Top 9 Clinical auditor Jobs in Columbus

VRCC Director, Business Office
SUN Behavioral Health —Columbus, OH
- Full-time
- HIPAA
- Office
- High school diploma or GED
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
- $54,922 - $107,099 a year
- Full-time
- Remote
- RN License
- Writing skills
- Analysis skills
- Health insurance
Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
- $40.40 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
4d
Full-Time Home Health OASIS Auditor (HCS-O or COS-C )
National Church Residences —Dublin, OH
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Compliance Educator
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Hybrid work
- Nursing
- RN License
- Public speaking
Chief Financial Officer
Council Capital —Dublin, OH
- Full-time
- Hybrid work
- CPA
- Office
- GAAP
8d
Senior Accountant
Madison County Hospital —London, OH
- Full-time
- 7 years
- CPA
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply

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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
4d
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
If licensed, license must be active and unrestricted in state of practice. Implements evidence-based and data-informed key member intervention strategies…
$54,922 - $107,099 a year

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VRCC Director, Business Office
SUN Behavioral Health —Columbus, OH
Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member…
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
If licensed, license must be active and unrestricted in state of practice. Implements evidence-based and data-informed key member intervention strategies…
$54,922 - $107,099 a year

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VRCC Director, Business Office

SUN Behavioral Health -
Columbus, OH

Apply Now

Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

Position Summary:

The Business Office Director reports to the Corporate BOD and is responsible for multiple Hospital account receivables. This includes billing, follow-up/collections, credit balances, payment posting, and collection agencies. The goal of this position is to ensure high quality service for accuracy of information. Compiles composite reports from individual reports of subordinates required by management and government agencies. Assigns duties and examines work for exactness, neatness and conformance to policies and procedures.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

Oversees the billing functions, including the initiation of goals and procedures, overseeing daily operations, and coordinating office efforts to expedite payment of accounts
Demonstrates the ability to direct and coordinate the patient accounting function to consistently produce accurate bills which are paid in a timely manner
Monitors payment posting and balancing cash
Monitors activities continually with collection agencies and insurance companies
Bi-weekly AR meetings with each facility to review AR, collections and insurance issues
Monitors SP balances to ensure accounts are transferred to collection agencies within a timely manner.
Works effectively with auditors as it pertains to patient accounting
Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system
Promotes good staffing practices by maximizing the utilization of human resources; forecasts and anticipates the staff needs of the department with regard to fluctuations in the projected workload; holds staffing at a functional minimum
Effectively maintains all required records for the department; demonstrates good organizational skills.
Monitors insurance and contract tables in WellSky
Resolve/refund AR credit balances
AR Analysis and report findings to Corporate BOD, CFO and VPs
Maintains staff by recruiting, selecting, orienting, and training
Monitor staff performance including performance discussions and evaluation
Monitor and assist staff with work progress
Monitor QA measures closely
Perform other duties as assigned

Safety (15% of performance review)

Strives to create a safe, healing environment for patients and family members
Follows all safety rules while on the job.
Reports near misses, as well as errors and accidents promptly.
Corrects minor safety hazards.
Participates in quality projects, as assigned, and supports quality initiatives.
Supports and maintains a culture of safety and quality.

Teamwork (15% of performance review)

Works well with others in a spirit of teamwork and cooperation.
Responds willingly to colleagues and serves as an active part of the hospital team.
Builds collaborative relationships with patients, families, staff, and physicians.
The ability to retrieve, communicate, and present data and information both verbally and in writing as required
Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
Demonstrates adequate skills in all forms of communication.
Adheres to the Standards of Behavior

Integrity (15% of performance review)

Strives to always do the right thing for the patient, coworkers, and the hospital
Adheres to established standards, policies, procedures, protocols, and laws.
Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
Completes required trainings within defined time periods, as established by job description, policies, or hospital leadership
Exemplifies professionalism through good attendance and positive attitude, at all times.
Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
Ensures proper documentation in all position activities, following federal and state guidelines.

Compassion (15% of performance review)

Demonstrates accountability for ensuring the highest quality patient care for patients.
Willingness to be accepting of those in need, and to extend a helping hand
Desire to go above and beyond for others
Understanding and accepting of cultural diversity and differences

Education

Required: High school diploma or GED.
Preferred: Associates degree
Maintains education and development appropriate for position.

Experience

Required: Three to five years in office management or bookkeeping
Preferred: Previous experience in a behavioral health setting

Apply Now

Refine Your Search

clinical auditor jobs in columbus

VRCC Director, Business Office

Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)

Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)

Full-Time Home Health OASIS Auditor (HCS-O or COS-C )

Compliance Educator

Chief Financial Officer

Senior Accountant

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