentiality of patient records. e. Ability to work cooperatively and effectively communicate verbally and in writing with employees, physicians, and other Health Information Management customers. f. Ability to exhibit a courteous behavior when working with internal and external customers and work as a team member. g. Ability to discern numbers and names accurately. h. Ability to monitor concentration and focus on task at hand. i. Ability to multi-task, prioritizes work, meet deadlines under stress, and stay organized. j. Must be detailed oriented. k. Population Specific Competency: Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity. 4. Level of Physical Demands: a. Exerts 20-50 pounds of force occasionally and/or 10 to 25 pounds of force frequently, and/or a negligible amount of force continuously to move objects. b. Ability to push cart and pick up charts on all nursing units. c. Ability to bend, stoop, and lift files. d. Ability to view computer monitor for long periods of time. Equal Opportunity Employer/Veterans/Disabled $15.92/hr - $21.30/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

Full-Time Days, 8:00am-4:30pm (M-F) Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Prepares patient charts for processing. Scans patient charts. Works designated Epic work queues to verify system-assigned deficiencies are present and allocates if missing/incomplete. Minimum Qualifications: 1. Formal Education Required: a. High School Diploma or equivalent. 2. Experience & Training Required: a. Two (2) years experience in a Medical Office or Experience in a Health Information Management Department with Electronic Health Record experience. b. Computer Experience - specifically Microsoft Outlook, Excel, and Word. 3. Other Skills, Competencies and Qualifications: a. Ability to pass Medical Terminology exam as administered by Human Resources. b. Ability to pass a Typing exam administered by Human Resources with a minimum of 30 wpm. c. Ability to pass Microsoft Word, Excel, and Outlook exam as administered by Human Resources. d. Must maintain confidentiality of patient records. e. Ability to work cooperatively and effectively communicate verbally and in writing with employees, physicians, and other Health Information Management customers. f. Ability to exhibit a courteous behavior when working with internal and external customers and work as a team member. g. Ability to discern numbers and names accurately. h. Ability to monitor concentration and focus on task at hand. i. Ability to multi-task, prioritizes work, meet deadlines under stress, and stay organized. j. Must be detailed oriented. k. Population Specific Competency: Ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity. 4. Level of Physical Demands: a. Exerts 20-50 pounds of force occasionally and/or 10 to 25 pounds of force frequently, and/or a negligible amount of force continuously to move objects. b. Ability to push cart and pick up charts on all nursing units. c. Ability to bend, stoop, and lift files. d. Ability to view computer monitor for long periods of time. Equal Opportunity Employer/Veterans/Disabled $15.92/hr - $21.30/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

Full-Time Days $1,500 Sign-On Bonus Offered! Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding knowledge to make sure that the appropriate code was used given the support of the charge to be posted. Ensures that work is done accurately, timely, and in compliance with federal, state, and payer specific regulations. Supports the coordination of care through Patient-Centered Medical Home methodologies, as applicable. Formal Education Required: a. High school diploma or equivalent b. Completion of a formal medical coding training program c. Current coding certification required. CCA, CCS or CCS-P, CMC, CPC are acceptable. d. RHIT acceptable with the passing of a coding certification test within 90 days of hire. Experience & Training Required: a. Previous coding experience, including assigning of ICD-10 and CPT codes in a multi-specialty group setting, preferred Other Skills, Competencies and Qualifications: a. Ability to communicate verbally and in writing with providers b. Knowledge of electronic medical record contents and ability to screen for pertinent data, user knowledge Epic software a plus. c. Ability to prioritize work d. Attention to detail and analytical problem solving e. Ability to maintain the confidentiality of patient medical records f. Assumes accountability for demonstrating behaviors consistent with the customer service policy g. Ability to operate a PC h. Ability to be flexible and handle many tasks at one time, knowledge of Excel and Word. Population Specific Competency: a. Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently Equal Opportunity Employer/Veterans/Disabled $22.61/hr - $27.14/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

Full-Time Days $1,500 Sign-On Bonus Offered! Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Responsible for all aspects of coding review, billing data entry, reprocessing of coding denials (including follow-up and coding denial queues), reconciling services provided at the hospital, and maintaining regulations requirements. Uses coding knowledge to make sure that the appropriate code was used given the support of the charge to be posted. Ensures that work is done accurately, timely, and in compliance with federal, state, and payer specific regulations. Supports the coordination of care through Patient-Centered Medical Home methodologies, as applicable. Formal Education Required: a. High school diploma or equivalent b. Completion of a formal medical coding training program c. Current coding certification required. CCA, CCS or CCS-P, CMC, CPC are acceptable. d. RHIT acceptable with the passing of a coding certification test within 90 days of hire. Experience & Training Required: a. Previous coding experience, including assigning of ICD-10 and CPT codes in a multi-specialty group setting, preferred Other Skills, Competencies and Qualifications: a. Ability to communicate verbally and in writing with providers b. Knowledge of electronic medical record contents and ability to screen for pertinent data, user knowledge Epic software a plus. c. Ability to prioritize work d. Attention to detail and analytical problem solving e. Ability to maintain the confidentiality of patient medical records f. Assumes accountability for demonstrating behaviors consistent with the customer service policy g. Ability to operate a PC h. Ability to be flexible and handle many tasks at one time, knowledge of Excel and Word. Population Specific Competency: a. Ability to effectively interact with patients/customers with the understanding of their needs for self-respect and dignity Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently Equal Opportunity Employer/Veterans/Disabled $22.61/hr - $27.14/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

John Snow Labs is an award-winning AI and NLP company, accelerating progress in data science by providing state-of-the-art software, data, and models. Founded in 2015, it helps healthcare and life science companies build, deploy, and operate AI products and services. John Snow Labs is the winner of the 2018 AI Solution Provider of the Year Award, the 2019 AI Platform of the Year Award, the 2019 International Data Science Foundation Technology award, and the 2020 AI Excellence Award. John Snow Labs is the developer of Spark NLP - the world's most widely used NLP library in the enterprise - and is the world's leading provider of state-of-the-art clinical NLP software, powering some of the world's largest healthcare & pharma companies. John Snow Labs is a global team of specialists, of which 33% hold a Ph.D. or M.D. and 75% hold at least a Master's degree in disciplines covering data science, medicine, software engineering, pharmacy, DevOps and SecOps. Job Description We are seeking a highly experienced Certified Tumor Registrar (CTR) to join our team as a part-time domain expert and process advisor . This long-term collaboration aims to deepen our understanding of oncology registry workflows, data abstraction standards, and interoperability processes across population-based and hospital-based cancer data systems. The role is ideal for a senior registrar who enjoys sharing expertise, advising on best practices, and helping non-registry professionals translate complex oncology data workflows into digital, interoperable systems.sider? Qualifications Key Responsibilities Serve as a subject matter expert (SME) on cancer registry data standards, abstraction workflows, and reporting requirements. Provide structured walkthroughs of the registry lifecycle - from casefinding, abstraction, coding, QA, to submission and feedback. Advise on the interpretation of data dictionaries, staging schemas, and coding logic used across U.S. registries. Help our team understand the daily workflow of registrars , including interaction with EHRs, pathology feeds, and state/federal reporting systems. Review data models, variable mappings, and potential automation use cases for consistency with registry standards. Participate in periodic review meetings (remote) to guide technical and product teams on oncology data conventions. Provide occasional feedback on UI/UX mockups, training materials, or registry-related data capture prototypes. Qualifications & Experience Certified Tumor Registrar (CTR) credential in good standing (required). 5-10+ years of hands-on experience in cancer registry operations , ideally including both facility-based and central registry settings. Deep familiarity with: Cancer case abstraction, staging, and coding conventions. Data validation and QA workflows. NAACCR-style data items. Common registry abstraction and validation tools used in the field. Reporting workflows to state or national programs (e.g., population-based or accreditation-related systems). Understanding of AJCC, TNM, ICD-O, SSDI, and associated coding frameworks. Excellent communication skills and ability to translate complex registry processes for interdisciplinary teams. Screening Questions Please include detailed answers to the following when applying: Experience Summary: Describe your current or most recent role as a cancer registrar. What types of cases and data systems did you work with (e.g., hospital-based, central registry, or research registry)? Registry Lifecycle Familiarity: Briefly outline the process you follow from casefinding to submission, including your QA and validation steps. Technical Exposure: What registry abstraction or data validation tools have you used most extensively? (You may describe their function rather than naming proprietary systems.) Data Standards Expertise: Which coding manuals and data dictionaries do you use daily, and how do you stay current with annual updates? Teaching / Advisory Experience: Have you ever trained or mentored new registrars, or collaborated with technical teams on data or workflow projects? Availability & Collaboration Style: How many hours per week can you commit? What time zones or scheduling preferences should we con Additional Information Our Commitment to You At John Snow Labs, we believe that diversity is the catalyst of innovation. We're committed to empowering talented people from every background and perspective to thrive. We are an award-winning global collaborative team focused on helping our customers put artificial intelligence to good use faster. Our website includes The Story of John Snow, and our Social Impact page details how purpose and giving back is part of our DNA. More at JohnSnowLabs.com We are a fully virtual company, collaborating across 28 countries. This is a contract opportunity, not a full-time employment role. Engagement Details Type: Part-time / contract (long-term collaboration) Hours: ~8-10 hours per week (flexible scheduling) Location: Remote (U.S.-based) Duration: Ongoing; renewable based on project milestones Compensation: Competitive hourly consulting rate, commensurate with expertise

