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Cleveland Clinic


Cleveland, OH

Job Category
Health Care-Cleveland Clinic
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Job Title

Revenue Cycle Specialist, CCHS Employees Only Job

Revenue Cycle Spec

CCHS Employees Only
Reference Title
HR Use Only: Revenue Cycle Specialist
Hospital: Main Campus Non-Exempt2
Facility: Cleveland Clinic Main Campus
Department: Inpatient Pharmacy
Job Code: B18008
Pay Grade: 09
Schedule: Full Time
Shift: Days
Hours: 8-4:30
Job Details: - High School Diploma or equivalent Required.

Summary: Evaluates and monitors claims for accuracy prior to claim submission. Ensures accuracy of billing and meets productivity and quality standards.

Job Responsibilities: Analyzes the Unbilled report and the Denial Database to bill charges timely as well as identify trends to avoid future billing delays and denials. Researches, identifies and corrects billing errors. Prepares and maintains sufficient supporting documentation for all billing corrections. Corrects and re-submits re-bills to Third Party Payers. Serves as liaison between Patient Financial Services and other clinical departments. Other duties as assigned.

Education: Knowledge of coding, billing and the Cleveland Clinic revenue cycle. Working knowledge of human anatomy and physiology, disease and processes, demonstrated knowledge of medical terminology and organization of the medical record coding systems.

Experience: Minimum two years experience in a health care environment. Minimum one year experience with ICD-9s, CPTs and/or HCPCS. Knowledge of Cleveland Clinic Billing systems preferred. Licensure/Certification/Registration: Certification from a coding association is required (CMC, CPC, CPC-H, CCS,RHIT) or must be obtained within one year of hire.

Licensure may substitute for experience Physical Requirements: Typical physical demands involve prolonged sitting and dexterity to accurately operate a data entry/PC keyboard. Ability to work under stress and to meet imposed deadlines.

Category: Finance/Information Systems

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