- Bon Secours Mercy Health (Cincinnati, OH)
- …zone hours (preferred) **Primary Function/General Purpose of Position** The Program Manager of Pricing Strategies is responsible for collecting and monitoring the ... the development and maintenance of pricing strategies, including strategic bundling of medical services, analysis of payer contracts, and competitive fee reviews. +… 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 (Columbus, OH)
- …CDIP credential strongly preferred. + Extensive experience in DRG validation audits, medical coding or clinical documentation improvement strongly preferred. + ... + Develop, inspire, and retain and high-performing team of DRG coding validation, clinical validation, and readmission auditors through coaching, mentoring, and… more
- CVS Health (Columbus, OH)
- …update the Charge Master and Fiscal Intermediary (FI )updates in Strategic Contract Manager (SCM) for Rural Health Centers (RHC) and Critical Access Hospitals (CAH) ... Intent Reviews requests with operations + Perform necessary SCM audit - correction audit , contract compare + Assist...and presenting to Network Management leadership + Help track coding updates/process- DRG, HIPAA + Maintain a full hospital… more
- PNC (Strongsville, OH)
- …to the company's success. As a Software Engineer Lead within PNC's SST Legal Audit organization, you will be based in Pittsburgh, PA or Strongsville, OH or ... on a regular basis. Some responsibilities may be performed remotely, at the manager 's discretion. Job Description: * Creates and leads the technical design and… more
- Molina Healthcare (Cleveland, OH)
- …+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/ medical reviews of previously denied cases in which a formal… more
- PNC (Strongsville, OH)
- …on a regular basis. Some responsibilities may be performed remotely, at manager 's discretion. This position is responsible for interacting with business leaders, ... such as required attestations, continuity testing, impact analysis, responding to audit /regulatory inquiries and complying with technology standards. PNC will not… 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