TriHealth
Remote Jobs
Founded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
32 Jobs
Answering Service Registered Nurse
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join Our Team as an Answering Service Registered Nurse! At TriHealth, we are driven by a shared commitment to excellence and innovation in healthcare. We believe that every test, analysis, and result plays a vital role in our mission to provide the highest standard of care to our patients. Join us in our mission to advance healthcare and improve lives. Job Overview: - Answer incoming calls in a timely manner. - Triage calls using Nurse Triage and excellent customer service, telephone, and communication skills, including tone and accuracy. - Manage calls with "First Call Resolution" in mind. - Collect and document data from patients to provide the best course of action following protocols. - Facilitate care between physicians, hospitals, pharmacies, other specialties of TH, and the patient. - Must obtain and utilize a working knowledge of QGenda, Epic, Cadence, Cisco Phone System, Voalte, and Kronos. - Messages must be complete and thorough, including all nursing/medical advice rendered and routed to the appropriate pool. - Reporting of critical/vital value labs to physicians, call for care instructions, and referral process to ER or use of 911. - Voalte/call physicians for hospital/ER call back requests in a timely manner. - Has the ability to call in Rx's to a pharmacy and place in patient chart for signature from physician after obtaining a telephone order from the physician. - Relay messages to patients from the office and provide a positive experience to whoever is calling after hours. - Patient privacy, confidentiality, and HIPAA are always upheld when entering a patient's chart or providing information on a patient. - Satisfactorily meet department goals and expectations of performance. Qualifications - Associate’s degree in nursing (Required) - 2 - 3 years’ experience in Professional Nursing (Required) - Typing skills - Microsoft Office proficiency - Electronic Medical Charting experience - Phone Skills - Customer Service experience - Registered Nurse - COMPACT (Multi-State) RN- Registered Nurse- State Compact Licensure Requirements - Proactively handles patient complaints and refers to management as needed. - Utilizes downtime by assisting with in-basket messages, projects, or tasks for the department or organization. - Voluntarily takes on ambassador role and helps with orientation training of new hires. - Completes all points of required audit sheet on a consistent basis and maintains an average audit score of 95% or above. - Achieves the goal of minimum utilization of AUX/NOT READY mode during working hours. Goal less than 10% Total timed staffed. - Answers incoming calls working towards "First Call Resolution" with each call. - Adheres to handle time goal average of 6 Mins 30 Sec’s, telephone guidelines such as privacy and PHI review checking name, DOB, phone number, and address and follows Scheduling and Messaging Protocols. - Appropriately triage patient calls utilizing Nurse Triage, accurately documents all nursing/medical advice rendered, accurately documents patient concerns and actions taken on behalf of a patient in the patient's medical record. - Notifies physicians with emergency complaints, referral to ER, and demonstrates competency in clinical care protocols including when to contact 911. Benefits - Comprehensive benefits package, including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Working Conditions - Bending - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting Pulling - Rarely - Pushing - Rarely - Reaching - Occasionally - Reading - Consistently - Sitting - Consistently - Standing - Rarely - Stooping - Rarely - Talking - Consistently - Thinking/Reasoning - Consistently - Use of Hands - Consistently - Color Vision - Rarely - Visual Acuity: Far - Consistently - Visual Acuity: Near - Consistently - Walking - Rarely TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS… - Welcome everyone by making eye contact, greeting with a smile, and saying "hello". - Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist. - Refrain from using cell phones for personal reasons in public spaces or patient care areas. - Excel: ALWAYS… - Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met. - Offer patients and guests priority when waiting (lines, elevators). - Work on improving quality, safety, and service. - Respect: ALWAYS… - Respect cultural and spiritual differences and honor individual preferences. - Respect everyone’s opinion and contribution, regardless of title/role. - Speak positively about my team members and other departments in front of patients and guests. - Value: ALWAYS… - Value the time of others by striving to be on time, prepared and actively participating. - Pick up trash, ensuring the physical environment is clean and safe. - Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. - Engage: ALWAYS… - Acknowledge wins and frequently thank team members and others for contributions. - Show courtesy and compassion with customers, team members, and the community. Job Keywords - Registered Nurse - Nurse - Answering Service