Certified Coder, Special Investigations Unit Investigator SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days Hybrid / Remote Code with Integrity. Detect with Precision. Join Us as a Certified FWA Coder! Are you a certified coding professional with a sharp eye for detail and a passion for protecting healthcare integrity with experience reviewing medical records? Step into a high-impact role where your expertise helps uncover fraud, prevent waste, and ensure compliance across the healthcare system. We're looking for a Fraud, Waste, and Abuse (FWA) Certified Coder to join our Special Investigations Unit and play a critical role in safeguarding resources and promoting ethical billing practices. This position collaborates with investigators, clinical and compliance staff, and regulatory agencies. Summary: Performs review of medical claims to ensure compliance with industry standard coding practices and plan payment policies through a comprehensive medical record evaluation for all provider types. Determines correct coding and appropriate documentation required while ensuring state, federal and company policies are met. Makes recommendations to Medical Directors, Compliance, Internal Audit and the Fraud, Waste and Abuse (FWA) Committee for investigations and provider communication. Maintains knowledge of current schemes and ensures the SIU processes and procedures reflect industry norms. Formal Education Required: a. Bachelor's Degree, or equivalent combination of education and experience. Experience & Training Required: a. Three (3) years of health insurance or provider office experience to include: clinical review of medical records, and appropriate claims coding b. Three (3) years' experience of ensuring coding is accurate and compliant with federal regulations, payer policies, and organizational guidelines. c. Active AAPC Coding certification - Certified Professional Coder (CPC). d. Accredited Healthcare Fraud Investigator (AHFI) certification preferred. e. LSS Yellow Belt Certified preferred. Essential Functions: 1) Conducts comprehensive medical record reviews to ensure billing is consistent with the information contained in the medical record. 2) Maintains a working knowledge of coding rules and industry coding guidelines. 3) Provides detailed written summary of medical record review findings. 4) Articulates findings to investigators, plan leadership, law enforcement, legal counsel, providers, state regulators, etc. 5) Reviews and discuss cases with Medical Directors to validate decisions. 6) Assist with investigative research related to coding questions, and state and federal policies. Makes recommendations for additional claim edits. 7) Identifies potential billing errors and provides suggestions for provider education and/or plan payment policies. 8) Identifies opportunities for savings related to potential cases resulting in a prepayment review. 9) Maintains appropriate records, files, documentation, etc. 10) Able to travel for meetings and to testify in legal hearings. 3. Other Skills, Competencies and Qualifications: a. Demonstrate intermediate proficiency in MS Office, Project, and database management. b. Maintain excellent working knowledge of process improvement techniques, methodologies and principles applying these in the normal course of operations. c. Demonstrate excellent analytical and problem-solving skills. d. Effectively conduct statistical analyses and accurately work with large amounts of data. e. Ability to apply principles of logical thinking to define problems, collect data, establish facts, and draw valid conclusions. f. Ability to organize and manage time to accurately complete tasks within designated time frames in fast paced environment. g. Maintain current knowledge of and comply with regulatory and company policy and procedures. 4. Level of Physical Demands: a. Sit for prolonged periods of time. b. Bend, stoop, and stretch. c. Lift up to 20 pounds. d. Manual dexterity to operate computer, phone, and standard office machines. As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare.Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Equal Opportunity Employer/Veterans/Disabled $28.10/hr - $42.15/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

