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Remote Behavioral Health Utilization Review Jobs in Ohio

Miamioh

$44K - $61K/yr

Job Title Behavioral Health Post Doctoral Fellow Department Student Counseling Worker Type ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

Miamioh

Behavioral Health Post Doctoral Fellow

Oxford, OH · On-site +1

$46K - $62K/yr

Job Title Behavioral Health Post Doctoral Fellow Department Student Counseling Worker Type ... Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami ...

Dove Recovery

Clinical Director

Cincinnati, OH · On-site +1

$76K - $104K/yr

Coordinate and collaborate with the contracted billing company and any internal utilization review ... Master's Degree in a Behavioral Health related field * Active, unrestricted Ohio licensure with ...

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Remote Behavioral Health Utilization Review information

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How much do remote behavioral health utilization review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote behavioral health utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What is a remote behavioral health utilization review?

A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.

What are the typical daily responsibilities for someone working in remote behavioral health utilization review?

In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.

What are the key skills and qualifications needed to thrive in remote behavioral health utilization review, and why are they important?

To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Ohio?

The most popular types of Behavioral Health Utilization Review jobs in Ohio are:

What are popular job titles related to Remote Behavioral Health Utilization Review jobs in Ohio?

For Remote Behavioral Health Utilization Review jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Behavioral Health Utilization Review jobs in Ohio look for?

The top searched job categories for Remote Behavioral Health Utilization Review jobs in Ohio are:

What cities in Ohio are hiring for Remote Behavioral Health Utilization Review jobs?

Cities in Ohio with the most Remote Behavioral Health Utilization Review job openings:

Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Remote Behavioral Health Utilization Review job openings in Ohio as of August 2026, with employment types broken down into 73% Full Time, 16% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

PRN Corporate Coding Specialist

New Vista Behavioral Health

Cincinnati, OH • Remote

$21 - $25/hr

Per diem

Posted 3 days ago

New

Job description

Pay Range: $21 - $25hr
Position Summary

The PRN Corporate Coding Specialist is responsible for accurately reviewing, interpreting, and assigning appropriate diagnosis and procedure codes for behavioral health and related services. This position supports the organization's revenue cycle by ensuring that clinical documentation supports billed services and that coding is accurate, complete, compliant, and consistent with applicable coding guidelines, payer requirements, and organizational policies.

The Corporate Coding Specialist works collaboratively with clinical, billing, utilization review, and other revenue-cycle personnel to identify and resolve coding or documentation discrepancies and support timely and accurate reimbursement.

Essential Duties and Responsibilities
  • Review medical records and clinical documentation to determine appropriate diagnosis and procedure codes.
  • Assign ICD-10-CM, CPT, HCPCS, and other applicable codes based on documented services.
  • Ensure codes accurately reflect the patient's documented diagnoses, services provided, and level of care.
  • Review documentation for completeness, accuracy, medical necessity, and coding compliance.
  • Identify coding discrepancies, missing documentation, and potential billing issues and communicate findings to appropriate personnel.
  • Apply current behavioral health coding guidelines, payer requirements, and organizational coding policies.
  • Assist with coding-related denials, audits, appeals, and reimbursement inquiries as assigned.
  • Conduct coding audits and quality reviews to identify trends, errors, and opportunities for improvement.
  • Maintain confidentiality of protected health information in accordance with HIPAA and organizational policies.
  • Collaborate with clinical and revenue-cycle teams to clarify documentation and coding questions.
  • Maintain current knowledge of changes to ICD-10-CM, CPT, HCPCS, payer requirements, and behavioral health billing practices.
  • Assist with special coding, auditing, and revenue-cycle projects as assigned.
  • Meet established productivity, accuracy, and turnaround-time standards.
  • Perform other duties consistent with the position and organizational needs.
QualificationsRequired
  • High school diploma or equivalent.
  • Must be 21 or older
  • Previous medical coding experience, preferably in behavioral health, mental health, substance use, or another healthcare setting.
  • Knowledge of ICD-10-CM and CPT coding principles.
  • Understanding of medical terminology and clinical documentation.
  • Strong attention to detail and ability to identify discrepancies in complex records.
  • Ability to maintain confidentiality and handle protected health information appropriately.
  • Strong organizational, analytical, and communication skills.
  • Proficiency with electronic medical records and computer applications.

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