24 administrative jobs found

"Our mission, vision, and values are inspired directly from Scripture and guide our work at every level of Catholic Charities." If you are a compassionate and dedicated person looking for an opportunity to make a difference in society, we encourage you to apply. Catholic Charities isn't just an organization that provides help to those in need in our communities-it's a place where employees are encouraged to live purpose driven lives, professionally and personally. Join our team as we provide help and create hope for those in need. At Catholic Charities, we serve everyone, regardless of belief or background, and we employ qualified individuals who commit to our mission with the goal of transforming lives for the better. One need not be Catholic to join our workforce nor to access our services. Billing Specialist- Temporary Catholic Charities is seeking a dynamic individual to assist our Billing team! This assignment will be temporary through the end of 2024. This individual...

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Supervisor Medical Staff Services - St. Elizabeth Youngstown Hospital SUMMARY OF JOB RESPONSIBILITIES: Independently manages all functions of the hospital Medical Staff Office including maintenance of the Medical Staff Bylaws and Manuals, support of the Medical Staff officers in carrying out their duties, management of all credentialing functions, maintenance of the Medical Staff credentialing and privileging database and supervision and evaluation of the Credentials Coordinator and the Medical Staff Secretary. Plans and coordinates all Medical Staff meetings and activities and participates in preparation for and actual visits of all regulatory and accreditation organizations. Serves as a resource for department secretaries or others who are involved in or dependent on the credentialing and privileging process and database. EDUCATION :...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Job Description Aultman Medical Group/Professional-Senior Billing Specialist Position Summary The primary responsibility of this position is to review, analyze and/or assign ICD-10 Diagnosis and CPT Codes for all E & M, procedural and/or surgery codes for professional billing. Also, should be able to code for Professional Inpatient vs Observation status. Other responsibilities include revenue integrity functions including charge capture, timely charge entry, revenue improvement initiatives and compliant documentation review. Job function include communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges. Candidate may also be expected to assist in performing other administrative task as assigned as well as assisting other areas of the Revenue Cycle or Clinical divisions as necessary. Primary Responsibilities Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all...

Chaplain Team Supervisor St. Vincent Medical Center The Chaplain Team Supervisor is responsible for the provision of spiritual care services and supervision of the chaplaincy team at a particular clinical group, a site, and a hospital at BSMH. The Supervisor coordinates scheduling of shifts, addresses staffing needs, and oversees the daily operation of the chaplaincy team. As a clinical chaplain, the Supervisor provides direct patient care and collaborates with other chaplains in addressing the spiritual care needs of patients, families, and staff. As an integral member of the multidisciplinary team, the Supervisor provides spiritual care and emotional support within the context of illness, crisis, loss, and death. The Chaplain Team Supervisor is committed to the Mission and models its core values. Essential Functions: Supervise the chaplaincy team at the assigned clinical group, site, or hospital at BSMH. Manage the daily operation and provision of Spiritual Care....

This is a remote-based position. Applicants can be located nationwide. About You Are you an experienced coder with a background in Profee Outpatient Coding? We are seeking a highly motivated individual responsible for the precise assignment of Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes from both paper and electronic medical records. Share your Profee Outpatient Coding experience with us. Are you a collaborative team player who excels as a self-starter? What sets you apart as a professional who enhances a company’s reputation? Bring your problem-solving skills to manage multiple projects effectively. We are looking for someone exceptional—what makes you unique? If you are dedicated, value teamwork, and uphold integrity and professionalism, we are excited to meet you! About The Position Thoroughly review medical documentation to assign principal and secondary diagnoses and procedures utilizing your understanding of...

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in: The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and...

Medical Coder/ Billing Specialist Pay rate: $23.00 hr on W2 Location: Columbus 43215 OH Duration: 12+ months Shift Timing: 8:00 AM - 5:00 PM Must Have: Medical coding experience. Experience with ICD, CPT, and HCPCS coding systems. Medical coding Certification. Roles and Responsibilities Under general direction, monitors & analyzes policies & procedures in order to organize & implement an accurate & efficient International Classification of Diseases Edition (ICD policy & system support program: serves as medical policy resource, ICD analyst & technical expert advisor for ICD and other coding systems; incorporates relevant ICD policy & guidelines of Agency on statewide basis. As needed, acts as a liaison between ICD unit & other agency departments regarding ICD policy & systems support & coordination; analyzes & interprets federal & state regulations & laws as applicable to program initiatives; monitors & analyzes ICD...

