24 jobs found in Cleveland

Job Description Job Description CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.  Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties.  Job Responsibilities: Quality Review - Monitors...

Job Description Job Description CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is...

Job Opportunity At Vitruvian Health At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the regionincluding Hamilton Medical Center and Bradley Medical Centeryou'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our core valuesProfessionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued,...

MSX International in Cleveland is seeking a Warranty Process Review Audit Specialist to audit retailer networks and provide in-depth reviews of warranty processes. Ideal candidates will have a background in automotive audit and dealer service management. This role involves working independently and requires excellent communication skills, problem-solving abilities, and a clean driving record. Travel is required for this position. Join our team to help optimize operations in the automotive industry. #J-18808-Ljbffr

Job Description Job Description CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is...

Bon Secours is seeking a 340B Auditor to monitor compliance with HRSA 340B guidelines across assigned locations. You will perform daily, weekly, monthly and quarterly audits, document results, and support external audits. Responsibilities include reviewing patient eligibility, monitoring 340B purchasing, and data uploads to 340B software systems. Strong Excel and EMR skills preferred. Minimum 1–2 years in pharmacy 340B or hospital/healthcare auditing with excellent communication. #J-18808-Ljbffr

Evolve Therapy Services, LLC in Cleveland is seeking a motivated Compliance Auditor to support the therapy audit and appeals process. This role involves ensuring compliance with Medicare policies and preparing documentation for ADR processes. The ideal candidate will have a degree in related fields and must hold an active therapy license. The company offers competitive compensation and unlimited paid time off, fostering a positive work-life balance. #J-18808-Ljbffr

Evolve Therapy Services, LLC is a leading therapy management organization in the Long‑term care industry. Our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers. We are seeking a Compliance Auditor who is MOTIVATED to work for a company with an EVOLVING culture that provides a POSITIVE work and life balance. JOB SUMMARY The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in the Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES Ensure Medicare Benefit Policy Manual process is being followed in accordance with State & Federal guidelines. Ensure the applicable Resident Assessment...

Evolve Therapy Services in Cleveland, OH is looking for a Compliance Auditor to assist with the therapy audit process and ensure compliance with state and federal regulations. The ideal candidate will have a degree in relevant therapy fields and an active license in the state of practice. The job entails preparing audits, providing education, and participating in the ADR process. The company offers competitive compensation, medical benefits, and unlimited paid time off. #J-18808-Ljbffr

Compliance Auditor Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry. We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers. We are seeking a Compliance Auditor that is motivated to work for a company with an evolving culture that provides a positive work and life balance. Job Summary: The Compliance Auditor is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. Responsibilities and Major Duties: Ensure Medicare Benefit Policy Manual process is being followed in accordance with State & Federal guidelines....

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region-including Hamilton Medical Center and Bradley Medical Center-you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our Values Our core values- Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) -guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a...

Medical Coding Specialist At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee's leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact. Excellence. Every person....

Job Description Job Description COMPETITIVE SALARY + FULL BENEFITS PACKAGE + UNLIMITED PTO + FAMILY ATMOSPHERE Evolve Therapy Services, LLC is a leading therapy management organization in the Long-term care industry.  We may be a newer company by name, but our leadership has dozens of years of experience in therapy operations and clinical excellence for SNF/ALF providers.  We are seeking a Compliance Auditor  that is  MOTIVATED  to work for a company with an  EVOLVING  culture that provides a  POSITIVE  work and life balance. JOB SUMMARY:  The COMPLIANCE AUDITOR is responsible for assisting with the therapy audit/appeals process, including but not limited to, completing therapy audits, identifying trends, providing education, and participating in Additional Documentation Request (ADR) process in accordance with state and federal guidelines and regulations. The compliance auditor will report directly to the Director of Compliance. RESPONSIBILITIES AND MAJOR DUTIES:...

Medical Coding Specialist At Vitruvian Health, we serve with compassion. As northwest Georgia and southeast Tennessee's leading healthcare system, we are committed not only to the health of our communities, but also to the growth, support, and success of our team members. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With over 80 points of access across the region, including Hamilton Medical Center and Bradley Medical Center, we offer the opportunity to be part of something bigger: a connected, mission-driven team changing lives every day. Our core values, Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE), guide everything we do. We believe in empowering our people, celebrating differences, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact. Excellence. Every person....

Vitruvian Health in Cleveland, TN is seeking a Billing Specialist to ensure accurate and timely processing of medical claims for Bradley Physician Services, LLC. The role requires attention to detail, claim follow-ups, and collaboration with patients and providers. The ideal candidate has a minimum of 2 years in medical billing, proficiency with billing software and EHR systems, and solid knowledge of CPT/ICD-10 coding. HIPAA compliance and confidentiality are essential. #J-18808-Ljbffr

The MetroHealth System in Cleveland, OH is looking for a 340B Auditor to conduct compliance-related activities and audits related to the 340B statute. You will also educate employee groups on compliance matters and solve customer service issues. To qualify, you should have a Bachelor's degree in a related field along with relevant work experience, strong analytical skills, and proficiency in Microsoft Office. #J-18808-Ljbffr

Summa Health is seeking a certified coder for a hybrid position based in Akron, Ohio, ensuring compliance with coding practices and analyzing medical claims. The ideal candidate will have strong analytical skills, a solid understanding of coding standards, and the ability to manage time effectively. This position offers a salary range of $28.10/hr - $42.15/hr, along with a comprehensive benefits program. Join a mission-driven health plan committed to quality care delivery and employee satisfaction. #J-18808-Ljbffr

JobRx, Inc. is seeking a compliance officer to oversee activities related to the 340B Program at MetroHealth Medical Center. Responsibilities include conducting audits, educating staff on compliance matters, and ensuring adherence to HRSA guidance. Candidates must have relevant experience in healthcare compliance and possess strong analytical and communication skills. A Bachelor's degree in a related field is required, with a Master's preferred. This role offers an opportunity to impact community health and well-being in an essential healthcare system. #J-18808-Ljbffr

The MetroHealth System is seeking a qualified candidate for a coding position involving assigning diagnostic and procedure codes. The role requires a high school diploma and one or more certifications in health information management. Candidates should possess excellent communication skills and an understanding of health care billing practices. The position includes continuous monitoring of coding accuracy and fulfillment of standards for the department. #J-18808-Ljbffr

A national healthcare staffing agency is looking for a Remote Inpatient Coder to join their team. Candidates must hold certifications like RHIA or RHIT and have a minimum of 3 years coding experience. This full-time role offers competitive pay, benefits including health insurance and 401(k), and the opportunity for continuous professional education. Ideal candidates will have experience in large hospitals and various encoders, with the ability to code 2-3 charts per hour. It’s a remote position based in the U.S. #J-18808-Ljbffr