UC Health

Role Description The CDI Educator/Quality Auditor will be responsible for: - Onboarding of new CDI Specialists. - Providing one-on-one, virtual, and recorded clinical documentation and coding education to the CDI team, medical providers, leadership, and other healthcare staff members. - Creating and maintaining the CDS staff education database. - Creating and delivering formal and informal education. - Tracking compliance and responding to requests for education. - Ensuring all education opportunities are available to the CDI department. The CDI Educator/Quality Auditor uses clinical knowledge, code assignment, documentation requirements, and reimbursement methodologies to: - Review the work of clinical documentation improvement specialists. - Improve documentation and patient quality, and capture severity, acuity, and risk of mortality. - Document results to track and trend the success of the overall program. - Provide educational follow-up and identify changes in medical practice that should be reflected in documentation. - Provide targeted feedback to team members on a monthly cadence based upon audit findings. Company Description

Role Description Using established policies and procedures, the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of: - Inpatient cases - Observation cases - Outpatient cases (including clinics, ancillary services, and ambulatory surgery) - Emergency room cases The Certified Coder may also be called upon to code highly complex inpatient records based on experience and skill set, including: - Trauma cases - Burn cases - Open heart cases - Transplant cases Qualifications - Certification as a Coder - Experience in coding inpatient and outpatient cases - Knowledge of medical terminology and coding systems Requirements - Ability to work with established policies and procedures - Strong attention to detail - Ability to handle complex coding assignments Benefits - Opportunities for skill development - Career growth potential - Inclusive and equitable workplace

Title: Sr Patient Accounting Representative, Full Time, First Shift, Remote Location: Cincinnati, OH, United States Department: Not Applicable Job Description: Description Account Management, Check for unpaid claim status, either electronically or by phone. Working with third party carriers or intermediaries. Following standard Operating Departmental Procedures to pursue prompt payment of Hospital claims for assigned financial classes and Payors. Responsible for collaborating with other departments to drive payer collections, communicating process issues and improvements to the Patient Account Lead Responsibilities - Revenue Cycle Performance - Productivity - Quality Reviews - Training and Self Development - Project Work - Other Duties Qualifications - Minimum Required: High School Diploma or GED. Associates or bachelor’s degree preferred. - Minimum 3 years of relevant experience in medical billing and/or collections required. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. - Job Identification22990 - Job CategoryFinance - Locations 3200 Burnet Ave, Cincinnati, OH, 45229, US - For RN positions are you willing to accept New RN graduates?N/A - EmployerUC Health, LLC - Cost CenterUCH-681810-Pat Fin Svc-Billing-Follow-Up - Remote/Hybrid/OnsiteRemote - On Call Required?No - ShiftFirst - Working Hours40 - FTE1.0

Role Description This position will be managing the Physician Coding teams for Radiology, ED and Critical Care. You will be managing a coding staff as well as being a liaison to coding vendors. - Manage all department coding and charge entry activities including coding of reports as required. - Create and execute physician education program on proper documentation to maximize overall reimbursement to include residents, fellows, and faculty. - Act as Department representative to UCPC Compliance Group and ensure Department adheres to all policies set by this group. - Follow-up on all billing related issues including addressing TES edits. Qualifications - Experience in managing coding teams. - Knowledge of coding standards and compliance regulations. - Strong communication skills. Requirements - Proven experience in a healthcare coding environment. - Ability to work collaboratively with various stakeholders. - Detail-oriented with strong analytical skills. Benefits - Opportunity for professional development and career growth. - Access to world-class healthcare resources. - Supportive team environment.

