Remote Cardiovascular Quality Data Coordinator - Danbury Hospital Quality Data
Nuvance Health Job In Danbury, CT Or Remote
at Danbury Hospital
*Please read this job description carefully. Candidates not having the required experience will NOT be considered*Title: Cardiovascular Quality Data Coordinator - DH Quality Data department - Full time/40 hours per week, Flexible Schedule, Remote. Required Experience: Experience in NCDR Cath/PCI Registry and New York State DOH PCIRS is a plus. Summary: Works to support the Quality Data Specialists to support all registry functions including data collection, data entry, data submission, quality reports and outcomes report review/analysis for the NCDR Cath/PCI and New York State DOH PCIRS Registries. Supports daily operations of the Quality Data Department utilizing knowledge of the registry products and Services.A successful candidate for this role will be able to:
Conduct in-depth chart review utilizing clinical knowledge and expertise using applicable criteria and definitions established by the assigned registry.
Ensure the accurate and timely abstraction and submission of data into the registry platforms
Assisting in analyzing data prior to submissions and tracking adverse events, metric outliers, and all key outcome variables.
Participate in Interrater reliability (IRR's) of Registry Cases.
Demonstrate proficiency in Microsoft Office Suite of products.
Responsibilities:1. Performs in-depth chart review with clinical knowledge of cardiovascular services. Collect and enters data for various cardiovascular data registries. Independently, accurately and completely perform validation of data prior to submission.2. Analyzes data for service line. Analyzes prior to submissions, data includes adverse events, metric outliers, and all key outcome variables. Reviews and analyzes data in published outcomes reports.3. Identifies opportunities for improvement. Prepares presentations for Cardiovascular service line meetings.4. Accountable for ensuring deadlines for active databases managed in the Quality Data Department, are met as required.5. Works with the team to identify trends in data and reports to supervisor. Reviews and interprets outcomes reports.6. Collaborates with IT, physician experts and other staff. Assists in ongoing development and implementation of registries.7. Assists in preparation for service line meetings. Periodically meets with physician champions from each data registry to review all adverse events/deaths and opportunities for improvement as identified through review of data.8. Utilizes registry definitions when abstracting data elements and be familiar with interpretation of medical information to assist in adjudicating events. Prepared to attend registry meetings as needed.9. Prepares materials to educate Cardiovascular service line staff as appropriate when data collection elements or processes change.10. Works with team to analyze and validate deficiencies in the data and works with team to correct prior to submission. Participates in monthly registry conference calls and webinar training.11. Fulfills all compliance responsibilities related to the position.12. Maintains and Models Nuvance Health Values. 13. Demonstrates regular, reliable and predictable attendance. 14. Performs other duties as required. Other Information:Education/Experience Requirements: Bachelor Degree and minimum of three years job-related experience or Associates Degree and minimum of six years job-related experience. Excellent verbal and written communication skills. Clinical Research, Database/Data Registry Management, or Medical Records Management/Coding. Proficiency with Office Software specifically MS Excel, Word, & PowerPoint. Salary Range: $32.23 - $59.86 hourly (Rate of pay based on relative experience)
Manager Strategic Labor Relations East
Danbury Health Systems Job In Danbury, CT Or Remote
Nuvance Health has a network of convenient hospital and outpatient locations - Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care. Non-acute care is offered through various affiliates,
Summary:
The Strategic Labor Relations Advisor (Eastern Region) plays a pivotal role in fostering positive and productive labor relations across Nuvance Health. Reporting to the VP, Chief Employment Counsel & Labor Relations Director, the Strategic Labor Relations Advisor (Eastern Region) is responsible for delivering against the systemwide labor relations strategy and managing the labor relations initiatives for the Eastern Region of Nuvance Health, including its 4 Connecticut hospital locations and the workforce covered under their 7 collective bargaining agreements. The Strategic Labor Relations Advisor provides both day-to-day, on-the-ground and strategic level advice on labor matters to the Human Resources ("HR") Business Partner team, management and hospital leadership in the region. They will serve as a subject matter expert in labor relations for the region and be responsible for ensuring that the needs of the region with respect to collective bargaining, contract interpretation and administration, union relationship-building, grievances, organizing responses, employee relations, and related policy work, training and development are met. The Strategic Labor Relations Advisor will play a critical role in maintaining established union relationships in the region. The advisor serves as a key member of the Nuvance Health Labor Relations team, and an extended team member of the HR Director for Norwalk Hospital and the AVP of HR for the Eastern Region. This position is hybrid with opportunity to work remotely a few days a week, when possible. The primary location is Danbury Hospital in Danbury, Connecticut but the position is expected to work from Norwalk Hospital at least one day per week and frequent the other CT hospitals.
Responsibilities:
* Provides expertise in strategy development, planning and execution of positive employee and labor relations initiatives.
* Delivers initiatives against Nuvance Health's labor strategy that optimize partnership with the unions, mitigate risks of disruption and maintain Nuvance Health's commitment to positive and productive employee and labor relations.
* Partners with members of the Labor Relations team to ensure consistency in approach and labor relations strategy across the organization.
* Provides strategic recommendations and plans for the labor relations needs of the Eastern Region, while also considering systemwide business and operational needs, across multiple bargaining units, contracts, and stakeholders.
* Serves as primary advisor to hospital leadership, management and the HR Business Partner team on all day-to-day labor relations inquiries and issues in region.
* Collaborates and develops strong partnerships with the HR Business Partner team in region to provide subject matter expertise on labor matters and partner with them to collectively assess trends, vulnerabilities and opportunities for development.
* Supports the HR Business Partner team with employee relations matters, including investigatory processes, performance management, corrective actions, terminations, and any potential grievances or settlements.
* Fosters positive, productive, and effective working relationships with union leadership, including local and regional representatives, that includes ongoing dialogue and open communication but also ensures contract compliance, drives proactive resolution of issues, and establishes balanced expectations for collective bargaining.
* Serves as a key member of the collective bargaining team. Leads the development of contract negotiation strategy through a collaborative approach with leaders, the HR Business Partner team and labor counsel, consistent with the priorities defined by executive leadership. Prepares bargaining proposals, second chairs negotiations and partners with internal and external labor counsel to develop and execute the negotiation strategy. Prepares and maintains strike contingency plans and engages with strike staffing firms, when necessary.
* Leads the operationalization of contract terms upon ratification of new or updated contracts and on an ongoing basis, ensuring that all stakeholders are held responsible for the implementation of changed or new terms. Coordinates cross-functional teams to promptly resolve any implementation issues that arise.
* Leads any mid-contract bargaining efforts, coordination of Memorandums of Agreement, and notification, discussions or bargaining processes regarding new programs or policies that impact the Eastern Region unionized workforce in collaboration with the HR Business Partner team and stakeholders, and in consultation with labor counsel. Responsible for communications with the unions regarding any such new programs or policies.
* Represents management and their initiatives in all meetings with union representatives, including labor management meetings.
* Creates and implements a comprehensive positive employee relations plan across the NY hospitals on an ongoing basis, including execution of annual vulnerability assessments and subsequent action planning and delivery.
* Develops and leads educational efforts to management and the HR team on management in a union environment, best practices in employee relations, and interpretation and administration of CBA terms, as well as partnering with labor counsel to keep HR and management abreast of new developments in labor law.
* Oversees the grievance process, serving as the Step 3 hearing officer for grievances against CBAs for the Western region. Assists labor counsel in preparation for labor arbitration and mediation as needed at the direction of counsel.
* Serves as a subject matter expert on CBA interpretation and administration in the region, as well as organizational policies and practices, and consults with HR, hospital leadership and internal and/or external labor counsel on complicated bargaining unit and labor force issues.
* Leads responses to organizing campaigns. Develops proactive strategy and campaign direction in partnership with the HR Business Partner team and in consultation with internal and/or external labor counsel.
* Tracks legislative developments in New York and monitors changes in NLRB case law. Analyzes the impact on the system's represented employees in consultation with internal labor counsel.
* Manages one or more Labor Specialists, and directs their labor relations support work, including data and trend analysis, grievance processing, scheduling of hearings, document management, responses to requests for information (RFIs), delegate tracking, labor management meeting minutes and scheduling, collective bargaining scheduling and administrative work, and other labor relations support duties.
* Acts as a member of the HR team, ensuring that labor relations strategy aligns with all other HR strategic priorities including talent acquisition, total rewards, and legal.
* Models and maintains Nuvance Health values.
* Performs other duties as required
Other information:
Qualifications / Skills:
* MUST BE strategic and have strong labor relations experience.
* 5-10+ years minimum of strong union experience, multi contracts, with union meeting experience.
* Strong interpersonal skills, judgment, and ability to collaborate with and influence management at all levels and stakeholders across the organization.
* Excellent strategic, problem solving and process thinking abilities.
* Ability to simplify complex issues and take a pragmatic approach to organizational deliverables. Ability to architect and implement change and operate easily between concept and operation.
* Exceptional organizational and multi-tasking abilities. Demonstrated experience in managing multiple priorities and meeting deadlines.
* Critical thinking to translate business needs into labor strategies, and translate labor strategies into specific goals, actions, and deliverables.
* Strong business acumen, influencing, thought and personal leadership skills.
* Superior oral communication skills, Speaks professionally and persuasively in both positive and negative situations. Actively listens and ensures clarification.
* Superior written communication skills. Writes clearly and informatively. Ability to write persuasively and to vary writing style for various audiences.
* Demonstrated cost consciousness. Works within approved budget, and conserves organizational resources.
Location: Danbury-24 Hospital Ave
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: Typical hours are 8:30 a.m. to 5:30 p.m.
Org Unit: 1790
Department: Corporate Expense - Hr
Exempt: Yes
Grade: L3
Salary Range:
150K- 190K
Working conditions:
Essential:
* Generally pleasant working conditions.
* Sedentary/light effort. May exert up to 10 lbs. force
* Little or no manual skills / motor coord & finger dexterity
* Little or no potential for occupational risk
EOE, including disability/vets.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
Records Coordinator, Per Diem, Day Shift (Remote)
Remote or Philadelphia, PA Job
Records Coordinator - Per Diem, Remote, Day Shift requires 3 weeks of in-person training prior to working remote. The Records Coordinator performs a variety of secretarial, clerical, and receptionist duties to ensure smooth operations and excellent customer service, which support and facilitate the intake and acquisition of clinical records, pathology slides, and radiographic images from outside facilities. Accurately maintains required logs, files, and statistics.
Education
High School Diploma or Equivalent (Required)
AssociTraining will require in-person training for 3 weeks. ates Degree : Medical Secretarial Sciences (Preferred)
Combination of relevant education and experience may be considered in lieu of degree.
Experience
1 Year experience in a medical secretarial role. (Required)
1 Year experience in area of department specialty (Preferred)
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'330937
Lead Clinical Documentation Specialist
Remote Job
Job Posting
We are dedicated to providing exceptional care to every patient, every time.
St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.
Position Summary:
The supervisor of Clinical Documentation Improvement (CDI) brings subject matter expertise related to clinical documentation improvement, and works closely with the CDI Manager to implement and manage a concurrent CDI program. The CDI Supervisor executes programs which capture appropriate clinical documentation through extensive interaction with physicians, nursing leadership and staff, other patient care givers and HIM coding staff to ensure appropriate reimbursement and clinical data quality information used in profiling and reporting outcomes is complete and accurate. Reports any and all concerns involving compliance issues to the Director of Health Information Services or via the compliance hotline. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.
100% remote opportunity
Education, Experience, & Licensing Requirements:
Education: Minimum qualifications include a Bachelor's degree in nursing
Experience: 3-5 years experience in clinical documentation improvement preferred, knowledge in CMS regulations
* Greater than 10 years of clinical documentation improvement experience may be considered in lieu nursing education requirements.
Licensure: Current licensure as a Registered Nurse in the state of Missouri, CCDS certification preferred
Benefits for a Better You:
Day one benefits package
Pension Plan & 401K
Competitive compensation
FSA & HSA options
PTO programs available
Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much
Remote Outpatient Coding Educator Auditor
Remote or New Haven, CT Job
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Outpatient Coding Educator/Auditor is an essential member of the Outpatient Coding Leadership structure. This role is responsible for developing an educational pathway for outpatient coders to grow and develop in their roles, and gain the coding expertise needed to advance through the coding career ladder from apprentice level to the more advance and experienced coders. This position is responsible for the development of a robust outpatient coding education program which extends to all aspects of outpatient coding, including coding claim edits and performs/coordinates quality assurance reviews to a high degree of coding quality within the department. In addition, this individual is responsible to conduct audits based on areas of risk in the outpatient space, results from audits/reviews according to a detail coding complaince work plan. Provides training and education and overseas coding and claim edit training and education within the department. This individual is the subject matter expert in the department for outpatient coding and works collaboratively with others on policies and procedures to ensure high quality and ongoing quality improvement.
EEO/AA/Disability/Veteran
Responsibilities
* 1. Coordinates activities with internal and external educational partners (Inpatient Coding Educator/Auditor, American Coding School, AHIMA Foundation Apprentice Program, Nosology, etc.) to: identify cases for internal audits, American Coding School and for apprentice staff on an ongoing basis; and meet with staff to assess their knowledge of specific coding topics and identifies those case types for review.
* 2. Conducts and coordinates Quality Assurance reviews and other compliance audits, including rebuttal process and one-to-one discussions with coders, providing educational resources where necessary. Develops and provides individualized training based on audit findings for coders with suboptimal quality scores. Performs ongoing audits of coders with less than optimal coding quality and provide ongoing feedback until greater than 95% accuracy is attained. Conducts ad hoc audits on an ongoing basis. Provides coding audit outcomes to Coding management teams and develops a remediation plan.2. a. Tracks the audits and education on an ongoing basis.
* 3. Develops coding procedures and `how to' and "tips and tricks" guides for coders, and updates workflow procedures as needed.
* 4. Surveys staff to determine areas where further instruction would be useful (i.e. spinal fusions, hysterectomies, etc.) and coordinates educational sessions to address these areas.
* 5. Coordinates review and education of annual/regular ICD-10-CM and PCS/CPT code updates, deletions, additions as well as APC changes and any reimbursement/regulatory changes.
* 6. Tracks all educational presentations developed internally as well as education log for staff and current proof of staff certifications. Communicates to coding leadership when certification, education and competency requirements are not being met by Coding staff
* 7. Coordinates on-boarding of new coders - tracking progress, identifying opportunities/resources to enhance staff's skill set, knowledge base, etc.
* 8. Identifies inconsistencies, which may indicate potential problems, which could impact on department efficiency. Makes recommendations to streamline activities and procedures to support the coding unit.
* 9. Responds to inquiries from other departments regarding coding; acts as a liaison to the billing office as a coding content expert.
* 10. Develops and maintains coding related policies, procedures, query development, work queues and training materials in conjunction with management.
* 11. Leads training sessions and presents high-level education on coding guidelines/information to coders, which includes presenting PowerPoint presentations and webinar-type meetings. Coordinates training and orientation of new staff, as well as existing staff wishing to pursue promotion.
* 12. Assesses coders' comprehension of training, and tracks and reports coding education results to coding leadership. Identifies need for one-on-one coding sessions and develops follow-up educational plans as needed. Collaborates with coding leadership to ensure coders receive sufficient and focused education.
* 13. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as a preceptor, mentor and resource to less experienced staff.
* 14. Develops and performs audits to help determine and validate documentation and coding issues and gaps; analyzes audit results and identifies patterns, trends and variations in coding and documentation practices; and makes recommendations for improvement. Develops and implements training when educational needs have been identified.
* 15. Maintains current knowledge of coding, federal and local regulations. Performs other duties as assigned.
* 16. Performs coding functions as needed to maintain coding skills and maintain a comprehensive understanding of the coding workflows.
Qualifications
EDUCATION
Bachelor's degree in HIM or related field or equivalent preferred.
EXPERIENCE
Five (5)+ years progressively complex coding and/or auditing work experience required. A certified AAPC Instructor credential can be substituted in lieu of 2 year's of work related experience. Expert coding knowledge, including in-depth understanding of coding guidelines, conventions, CPT, and Evaluation & Management classification systems and knowing how to utilize resources available to answer questions. Experience with the electronic health record (EHR) and health care applications required. Epic experience preferred. Must have past experience with training and education in large and small groups.
LICENSURE
Must be a certified coder through AAPC with a COC (certified outpatient coder) and either has or will have an instructor designation through the AAPC within six months. Additional coding certifications in the field highly desired. Must have or will have their CCC and CIRCC credential within first year.
SPECIAL SKILLS
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must possess well developed communication (written and verbal), analytical, and presentation skills. High level of competency with Microsoft Office tools. Advanced knowledge of disease processes, ICD-10, CPT and HCPCS coding applications, clinician documentation, and HIM department responsibilities of government regulations and areas of scrutiny for potential fraud and abuse. Ability to review analyze and interpret billing guidelines and state and federal regulations. Ability to create training material and presentations. Demonstrated ability to mentor, educate and train others. Possesses the ability to work with individual's at all organizational levels, particularly peers, team members and other departments. Advanced knowledge and understanding of anatomy, physiology, and medical terminology.
YNHHS Requisition ID
138237
Medical Physicist- HYBRID Remote
Remote or Middletown, NY Job
At Garnet Health, the Hudson Valley's leading integrated health system, you'll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with a collective of visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve. If you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Medical Physicist on our Radiation Oncology team at/in Garnet Health Medical Center-Middletown.
Responsibilities
The Radiation Oncology Medical Physicist shall be able to work independently on all medical physics duties which include but not limited to provide the technical direction to Medical Dosimetrists, Therapists for external beam, stereotactic radiosurgery, prostate implants, IMRT, IGRT, SBRT and HDR treatments. Medical Physicist shall have the full capability to perform 3D, IMRT/VMAT, SRS, SBRT and HDR Brachytherapy treatment plans if desired based on clinical need.
At Garnet Health, we are committed to supporting your career growth and professional potential. We are responsive, attentive and dedicated to the success and satisfaction of our team members. Here, you'll find resources that will help you excel in your career, tuition reimbursement programs for your continued education, and comprehensive health, dental and retirement benefits designed to fit your individual and family needs. Our inclusive and diverse team culture encourages you to contribute your exceptional talents, skills and perspectives to the success of our system, one another, our communities and our patients.
Join the Garnet Health team and let your excellence shine.
Salaries shown on independent jobs related websites reflect market averages and do not represent information obtained directly from Garnet Health System. We invite and encourage each candidate to discuss salary / hourly specifics during the application and hiring process.
The compensation range for the role is $192,004.80 - $240,006 Salaried
Garnet Health System provides a compensation range to comply with the New York State law on Salary Transparency in Job Advertisements. The range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. When determining a team member's compensation and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Qualifications
Board Certified Medical Physicist:
POSITION QUALIFICATIONS:
Minimum Education: Master's Degree or Doctorate in Radiological Physics or a closely related field such as physics, biophysics or health physics.
Minimum Experience: Minimum of three years full time work experience.
Required Certification/Registration: Certification by the American Board of Radiology (ABR) in Therapeutic Radiology Physics or American Board of Medical Physics (ABMP) in Therapeutic Radiology Physics or eligible. New York State license required.
Physical Demands: Stands considerable part of the day. Considerable mental and visual demands. Considerable mental strength required to work daily with cancer patients. Must be alert, in control of equipment and observation of patient's condition.
OR
MEDICAL PHYSICIST:
POSITION QUALIFICATIONS:
Minimum Education:
* Master's Degree or Doctorate in Radiological Physics or a closely related field such as physics, biophysics or health physics required.
Required Certification/Registration:
* Passed Part II of American Board of Radiology (ABR) board exam or obtain within 2 years of hire or transfer.
* New York State license application submitted within 30 days of license eligibility
Physical Demands:
* Stands considerable part of the day. Considerable mental and visual demands. Must be alert, in control of equipment and observation of patient's condition.
Working Conditions:
* Environmental Demands and Exposure to Hazards: Works in a clean, well-lighted, heated or ventilated facility. No routine exposure to hazards.
* For Remote and Hybrid Remote positions: If deemed operationally necessary, position may be required to report in and work on-site.
* Physical Demands: Demonstrates physical and functional ability to perform full anatomical range of motion to accomplish tasks. Evidence of visual and aural acuity and finger and hand dexterity to operate computer and office equipment. Can withstand long periods of sitting, standing and/or constant walking. Ability to lift 10 lbs.
* Mental Demands: Ability to foster collaborative relationships, to work well under pressure, to organize and synthesize new information, and prioritize tasks. Possesses critical thinking, analytical skills and flexibility. Ability to multi-task. Required detailed attention to work in an environment where interruptions cannot be controlled. Demonstrates sensitivity to customer needs and expectations. May be subject to irregular hours including evenings or potentially weekends to participate in operational and community events as necessary.
Workplace type
Hybrid
Patient Engagement Partner, Access Center, Remote Position (Local to NJ/PA)
Remote or Allentown, PA Job
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Patient Engagement Partner - Access Center role is critical to an exceptional patient experience. This role provides a positive patient experience during all encounters and is responsible for answering patient calls, scheduling appointments, working referral work queues, and assisting the patient with their current needs. The Patient Engagement Partner establishes and maintains ongoing partnerships with designated practice and clinical partners to ensure achievement of aligned goals.We are exclusively considering applications from candidates residing in Pennsylvania and New Jersey, particularly those in close proximity to St. Luke's University Health Network locations. Candidate must be available for approximately 3-6 weeks of onsite training in Allentown, PA upon hire.
JOB DUTIES AND RESPONSIBILITIES:
Answers incoming calls and performs a variety of actions including scheduling, rescheduling, or canceling appointments within established time frames and protocols in a fast paced, high volume Access Center environment.
Determines how requests should be handled using expert questioning techniques to determine how a request should be scheduled, when to refer a call to a specific clinic or escalate the call to a nurse for immediate attention; coordinates services, as needed.
Verifies and updates patient demographic and insurance information.
Creates a positive patient experience at every encounter, attempting to resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role.
Manages and works referral work queues when assigned and provides supplemental inbound patient call support during high volume times using (and vice versa), and uses judgment to prioritize and accommodate patients, based on patient needs.
Actively participates as a team member in resolution of problems as they are identified.
Escalates any scheduling or insurance issue to the Patient Engagement Supervisor or Patient Engagement Manager to resolve.
Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center.
Works with designated clinical partners to establish and maintain appropriate appointment scheduling protocols. Consistently acts to build positive relationships with our clinical partners.
Other duties as assigned.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting for extended periods of time (up to 8 hours at time). Requires continual use of fingers, writing and computer entry. Requires ability to hear normal conversation and good general near and peripheral vision.
EDUCATION:
High School diploma or equivalent required
TRAINING AND EXPERIENCE:
Previous general computer experience with data entry required
Minimum 1-2 years of demonstrated customer service excellence in a contact center preferred
Previous healthcare experience with medical terminology preferred
Previous experience with electronic medical record (EMR) preferred
Competencies required:
Excellent communication, facilitation, and presentation skills.
Focused on compliance
Demonstrates continuous growth
Quality-driven
Service-oriented
Excels at time management
Ability to work from home in accordance with the Network Work from Home Policy if needed.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Denials Management Specialist (RN required), Per Diem. Remote within local geography.
Remote or Allentown, PA Job
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Denials Management Specialist reviews inpatient CMS and third party denials for medical necessity and tracks outcomes regarding appeal process. Assists billing staff regarding outpatient denials for experimental, coding or other issues that may require record review. Provides billing with information needed to obtain payment of claims.
Remote within local geography after orientation.
JOB DUTIES AND RESPONSIBILITIES:
Reviews all Inpatient Retroactive Denials in the Denials Management Work Queues for Medical Necessity and Late-Pick-Up/Notification that are entered by Case Management and Business Office.
Monitors retro denials to ensure resolution within required time frames and logging of action e.g. no appeal, appeal level and final decision with revenue impact.
Assists Case Management as necessary to ensure that documentation is entered and transmitted to insurance carriers within acceptable timeframes to comply with appeal deadlines.
Provides feedback to Case Management that can help in preventing future denials and assists in maintaining good communication and process flow between the 2 departments.
Responsible for writing appeal letters for Inpatient CMS and Commercial late pick-ups, medical necessity, and other requested denials as deemed clinically appropriate.
Investigates managed care and commercial insurance rejections, denials for possible experimental services and coding issues, providing supplemental information to resolve claim.
Identifies operational issues that contribute to denials and rejections.
Works with departments and providers to implement corrective actions to minimize lost revenue due to denials and rejections.
Assists in preparing reports regarding denials to include volumes, number of appeals, case resolution, and impact on revenue and trending.
Coordinates RAC appeals for complex case reviews for medical necessity, including determining if appeal is appropriate and communicating with vendor to ensure timely filing of same. Performs writing of RAC/MAC appeals at appropriate levels and documenting status.
EDUCATION REQUIREMENT:
Must be a graduate of an accredited, professional nursing program.
Must have current RN license to practice in the state of Pennsylvania or seeking Pennsylvania license through reciprocity.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting for up to 4 hours per day, 2 hours at a time. Standing for up to 4 hours per day, 3 hours at a time. Requires occasional fingering, handling and twisting and turning. Occasionally requires reaching above shoulder level. Must have the ability to hear as it relates to normal conversation, seeing as it relates to general, peripheral and near vision, visual monotony.
TRAINING AND EXPERIENCE:
Minimum of 2-5 years of clinical nursing experience in an acute care hospital setting required.
Prefer minimum of 2-5 years' experience in case management and/or utilization management.
Prefer financial experience related to appeal processes with insurance providers.
Demonstrated experience relating to all types of payers/providers.
LOCATION:
Remote within local geography after orientation for approximately 6-8 weeks at St. Luke's Center, Allentown, PA.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Manager, Human Capital Management Systems - Remote Available in PA/NJ
Remote or Allentown, PA Job
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
The Manager, Human Capital Management Systems provides leadership, direction, project coordination, and management for the development and optimization of the Network's Human Capital Management Technologies while concurrently facilitating efficient operations to meet current and future business needs. Responsible for directing all day-to-day configuration and customer support activities.
JOB DUTIES AND RESPONSIBILITIES:
Leads the HCMS Team in managing the day-to-day operations of the Human Capital Management Systems portfolio to support HR, Payroll, and interrelated functions.
Partners with Director, HCMS to execute the HR Technology and Services Strategic Roadmap.
Foster and maintain positive relationships with HCMS constituents, including COE Leaders, senior management, and Information Technology.
Partners with HR and Payroll COE leaders to understand technology needs and priorities. Works with Director, HCMS to prioritize projects based on changing customer needs.
Provide tactical prioritization of work assignments and management of functional team resources and their activities.
Build and maintain a strong functional HR technology team through effective training, coaching, team building and succession planning. Provides daily leadership and management of the HCMS team. Prepare and participate in the development and execution of staff development plans for HCMS Analysts. Assess the skills and skill levels necessary to achieve work objectives.
Collaborates with Director, HCMS to develop system development methodologies (SDM) including requirements gathering, testing, configuration documentation, project planning, and migration activities.
Ensures that system development methodologies are consistently followed by all team members.
PHYSICAL AND SENSORY REQUIREMENTS:
Requires sitting for up to 8 hours per day, 2 hours at a time. Standing for up to 4 hours per day, 3 hours at a time. Requires occasional fingering, handling, and twisting and turning while entering data into the computer. Occasionally requires lifting, carrying, pushing and pulling objects weighing up to 25 pounds. Occasionally requires reaching above shoulder level. Must have the ability to hear as it relates to normal conversation, seeing as it relates to general, peripheral and near vision, visual monotony.
EDUCATION:
Bachelor's Degree in Human Resources Management, Business, Computer Science or related field or equivalent work experience required
TRAINING AND EXPERIENCE:
Five or more years of management or lead-level experience in the implementation and administration of an HCMS Enterprise Resource Planning technology like Workday, PeopleSoft, SAP, etc. required. Workday experience is preferred. Demonstrated HR functional knowledge in multiple disciplines, i.e. core HR processes (compensation, benefits, performance management, recruiting, payroll …).
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Psychiatrist (Inpatient - remote)
Remote or Harris Hill, NY Job
At Garnet Health, the Hudson Valley's leading integrated health system, you'll find the perfect balance of a satisfying career and a rewarding lifestyle. Our focus is on patient-centric care with visionary leaders and dedicated and caring professionals working as a team to deliver the best for the people we serve. If you're interested in a health system that's both growing and award-winning, serving a diverse community that provides the best of both city and rural life, we invite to make your career home with us as a Psychiatrist on our Psychiatry team at Garnet Health Doctors.
Responsibilities
Garnet Health Doctors is actively searching for a dynamic Psychiatrist to join our dedicated team at our state-of-the-art facilities in Middletown and Harris. In this role, you will thrive in a collaborative and supportive atmosphere, catering to a diverse and vibrant patient community.
* Full time position
* Monday through Friday or 7 on/7off schedules available
* Board-certified/board eligible
* GME leadership and other opportunities available via Psychiatry Residency Program
What we offer:
* Generous sign-on bonus
* Compensative compensation is between $297,082 - $348,445 per year*
* PTO, 403 (b) including employer match, life, health, vision, dental and disability insurance offered
* CME allowance
* Paid occurrence-based malpractice
* Visa and Green Care Sponsorship
* Touro College of Osteopathic Medicine teaching opportunity
* Relocation assistance
* Garnet Health System provides a compensation range to comply with the New York State law on Salary Transparency in Job Advertisement. The range or contractual rate listed may not include bonuses / incentive, or other forms of compensation or benefits. When determining a team member's compensation and / or rate, several factors may be considered as applicable (e.g., years of relevant experience, education, credentials, and internal equity).
Garnet Health Doctors is a leading multi-specialty medical group dedicated to delivering exceptional healthcare to individuals and families across the Hudson Valley and Catskills region. As an affiliate of Garnet Health, a not-for-profit healthcare system located approximately 60 miles north of New York City, Garnet Health Doctors plays an integral role in fulfilling the organization's mission to improve the health of the community by providing exceptional healthcare.
Supported by a team of over 100 highly skilled providers, Garnet Health Doctors offers a broad spectrum of services designed to meet the diverse medical needs of its patients. These services include primary care, urgent care, and a wide range of specialties such as cardiology, gastroenterology, orthopedics, neurology, urology, pulmonary and sleep medicine, inpatient and outpatient behavioral health, physical medicine and rehabilitation, and surgical services. With several locations across Orange and Sullivan counties, the group ensures access to expert care for routine, chronic, and complex health needs. Patients can access care in person, via telehealth, or through live video appointments for maximum convenience.
As a subsidiary of Garnet Health System, Garnet Health Doctors benefits from seamless integration with Garnet Health Medical Center and Garnet Health Medical Center - Catskills. This partnership enhances coordination of care, enabling patients to access an extensive array of hospital services, including emergency care, inpatient care, advanced diagnostic imaging, and surgical services. The medical group also includes a robust hospitalist program to support inpatient care.
Garnet Health Doctors exemplifies its commitment to excellence by offering cutting-edge medical technology, fostering long-term patient relationships, and continually evolving to meet the community's healthcare needs. To learn more about the wide range of specialties and services available, visit garnethealth.org/doctors.
Join the Garnet Health team and let your excellence shine.
Qualifications
Minimum Education:
* M.D. or D.O. degree from an accredited school of medicine or osteopathy
* Residency trained in USA
* Residency in Psychiatry
Minimum Experience: Graduating Residents are welcome to apply.
Certification/Registration Requirement:
* License - Active NY State Medical License
* Board Eligibility/ Board Certification in Psychiatry within 5 years of residency completion
* DEA - NY State required
* Infection Control - NY State
* Certified BLS certification required ACLS certification preferred
* ECFMG required if applicable
Cancer Registry Assistant - Vassar Brothers Cancer Center - Poughkeepsie, NY
Nuvance Health Job In Poughkeepsie, NY Or Remote
*Title: *Cancer Registry Assistant - Vassar Brothers Cancer Center - Poughkeepsie, NY. Full Time/40 hours per week, 8 hour shifts 7:30am - 4:00pm, Monday - Friday. Remote work available. * Medical background preferred. * Anatomy and Physiology required.
* Enrolled in CTR Training Program preferred.
*Summary:* Responsible for activities related to follow-up and case-finding for all cancer cases at Nuvance Health, in order to maintain State and COC standards, and to enable evaluation of outcome information on all cancer patients.
*Responsibilities:*
1. Acquires follow-up information through multiple strategies including the hospital database, reading obituaries, writing follow-up letters to physicians and patients, health care organizations, and Bureau of Vital Statistics offices.
2. Reviews medical records thoroughly to obtain data on the status of the cancer diagnosis and/or treatment. Reviews reports sent by HIS to assess if patients are in the registry including referring to the CTR for further review as needed.
3. Runs monthly reports to assess patients requiring follow-up data; sends out letters to physicians and patients as needed; maintains log for HIPAA compliance.
4. Maintains follow-up rates as set forth by the American College of Surgeons Commission on Cancer (COC), entering data into appropriate sections in the cancer registry software system.
5. Collaborates with the Cancer Registrars (CTR) to assist with duties such as auditing for case finding.
6. Participates as a member of the Cancer Team and achieves the organization's established expectations with regard to customer service, teamwork, safety, and self-development.
7. Fulfills all compliance responsibilities related to the position.
8. Performs other duties as assigned.
*Other Information:*
*Required: High School Diploma/GED. Knowledge of MS Office. Organizational and good critical thinking skills required.*
Minimum Experience: none.
Desired: Medical background preferred. Anatomy and Physiology required. Enrolled in CTR Training Program preferred but not required.
Salary Range: $18.97 - $35.21 hourly (Pay per years of relative experience)
EOE, including disability/vets.
We are an equal opportunity employer
Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.
Epic Beaker Analyst/Builder I - Remote Available in PA/NJ
Remote or Allentown, PA Job
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Epic Analyst/Builder I is responsible for providing basic maintenance, support, and development to assigned applications. Resolves or facilitates resolution of basic reported application issues, testing and maintaining application/ integrated test scripts, developing and maintaining KB documentation, communicating new release of features/functionality and any application changes/revisions to operational leadership, and working with instructional designers to develop and maintain application specific training curriculum and materials.
JOB DUTIES AND RESPONSIBILITIES:
Provides basic maintenance, support and development to assigned applications.
Resolves and/or facilitates resolution of basic reported application issues. Escalates more complex issues as appropriate.
Tests and maintains application and integrated test scripts.
Adheres to organization standards for system configuration and change control
Develops, supports, and maintains KB documentation.
Informs leadership of new release features/functionality and changes/revisions that will impact operations.
Familiar with process improvement, demand management, and project management methodologies.
Maintains current knowledge of technology by attending appropriate continuing education training/seminars and reading related periodicals.
Collaborates and work with wide range of internal and external contacts, vendors, and stakeholders on behalf of SLUHN.
Works with Instructional Designers to develop and maintain application specific training curriculum and materials.
PHYSICAL AND SENSORY DEMANDS:
Sitting for up to 7 hours per day, 4 hours at a time; standing for up to 7 hours per day, 4 hours at a time; walking for up to 2 hours a day, 1 hour at a time. Requires crouching, kneeling, and lifting of objects weighing up to 60 pounds, pushing objects weighing up to 80 pounds. Requires hand and finger dexterity to perform repairs of small equipment and to use computer equipment. Seeing as it relates to general, near, color, and peripheral vision. Hearing as it relates to normal and telephone conversations.
EDUCATION:
Associates or Bachelor Degree in Computer Science, Information Systems, Business Administration, Healthcare Administration or equivalent work experience is preferred.
TRAINING AND EXPERIENCE:
0 - 2 years of general computer experience is required. 0 - 2 years of healthcare experience is preferred. 0 - 2 years of Ancillary, Clinical, Patient Access, or Revenue Cycle experience is preferred. Epic Application experience is required. MS Office experience is required. Hospital knowledge/experience based on requirements of hiring team.
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Manager - Outpatient Coding (Remote)
Remote or New Haven, CT Job
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Responsible for managing the activities and the employees of the Outpatient Coding Unit within the Coding and Documentation Improvement Department. Reporting to the Senior Manager of Outpatient Coding, the Manager is responsible for maintaining the data quality management plan that provides for quality coding from a clinical documentation, productivity, compliance, and accuracy perspective. The Outpatient Coding Manager creates a support structure within Coding for achieving clinical and operational excellence in relation to OP coding and documentation processes. The Manager possesses a strong level of OP clinical coding expertise, a solid foundation of government coding and billing regulations, and superior leadership skills to manage and provide oversight to credentialed coders. The position requires strong ICD-10, CPT, and PCS coding skills to ensure accurate and complete data capture for Outpatient Cases. Successful outcomes are reliant upon building effective working relationships with partner departments, clinical staff, finance and revenue cycle to improve quality and completeness of documentation of care provided which supports correct coding, performance metrics and appropriate charge capture. The Manager also coordinates coding audits and reviews for the Outpatient Coding Department to identify coding and charge capture accuracy.
EEO/AA/Disability/Veteran
Responsibilities
* 1. Direct day-to-day activities of OP coding work and coding staff to ensure completeness along with timely and accurate coding. This includes, but is not limited to: maintaining department goals in the DNFB, ensuring coders meet and/or exceed the department accuracy and productivity metrics, identifies trends in edits and proposes changes to improve timely billing, etc. Ensures that all OP coding and query practices are compliant with regulatory requirements.
* 2. Through recruitment, development, training/education and mentoring, develops a collaborative team of highly skilled coding professionals with clinical, coding, reimbursement, and quality skills possessing one or more coding certifications. Develops, or works to implement plans for extensive formal and informal coder education to cross train, and ensure department accuracy and efficiency. Mentor supervisory team members to create a strong and efficient leadership team. Initiates the recruitment process when vacancies occur and is an active participant in interviewing and selecting applicants for OP coding. Conducts programs for staff orientation, new employee development, and ensures compliance to Hospital personnel Policy/Procedures and related personnel functions.
* 3. Responsible to ensure audit and monitoring of OP coding for accuracy, including and not limited to coder work product, simple visit coding, etc.
* 4. Analyzes coding and charge data and implements charge capture initiatives based on analysis in order to appropriately increase revenue. Calculates net revenue gains and reports findings to senior leadership.
* 5. Serves as a liaison to partner departments at the management level, including the SBO, for any coding related billing issues.
* 6. Identifies updates in ICD 10, CPT, and HCPC's, as well as changes mandated by State and Federal regulations and works to determine impact to the department. Ensures appropriate orientation and training to coding staff is provided, as needed. Provides analysis on the impact of documentation, coding and reimbursement changes to Coding leadership.
* 7. Works internally and with staff to ensure the appropriate use, and utilization of the 3M 360 encoder.
* 8. Practices, adheres, and enforces the AHIMA code of Conduct philosophy. Promotes, fosters and role models a positive working environment using YNHH Standards of Professional Behavior.
* 9. Performs other related duties in the Department as required.
Qualifications
EDUCATION
Bachelor's Degree required. RHIA preferred. Certification as a CCS/CPC required.
