- OhioHealth (Columbus, OH)
- … coding , abstracting, and hospital or professional reimbursement. The HIM Coding Director acts as liaison with other departments/practices to support ... communities. **Job Description Summary:** Responsible for directing all centralized coding functions, including quality, productivity, coder training/education, physician onboarding/education… more
- Evolent (Columbus, OH)
- …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist** Evolent Care Partners is seeking a...Specialist** Evolent Care Partners is seeking a Risk Adjustment Coding Support Manager to be a core member of… more
- ProMedica Health System (Toledo, OH)
- REPORTING RELATIONSHIPS/SUPERVISORY RESPONSIBILITIES This position reports to the Director , Professional Coding , Audit & Education has no direct reports. ... POSITION SUMMARY Conducts audits of physician/provider documentation and coding for office and surgical procedure encounters. Develops and delivers education to… more
- Cleveland Clinic (Independence, OH)
- …most respected healthcare organizations in the world. As a Corporate Compliance Coding /Billing Specialist, you will support the Office of Corporate Compliance by ... Program. In this role, you will conduct billing and coding compliance reviews, monitor regulatory guidelines, and address ...the creation of corrective action plans. + Assist the Director with identifying and analyzing areas of risk. +… more
- Humana (Columbus, OH)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... years of healthcare experience in revenue cycle management (related to billing, coding , collections for Medicare and Medicaid claims) + Experience with Auditing and… more
- Datavant (Columbus, OH)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... and acting on undiagnosed conditions (prospective suspecting) and ensuring risk adjustment coding accuracy in near real-time (concurrent review). You will manage a… more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Premier Health (Dayton, OH)
- …**Full-time/ 80 hours per pay** **General Summary/Responsibilities:** The Associate Program Medical Director role is vital to the success of the Hospitalist Group ... to a team of patients while assisting with administrative duties. Associate Program Director may work Monday through Friday or maintain 7 on 7 off schedule… more
- Elevance Health (Mason, OH)
- **Clinical Documentation and Claims Integrity Director ** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... and community based services. **The Clinical Documentation and Claims Integrity Director ** will lead CareBridge's efforts in diagnostic documentation and claims… more
- Sumitomo Pharma (Columbus, OH)
- …highly motivated, and experienced individual for the position of **Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM ... assessment of ICSRs, including seriousness, expectedness, safety narratives, adverse event coding , concomitant medication coding , and causality statements. +… more