Role Description The Registry Coordinator is responsible for collecting, screening, analyzing, and evaluating data based on individual Registry requirements and Process Improvement initiatives. - Provides support for data analysis and data mining. - Supports improvement in quality of care, cost effectiveness, and evidence-based care to improve patient outcomes. - Collaborates with team members, leaders, and physicians across the organization to support initiatives including abstraction, research, education, and documentation optimization. - Facilitates department process improvement by educating and training interdisciplinary team members on registry quality data measurement, reporting requirements, and updates as dictated by CMS, TJC, STS, ACC, and other reporting entities. - Ensures documented compliance and trends. Company Description

Title: Coder I, Corporate Coding, Full Time, First Shift Location: Remote - United States Department: Not Applicable Job Description: Using established policies and procedures; the Non-certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Non-certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s. • Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. • Maintains an acceptable coding accuracy rating on records assigned. • Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: • Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. • Completes productivity data correctly and timely. Billing edits, coding corrections, DRG changes: • Reviews, researches, and resolves claim edits for billing purposes. • Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: • Reviews educational materials thoroughly and takes responsibility for applying this information when coding. • Seeks to clarify information and educational material when necessary. • Listens actively. • Maintains information and resources in an organized manner so that information can be referenced easily. • Reviews emails timely and thoroughly and responds when indicated. • Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Qualifications - Minimum Required: High School Diploma or GED. Formal education in basic ICD-9CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. - Preferred: Associate's OR Bachelor's Degree in healthcare related field. - Preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). - Minimum Required: 1 year of Acute Care Coding. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer.

Title: Patient Accounting Representative, PBO Follow Up, First Shift, Full Time, Remote Location: Cincinnati, OH, United States Department: Not Applicable Job Description: Description Job Description Under the direction of the Revenue Cycle Manager and Supervisor, the Patient Account Representative is responsible for monitoring insurance claims due to no response, pending response, denial and appeal, and proactively resolve balances billed to insurance carriers by way of accurate claim adjudication. This position may also evaluate and resolve under or over payments and requests for refund from insurance carriers and other duties as assigned. A demonstrated knowledge of the Healthcare Revenue Cycle is required with experience in medical billing and/or insurance reimbursement methods. Prior experience in the Physician Revenue Cycle. LOCATION AND YEARS OF EXPERIENCE: While the position is primarily remote (work from home), on occasion it may be required to work in a normal office environment or travel to the various hospitals and work locations will be necessary. Work hours may vary from time to time depending upon the needs of the business. Regular and predictable attendance is required for this position for both remote and in office duties Responsibilities Knowledge Required: Understanding of Healthcare Revenue Cycle Understanding of the CMS-1500 claim form and required components Understanding of basic coding requirements of the CMS-1500 claim form. Ability to read and understand the Insurance Explanation of Benefits Qualifications Minimum Required: High School Diploma or GED | LICENSE & CERTIFICATION: N/A. Minimum Required: 2 years in a Healthcare Revenue Cycle with demonstrated knowledge of coding concepts, medical billing, insurance reimbursement methods and/or Follow-up of unpaid, underpaid, payment reversal or denied claims. Experience with Epic Revenue Cycle or other HealthCare operating system applications. Experience in various Payer Portals and searching regulatory systems. Experience in Physician Revenue Cycle preferred. REQUIRED - Comprehensive understanding of the Healthcare Revenue Cycle. Experience with basic Medicare, Medicaid and Commercial billing, coding, and compliance rules. Application of analysis methods. Application of effective research and organizational skills. Experience with MS suite of products with emphasis in Excel. SKILLS: To be successful in this role, the following skills should be present: - Ability to self-manage & work independently in a remote environment using successful organizational methods. - Ability to prioritize tasks in a fast paced and occasional stressful environment. - Demonstrated verbal and written communication skill. Incorporates acceptable email etiquette. - Analytical and problem-solving; possessing good judgement and capable of making occasional independent decisions based on provided report requirements. - Flexible. Willing to accept changing demands. Works well under pressure in a diplomatic and expeditious manner. - Team oriented. Works professionally and cooperatively with others. - Attention to detail: Consistently practices accurate documentation. Records research and actions thoroughly in an abbreviated, comprehensive manner. - Computer literate. Comfortable with learning and using software applications. Apply Now Job Info - Job Identification22808 - Job CategoryFinance - Locations 3200 Burnet Ave, Cincinnati, OH, 45229, US - For RN positions are you willing to accept New RN graduates?N/A - EmployerUniversity of Cincinnati Physician Company, LLC - Cost CenterUCH-682802-PBO - Follow Up - Remote/Hybrid/OnsiteRemote - On Call Required?No - ShiftFirst - Standard Working Hours40 - Working Hours40 - FTE1