EXPERIENCE
At least five (5) years progressive experience in a hospital outpatient coding environment or coding compliance with at least two years in a managerial capacity. Audit experience in the outpatient environment helpful. Knowledge of outpatient reimbursement, and charge master experience required.
LICENSURE
RHIA or RHIT preferred. CCS/CPC required.
SPECIAL SKILLS
Demonstrated ability to provide leadership and direction to employees in a complex healthcare environment. Candidate requires strong coding with extensive knowledge in ICD-10, CPT, and HCPC coding conventions. In-depth understanding and knowledge of medical terminology and anatomy and physiology. Requires knowledge consistent with an OP auditor/educator, which includes familiarity with auditing/monitoring techniques and educational platforms for coders. Knowledge of payer policy trends and revenue cycle management concepts. Understanding of current billing and regulatory requirements, (CCI Edits) including Federal Compliance Regulations. Works independently with minimal supervision. Excellent organizational, personnel management, and interpersonal skills. Strong managerial skills and demonstrated high level of oral and written communication skills.
YNHHS Requisition ID
146515
Benefits Analyst Per Diem
Nuvance Health Job In Norwalk, CT Or Remote
*REMOTE OPPORTUNITY* * *Purpose:*Assist in the implementation and administration of benefit programs and processes for the healthcare system which may include Health and Welfare plans, retirement and other total rewards programs. Support Nuvance Health's achievement of desired competitive plan offerings, as well as other system goals and initiatives. Contribute to benefits programs to enhance Nuvance Health's ability to recruit, motivate and retain talented employees.
**
*Essential Responsibilities *
* Intake employee questions/concerns regarding benefits, leaves, HR policy and program administration in a friendly, supportive, and responsive manner. Partner with Benefits team and benefits vendors to resolve issues as applicable. Inform director of complex or escalated issues/concerns.
* Assist in implementation and administration of all benefits programs including health, life, disability. May also include defined benefit (DB) and defined contribution (DC) pension plans.
* Subject matter expert to employees and HR team on benefits eligibility, practices, and policy interpretations. Support decision-making process regarding plan offerings and plan design, by providing detailed analysis and innovative recommendations.
* Supports annual enrollment process; provide clear communication regarding plan options for employees. Provide analytical and technical support in the delivery of benefits programs.
* Serve as back-up for the processing of monthly billing.
* Coordinate with Third Party Administrator (TPA)/Vendors to resolve benefit eligibility, enrollment and claim inquiries.
* Audits vendor benefit files as needed for accuracy, errors and resolution. Prepares reconciliation and reporting of select bi-weekly benefit deductions as required by Finance.
* Prepares official benefits communications as requested by employee, court, or support orders.
* Identifies opportunities to improve processes to increase effectiveness, mitigate risk, and ensure repeatability and reliability.
* Conduct benefit training during new hire orientation, provide one-on-one support as well as system-wide employee communications and/or webinars as needed throughout the year.
* Supports activities related to the Vitive Health Wellness Program to promote participation and maximize engagement.
* Participate in cross-functional teams between Total Rewards and the broader HR team, driving solutions impacting employee benefits including mergers and acquisitions, integration, and system-wide initiatives.
* Serve as liaison with Human Resources Information Center (HRIC); coordinate system coding/set up, processes, and reporting requirements necessary for benefits analysis.
* Keep abreast of legislative changes. Proactively raise potential concerns to Director of Benefits and recommend changes to processes where applicable.
* Strong analytical and problem-solving capabilities. Excellent verbal and written communication/presentation skills. Strong customer focus.
* Maintain and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).
* Performs other duties as required.
**
*Education and Experience Requirements: *
* Requires a minimum formal education of a bachelor's degree in a related area or equivalent gained through a combination of education and work experience;
* 3 to 5 years of progressive, related experience in the field. Leave administration and ADA accommodation experience strongly preferred
* Experience with human resources information systems, including report management.
**
*Minimum Knowledge, Skills and Abilities Requirements:*
* Demonstrated competency in Microsoft Word, Excel and PowerPoint required.
* Must possess strong organizational skills and detail orientation.
* Able to maintain confidentiality and discretion and work in a team setting.
* Excellent written and communication skills.
* Must be able to work independently and be able to multitask in a fast-paced environment.
* Ability to effectively manage competing priorities.
* Strong customer service skillset.
* Knowledge of data management systems.
* PREFER: Experience with Infor, Lawson, and/or other HR Information Systems
*License, Registration, or Certification Requirements:*
* PREFER: CEBS, PHR, SHRM-CP, SHRM-SCP, HRCI SPHR, or HRCI PHR.
Working Conditions:
Manual: Some manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 1788
Department: Total Rewards
Exempt: No
Salary Range: $25.70 - $47.72 Hourly
We are an equal opportunity employer
Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.
Revenue & Coding Analyst - Radiology - (Medical coding experience needed) *AVAILABLE TO WORK REMOTE*
Remote or New Haven, CT Job
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
Responsible for ensuring all charges from the Diagnostic Radiology have been appropriately prepared for posting on the patient's account. Working closely with the Business Services manager, this individual is accountable for the reconciliation of charge code exceptions on a daily basis. In addition this position is responsible for monitoring and tracking all charges that have been released in the EMR (EPIC) for Billing and Coding. Investigates , reconciles and follows up on all accounts being held in Work queues as Billing errors. .Any variances are identified and reconciled in collaboration with Patient Financial Services , Revenue and Reimbursement and the Hospital Billing Office. Individual works directly with Revenue and Reimbursement for updating , initiating and auditing Revenue codes to ensure the appropriate CPT code has been assigned. . The Revenue and Coding analyst works with Imaging manages and supervisors in reconciling and tracking Billing and Coding Edits and Denials for Imaging procedures ensuring optimal reimbursement. Works collaboratively with the Professional Billing leadership and coding team (s) to ensure the codes match for the Imaging procedure performed and the professional intepretation of the procedure. Understands and follows up on all Imaging procedures that have been assigned Modifiers that may impact reimbursement. Reviews and handles interventional procedures performed within Diagnostic Radiology, IE: Breast Imaging procedures, Spine Injections, aspirations etc. to ensure all codes have been appropriately assigned for optimum reimbursement under the direction of the Lead.
EEO/AA/Disability/Veteran
Responsibilities
* 1. Reconciles and monitors all charge adjustments.
* 1.1 1.1 Reviews Error templates from Imaging Managers
* 2. Identifies lates charges as identified in EPIC.
* 2.1 2.1 Identifies charges posting late to patient accounts
* 3. Ensures Imaging Exam codes in EPIC have appropriate CPT and EAP Codes
* 3.1 3.1 Reviews requests for Imaging Exam Codes with section Manager
* 4. Reviews exam charge edits or denials as identified by billing, coding and/or revenue reimbursement.
* 4.1 4.1 Provides feedback and expertise to questions related to charge edits, denials or audits as identifed
* 5. Reviews and documents Imaging charges released from EPIC Daily
* 5.1 5.1 Prepares and runs Revenue and Usage reports from EPIC
* 6. Ensures all Work queues have been processed
* 6.1 6.1 Reviews daily all Billing, Coding, Charge capture work queues
* 7. Performs quarterly audits as identified by the Lead
* 7.1 7.1 Works with Lead and Business Mgr to run quarterly audits
Qualifications
EDUCATION
Must be a Certified Professional Coder with an Associate degree in Secretarial Science, Business or Healthcare related field required or equal number of years experience in a Healthcare / Third party payer environment.
EXPERIENCE
Minimum 3 to 5 years experience in Medical Coding with an understanding of Third Party payor requirements, Medicare Medical Necessity, LCDs and ABNs.
SPECIAL SKILLS
Excellent telephone communications, interpersonal, coordination and organizational skills. Ability to read computer screens, forms, and other documents and follow written and oral instructions. Moderate keyboarding skills. Ability to work in a fast-paced, changing environment. Ability to respond to unpredictable, changing situations and needs (including clinical crises in the section and otherwise stressful situations and interactions) with professionalism, good judgment and ALWAYS excellent customer relation skills. Prior customer service coordination or clinical experience necessary. Excellent communication and people skills. Individual must be articulate and confident in both oral and written communications . Ability to remain calm and professional in high stress situations.