Financial Clearance Representative III
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description At TriHealth, our Financial Clearance Representatives play a critical role in ensuring every patient begins their care journey with clarity, compassion, and confidence. You are at the front line of financial advocacy—helping patients understand coverage, removing barriers to care, and contributing directly to a seamless, trusted healthcare experience. Job Overview: - This position is responsible for verifying patient insurance, confirming benefits eligibility, performing authorization and pre-certification, calculating and estimating patient liability, and/or notification as required by third party coverage providers. - Purpose of this job is to verify that TriHealth patient insurance information is accurate and up to date so payment will be received for services rendered. - This position requires the knowledge to review medical records obtaining information such as diagnosis, prior treatment, signs and symptoms, medication, and other medical information to submit requests for authorizations for surgery, testing, or treatment. Qualifications - High School Degree in Medical terminology course or equivalent knowledge - Knowledge of Medical Terminology - Insurance vocabulary and processes - Government and Non-government third party benefits and coverage rules - Understanding of the impact financial clearance services has on revenue cycle operations and financial performance - 1-2 years experience in Customer Service Healthcare - Dedication to treating both internal and external constituents as clients and customers - Maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality - Background in managed care or patient billing - 1-2 years experience in Technical Healthcare - Must have one year experience in insurance verification or precertification experience - Experience with automated patient account system or online verification systems Requirements - Location: Work from home - Schedule: 8:30 AM- 5:00 PM, M-F Benefits - Competitive shift differentials - Opportunities for professional growth - Comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement - PRN positions not eligible for TriHealth benefits Working Conditions - Climbing - Rarely - Concentrating - Consistently - Continuous Learning - Frequently - Hearing: Conversation - Consistently - Hearing: Other Sounds - Rarely - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting <10 Lbs - Rarely - Lifting 50+ Lbs - Rarely - Lifting 11-50 Lbs - Rarely - Pulling - Rarely - Pushing - Rarely - Reaching - Occasionally - Reading - Consistently - Sitting - Frequently - Standing - Occasionally - Stooping - Occasionally - Talking - Consistently - Thinking/Reasoning - Consistently - Use of Hands - Consistently - Color Vision - Rarely - Visual Acuity: Far - Consistently - Visual Acuity: Near - Consistently - Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS… - Welcome everyone by making eye contact, greeting with a smile, and saying "hello" - Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist - Refrain from using cell phones for personal reasons in public spaces or patient care areas - Excel: ALWAYS… - Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met - Offer patients and guests priority when waiting (lines, elevators) - Work on improving quality, safety, and service - Respect: ALWAYS… - Respect cultural and spiritual differences and honor individual preferences. - Respect everyone’s opinion and contribution, regardless of title/role. - Speak positively about my team members and other departments in front of patients and guests. - Value: ALWAYS… - Value the time of others by striving to be on time, prepared and actively participating. - Pick up trash, ensuring the physical environment is clean and safe. - Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. - Engage: ALWAYS… - Acknowledge wins and frequently thank team members and others for contributions. - Show courtesy and compassion with customers, team members and the community.