Title: Coder II, PBO Coding, Full Time, First Shift Location: United States Department: Not Applicable Job Description: Description Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG’s. Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. Maintains a coding accuracy rating of at least 95% on records assigned. Queries physicians when necessary to ensure documentation supports the codes assigned. Coding productivity: Performs coding on medical records in an efficient manner meeting productivity standards and assisting the department in meeting and maintaining its goals. Completes productivity data correctly and timely. Billing edits, coding corrections, DRG changes: Reviews, researches, and resolves claim edits for billing purposes. Reviews records following feedback from payers, auditors and managers and makes corrections to coding, disposition and/or DRG assignment when indicated. Accountability: Reviews educational materials thoroughly and takes responsibility for applying this information when coding. Seeks to clarify information and educational material when necessary. Listens actively. Maintains information and resources in an organized manner so that information can be referenced easily. Reviews emails timely and thoroughly and responds when indicated. Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance. Qualifications - Minimum Required: High School Diploma or GED. - Minimum Required: Formal education in basic ICD-10CM/CPT coding, Medical Terminology, Anatomy/, pathophysiology and disease processes. - Preferred Degree: Associate's Degree in healthcare related field. - Preferred Degree: Bachelor's Degree in healthcare related field. | - Certified Coders are required to be certified in one of the following: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). - Minimum Required: 1 - 2 Years equivalent experience - At least 1 year of Acute Care Coding. At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. Job Info - Job Identification22557 - Job CategoryHealth Information - Locations 3200 Burnet Ave, Cincinnati, OH, 45229, US - For RN positions are you willing to accept New RN graduates?N/A - EmployerUC Health, LLC - Cost CenterUCH-741805-Corporate Coding Services - Remote/Hybrid/OnsiteRemote - On Call Required?No - ShiftFirst - Working Hours40 - FTE1.0

Role Description The Clinical Documentation Improvement Specialist will work with physicians to facilitate appropriate clinical documentation to ensure that the level of services and acuity of care are accurately reflected in the medical record. - Conducts follow-up reviews to ensure that clinical documentation clarified with the physician has been recorded in the medical record. - Ensures that documentation has been coded by the hospital HIM Coding staff. Qualifications - Experience in clinical documentation improvement. - Strong communication skills. - Ability to work collaboratively with healthcare professionals. Requirements - Knowledge of medical terminology and coding guidelines. - Attention to detail and analytical skills. - Ability to manage multiple tasks and deadlines. Benefits - Competitive salary. - Health, dental, and vision insurance. - Retirement savings plan. - Paid time off and holidays. Company Description UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. - In partnership with the University of Cincinnati. - Combines clinical expertise and compassion with research and teaching. - Members include UC Medical Center, West Chester Hospital, University of Cincinnati Physicians, and UC Health Ambulatory Services. - More than 900 board-certified clinicians and surgeons. - National recognition for outstanding quality and patient satisfaction.

Role Description The purpose of this position is to support organizational needs for business intelligence, data reporting, and related metrics to inform decision-making, planning, and continuous improvement across UC Health. Responsibilities revolve around the collection, manipulation, and dissemination of data to support the needs of decision-makers at all levels of the organization. This position will need to have a clear understanding of the data and work with key stakeholders in order to validate accurate results and reconcile discrepancies when necessary. Qualifications - Experience in business intelligence and data reporting. - Strong analytical skills. - Ability to work with stakeholders effectively. Requirements - Proficiency in data manipulation and analysis. - Experience with reporting tools and software. - Strong attention to detail. Benefits - Comprehensive health benefits. - Retirement savings plan. - Opportunities for professional development. Company Description UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching—a combination that provides patients with options for even the most complex situations. Members of UC Health include: - UC Medical Center - West Chester Hospital - University of Cincinnati Physicians - UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons) - Lindner Center of HOPE - Several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.