PHYSICAL DEMAND
Primarily sedentary work sitting within typical office setting without exposure to adverse environmental conditions. Requires occasional ability to lift, push and pull objects such as files and office supplies up to 30 pounds and/or continuously up to 10 pounds; and occasional moving about on foot to accomplish tasks, walking long distances or moving from one work site to another. Continuous use of telephones requiring ability to hear and speak to convey detailed or important instructions accurately, loudly or quickly; and continuous use of computer and other office equipment requiring fingering and excellent keyboarding skills.
YNHHS Requisition ID
143444
Inpatient Coding Specialist, FT and Per Diem Available, Remote (PA, NJ Candidates)
Remote or Allentown, PA Job
St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission
of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Codes and abstracts all pertinent patient medical information according to ICD-10-CM/PCS and CPT-4 coding conventions, UHDDS guidelines and CMS directives. Completes data entry of abstracted inpatient/outpatient diagnosis and/or procedure codes into Network's health information system. Collaborates with the Health Information/Medical Records and Finance departments to ensure appropriate flow of information.
The intent of this job description is to provide a summary of the major duties and responsibilities of this position and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.PLEASE NOTE: A 10-question coding skills assessment is a part of the SLUHN application process. The following materials will be needed in order to complete the assessment: INPATIENT - ICD-10-CM & PCS codebooks; OUTPATIENT - ICD-10-CM and CPT-4 codebooks. Please plan your time accordingly.
JOB DUTIES AND RESPONSIBILITIES:
ESSENTIAL FUNCTIONS:
1. Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS and CPT-4 codes, and MS-DRG/APR-DRG assignment.
2. Maintains 95% data quality coding accuracy rate as measured through quarterly department quality reviews.
3. Maintains daily productivity and turnaround times as outlined in Department's Performance Improvement plan (attachment A)
4. Responsible for remaining up-to-date knowledge of AHA ICD-9-CM/ICID-10-CM/PCS coding conventions, MS-DRG and APR-DRG principles and guidelines. Maintains a working knowledge of prospective payment systems as it relates directly to coding process.
5. Participation in department and sectional meetings, education sessional sessions and workshops as scheduled.
6. Maintains working knowledge of clinical documentation improvement program and functions as liaison for RN clinical documentation specialists (inpatient coding professionals only).
7. Demonstrates/models the Network's core values and customer service behaviors in interactions with all customers (internal and external).
8. Maintains confidentiality of all materials handled within the Network/ Entity as well as the proper release of information.
9. Complies with Network and departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.
10. Demonstrates/models the Network's Service Excellence Standards of Performance in interactions with all customers (internal and external).
11. Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process, and Safety.
12. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
13. Complies with Network and departmental policies regarding attendance and dress code.
OTHER FUNCTIONS:
1. Assists in training of new personnel
2. Other related duties as assigned.
PHYSICIAL AND SENSORY REQUIREMENTS
PHYSICAL/SENSORY DEMANDS: Sitting for up to 7 hours per day, 3 hours at a time. Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Extended periods of vision use for reviewing and coding computerized patient records approximately 7 hours per day, 3 hours at a time. Hearing as it relates to normal conversation. Occasionally may be required to use upper extremities to lift up to 10 lbs.; stoop, bend, or reach to retrieve resource materials and/or paper records in accordance with department downtime policy..
POTENTIAL ON-THE-JOB RISKS: No identified risks.
SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE: N/A
MOST COMPLEX DUTY: Ability to apply objective understanding of AHA ICD-10-CM/PCS coding conventions and AMA CPT-4 guidelines. Appropriately assign diagnosis and procedure codes for accurate reimbursement. Understanding computerized health information system and encoding software systems.
SUPERVISION (Received and/or Given): IP and OP coding coordinators
COMMUNICATIONS: Communicate frequently in a tactful, respectful and diplomatic manner with internal and external customers. Advises respective coordinators of issues requiring immediate attention.
ADDITIONAL REQUIREMENTS: Adheres to the confidentiality guidelines as outlined within the Hospital and departmental policies. Promotes positive customer satisfaction by way of prompt and courteous service.
QUALIFICATIONS
(MINIMUM)
EDUCATION:
RHIA, RHIT and/or CCS eligible or currently enrolled in a Health Information Technology or other health-care related program desired. Will consider candidate with greater than 3 years experience in the coding field without coding credentials.
Candidate will be expected to obtain their AHIMA credential within three years of hire date to retain position with St. Luke's University Health Network.
TRAINING AND EXPERIENCE:
Minimum 1 year demonstrated ICD-10-CM inpatient and/or outpatient coding experience in acute care, teaching setting. Knowledge of anatomy and physiology, pathophysiology, and medical terminology as well as AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions required. Previous experience with EPIC health information computerized patient record and 3M encoding system preferred.
AHIMA Certified Required: CCS, RHIA, or RHIT REQUIRED
WORK SCHEDULE:
Fully remote for local (PA, NJ) candidates only. Home base out of Allentown, PA.
Full Time: Day shift with flexible hours. Mon-Fri with weekend rotation every 3rd week.
Per Diem: Total shift flexibility. Must be able to commit to working at minimum 16 hours per month .
Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!
St. Luke's University Health Network is an Equal Opportunity Employer.
Remote Professional Coding Educator/Auditor
Remote or New Haven, CT Job
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The Professional Coding Audit Educator is an essential part of the Professional Coding Leadership Team. This role is responsible for being the department subject matter expert in professional coding and helps to support physicians, practices, coders, and coding and operational leadership. This individual is responsible for developing an educational pathway for professional coders to grow and develop in their positions to become more accurate and knowledgeable coders. This position is responsible to develop the professional coding education program, which includes supporting coders, clinicians and others within professional revenue cycle. Additionally, this individual is responsible to conduct audits to assess risk and implement any necessary action plans resulting from findings. This individual is essential to develop and maintain coding compliant controls for consistent and accurate coding with the department and to ensure optimal charge capture.
EEO/AA/Disability/Veteran
Responsibilities
* 1. Educates and provides direction to providers and coding staff on proper CPT, ICD-10 and HCPC coding. Serves as a subject matter expert on interpretation and application of professional fee and professional coding rules and regulations.
* 2. Reviews and responds to coding questions by physicians, coding staff and practice/operations leadership within a timely manner
* 3. Facilitates virtual events, calls, and training to meet coding needs and requests on charging, documentation or compliant coding.
* 4. Creates and maintains all training materials and educates providers, coders, and other coding professionals on coding related topics. This includes but is not limited to creating and rolling out coding curriculum, workflows, tip sheets, coding policies, physician communication (query) templates, etc. in conjunction with coding leadership. Delivers training using a variety of delivery methods, including and not limited to: 1:1, small -group, large group, webinar style or live education.
* 5. Tracks the efforts tied to the audit education program, including but not limited to: trainings, policies, procedures, audits and staff certifications. Communicates regularly with department leadership on status of educational initiatives, department accuracy, and opportunities for additional educational needs.
* 6. Assesses new and existing coder skillsets and develop coding training for onboarding and ongoing skill development and reports findings and recommendations to coding leadership. Develops follow up coding educational plans based on individual performance and challenges. Leads apprentice initiatives.
* 7. Conducts reviews of charging to identify opportunity for charge capture, ICD-10 specificity, denial prevention and proper coding for professional services and works with staff and others within the health system to provide feedback, guidance and education to support optimal charging and workflows. Develops action plans as needed to improve department accuracy and to share information regarding physician workflow opportunities.
* 8. Performs coding audits, when needed, as defined by compliance requirements and client expectations, determines when additional education is necessary and assists the education team in meeting those needs
* 9. Develops department audit workplan to mitigate risk and to assess areas of opportunity and implement corrective actions.