Answering Service Registered Nurse
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join Our Team as an Answering Service Registered Nurse! At TriHealth, we are driven by a shared commitment to excellence and innovation in healthcare. We believe that every test, analysis, and result plays a vital role in our mission to provide the highest standard of care to our patients. Join us in our mission to advance healthcare and improve lives. Job Overview: - Answer incoming calls in a timely manner. - Triage calls using Nurse Triage and excellent customer service, telephone, and communication skills, including tone and accuracy. - Manage calls with "First Call Resolution" in mind. - Collect and document data from patients to provide the best course of action following protocols. - Facilitate care between physicians, hospitals, pharmacies, other specialties of TH, and the patient. - Must obtain and utilize a working knowledge of QGenda, Epic, Cadence, Cisco Phone System, Voalte, and Kronos. - Messages must be complete and thorough, including all nursing/medical advice rendered and routed to the appropriate pool. - Reporting of critical/vital value labs to physicians, call for care instructions, and referral process to ER or use of 911. - Voalte/call physicians for hospital/ER call back requests in a timely manner. - Ability to call in Rx's to a pharmacy and place in patient chart for signature from physician after obtaining a telephone order from the physician. - Relay messages to patients from the office and provide a positive experience to whoever is calling after hours. - Patient privacy, confidentiality, and HIPAA are always upheld when entering a patient's chart or providing information on a patient. - Satisfactorily meet department goals and expectations of performance. Qualifications - Associate’s degree in nursing (Required) - 2 - 3 years’ experience in Professional Nursing (Required) - Typing skills - Microsoft Office proficiency - Electronic Medical Charting experience - Phone Skills - Customer Service experience - Registered Nurse - COMPACT (Multi-State) RN - Registered Nurse - State Compact Licensure Requirements - Proactively handles patient complaints and refers to management as needed. - Utilizes downtime by assisting with in-basket messages, projects, or tasks for the department or organization. - Voluntarily takes on ambassador role and helps with orientation training of new hires. - Completes all points of required audit sheet on a consistent basis and maintains an average audit score of 95% or above. - Achieves the goal of minimum utilization of AUX/NOT READY mode during working hours. Goal less than 10% Total timed staffed. - Answers incoming calls working towards "First Call Resolution" with each call. - Adheres to handle time goal average of 6 Mins 30 Secs, telephone guidelines such as privacy and PHI review checking name, DOB, phone number, and address, and follows Scheduling and Messaging Protocols. - Appropriately triage patient calls utilizing Nurse Triage, accurately documents all nursing/medical advice rendered, and accurately documents patient concerns and actions taken on behalf of a patient in the patient's medical record. - Notifies physicians with emergency complaints, referral to ER, and demonstrates competency in clinical care protocols including when to contact 911. Benefits - Comprehensive benefits package, including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Working Conditions - Bending - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting Pulling - Rarely - Pushing - Rarely - Reaching - Occasionally - Reading - Consistently - Sitting - Consistently - Standing - Rarely - Stooping - Rarely - Talking - Consistently - Thinking/Reasoning - Consistently - Use of Hands - Consistently - Color Vision - Rarely - Visual Acuity: Far - Consistently - Visual Acuity: Near - Consistently - Walking - Rarely TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS… - Welcome everyone by making eye contact, greeting with a smile, and saying "hello". - Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist. - Refrain from using cell phones for personal reasons in public spaces or patient care areas. - Excel: ALWAYS… - Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met. - Offer patients and guests priority when waiting (lines, elevators). - Work on improving quality, safety, and service. - Respect: ALWAYS… - Respect cultural and spiritual differences and honor individual preferences. - Respect everyone’s opinion and contribution, regardless of title/role. - Speak positively about my team members and other departments in front of patients and guests. - Value: ALWAYS… - Value the time of others by striving to be on time, prepared, and actively participating. - Pick up trash, ensuring the physical environment is clean and safe. - Be a good steward of our resources, using supplies and equipment efficiently and effectively, and look for ways to avoid waste. - Engage: ALWAYS… - Acknowledge wins and frequently thank team members and others for contributions. - Show courtesy and compassion with customers, team members, and the community. Job Keywords - Registered Nurse - Nurse - Answering Service
Coding Specialist II
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join TriHealth as a Coding Specialist II! Our Medical Coding Specialists play a key role in supporting accurate, compliant, and high‑quality patient care. In this position, you’ll: - Review provider documentation - Assign correct ICD and CPT codes - Research denials - Collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices At TriHealth, you’ll join a supportive, mission‑driven environment where your expertise is valued, and your work makes a meaningful impact. Qualifications - Coding certification (CPC‑A, CPC, CCS‑P, or CCA) - Strong knowledge of ICD‑10‑CM/CPT guidelines - Solid foundation in anatomy, physiology, and medical terminology - 3-4 years’ experience in a related field Requirements - Associate’s degree or equivalent experience accepted in lieu of degree - CPC, CCS-P, CCM, RHIA, RHIT, CCA - Extensive knowledge of ICD-10-CM and CPT coding methodologies - Abstract coding of inpatient and outpatient medical records - Extensive knowledge of medical terminology and anatomy Benefits - Comprehensive benefits package including medical, dental, and vision - Paid time off - Retirement plans - Tuition reimbursement Company Description At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: - Serve: ALWAYS welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces. - Excel: ALWAYS recognize and take personal responsibility to address service breakdowns and improve quality. - Respect: ALWAYS respect cultural differences and honor individual preferences. - Value: ALWAYS value the time of others and be a good steward of resources. - Engage: ALWAYS acknowledge wins and show courtesy and compassion.
Lead Application Engineer - EPIC Hospital Billing
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Under the general supervision and direction of the Applications Manager, this position performs high level technical systems analysis and programming in one or more specialized phases of applications. Also is delegated the responsibility and accountability of managing the application portion of projects from concept to completion. Prepares detailed specifications from which programs will be written. Responsible for understanding customer needs and processes to ensure maximum utilization of automation and system availability. Persons in this position are responsible for program design, coding, testing, debugging and documentation. Works with other Information System teams to ensure the performance of underlying technical infrastructure and software utilization. This position is also accountable for application development, modifications of existing and new systems, customer support, consulting and providing information as appropriate to departments, management and the organization. Scope includes defining and understanding specification, preparing request for proposals, and participating in system acquisition process and implementation. Serves as an example and facilitator to other team members. Job Responsibilities - Supports departmental and organizational processes including customer support and problem resolution in a timely manner to ensure maximum system availability. Provides appropriate escalation of critical issues as necessary. - Performs high quality definition, analysis, design, programming functions and documentation for assigned projects and requests. - Record, track, and document the problem-solving process, including all successful and unsuccessful decisions made, and actions taken, through to final resolution. - Ensures that project solutions - designs, request for proposal, system acquisition, and modification, etc. - meet the goals and objectives of the requesting department. - Provides leadership to ensure project tasks are completed accurately and within the time estimated from the project schedule or scheduled completion date of request. - Attends technical/professional training courses - seminar or self-study - for career development and job responsibility performance. Qualifications - Bachelor's Degree in Information Systems or other relevant fields of study. - Equivalent experience accepted in lieu of degree. - 4-5 years experience in a related field. - Epic Certified in Hospital Billing. - Flexible/adaptable learning and understanding new technologies. - Proven analytical and problem-solving abilities. - Ability to work both independently and in a team-oriented, collaborative environment. - Execute tasks in a high-pressure environment. Requirements - Live within 2.5 hours radius of TriHealth. - On-call rotation expected in this position, per the Information Systems On-Call policy. Working Conditions - Climbing - Rarely - Concentrating - Frequently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Interpersonal Communication - Frequently - Kneeling - Rarely - Lifting <10 Lbs - Consistently - Lifting 50+ Lbs - Rarely - Lifting 11-50 Lbs - Occasionally - Pulling - Rarely - Pushing - Rarely - Reaching - Rarely - Reading - Frequently - Sitting - Frequently - Standing - Occasionally - Stooping - Rarely - Thinking/Reasoning - Consistently - Use of Hands - Frequently - Color Vision - Rarely - Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS… Welcome everyone by making eye contact, greeting with a smile, and saying "hello". Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist. Refrain from using cell phones for personal reasons in public spaces or patient care areas. - Excel: ALWAYS… Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met. Offer patients and guests priority when waiting (lines, elevators). Work on improving quality, safety, and service. - Respect: ALWAYS… Respect cultural and spiritual differences and honor individual preferences. Respect everyone’s opinion and contribution, regardless of title/role. Speak positively about my team members and other departments in front of patients and guests. - Value: ALWAYS… Value the time of others by striving to be on time, prepared and actively participating. Pick up trash, ensuring the physical environment is clean and safe. Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. - Engage: ALWAYS… Acknowledge wins and frequently thank team members and others for contributions. Show courtesy and compassion with customers, team members and the community.
