Top 46 Clinical performance improvement coordinator Jobs in Columbus

Epic Denials Management Coordinator
Deloitte —Columbus, OH
- $50,000 - $60,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
1d
Hospice Care Coordinator
Trinity Health At Home —Columbus, OH
- Full-time
- Acute care
- Hospital
- Inpatient
Manager of Family Services
Lifeline of Ohio —Columbus, OH
- Full-time
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Health savings account
Quick Apply
8d
Residential Coordinator
Caregiver —Columbus, OH
- On call
- Management
- Mid-level
- Residential
- On-the-job training
Quick Apply
Full Time Schedule Coordinator
National Church Residences —Dublin, OH
- Weekends as needed
- Word processing
- English
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply
8d
Health Coach Care Coordinator Team Lead
PRESCRIBE FIT INC —Columbus, OH
- Full-time
- Nursing
- Mid-level
- Office
- Paid time off
- Flextime
Quick Apply
Director of Quality, Compliance and Health Information
Solero Behavioral Transitions - Columbus —Pickerington, OH
- Full-time
- 5 years
- Adults
- Rehabilitation center
- Health savings account
- Paid holidays
Quick Apply
Office Administrator
HealingDrive HomeHealth LLC —Reynoldsburg, OH
- $16 - $25 an hour
- Full-time
- Google Workspace
- Nursing
- Microsoft Excel
- Paid time off
Quick Apply
Emergency Medical Services Outreach Coordinator
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Mid-level
- Continuing education credits
Credentialing Program Manager
OhioHealth —Dublin, OH
- Full-time
- Hospital
- Customer service
- Research
Neurological Rehab - Spinal Cord Injury Program Coordinator
OhioHealth —Columbus, OH
- Full-time
- Physical & Rehabilitation Medicine
- Outpatient experience
- Bachelor's degree
- Continuing education credits
Housing Director
BASECAMP RECOVERY LLC —Columbus, OH
- $60,000 - $70,000 a year
- Weekends as needed
- Clean driving record
- Addiction Medicine
- Pass drug screening
- Health insurance
- Dental insurance
Quick Apply
8d
Accounts Receivable Clerk - Home Health & Hospice
Ohio Living —Westerville, OH
- Weekends as needed
- Microsoft Excel
- English
- Mid-level
Quick Apply
Clinical Trainer - Organ Recovery and Preservation
Lifeline of Ohio —Columbus, OH
- $100,000 - $120,000 a year
- Full-time
- Classroom
- Surgery
- Mid-level
- Paid parental leave
- Health savings account
Quick Apply
MDS Special Projects
LionStone Healthcare —Columbus, OH
- $80,000 - $95,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- 3 years
Quick Apply
8d
Peer Support Lead
Forward Health —Columbus, OH
- Full-time
- Clean driving record
- Management
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
EMS/Outreach Coordinator
OhioHealth —Pickerington, OH
- Full-time
- Nursing
- RN License
- Hospital
- Continuing education credits
RN - Clinical Program Coordinator
OhioHealth —Columbus, OH
- Full-time
- Nursing
- RN License
- Mid-level
10d
Organ Recovery Specialist - NIGHT SHIFT
Lifeline of Ohio —Columbus, OH
- Full-time
- Hybrid work
- Surgery
- Mid-level
- Office
- Paid parental leave
- Health savings account
Quick Apply
Formula Room Technician-Nutrition Patient Food
Nationwide Children's Hospital —Columbus, OH
- Part-time
- Basic math
- Ability to climb stairs
- High school diploma or GED
11d

I want to receive the latest job alert for clinical performance improvement coordinator in columbus