Job Type Full-time Description What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a Billing Coder - FQHC / PPS Specialist. In this role, you'll play a vital part in ensuring financial stability, compliance, and continued mission impact , helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities. We are seeking a highly experienced Billing Coder with deep FQHC expertise for our billing team-particularly in Prospective Payment System (PPS) and Medicare FQHC billing . Essential Job Duties: Serve as a subject-matter expert for PPS and FQHC billing workflows Ensure accurate, compliant coding and claim submission...

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) Mercy Health About Us As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive. Laboratory Support Services Supervisor - Springfield Regional Medical Center Job Summary: The Laboratory Support Services Supervisor is responsible for the day-to-day supervision and oversight of the laboratory operation and personnel performing testing and reporting test reports. The Lab Supervisor assists the leadership team with...

Job Title: Registered Nurse (Rn) We are seeking a Registered Nurse (RN) to review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. This role involves claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure compliance with state and federal regulations. Key Responsibilities: Analyze claims data, medical records, and provider documentation to identify discrepancies, fraud, or non-compliance. Conduct retrospective case reviews, on-site provider audits, and recipient interviews. Review billing practices for upcoding, duplicate billing, and unbundling of services using ICD-10, CPT, and HCPCS manuals. Prepare reports, case findings, and recommend sanctions when violations are identified. Coordinate and participate in teleconferences, hearings, and legal proceedings with the Office of General Counsel and other agencies. Respond to provider complaints and compliance inquiries via...

This Posting is for the BOSC (Bureau of Sentence Computation ) The Job Opportunity and Duties... Requires thorough knowledge of records management in order to complete thorough, in-depth review of all commitments to Department of Rehabilitation and Correction (DRC) as well as sentence modifications and jail credit orders and ensures compliance with Ohio Revised Code (ORC) Calculates and maintains proper and accurate inmate sentences, parole eligibility, release dates, jail time credit, good time credit, and earned credit in accordance with ORC, Administrative Regulations and DRC policies Determines earned credit eligibility and correct application of appropriate sentencing law Oversees and reviews inmate sentence calculations for precise accuracy in compliance with ORC, Administrative Regulations and DRC policies and procedures to ensure proper release of inmates Halts releases when new information is received and recomputes release dates in compliance with court...

divh2Coding Specialist/h2pThis is a PRN (pro re nata/as needed) position. Hours are not guaranteed and will vary based on the needs of the organization. Scheduling is at the discretion of management and may change. PRN employees are not eligible for benefits unless required by applicable law./ppstrongWhy youll want to work at nimble!/strong/ppInterested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building!/ppstrongWho we are:/strong/ppNimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Pharmacy Compliance Auditor 340B Program Join our team as a Pharmacy Compliance Auditor 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Programa federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Minimum Job Requirements: High School Diploma or GED (required) Minimum of 23...

Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Medical Billing Specialist According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Lead Medical Billing Specialist assumes responsibility for performing all general accounting, billings, and bookkeeping functions for the Senior Living Division's Facilities. Essential Functions: Manage accounts receivable for medical billing for the Senior Living Division including, but not limited to: Part A and B Medicare, Medicaid, Home Health, Hospice, Part B, Outpatient, Managed Care, Insurance, and Co-Insurance Billing. Communicates with different insurance carriers for timely payment of our services. Prepares and files insurance claims. Performs modified "triple check" process to validate third party billing/claims. Collects and prepares work papers for audit and cost reports. Audits current billing and collection systems to ensure efficiency, accuracy and...

Medical Billing Specialist Location: Madisonville, OH - In Person Employment Type: Full-Time - In Person Definition and Primary Objective: The Medical Billing Specialist ensures individuals have the financial resources to access and maintain services. This role works directly with individuals, families, and third-party payers to determine eligibility, benefits, and payment options. The Specialist helps remove financial barriers, explains insurance coverage and limits, and assists with financial assistance programs and paperwork. They proactively identify financial issues and collaborate with Intake and Finance Departments to mitigate roadblocks preventing or disrupting service delivery. Qualifications Education: Associate degree in healthcare, billing, accounting, or related field preferred; equivalent experience with high school diploma considered. Experience: Knowledge of public and private health insurance required; experience with electronic medical...

Job Description Job Description Description: JOB TITLE: Medical Certified Professional Biller DEPARTMENT: Administration – Finance – Revenue Cycle Management REPORTS TO: Director of Revenue Cycle Management STATUS: Non-exempt SUMMARY: Responsible for entering and coding patient services into computer system and ensuring encounters transfer properly for submission to insurance payers. Sorts and files paperwork, handles insurance claims, and performs collections/refund duties. ESSENTIAL DUTIES AND RESPONSIBILITIES: Collect, post, and manage patient account payments. Submit claims to insurance payers. Review delinquent accounts and call for collection purposes. Collect unpaid claims and clear up discrepancies Process refund requests to patients and insurance payers. Maintain strict patient confidentiality and information security. Sort and file paperwork. Ensure healthcare facilities are reimbursed for all procedures. Handle information about patient...

Job Description: Title: Medical Billing Specialist Job Code: 64305OH Division: Senior Living Corporate Status: Non-Exempt Reports to: Lead Medical Billing Specialist Revision date: April 2019 Supervises: n/a PURPOSE According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Lead Medical Billing Specialist assumes responsibility for performing all general accounting, billings, and bookkeeping functions for the Senior Living Division's Facilities. ESSENTIAL FUNCTIONS Manage accounts receivable for medical billing for the Senior Living Division including, but not limited to: Part A and B Medicare, Medicaid, Home Health, Hospice, Part B, Outpatient, Managed Care, Insurance, and Co-Insurance Billing. Communicates with different insurance carriers for timely payment of our services. Prepares and files insurance claims. Performs...

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you. Title: Compliance Auditor& Billing Analyst - Oncology Hub Locations : Atlanta, GA; Columbus, OH; Dallas, TX (Preferred) Onsite/Remote/Hybrid: REMOTE position Certification : Active CPC/COC/or ROCC certification (REQUIRED) Industry Experience : Healthcare background (REQUIRED) Experience : 4+ years healthcare coding experience using CPT, ICD10CM,...

GENESIS HEALTHCARE SYSTEM In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an 'owner' of Genesis and keep our patients at the center of everything we do - always. Position Details: Work Shift: Varied Shift (United States of America) Scheduled Weekly Hours: 40 Department: Physician Coding Overview of Position: Works day-to-day on assigned charge review WQ's to review Physicians, Nurse Practitioners and Physician Assistants documentation thoroughly, assigns the appropriate Evaluation and Management code, CPT procedure codes, HCPCS procedure codes, modifiers, and ICD-10 diagnosis code(s) to ensure optimal, correct,...

Job Description Join our team as a Pharmacy Compliance Auditor - 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program-a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Minimum Job requirements: High School Diploma or GED (required) Minimum of 2-3 years of...

Position Type: Administration and Professionals Date Posted: 2025-01-06 Location: Administration or As Assigned INTRODUCTION: CONTEXT AND MISSION The Cleveland Metropolitan School District (CMSD) serves approximately 37,000 students in 100+ schools. Over the past several years, the Greater Cleveland community has united behind the collective goal of ensuring every child in Cleveland attends a high-quality school and every neighborhood has a multitude of great schools from which families can choose. The Cleveland Plan defines CMSD's approach to the reinvention of public education and holds our community accountable for the success of Cleveland's schoolchildren. The Cleveland Plan is supported by Ohio House Bill 525, which provides much-needed flexibility and autonomy for the district and its schools. Our schools have autonomy over human and financial resources in exchange for accountability for performance. The principal has primary responsibility and...