Senior Coding Specialist
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join TriHealth as a Senior Coding Specialist! In this role, you’ll apply your advanced ICD‑10‑CM and CPT knowledge to ensure accuracy, compliance, and optimal reimbursement while working alongside a supportive team that relies on your insight as a subject matter expert. - Abstract codes and assigns both ICD-10-CM and CPT codes based on official coding guidelines and regulations. - Provides coding expertise to outside departments to assist in proper coding and billing. - Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information. - Analyzes medical records and identifies documentation deficiencies. - Serves as a resource and subject matter expert to other coding staff. Qualifications - Bachelor’s Degree or GED (Required) - 3 - 4 years’ experience in a related field, concentration in professional auditing or coding (Required) - Other Certified Pension Consultant (CPC) Required - Other RHIA - Registered Health Information Administrator Required - Other RHIT - Registered Health Information Technician Required - Other CCA - Certified Coding Associate and CCS-P and any applicable dual certification Required Requirements - Abstracts ICD-10-CM and CPT codes for services reported based on clinical documentation. - Identifies discrepancies, potential quality of care, and billing issues. - Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies. - Maintains close working relationships with all departments to ensure appropriate coding and billing procedures. - Responsible for mentoring staff in one or more specialty areas. - Supports coding leads, supervisors, and management in resolving coding issues. - Strong verbal and written communication skills. - Ability to work independently in a remote location with little to no supervision. Benefits - Comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. Working Conditions - Climbing - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Hearing: Other Sounds - Frequently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting <10 Lbs. - Rarely - Lifting 50+ Lbs. - Rarely - Lifting <50 Lbs. - Rarely - Pulling - Rarely - Pushing - Rarely - Reaching - Rarely - Reading - Consistently - Sitting - Consistently - Standing - Occasionally - Stooping - Rarely - Talking - Consistently - Thinking/Reasoning - Consistently - Use of Hands - Consistently - Color Vision - Occasionally - Visual Acuity: Far - Frequently - Visual Acuity: Near - Frequently - Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces. - Excel: ALWAYS recognize and take personal responsibility for service breakdowns and work on improving quality, safety, and service. - Respect: ALWAYS respect cultural and spiritual differences and honor individual preferences. - Value: ALWAYS value the time of others and be a good steward of resources. - Engage: ALWAYS acknowledge wins and show courtesy and compassion with customers and team members.
Coding Educator
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join TriHealth as a Coding Educator! This role puts you at the center of meaningful changes, guiding physicians and coding specialists in: - Accurate documentation - Compliance - Charge capture You will support system-wide initiatives like ICD-10 implementation and HCC education, directly strengthening data quality and elevating care across our physician enterprise. You’ll thrive here if you value collaboration, professional growth, and a culture that truly invests in its people. Apply today and grow your career with a team that truly values you. Qualifications - Bachelor's Degree in Healthcare, Nursing, or related field (Equivalent experience accepted in lieu of degree) - Microsoft Office Suite proficient - Strong communication skills for group and individual audiences - Detail-oriented - Strong organizational skills - AAPC certifications: - Certified Professional Coder (CPC) - Certified Outpatient Coder (COC) - PMI certification: Certified Medical Coder (CMC) - AHIMA certifications: - Certified Coding Specialist-Physician (CCS-P) - Certified Coding Specialist (CCS) - Registered Health Information Administrator (RHIA) - Registered Health Information Technician (RHIT) - 3-4 years’ experience in Professional Healthcare - Minimum of 3 years of coding/auditing experience Requirements - Under the direction of the Coding Manager, responsible for conducting coding education programs for coding specialists and physicians to ensure: - Correct coding - Legal compliance - Complete charge capture - Provides physician feedback, initial and ongoing education, training, and technical support in: - Proper clinical documentation guidelines - Service selection - Charge capture and timely submission - Healthcare data accuracy and coding principles - Coordinates educational opportunities for assigned direct-care providers regarding: - Medical and legal aspects of professional coding - Documentation requirements - Participates in ICD-10 readiness efforts and HCC improvement projects Benefits - Comprehensive benefits package including: - Medical - Dental - Vision - Paid time off - Retirement plans - Tuition reimbursement - Please view our benefits page: TriHealth Benefits Company Description TriHealth is known for supporting its teams with strong leadership, resources, and a commitment to excellence, making it a place where your skills are recognized and your contributions matter.
Coding Specialist I
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join TriHealth as a Coding Specialist I! At TriHealth, our Medical Coding Specialists play a key role in supporting accurate, compliant, and high‑quality patient care. In this position, you’ll review provider documentation, assign correct ICD and CPT codes, research denials, and collaborate with clinical teams to ensure clarity and consistency in documentation and coding practices. Qualifications - Coding certification (CPC‑A, CPC, CCS‑P, or CCA) - Strong knowledge of ICD‑10‑CM/CPT guidelines - Solid foundation in anatomy, physiology, and medical terminology Requirements - High School Degree or GED - CPC-A, CPC, CCS-P, or CCA certification - Knowledge of ICD-10-CM and CPT Coding Guidelines - Understanding of medical terminology, anatomy, and physiology - Experience in related fields Benefits - Comprehensive benefits package including medical, dental, and vision - Paid time off - Retirement plans - Tuition reimbursement Job Responsibilities - Assist with coding/billing questions from both internal and external customers - Follow up on denials, research, and review charts for potential coding issues - Follow up with providers on any documentation that is insufficient or unclear and escalate where necessary - Communicate with other clinical staff regarding documentation trends - Maintain a close working relationship with all departments and internal customers, including leadership - Ensure understanding and compliance with coding protocols, rules, and regulations from government agencies and insurance companies - Maintain knowledge of current coding revisions and effectively communicate changes with providers - Maintain accurate and current CPT and ICD-10-CM resources within the billing and clinical systems - Validate and/or abstract codes specific to diagnoses and procedures, using ICD and CPT codes - Receive and review patient charts and documents to ensure codes are accurate and sequenced correctly - Ensure that all codes are current, active, and billable according to CCI Other Job-Related Information - Successful completion of a certification program from an accredited organization - Strong knowledge of anatomy, physiology, and medical terminology - Excellent typing and 10-key speed accuracy - Commitment to a high level of customer service - Superior mathematical skills - Familiarity with ICD-10 codes and procedures - Solid oral and written communication skills - Working knowledge of medical jargon and anatomy preferred - Able to work independently Working Conditions - Climbing - Rarely - Concentrating - Consistently - Continuous Learning - Consistently - Hearing: Conversation - Consistently - Hearing: Other Sounds - Frequently - Interpersonal Communication - Consistently - Kneeling - Rarely - Lifting <10 Lbs - Rarely - Lifting 50+ Lbs - Rarely - Lifting 11-50 Lbs - Rarely - Pulling - Rarely - Pushing - Rarely - Reaching - Rarely - Reading - Consistently - Sitting - Consistently - Standing - Frequently - Stooping - Rarely - Talking - Frequently - Thinking/Reasoning - Consistently - Use of Hands - Occasionally - Color Vision - Rarely - Visual Acuity: Far - Frequently - Visual Acuity: Near - Frequently - Walking - Occasionally TriHealth SERVE Standards and ALWAYS Behaviors - Serve: ALWAYS welcome everyone, acknowledge when patients/guests are lost, and refrain from using cell phones in public spaces. - Excel: ALWAYS recognize and take personal responsibility for service breakdowns and offer patients priority when waiting. - Respect: ALWAYS respect cultural and spiritual differences, everyone’s opinion, and speak positively about team members. - Value: ALWAYS value the time of others, keep the environment clean, and be a good steward of resources. - Engage: ALWAYS acknowledge wins and show courtesy and compassion with customers and team members.
Facility Clinical Documentation Specialist
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Role Description Join TriHealth as a Facility Clinical Documentation Specialist! In this role, you’ll collaborate closely with clinicians, leaders, and operational teams to strengthen documentation practices, optimize charge capture, and support compliant, high-quality patient care. Your expertise will directly influence organizational performance while allowing you to lead education, process improvement, and system-wide initiatives. The Facility Outpatient Clinical Documentation Specialist (CDS) is responsible for activities which assist the organization with processes for complete and accurate capture of documentation and charges in a compliant manner for the outpatient services rendered. The Outpatient CDS assists clinical areas to understand the relationship of documentation, medical necessity, coding, and charging for all services provided to the highest specificity. The Outpatient CDS provides education and training of staff related to these areas of oversight as well as coordinates with clinicians and providers for ongoing education. The CDS will also coordinate process mapping including information systems flowcharts, revenue capture responsibilities, and charge analysts’ functions. Qualifications - Bachelor’s Degree - Registered Nurse or Licensed Practical Nurse, or Registered Health Information Administrator, or Registered Health Information Technician, ACDIS - Association of Clinical Documentation Integrity Specialists credential, or Certified Professional Coder, Certified Outpatient Coder, or Certified Documentation Expert Outpatient - General understanding of hospital-based outpatient charging, coding, and/or revenue capture functions - Knowledge of APC and OPPS reimbursement structures (preferred) - Strong project management skills - Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads - Skilled ability and comfort with electronic medical records (EPIC preferred), and hospital billing functions - Proficient with personal computer applications (Excel, Word, and PowerPoint) - Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously - Ability to organize and work with minimum supervision at a high level of motivation and initiative while being entrepreneurial, creative, and results-oriented - Strong problem-solving and investigative skills - 5-7 years’ experience of healthcare knowledge typically obtained from experience as a clinical caregiver or manager, coding specialist, and/or a revenue integrity team member Requirements - Regularly conduct chart reviews of clinical departments to review documentation and charge accuracy - Perform shadowing and coaching with key stakeholders in the clinical departments - Perform revenue optimization functions including: - Review of accounts for potential missing documentation, coding, and charging - Identify root cause of missing charges - Educate Clinical and Ancillary Departments - Perform process improvement activities aimed at revenue optimization - Coordinate with the Clinical Departments, Coding, CDM, and other key stakeholders to address and resolve root cause issues - Analyze patient clinical and billing data and conduct chart reviews to identify documentation, coding, and charging opportunities - Summarize findings, prepare reporting and feedback for clinical departments and finance teams - Coordinate projects to build upon documentation improvement and charge capture processes for identified areas of opportunity - Develop and maintain project plans and project tracking, including documentation of project meetings and project issues lists - Maintain current knowledge of applicable regulatory standards, which may impact utilization of processes and systems Benefits - Comprehensive benefits package including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement
Medical Secretary
TriHealthFounded in 1995 as a result of the merger of two existing healthcare organizations, TriHealth is based in Cincinnati, Ohio, and is comprised of two acute-care h
Title: Medical Secretary Location: Cincinnati, OH, United States Job Description: Join Our Cardiology Team at TriHealth! We’re looking for a Medical Secretary who is not only detail-oriented and experienced in medical office operations, but also a team player who is committed to excellence, responsible, and ready to serve others with compassion and professionalism. This part-time role supports the Cardiology Department by coordinating patient care and administrative tasks, including scheduling, transcription, insurance authorizations, and database management. Supports cardiac testing operations by assisting with direct patient care, programming Holter monitors, and performing EKGs. If you thrive in a collaborative environment and take pride in supporting both patients and clinical teams, we’d love to hear from you! Take the next step in your career—apply today and become a valued part of a team that’s making a difference in cardiac care every day. Primary Location: This role is primarily based at our Kenwood location at 8240 Northcreek Drive, Cincinnati, OH 45236. However, occasional coverage at other TriHealth sites may be required, so candidates should be