- Cardinal Health (Dublin, OH)
- …drive business value. Application Development & Maintenance performs configuration or coding to develop, enhance and sustain the organization's software systems in ... recently added and the expansion of new businesses. This manager will lead and manage the SAP Run operations...operations for the Maple S/4 system that supports the Medical Canada business, ensuring stable, secure, and high-performing system… more
- Amergis (Cleveland, OH)
- …on a given day, reports absence as soon as possible to the Professional Recruiter Coding Manager , or via established time off request procedures for future time ... of all cases in compliance with CMS policies and procedures and official coding guidelines . Implements medical center's physician query process when code… more
- Datavant (Columbus, OH)
- …headset, and keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in ... attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a...ensuring precision and adherence to documentation + Oversee and audit the work of Level 1 & 2 Coders,… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …clinical and operational excellence. **Summary** Works collaboratively with the Compliance Manager on creating auditing protocols which align with Bon Secours Mercy ... Health's overall compliance audit and compliance responsibilities relative to hospital revenue cycle...Assists in the review of Bon Secours Mercy Health coding , billing and claims processing policies and procedures for… more
- Elevance Health (Mason, OH)
- …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the ... data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those… more
- PNC (Strongsville, OH)
- …Git, Jenkins, Bitbucket, Docker, Red Hat OpenShift(OCP), SonarQube . Compliance & Security: Audit ready workflows and securing coding PNC will not provide ... the field on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. As a Lead Software Engineer, you will be part of a team… more
- Molina Healthcare (Cleveland, OH)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with… more
- Elevance Health (Mason, OH)
- …based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective ... and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes. + Reviews company… more
- Elevance Health (Mason, OH)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. + Researches new healthcare related questions as ... as appropriate regarding approved interventions such as recovery of overpayment, pre-payment audit of claims or putting providers on notice. + Trains new associates.… more
- FirstEnergy (Akron, OH)
- …and compliance of Energy Delivery work management functions. The position reports to the Manager , Accounting Policy and Controls and is an onsite position. It can be ... Facilitating and maintaining SOX Controls and PPE narratives + Supports annual audit inquiries and testing + Assisting in procedure development and adherence related… more