Qualifications
EDUCATION
Bachelor's degree or currently enrolled in a bachelor's degree program required.
EXPERIENCE
Five (5)+ years of coding and/or coding audit educator work experience required. A certified AAPC Instructor credential can be substituted in lieu of 2 years of work-related experience. Expert subject matter coding knowledge, including in-depth understanding of applicable coding guidelines, payment methodology, CMS regulations and leveraging coding resources to research to answer questions. Epic experience preferred. Must have past experience with training and education in large and small groups, working with physicians and building training material and coding curriculum.
LICENSURE
Must have a CPC credential (Certified Professional Coder) through AAPC and either has or will have a coding instructor designation through the AAPC within 6 months of hire. Additional coding specialty credentials are highly desired.
SPECIAL SKILLS
Ability to work under minimal supervision and prioritize educational needs of the department with support needed by clinicians and other areas within the health system. Strong presentation skills. Must be able to develop customized coding curriculum and deliver training in a clear logical and informative manner. Subject matter expert in professional coding. Must be able to work with individuals at all levels of the health system, especially physicians and practice leadership. Must be organized and meticulous with documentation and reviews.
PHYSICAL DEMAND
Hours may vary depending on training needs.
YNHHS Requisition ID
139449
Cancer Registry Assistant - Vassar Brothers Cancer Center - Poughkeepsie, NY
Danbury Hospital Job In Poughkeepsie, NY Or Remote
at Vassar Brothers Medical Center
Title: Cancer Registry Assistant - Vassar Brothers Cancer Center - Poughkeepsie, NY. Full Time/40 hours per week, 8 hour shifts 7:30am - 4:00pm, Monday - Friday. Remote work available.
Medical background preferred.
Anatomy and Physiology required.
Enrolled in CTR Training Program preferred.
Summary: Responsible for activities related to follow-up and case-finding for all cancer cases at Nuvance Health, in order to maintain State and COC standards, and to enable evaluation of outcome information on all cancer patients.
Responsibilities:
1. Acquires follow-up information through multiple strategies including the hospital database, reading obituaries, writing follow-up letters to physicians and patients, health care organizations, and Bureau of Vital Statistics offices.
2. Reviews medical records thoroughly to obtain data on the status of the cancer diagnosis and/or treatment. Reviews reports sent by HIS to assess if patients are in the registry including referring to the CTR for further review as needed.
3. Runs monthly reports to assess patients requiring follow-up data; sends out letters to physicians and patients as needed; maintains log for HIPAA compliance.
4. Maintains follow-up rates as set forth by the American College of Surgeons Commission on Cancer (COC), entering data into appropriate sections in the cancer registry software system.
5. Collaborates with the Cancer Registrars (CTR) to assist with duties such as auditing for case finding.
6. Participates as a member of the Cancer Team and achieves the organization's established expectations with regard to customer service, teamwork, safety, and self-development.
7. Fulfills all compliance responsibilities related to the position.
8. Performs other duties as assigned.
Other Information:
Required: High School Diploma/GED. Knowledge of MS Office. Organizational and good critical thinking skills required.
Minimum Experience: none.
Desired: Medical background preferred. Anatomy and Physiology required. Enrolled in CTR Training Program preferred but not required.
Salary Range: $18.97 - $35.21 hourly (Pay per years of relative experience)
EOE, including disability/vets.
Lead Clinical Documentation Specialist
Remote Job
Job Posting
We are dedicated to providing exceptional care to every patient, every time.
St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades.
Position Summary:
The supervisor of Clinical Documentation Improvement (CDI) brings subject matter expertise related to clinical documentation improvement, and works closely with the CDI Manager to implement and manage a concurrent CDI program. The CDI Supervisor executes programs which capture appropriate clinical documentation through extensive interaction with physicians, nursing leadership and staff, other patient care givers and HIM coding staff to ensure appropriate reimbursement and clinical data quality information used in profiling and reporting outcomes is complete and accurate. Reports any and all concerns involving compliance issues to the Director of Health Information Services or via the compliance hotline. Responsible for promoting teamwork with all members of the healthcare team. Performs duties in a manner consistent with St. Luke's mission and values.
100% remote opportunity
Education, Experience, & Licensing Requirements:
Education: Minimum qualifications include a Bachelor's degree in nursing
Experience: 3-5 years experience in clinical documentation improvement preferred, knowledge in CMS regulations
* Greater than 10 years of clinical documentation improvement experience may be considered in lieu nursing education requirements.
Licensure: Current licensure as a Registered Nurse in the state of Missouri, CCDS certification preferred
Benefits for a Better You:
Day one benefits package
Pension Plan & 401K
Competitive compensation
FSA & HSA options
PTO programs available
Education Assistance
Why You Belong Here:
You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our
Labor Relations Specialist
Nuvance Health Job In Danbury, CT Or Remote
The Labor Relations Specialist plays an integral role in Nuvance Healths goal of fostering positive and productive labor relations across the Nuvance Health system. The Labor Relations Specialist is responsible for providing support for the entire labor relations team systemwide, including assistance related to the administration of collective bargaining agreements (CBA), mid-contract bargaining efforts, labor and employee relations initiatives, labor management, documentation, and reporting. The Labor Relations Specialist will report directly to the Strategic Labor Relations Manager for the Eastern Region. The position also will collaborate and work closely with the Human Resources Business Partner team, as well as in-house labor counsel. The position is primarily based in Danbury, CT, with travel to Nuvance Health hospitals within CT as well as opportunity to work remotely on a hybrid basis.
*Responsibilities:*
* Prepares comprehensive data analysis in preparation for and during labor negotiations.
* Develops standard data templates to ensure comprehensive analysis in preparation for labor negotiations, including economics, demographics, and projected proposal impacts.
* Conducts labor reporting and proactively identifies trends. Reviews cost and impact analyses of union proposals and analyzes impact of non-economic proposals.
* Monitors and maintains records of all grievances, tracks response times, and proactively follows up with HR Business Partners to ensure compliance with CBAs.
* Coordinates with union, management, labor relations team, and HR Business Partners to schedule labor management meetings and hearings. Prepares agendas and maintains minutes for labor management meetings and all related documentation.
* Logs all received Requests for Information (RFIs) in accordance with established Nuvance Health process. Provides support in the compilation of data required for RFI responses. Prepares responses and redacts any PHI, sensitive, confidential and/or nonresponsive information.
* Assists with data and document collection for requests related to unfair labor practice charges and labor arbitrations. Provides administrative support for both, where necessary, in consultation with internal and/or external counsel.
* Supports the operationalization of contract terms, including compiling data in order to administer compensation and benefits programs mandated by CBAs, including longevity bonuses and uniform allowances.
* Provides timely notification to unions of corrective actions issued. Assists in scheduling for employee interviews or investigatory processes.
* Collects and compiles delegate tracking information, and proactively notifies HR Business Partners in advance of delegate hours being met.
* Researches issues related to practices outlined in CBAs, including step increases and mandated increases. Coordinates resolution of issues with Payroll, HRIS, and other stakeholders.
* Assists in the development of labor relations related policy.
* Processes and ensures that labor relations related invoices are coded appropriately and paid in a timely manner (negotiation site charges, arbitrations, etc.).
* Models and maintains Nuvance Health values.
* Demonstrates regular, reliable and predictable attendance
* Performs other duties as required
*Qualifications / Skills:*
* 1-3 years labor relations experience
* Strong interpersonal skills and judgment.
* Exceptional organizational and multi-tasking abilities.
* Demonstrated experience in managing multiple priorities & established deadlines.
* Oral Communication - Speaks professionally in both positive and negative situations. Actively listens and ensures clarification.
* Written Communication - Writes clearly and informatively. Varies writing style to meet needs.
* Cost Consciousness - Works within approved budget, and conserves organizational resources.
Working Conditions:
Manual: Little or no manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.
Company: Nuvance Health
Org Unit: 1998
Department: Labor Relations
Exempt: No
Salary Range: $32.23 - $40.86 Hourly
We are an equal opportunity employer
Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at ************ (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.