comfortable working at alternate locations as needed. Work Hours: - Part time, 40 hours biweekly - Day shift from 7:30 AM to 4 PM (3 days one week and 2 days the following one) - No weekends or holidays Incentives & Benefits: We offer competitive shift differentials, opportunities for professional growth, and a comprehensive benefits package that may include medical, dental, vision, paid time off, retirement savings plans, and tuition reimbursement. Job Requirements: - Education: High School Diploma or GED (Required) - Experience: 3–4 years in a related medical or administrative field (Required) - Experience involving direct patient care preferred. - Skills & Competencies: Typing speed of 40 words per minute, proficiency in Microsoft Word and Excel, strong filing and organizational skills, knowledge of medical terminology, and experience with insurance authorizations. Job Overview: This is a full-time position that reports directly to the Office Coordinator / Director. This position is responsible for the coordination/secretarial support of the Program. This would include transcription, scheduling appointments, verifying and getting authorization from insurance for therapies, maintenance of the program database, correspondence to physicians, insurance companies, as well as registering the patient for therapy. Will provide statistical data/reports regarding the program. This position may also be called upon to assist the management team with preparation for surveys performed by CARF, JCAHO, Medicare, or other accrediting officials. This position designs and typesets forms utilized by the program as well as other rehabilitation programs, as assigned. May be called upon to provide backup coverage for any clerical positions. Other duties as assigned. Job Responsibilities: - Answers all phone calls courteously and promptly; resolves issues and assists in problem resolution - Assists with filing, transcription, and other duties as needed; may support additional typing requests from other departments - Demonstrates effective time management and utilizes free time productively; minimal use of personal calls - Serves as receptionist at the front desk, greeting all individuals in a Service Excellence manner; ensures paperwork is completed appropriately and facilitates customers to the proper destination - Supports cardiac testing operations by assisting with direct patient care, programming Holter monitors, and performing EKGs as part of routine responsibilities - Seeks ways to improve efficiency; may need to take additional computer classes; proficient in handling multiple schedules and Meditech changes Working Conditions: Climbing - Rarely Continuous Learning - Hearing: Conversation - Occasionally Hearing: Other Sounds - Frequently Kneeling - Occasionally Lifting 50+ Lbs. - Rarely Lifting <50 Lbs. - Occasionally Pulling - Rarely Pushing - Occasionally Reading - Rarely Sitting - Consistently Standing - Rarely Stooping - Occasionally Talking - Consistently Use of Hands - Consistently Color Vision - Occasionally Visual Acuity: Far - Frequently Visual Acuity: Near - Consistently Walking - Frequently TriHealth SERVE Standards and ALWAYS Behaviors At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following: Serve: ALWAYS... • Welcome everyone by making eye contact, greeting with a smile, and saying "hello" • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist • Refrain from using cell phones for personal reasons in public spaces or patient care areas Excel: ALWAYS... • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met • Offer patients and guests priority when waiting (lines, elevators) • Work on improving quality, safety, and service Respect: ALWAYS... • Respect cultural and spiritual differences and honor individual preferences. • Respect everyone's opinion and contribution, regardless of title/role. • Speak positively about my team members and other departments in front of patients and guests. Value: ALWAYS... • Value the time of others by striving to be on time, prepared and actively participating. • Pick up trash, ensuring the physical environment is clean and safe. • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. Engage: ALWAYS... • Acknowledge wins and frequently thank team members and others for contributions. • Show courtesy and compassion with customers, team members and the community Job keywords: Clinic Office Assistant, Medical Office Specialist, Physician Office Specialist, Medical Assistant About Us Careers at TriHealth are diverse. From clinical to administrative, sales to service, our team members contribute skills that are as varied as the services we offer and the people we serve. As an employer, TriHealth demonstrates the organization's values by offering comprehensive benefits packages, competitive wages, and milestone recognition. Explore our career options to help you determine the type of job best for you as well as help narrow your search within our website. We look forward to you joining the TriHealth family! Job Identification309465 Job CategoryAdministrative Job SchedulePart time Locations 8260 Northcreek Dr, Cincinnati, OH, 45236, US Regular or TemporaryRegular ShiftDay
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