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This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance and EPIC WQ Reconciliation. KPN Pro Fee Coding SpecialistServes as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines.- Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits- Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10- Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements [CMS LDC/NCD and/or payer policy]- Demonstrate initiative for maintaining current knowledge of CPT, ICD-10 and CMS NCCI...
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Responsibilities - The Health Unit Coordinator/Nursing Assistant (HUC NA) has a dual focus, a combination of the Health Unit Coordinator (HUC) and Nursing Assistant (NA) roles. They serve as a member of the interdisciplinary patient care team. - The HUC NA supports patients with activities of daily living and performs patient care skills as delegated by the licensed nurse within the Ohio Board of Nursing Scope of Practice. - The HUC NA also collaborates with unit leadership in coordinating the day-to-day activities of the patient care unit. This includes the processing of patient records and ongoing communication with nursing staff, physicians, and interdepartmental personnel. The HUC NA serves as a resource for physicians and other members of the health care team for...
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This network-wide position, under the direction of the Pre-Access Manager, Kettering Health, is responsible to facilitate the patient intake process by obtaining and validating precertification’s on scheduled outpatient services, sleep studies, radiation oncology, elective scheduled surgeries and/or additional services as needed. The Representative reviews insurance verification and obtains/validates precertification information when required at each encounter to ensure accurate and complete billing. This highly visible position must be aware of the importance and impact this position has on KH denial and public relations. The representative provides exceptional customer service to our patients, providers and all other departments and is always expected and required to be exhibited Job...
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Position duties include, but are not limited to the following:- Responding to inquiries regarding billing and collection processing in compliance with CBO Patient Financial Services departmental policies and procedures- This position requires working with patients and other callers in response to both hospital and physician billing questions- The position also requires a working knowledge of all insurance payers to answer patient questions- This position also requires a high level knowledge of the types of hospital and professional services- Strong understanding about how denials impact the service related to the patient’s benefit/coverage plan.- Performs other duties as assignedJob Requirements- High school Diploma- 3 years Previous experience in hospital or...
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Position duties include, but are not limited to the following:- Responding to inquiries regarding billing and collection processing in compliance with CBO Patient Financial Services departmental policies and procedures- This position requires working with patients and other callers in response to both hospital and physician billing questions- The position also requires a working knowledge of all insurance payers to answer patient questions- This position also requires a high level knowledge of the types of hospital and professional services- Strong understanding about how denials impact the service related to the patient’s benefit/coverage plan.- Performs other duties as assignedJob Requirements- High school Diploma- 3 years Previous experience in hospital or...
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The Registered Nurse utilizes the nursing process in providing nursing care to patients in all settings incollaboration with other health care providers. The Hospital Float RN specifically provides care in two or morenursing specialties including ICU, Emergency, and Cardiovascular. The Hospital Float RN floats to multipledepartments throughout the system.The RN is accountable for his/her own professional development and practice within the scope of care definedby law. Utilizing organizational resources, the RN acts as a patient advocate for the delivery of safe careincluding delegation of care and participation in performance and practice improvement activities. Thedelivery of nursing care within the Kettering Health Network reflects the missions, vision, values andphilosophies, of...
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Job Responsibilities: - Provide prompt support of customer issues, identifying the root cause and developing creative solutions to correct application problems. Consistently utilizes critical thinking and analytic abilities in seeking and resolving issues- Provide support for assigned applications by maintaining vendor recommended application version. Collaborate with vendor on escalated issues with complex applications- Leads the team through application upgrades and team specific projects- Maintain server health through patching, reboots, and supported software versions- Participate in on-call rotations to provide off-hours application support- Collaborate with stakeholders to understand operational needs, risks and requirements of projects and enhancements. Gather,...
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Responsibilities:- Under the direction of the Patient Accounts Manager or Supervisor the Patient Accounts Representative is responsible for daily billing functions including but not limited to working claim edits, review of insurance claims for accuracy, contacting various parties for further information on unpaid claims, identifying issues resulting in non-payment, and working first level appeals…all incompliance with departmental policies and procedures.- Must display knowledge retention through scheduled competency assessments.- Other duties as assigned. - Essential Skills:- Timely resolution of claim edits allowing timely claim submission- Timely follow-up of unpaid claims, worked to ensure maximum reimbursement following compliant standards- Ability to work...
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Utilizing agile and other applicable IS frameworks as a guide, IT Analyst II team members work as part of a collaborative team to solve customer issues and support healthcare applications and systems. The IT Analyst II utilizes analytical thinking to understand and document requirements and workflows with the goal of maximizing the value created for their customers. The IT Analyst II participates in all phases of the software development lifecycle and performs other duties as assigned.- Provide prompt support of customer issues, identifying the root cause and developing creative solutions to correct application problems. Consistently utilizes critical thinking and analytic abilities in seeking and resolving issues.- Provide support for assigned applications by maintaining vendor...
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Responsibilities - The Health Unit Coordinator/Nursing Assistant (HUC NA) has a dual focus, a combination of the Health Unit Coordinator (HUC) and Nursing Assistant (NA) roles. They serve as a member of the interdisciplinary patient care team. - The HUC NA supports patients with activities of daily living and performs patient care skills as delegated by the licensed nurse within the Ohio Board of Nursing Scope of Practice. - The HUC NA also collaborates with unit leadership in coordinating the day-to-day activities of the patient care unit. This includes the processing of patient records and ongoing communication with nursing staff, physicians, and interdepartmental personnel. The HUC NA serves as a resource for physicians and other members of the health care team for...
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Summary: The Radiologic Technologist II is responsible for performing a wide variety of radiographic examinations, using both fixed and portable equipment including c-arms/surgery. Requirements:- This position requires additional training in imaging in the surgical suite related to specific surgeries, sterile field protection, promoting radiation safety to the patient and surgical staff, etc. - Individuals in this position will work under limited supervision and must be able to exercise independent judgment and initiative. - They need to communicate and work well in the medical environment with much interaction with patients, fellow workers, physicians and others. - They serve all segments of patient populations, including neonates, infants, children, adults and...
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The Community and Government Relations Liaison supports the execution of Kettering Health’s government relations and advocacy strategy by providing legislative monitoring, executive communication support, and stakeholder engagement coordination at the local and state levels. The role also helps facilitate, build, and maintain relationships with key community leaders.This role ensures Kettering Health remains informed, prepared, and professionally represented in interactions with public officials, community leaders, and key external stakeholders. The position operates at the intersection of policy, community engagement, and executive support — translating complex legislative and regulatory developments into actionable insights for hospital presidents and system leadership.The Liaison...
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Responsibilities - The Health Unit Coordinator/Nursing Assistant (HUC NA) has a dual focus, a combination of the Health Unit Coordinator (HUC) and Nursing Assistant (NA) roles. They serve as a member of the interdisciplinary patient care team. - The HUC NA supports patients with activities of daily living and performs patient care skills as delegated by the licensed nurse within the Ohio Board of Nursing Scope of Practice. - The HUC NA also collaborates with unit leadership in coordinating the day-to-day activities of the patient care unit. This includes the processing of patient records and ongoing communication with nursing staff, physicians, and interdepartmental personnel. The HUC NA serves as a resource for physicians and other members of the health care team for...
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Knowledge and Skills Required:- Demonstrates through behavior Kettering Health’s mission, vision, and service standards as outline in the organization’s training.- Exceeds competence and uses critical thinking skills promptly to resolve consumer inquiries within the assigned functional area.- Adheres to all established workflows, scripting, and department greetings.- Creates an exceptional customer experience by setting proper expectations and consistently following through with end-users.- Continuously achieves key department performance objectives such as quality assurance and productivity. - Handles sensitive matters courteously and with professionalism. When appropriate, can escalate to leadership for proper awareness and/or resolution.- Demonstrates consistent and...
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Knowledge and Skills Required:- Demonstrates through behavior Kettering Health’s mission, vision, and service standards as outline in the organization’s training.- Exceeds competence and uses critical thinking skills promptly to resolve consumer inquiries within the assigned functional area.- Adheres to all established workflows, scripting, and department greetings.- Creates an exceptional customer experience by setting proper expectations and consistently following through with end-users.- Continuously achieves key department performance objectives such as quality assurance and productivity. - Handles sensitive matters courteously and with professionalism. When appropriate, can escalate to leadership for proper awareness and/or resolution.- Demonstrates consistent and...
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Job Responsibilities- Demonstrated ability in effectively troubleshooting and repairing of a wide variety of biomedical equipment systems.- Considerable knowledge of electrical safety and medical safety principles.- Ability in the interpretation and applicable of hospital codes, standards, and regulations relating to biomed¬ical equipment in hospital environment- Demonstrable advanced skill in applying electric/electronic circuit theory and operating principles to effectively diagnose biomedical equipment malfunctions.- Demonstrable knowledge and proficiency in the use of advanced electronic test and measurement instrumentation.- Knowledge of the theories of operation, the underlying physio¬logic principles, and the practical, safe clinical application of biomedical...
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Education - Bachelor’s degree in Accounting or a related field. - Master in Business Administration or Accountancy, preferred.- Proven experience (5+ years) in accounting, with 2+ years in a supervisory role, preferably in public accounting or healthcare.- Experience with Single Audits, preferred.- CPA or CPA candidate status (or plans to pursue certification), preferred.Responsibilities:- General Ledger Management:- Maintenance of the general ledger, including testing upgrades and patches.- Management of the Allscripts report writer used for financial statement and other ad hoc reports.- Manage the general ledger and oversee month-end and year-end closing processes.- Account Reconciliation:- Monitor general ledger accounts, ensuring accuracy and timeliness,...
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Job Responsibilities:Utilizing agile and other applicable IS frameworks as a guide, IT Analyst II team members work as part of a collaborative team to solve customer issues and support healthcare applications and systems. The IT Analyst II utilizes analytical thinking to understand and document requirements and workflows with the goal of maximizing the value created for their customers. The IT Analyst II participates in all phases of the software development lifecycle and performs other duties as assigned.- Provide prompt support of customer issues, identifying the root cause and developing creative solutions to correct application problems. Consistently utilizes critical thinking and analytic abilities in seeking and resolving issues.- Provide support for assigned applications...
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Under the supervision of the provider and/or practice manager, assists and delivers patient care duties, and provides administrative support throughout the practice. This position assists the provider in examination and treatment of patients, performing miscellaneous delegated duties under the direction of provider. This position also interviews patients, measures vital signs, and records information in patients' charts. Prepares treatment rooms for examination of patients. The position will be cross-trained to perform duties to enhance efficiency and continuity of delivery of patient care. MA/CMA: Current Medical Assistant certification/registration as CCMA, CMA (AAMA), NCMA, RMA (through AMT) or completion of KHMG Medical Assistant Training Program or MA program through an...
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The Director of Finance has accountability for the overall financial management of the hospital and provides strategic financial leadership to support the organization’s mission, core values, and long-term objectives. This role partners closely with clinical and operational leaders to drive strong financial performance and ensure alignment with organizational priorities. As a member of a multidisciplinary leadership team, the Director collaborates and communicates effectively with system leadership, service line and hospital physicians, executives, and other key stakeholders. The position is responsible for leading hospital labor productivity, overseeing the month-end close process, financial reporting, budgeting, capital planning and management, regulatory and financial compliance, and...