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

clinical performance improvement coordinator jobs near columbus

Director jobs in Columbus, OH

Outreach Coordinator jobs in Columbus, OH

Clinical Nurse Coordinator jobs in Columbus, OH

Recovery Specialist jobs in Columbus, OH

Hospice Care Coordinator jobs in Columbus, OH

Trainer jobs in Columbus, OH

Special Projects Coordinator jobs in Columbus, OH

Emergency Management Coordinator jobs in Columbus, OH

Emergency Room Technician jobs in Columbus, OH

Director Of Compliance jobs in Winter Park, FL

Director Band jobs in Georgia

Director Of Compliance jobs in Allentown, PA

Director Of Compliance jobs in Texas

Opwdd Compliance jobs in New York State

Director Of Compliance jobs in North Carolina

Internal Audit Director jobs in Remote

Credentialing Manager jobs in Jacksonville, FL

Remote Credentialing jobs in Florida

Credentialing Manager jobs in Arizona

Credentialing Manager jobs in New York State

Epic Denials Management Coordinator

Deloitte -
Columbus, OH

Apply Now

Job Details

Full-time
$50,000 - $60,000 a year
1 day ago

Qualifications

Appeals
Enterprise software
Accounting software
Clinical information systems
Medical insurance appeals management
Insurance claims appeal handling

Full Job Description

Position Summary

Join Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role supporting enterprise Epic support, with minimal travel and scheduled onsite time as needed.

Recruiting for this role ends on 01/01/2027.

Work you'll do

As an Epic Denials Management Coordinator on the AI & Engineering team, you will be responsible for supporting review denials (835/277 processing) received from third party payers. Conduct Denial categorization and root cause analysis based on remittance information received from payer. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes. Determine appropriate denial responses based on denial reasons. Use appropriate templates to develop denial appeal letters for denials and submit to third party payers. Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or clinical teams as needed. Provide additional documentation to payers as needed to resolve denial issues. Document denial details, research conducted, and follow-up activities conducted in relevant EMR and patient accounting systems. Review AR aging reports and work queues to identify unpaid and delayed claims. Follow up with third party payers on open denials, denial appeals, and other outstanding balances related to denials to understand claim status and payer requirements to adjudicate claim. Provide account information to payers and required and resolve issues related to eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

Adhere to defined SOPs and workflows and work within Epic Resolute Hospital Billing, claims clearinghouse, payer websites and portals, and other systems and required by workflows. Meet and exceed minimum productivity and quality standards; submit to performance improvement plans as required according to guidance from engagement management. A successful candidate would possess these skills:

Ability to work independently and collaborate as part of a team
Effective written and verbal communication skills
Meticulous attention to detail and quality of work product
Ability to build and sustain professional relationships
Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
Strong interpersonal skills and professional demeanor
Ability to meet deadlines

The team

AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements.

Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector.

Qualifications

Required:

1+ years of experience in hospital account denial management and appeals
Experience using Epic Resolute Hospital Billing
Bachelor's degree in information technology, business, healthcare, or a related field; or equivalent experience
Experience working in claims clearinghouse systems
Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve.
Limited immigration sponsorship may be available.

Preferred:

Experience using Microsoft Word, Excel, and PowerPoint
Experience supporting clinical or healthcare business operations
Experience managing multiple projects or workstreams
Experience preparing and delivering technical demonstrations
Experience analyzing billing workflows, claim issues, or operational data

For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Deloitte, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $50,000 to $60,000 with overtime pay possible.

You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.

Apply Now

Refine Your Search

clinical performance improvement coordinator jobs in columbus

Epic Denials Management Coordinator

Hospice Care Coordinator

Manager of Family Services

Residential Coordinator

Full Time Schedule Coordinator

Health Coach Care Coordinator Team Lead

Director of Quality, Compliance and Health Information

Office Administrator

Emergency Medical Services Outreach Coordinator

Credentialing Program Manager

Neurological Rehab - Spinal Cord Injury Program Coordinator

Housing Director

Accounts Receivable Clerk - Home Health & Hospice

Clinical Trainer - Organ Recovery and Preservation

MDS Special Projects

Peer Support Lead

EMS/Outreach Coordinator

RN - Clinical Program Coordinator

Organ Recovery Specialist - NIGHT SHIFT

Formula Room Technician-Nutrition Patient Food

I want to receive the latest job alert for clinical performance improvement coordinator in columbus

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected