Position responsible for submitting and resolving coding denials/edits for moderate to high complexity medical claims. Must remain current with governmental and third party billing, follow up and appeal requirements for compliant billing and follow up of both inpatient and outpatient claims for all wholly owned facilities and physician entities including internal and exte

Gathers applicable statutes, regulations and documentation and compiles and reports compliance data for product filings to regulatory agencies. Supports workflow associated with statutory and regulatory changes. Follows new or enhanced processes based on research. Assists with responding to state product filing objections. Administers standard regulatory change management

As an essential member of the Revenue Cycle team, Senior Pre cert Specialists ensure authorizations for outpatient testing, ambulatory and inpatient services are obtained before services are rendered. The successful completion of tasks performed by this position, directly impacts denials and reimbursement from third party payers. Senior Pre cert Specialists are skilled in

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. A

The Coding Specialist II provides training, mentoring, and leadership to Coding Specialist I employees. Responsibilities 1.Provides training, mentoring, and leadership to Coding Specialist I employees. 2.Provides daily reconciliation of all clinical services provided. Performs coding function through review and analysis of electronic, paper, or hybrid patient medical reco

The position is visible to clinicians with significant impact on patient safety, JCAHO, HIPAA, departmental and patient workflow. The Clinical Analyst II is responsible for independently providing major enterprise application configuration support as well as other applications as assigned to enhance operational efficiencies and patient safety. Essential Functions Performs

The position is visible to clinicians with significant impact on patient safety, JCAHO, HIPAA, departmental and patient workflow. The Clinical Analyst II is responsible for independently providing major enterprise application configuration support as well as other applications as assigned to enhance operational efficiencies and patient safety. Essential Functions Performs

Conducts accurate and complete cancer case ascertainment according to the requirements of the American College of Surgeons and the State of Ohio. Codes, classifies and indexes stage of disease and treatment information. Runs edits to ensure quality of Registry data. Participates in the American College of Surgeons Commission on Cancer CoC planning activities and understan

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. A

Responsible for research, management and resolution of pre bill edits, and pre bill errors. Conducts and or facilitates any other activities related to regulatory related coding requirements reviews, denials, surgery reservation CPT/PCS code(s) assignment and patient inquiries requiring coding review. Essential Functions Reviews claims edits, from different source systems

Participates in educational and informational activities as required. Required For All Jobs Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. A

Responsible for accurately and timely coding of low to moderate complexity community or tertiary outpatient or inpatient encounters independently following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations. Essential

The responsibility of the Trauma Registrar is to ensure that data entered into the Trauma Database contains detailed, reliable, and readily accessible information needed to support the University Hospitals Cleveland Medical Center Adult Trauma Center and other UH system hospitals with Trauma data collection and reporting. Data that is collected must detail the injury even

As an essential member of the Revenue Cycle team, Access Specialists perform accurate registration, patient estimates, point of service collections and provide exemplary customer service while serving the needs of patients and customers. The successful completion of tasks performed by this position, directly impacts denials, customer satisfaction and decreases bad debt. A