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RN Revenue Integrity
3 weeks ago
Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview Kettering Health Miamisburg * Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. * Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. * The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care. * Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning. * 142 bed facility * Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019. * In 2020, KH Miamisburg received an "A" from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States. * Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department. * KH Miamisburg received several awards from Healthgrades: * Outstanding Patient Experience Award (2017-2019) * America's 100 Best Hospitals for Prostate Surgery Award (2020) * Joint Replacement Excellence Award (2020) Responsibilities & Requirements Responsibilities * Work under the direction/supervision of the Manager * Be responsible for analyzing revenue cycle deficiencies in order to prevent billing and regulatory claim edits, claim denials and other related charge capture obstacles by working collaboratively with Patient Access, Case Management, Contract Management, Medical Records and other Kettering Health Network departments * Work closely and collaboratively with Patient Financial Services Commercial and Medicare/Medicaid billing teams for prompt resolution of claim delay issues in compliance with Federal guidelines * Work to maximize revenue potential through the auditing of ALL Observation status accounts (including Observation-to-Inpatient status) * Preparation of and participation in Defensive Audits with outside auditing agencies * auditing of ALL Trauma admissions accounts, the auditing of specialized accounts, such as Blood Transfusion edits and the investigation and resolution of individual account audit requests, including ADR (Additional Development Request) audit requests from CMS and Hydration services denials from all payers * The RN Revenue Cycle Coordinator acts as Patient Financial Services liaison to share audit findings and identify ways to reduce/eliminate revenue cycle barriers through process improvements and to educate ancillary departments on recommended changes and processes Requirements * RN degree from an accredited school of professional nursing and licensed to practice in the State of Ohio. * RN with minimum of 5 years clinical nursing experience * Strong understanding of the Revenue Cycle - Registration, Medical Records, Billing practices and Compliance issues * Strong understanding of medical necessity guidelines * Experience with computers required. Must be able to utilize and navigate the electronic medical record with accuracy and independence * Ability to demonstrate initiative and good judgment in a self-directed role * Ability to clearly communicate with and establish and maintain good rapport with physicians, hospital administration, nurses and other healthcare team members Preferred Qualifications * BS/BSN from an accredited school preferred. * Experience with and/or knowledge of managed care contract terms and federal payer guidelines preferred. * Experience with hospital billing (UB92 form) and coding requirements/guidelines preferred. * Knowledge of federal, state, industry-wide utilization and billing regulations preferred.
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RN Revenue Integrity
1 month ago
Miamisburg, United States Kettering Health Full timeOverview: Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether its by providing care in our facilities, training...
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Revenue Cycle Analyst
23 hours ago
Miamisburg, United States Kettering Health Full timeOverview Kettering Health Miamisburg Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years. Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio. The cornerstone services...
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Charge Registered Nurse
2 months ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionCharge Registered Nurse (RN) 13 Week Internal Assignment - ICU experience HIGHLY preferredDon't need the benefits but want to stay local?! Check out this position at $65 per hour!(No Travel Reimbursement)Patient satisfaction is our ultimate goal and YOU make it possible. To fill this role, you’ll need: RN License in the...
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Charge Registered Nurse
15 hours ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionCharge Registered Nurse (RN) 13 Week Internal Assignment - ICU experience HIGHLY preferredDon't need the benefits but want to stay local?! Check out this position at $65 per hour!(No Travel Reimbursement)Patient satisfaction is our ultimate goal and YOU make it possible. To fill this role, you’ll need: RN License in the...
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Case Manager
2 months ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionCase ManagerThe Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate...
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Case Manager
1 month ago
Miamisburg, United States PAM Health Full timeCase Manager The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate achievement of desired financial and...
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Case Manager
2 weeks ago
Miamisburg, United States PAM Health Full timeCase Manager The Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate achievement of desired financial and...
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Case Manager
2 weeks ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionCase ManagerThe Case Manager is responsible for the interdisciplinary coordination of care for a designated patient population. The Case Manager performs reviews of all inpatient admission records to ensure proper utilization of hospital resources and determination of admission for appropriate level team to facilitate...
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Marketing Consultant
3 weeks ago
Miamisburg, United States Sinclair Broadcast Group Full timePOSITION SUMMARY WKEF-TV in Dayton, Ohio is looking for a marketing specialist and dedicated sales professional responsible for driving growth of assigned accounts, uncovering new opportunities, nurturing strong relationships with existing clients, and establishing a network to support overall account growth. Marketing Consultants are also expected to...
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Director of Nursing
1 week ago
Miamisburg, United States J ROSS LA Full timeWe are looking for a polished Director of Nursing (DON), with experience in Skilled Nursing and Long Term Care for Miamisburg, Ohio. This is a highly rated facility by CMS and has a loyal, tenured staff.The Director of Nursing plans, organizes, develops, and directs the overall operation of the Nursing department to ensure the highest degree of quality care...
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Director of Nursing
2 weeks ago
Miamisburg, United States J ROSS LA Full timeJob DescriptionJob DescriptionWe are looking for a polished Director of Nursing (DON), with experience in Skilled Nursing and Long Term Care for Miamisburg, Ohio. This is a highly rated facility by CMS and has a loyal, tenured staff.The Director of Nursing plans, organizes, develops, and directs the overall operation of the Nursing department to ensure the...
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Marketing Consultant
3 weeks ago
Miamisburg, Ohio, United States Sinclair Broadcast Group Full timePOSITION SUMMARYWKEF-TV in Dayton, Ohio is looking for a marketing specialist and dedicated sales professional responsible for driving growth of assigned accounts, uncovering new opportunities, nurturing strong relationships with existing clients, and establishing a network to support overall account growth. Marketing Consultants are also expected to learn...
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Marketing Consultant
2 weeks ago
Miamisburg, Ohio, United States Sinclair Broadcast Group Full timePOSITION SUMMARYWKEF-TV in Dayton, Ohio is looking for a marketing specialist and dedicated sales professional responsible for driving growth of assigned accounts, uncovering new opportunities, nurturing strong relationships with existing clients, and establishing a network to support overall account growth. Marketing Consultants are also expected to learn...
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Licensed Practical Nurse
4 weeks ago
Miamisburg, United States PAM Health Full timeLicensed Practical Nurse The Licensed Practical Nurse is responsible for providing appropriate nursing care, as directed by an RN on the nursing unit. Functions include gathering and reporting data, carrying out orders, and performing therapeutic procedures on patients in an age and population-appropriate manner, consistent with the policies, procedures and...
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Licensed Practical Nurse
2 weeks ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionLicensed Practical NurseThe Licensed Practical Nurse is responsible for providing appropriate nursing care, as directed by an RN on the nursing unit. Functions include gathering and reporting data, carrying out orders, and performing therapeutic procedures on patients in an age and population-appropriate manner, consistent with...
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Licensed Practical Nurse
2 weeks ago
Miamisburg, United States PAM Health Full timeLicensed Practical NurseThe Licensed Practical Nurse is responsible for providing appropriate nursing care, as directed by an RN on the nursing unit. Functions include gathering and reporting data, carrying out orders, and performing therapeutic procedures on patients in an age and population-appropriate manner, consistent with the policies, procedures and...
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Licensed Vocational Nurse
4 weeks ago
Miamisburg, United States PAM Health Full timeLicensed Vocational Nurse (LVN/LPN) The Licensed Vocational Nurse is responsible for providing appropriate nursing care, as directed by an RN on the nursing unit. Functions include gathering and reporting data, carrying out orders, and performing therapeutic procedures on patients in an age and population-appropriate manner, consistent with the policies,...
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Licensed Practical Nurse
2 days ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionLicensed Practical NurseThe Licensed Practical Nurse is responsible for providing appropriate nursing care, as directed by an RN on the nursing unit. Functions include gathering and reporting data, carrying out orders, and performing therapeutic procedures on patients in an age and population-appropriate manner, consistent with...
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Registered Nurse
2 months ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionWound Care RNPRN - Weekends The Wound Care Registered Nurse is responsible for coordinating wound care therapy into the total nursing care plan for patients; participating in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient team personnel to maintain standards...
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Registered Nurse
2 weeks ago
Miamisburg, United States PAM Health Full timeJob DescriptionJob DescriptionWound Care RNPRN - Weekends The Wound Care Registered Nurse is responsible for coordinating wound care therapy into the total nursing care plan for patients; participating in patient and family teaching and provides leadership by working cooperatively with ancillary nursing and other patient team personnel to maintain standards...