CDI (Clinical Documentation) Specialist Full-Time Days - Medical Records Inpatient Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Facilitates concurrent documentation of the medical record to achieve accurate inpatient coding and DRG assignments to ensure the principal diagnosis, comorbidities and principal procedure are appropriate and supported for reimbursement. Reviews chart documentation for quality metric indicators for severity of illness (SOI), risk of mortality (ROM), and risk adjusters (readmission criteria). Educates physician on documentation needs through the query process. Directly works with Physician Advisors as well as the patient's physician to establish concise physician documentation; ensures physician awareness of documentation guidelines in relation to coding guidelines that support appropriate reimbursement. If any type of nursing judgement, nursing practice or medical judgement questions should arise, those questions/concerns will be elevated to the Chief Nurse Executive (CNE). Formal Education Required: a. Graduate of accredited health information management or coding program or a school accepted for candidacy status from an accrediting body OR b. Graduate of an accredited school of professional nursing or a school accepted for candidacy status from an accrediting body c. RHIA, RHIT, CCA, CCS, CCDS, CDIP, CPCH, or CDIP certification preferred Experience & Training Required: a. One (1) year medical records experience (practicum experience will be counted) if graduate of health information management or coding program b. Two (2) years professional nursing experience which should include a combination of medical, specialty and/or surgical care in an acute care setting or utilization review with DRG validation experience if minimum education level is graduate of nursing school Other Skills, Competencies and Qualifications: a. 75% or better on a CDI Specialist Test b. Excellent communication both verbally and written, leadership, organization and interpersonal skills. c. Ability to work within a team environment yet self-motivated, facilitate strategic development, knowledge of accrediting, licensing and compliance requirements d. Extensive knowledge of coding guidelines required e. Extensive knowledge of clinical processes required f. Ability to work in a sometimes stressful environment g. Population Specific Competency: ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity. Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Equal Opportunity Employer/Veterans/Disabled $37.40/hr - $56.11/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

CDI (Clinical Documentation) Specialist Full-Time Days - Medical Records Inpatient Summa Health System is recognized as one of the region's top employers by a number of third party organizations, including NorthCoast 99. Exceptional candidates gravitate to Summa because of its culture, passion for delivering excellent service to our patients and families commitment to our philosophy of servant leadership, collegial working relationships at every level of the organization and competitive pay and benefits. Summary: Facilitates concurrent documentation of the medical record to achieve accurate inpatient coding and DRG assignments to ensure the principal diagnosis, comorbidities and principal procedure are appropriate and supported for reimbursement. Reviews chart documentation for quality metric indicators for severity of illness (SOI), risk of mortality (ROM), and risk adjusters (readmission criteria). Educates physician on documentation needs through the query process. Directly works with Physician Advisors as well as the patient's physician to establish concise physician documentation; ensures physician awareness of documentation guidelines in relation to coding guidelines that support appropriate reimbursement. If any type of nursing judgement, nursing practice or medical judgement questions should arise, those questions/concerns will be elevated to the Chief Nurse Executive (CNE). Formal Education Required: a. Graduate of accredited health information management or coding program or a school accepted for candidacy status from an accrediting body OR b. Graduate of an accredited school of professional nursing or a school accepted for candidacy status from an accrediting body c. RHIA, RHIT, CCA, CCS, CCDS, CDIP, CPCH, or CDIP certification preferred Experience & Training Required: a. One (1) year medical records experience (practicum experience will be counted) if graduate of health information management or coding program b. Two (2) years professional nursing experience which should include a combination of medical, specialty and/or surgical care in an acute care setting or utilization review with DRG validation experience if minimum education level is graduate of nursing school Other Skills, Competencies and Qualifications: a. 75% or better on a CDI Specialist Test b. Excellent communication both verbally and written, leadership, organization and interpersonal skills. c. Ability to work within a team environment yet self-motivated, facilitate strategic development, knowledge of accrediting, licensing and compliance requirements d. Extensive knowledge of coding guidelines required e. Extensive knowledge of clinical processes required f. Ability to work in a sometimes stressful environment g. Population Specific Competency: ability to effectively interact with populations of patients/customers with an understanding of their needs for self-respect and dignity. Level of Physical Demands: a. Sedentary: Exerts up to ten pounds of force occasionally and/or a negligible amount of force frequently. Equal Opportunity Employer/Veterans/Disabled $37.40/hr - $56.11/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay