Oncology Revenue Integrity Specialist

Full-time

Southwest General Breast Center

Company Description Southwest General Health Center is a 368-bed, non-profit hospital serving communities in southwestern Cuyahoga, northern Medina, and eastern Lorain counties. Founded in 1920 by local residents, it maintains a strong tradition of community partnership and commitment to patient-centered care. The hospital offers a full range of medical, surgical, and emergency services, supported by nationally recognized physicians and state-of-the-art technology, including a Level III trauma center. Patients and families benefit from robust social services and support groups that address mental, emotional, and spiritual needs. Guided by the mission “Health is our Passion. Quality is our Focus. Compassion is our Way,” Southwest General emphasizes excellence and individualized attention in every service.
Role Description The Oncology Revenue Integrity Specialist is a full-time, on-site role based in Cleveland, OH, focused on ensuring accurate and compliant oncology and hematology billing and revenue capture. This role involves reviewing clinical documentation, coding, and charge processes to identify discrepancies, optimize reimbursement, and maintain adherence to payer rules and regulatory requirements. The Specialist collaborates with oncology providers, clinical staff, billing teams, and Medical Affairs to clarify documentation, support accurate coding, and resolve denials or underpayments. Daily responsibilities include conducting audits, analyzing revenue trends, supporting process improvements, and preparing reports and recommendations to enhance revenue integrity. The role also contributes to staff education on oncology-specific coding, billing practices, and compliance standards.
Qualifications

Candidates should possess strong knowledge in Oncology and Hematology to accurately interpret clinical documentation and treatment plans.
Candidates should possess expertise in Medicine and Medical Affairs to collaborate effectively with clinicians and ensure alignment with clinical and administrative standards.
Candidates should possess solid Research skills to analyze data, identify revenue integrity issues, and support continuous process improvement.
Candidates should have proven experience with healthcare revenue cycle, coding (CPT, HCPCS, ICD), and billing practices, preferably in an oncology setting.
Candidates should demonstrate proficiency in regulatory compliance, payer guidelines, and documentation standards related to oncology services.
Candidates should have strong analytical, problem-solving, and detail-oriented skills, with the ability to interpret complex clinical and financial information.
Candidates should exhibit effective communication and collaboration skills to work with interdisciplinary teams and provide clear education and feedback.
Relevant certifications such as CPC, CCS, or CHONC and a background in health administration, nursing, or related fields are highly beneficial.

Apply

Vacancy posted 17 hours ago

Similar jobs that could be interesting for youBased on the Oncology Revenue Integrity Specialist in Cleveland, OH vacancy

Integration Specialist
...you to be in the Greater Cleveland, OH Area We are presently in a hybrid schedule, 2 days on campus and 3 days WFH The Integration Specialist's responsibilities include providing support to business partners for the authentication of end users of OverDrive apps and...
Suggested
Work at office
Work from home
OverDrive
Cleveland, OH
8 hours ago
System Integration Specialist (on-site)
...looking for a career that’s exciting, meaningful, and full of opportunity, Arrow is the place to be. Position: System Integration Specialist SUMMARY OF ESSENTIAL FUNCTIONS • Responsible for integrating electronic systems, including hardware, software, and firmware...
Suggested
Arrow International Inc
Cleveland, OH
6 days ago
Management Consulting Delivery Specialist , Scientific and Laboratory Informatics
...9,000 clients and generated approximately $70 billion in FY25 revenue. Visit us at .Our Laboratory Reinvention practice is where scientific... ...user experience to help our clients better capture, manage, integrate, and analyze complex scientific data. We help improve the...
Suggested
Full time
Live in
Work at office
Local area
Accenture
Cleveland, OH
1 day ago
Senior Oncology Specialist - Sapphire - - Cleveland, OH
$140.47k - $190.04k
...toughest diseases. With our focus on four therapeutic areas -Oncology, Inflammation, General Medicine, and Rare Disease- we reach millions... ...patients, we are actively searching for a Senior Oncology Specialist to deliver on this commitment to patients. Amgen Oncology is...
Suggested
Full time
Local area
Remote work
Flexible hours
Amgen
Cleveland, OH
2 days ago
Specialist, Contracts & Billing
...while upholding our I.C.A.R.E. values: Integrity, Customer Service, Accountability, Respect... ...visit: The Project Accountant (C&B Specialist) is responsible for the accounting and financial... ...equipment). This includes maintaining revenue and COGS by project, monitoring of...
Suggested
Contract work
For contractors
For subcontractor
Work at office
Local area
TriMark USA, LLC
Cleveland, OH
19 hours ago
Specialist Director, Service Management Office (SMO) - Cyber Engagement
...in Advisory.KPMG is currently seeking a Specialist Director, Service Management Office (SMO... ...Services practice.Responsibilities:Own integrated service performance across cyber workstreams... ...finance leaders on forecasting, budget, revenue protection, margin, productivity, and...
Contract work
H1b
Work at office
Local area
KPMG
Cleveland, OH
2 days ago
Agency Appointment Specialist I
$17 - $24 per hour
OverviewThe Agency Appointment Specialist will support the effort to onboard, document and maintain partner agencies, and may include providing... ...diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see...
Full time
Work at office
Flexible hours
AmTrust
Cleveland, OH
2 days ago
Specialist - Metals and Critical Minerals
$192k
...tangible impact by offering innovative ideas and practical solutions, all while upholding our unwavering commitment to ethics and integrity. We not only encourage diverse perspectives, but they are critical in driving us toward the best possible outcomes.Global community...
Apprenticeship
Work at office
Local area
Easy work
McKinsey & Company
Cleveland, OH
2 days ago
Maintenance and Repair Specialist
$50k - $60k
...Maintenance and Repair Specialist Location: Cleveland, OH Opportunity: Direct Hire Salary: This is a non-exempt, hourly position... ...: Our transportation and logistics client, with an annual revenue of over $200 million, has generated consistent growth through...
Hourly pay
Full time
CRG
Cleveland, OH
4 days ago
Control Systems Field Specialist
...Control Systems & Field Specialist Cleveland, OH BH Solutions Group is an Executive Recruiting and consulting firm located in Akron... ...PLC Programming would be a plus. Strong understanding of integrated mechanical systems and pneumatics. Prior experience with mining...
Full time
BH Solutions Group
Cleveland, OH
4 days ago
Import Specialist
...quotes for shipments and source best method of transportation. Continue to explore different options to reduce cost, and increase revenues. Track and trace shipment and provide updates to clients and sales. Uphold a strong and professional relationship with...
Full time
Overseas
Flexible hours
Savino Del Bene
Cleveland, OH
1 day ago
OnSite Specialist - Cleveland, OH
$21.58 - $29.2 per hour
...basedScope of Work Summary (Operating Room Support): The OnSite Specialist provides in-room support for minimally invasive surgical (MIS)... ...Responsibilities: Set up Stryker towers, booms, lights, and integrated suite systems per surgeon preference. Confirm equipment functionality...
Full time
For contractors
Immediate start
Stryker
Cleveland, OH
9 hours ago
Continuous Improvement Specialist
...titanium structural parts and forged wheels. With $8.3 Billion in revenue in 2025, our products play a crucial role in enabling fuel... ...techniquesHowmet Aerospace is searching for a Continuous Improvement Specialist to join our Howmet Wheel Systems (HWS) business unit. This...
Permanent employment
Worldwide
Howmet Aerospace
Cleveland, OH
8 hours ago
Maintenance Specialist
$23 - $25 per hour
...Our client has an IMMEDIATE NEED for a dedicated Maintenance Specialist who can assist with general labor and basic repairs between two... ...potential safety or building code violations. Maintaining integrity of the community by ensuring confidentiality of resident and company...
Temporary work
Immediate start
Career Connection Network
Cleveland, OH
4 days ago
Behavioral Health Specialist, Bilingual
...Operations and reporting to the Team Supervisor, The Behavioral Health Specialist participates in the clinical team by providing care and care coordination to individuals with mental health needs. Provides integrated care by ensuring that whole person health needs are met,...
Work at office
The Centers for Families and Children
Cleveland, OH
8 hours ago
Denials and Appeals Specialist
$28 - $35 per hour
...or near Beachwood, OH are strongly preferred. Reports To: Revenue Cycle Manager Lucas James Talent Partners is partnering with... ..., on a direct hire opportunity for a Denials & Appeals Specialist. This is a remote revenue cycle role focused on ownership...
Hourly pay
Work at office
Local area
Remote work
Phothera Phototherapy
Cleveland, OH
4 days ago
Enterprise Reporting Specialist
...Description Job Description We are seeking an Enterprise Reporting Specialist to administer NASA’s Office of Strategic Infrastructure (OSI)... ..., ensuring optimal performance, availability, and secure integration with Power BI reporting environments. Build custom reports...
Work at office
EMCO Technologies
Cleveland, OH
26 days ago
Proposal Specialist
$53k - $72k
...exciting opportunity with us. Position Summar y The Proposal Specialist supports end-to-end proposal and pursuit efforts, from... ...importance of a welcoming work culture and quality work-life integration to support our staff as we grow together. We are proud to...
Work at office
Remote work
Flexible hours
Novogradac & Company LLP
Cleveland, OH
21 hours ago
EHS Specialist
...businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $8.3 Billion in revenue in 2025, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers' success...
For contractors
For subcontractor
Work at office
Local area
Howmet Aerospace
Cleveland, OH
5 days ago
Production Specialist
$54.46k - $81.55k
...territory. Your Impact Production Sales Specialist responsibilities include: Support the... ...approximately $28.5 billion in global revenue, its parent company, Canon Inc., as of 2... ...and a cooperative spirit. We believe in integrity, respect, empowerment, and making a...
Full time
For contractors
For subcontractor
Casual work
Work at office
Local area
Remote work
Work from home
Canon USA & Affiliates
Independence, OH
2 days ago
Asset Protection Specialist
...Asset Protection Specialist | Home DepotPosition Purpose:The Asset Protection Specialist is primarily responsible for preventing financial... ..., vendors, customers, and the Company. They must demonstrate integrity at all times, respond to asset protection and operational...
Home Depot
Cleveland, OH
2 days ago
Intervention Specialist
$43.5k - $55k
...Intervention Specialist ACCEL Schools is seeking highly qualified Intervention Specialist at NorthStar School of Innovation & Leadership... ...-based best practices in daily planning and instruction. Integrate culturally responsive teaching practices into daily lessons...
Temporary work
Work at office
Local area
NorthStar School of Innovation & Leadership
Cleveland, OH
3 days ago
Cyber Digital Trust and Online Safety Specialist/Sr Consultant
$105.4k - $207.8k
...will monitor regulatory changes, manage risks, and enhance our organization’s approach to content safety, user trust, and online integrity.Recruiting for this role ends on 12/31/3026.Work you'll doAs a Senior Consultant, Strategy, Growth, and Transformation on the Deloitte...
Local area
Visa sponsorship
Deloitte
Cleveland, OH
1 day ago
Virtual Intervention Specialist
$48k - $52k
...Accel Schools is seeking highly qualified virtual Intervention Specialists who believe every student deserves high-quality instruction... ...research-based best practices in daily planning and instruction Integrate culturally responsive teaching practices into daily lessons...
Temporary work
Work at office
Local area
ACCEL Schools
Cleveland, OH
5 days ago
Portfolio Analytics & Strategy Specialist (Fraud Model Analyst)
$91k - $169k
...success. As a Portfolio Analytics & Strategy Specialist (Fraud Model Analyst) within PNC's... ...implementation as well as data quality and integrity. Confirms the reviews of complex reports... ..., assist in managing risk, increase revenues, reduce exposure to losses, meet business...
Full time
Temporary work
Part time
Work experience placement
Work at office
Remote work
The PNC Financial Services Group
Cleveland, OH
9 hours ago
Yard Specialist
...hands-on with equipment? At Leppo Rents, we're looking for a Yard Specialist who takes pride in keeping things running smoothly. This is an... ...twisting, pushing, and pulling A safety-first mindset with integrity and reliability Mechanically curious - interested in...
Local area
Monday to Friday
Weekend work
Afternoon shift
Bobcat of Jacksonville
Cleveland, OH
5 days ago
Housing Specialist
...Housing Specialist Join EDEN as a Full-Time Housing Specialist and play a vital role in impacting lives in the Cleveland community! This... ...pay, you'll be rewarded for your dedication to excellence and integrity. You will have benefits such as Medical, Dental, Vision, 401(k...
Full time
Work experience placement
Monday to Friday
EDEN Inc
Cleveland, OH
3 days ago
Intervention Specialist
$45.5k - $55k
...SchoolACCEL Schools is seeking highly qualified Intervention Specialists at Euclid Preparatory School in Cleveland, Ohio dedicated to providing... ...-based best practices in daily planning and instruction.Integrate culturally responsive teaching practices into daily lessons...
Temporary work
Work at office
Local area
Euclid Preparatory School
Cleveland, OH
4 days ago
Lead Specialist, Cloud Security
$114.1k - $268.18k
...consider a career in Advisory.KPMG is currently seeking a Lead Specialist, Cloud Security to join our Managed Services practice.... ...requirements, and continuous service improvement initiatives.Act with integrity, professionalism, and personal responsibility to uphold KPMG's...
H1b
Local area
KPMG
Cleveland, OH
1 day ago
Infectious Disease Specialist
...4 for a full time board-certified/eligible Infectious Disease Specialist with a commitment to clinical care and academics. Responsibilities... ...with experience and credentials. MetroHealth is an integrated health system with an acute care hospital housing a Level I Adult...
Full time
The MetroHealth System
Cleveland, OH
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Oncology Revenue Integrity Specialist. Be the first to apply!