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1st Choice Healthcare Remote jobs - 20 jobs

  • Speech Language Pathologist

    1St. Choice Visiting Nurses LLC 4.1company rating

    Kissimmee, FL jobs

    Job DescriptionJob Title: Pediatric Speech-Language Pathologist (SLP) Teletherapy (Remote) Job Type: Contract Per Diem (Flexible) $70.00 for evals Were looking for a dedicated and compassionate Speech-Language Pathologist (SLP) with a passion for working with children to join our pediatric teletherapy team! In this fully remote position, youll provide engaging, evidence-based speech and language therapy to children ages 0-21 via a secure online platform. This is a great opportunity for clinicians seeking flexible scheduling, reduced commute stress, and a meaningful way to help kids thriveright from home. What Youll Do: Deliver speech and language therapy sessions virtually to pediatric clients Conduct evaluations and re-evaluations Develop and implement individualized treatment plans and IEP goals Collaborate with families and caregivers Track and document progress using digital tools Create fun, engaging, and age-appropriate therapy experiences online What Youll Need: Masters degree in Speech-Language Pathology Active state license as an SLP ASHA CCC-SLP certification Minimum 1 year of pediatric clinical experience Teletherapy experience is required Strong communication, tech skills, and a love for working with kids Own a reliable personal computer Working knowledge of technology, such as headphones and personal computers This is a remote position.
    $54k-73k yearly est. 12d ago
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  • IMERT Administrator - FT

    Mercy Health System 4.4company rating

    Rockford, IL jobs

    IMERT Grant Administrator * Rockford, Illinois * 40 hours/week * Full-time benefits eligible * We offer a comprehensive benefits package that includes health and dental insurance, tuition reimbursement, retirement plan with a competitive matching contribution and paid time off. Mercyhealth offers several education assistance programs to support employees in their career advancement. Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning. The IMERT(Illinois Medical Emergency Response Team) Grant Administrator ensures team readiness, compliance with grant deliverables, compliance with state and federal rules and regulations, and serves as liaison with local, state, and federal partners. The IMERT Grant Administrator is responsible for assisting with grant applications, financial monitoring, and stewardship of funds and assets. This position also serves as the program administrator (or assigns a designee) for all training, exercises, and deployments. This position requires extensive travel within Illinois and deployments when activated to a disaster response area. Responsibilities Job Duties * Ensure grant oversight and completion of all deliverables from the HPP grant program are met objectively. * Ensure completion of all deliverables from the Homeland Security Advisory Committee * Ensure the welfare and safety of all team members, patients' participants, and guests * Collaborate with Medical Director, partners, and program contractors on plans, recruitment, training, and deployment activations. * Monitor organizational financial reports and complete audit reports for the grant cycle. * Ensure monthly financial submissions of HPP reimbursement requests are submitted appropriately. * Compose and submit reports to IDPH, ASPR, Homeland Security Advisory Council and other key organizations that influence the IMERT grant as required. * Extensive knowledge of other disaster response organizations) i.e., American Red Cross (ARC), Non-Governmental Organizations (NGO). * Extensive knowledge of other disaster response organizations with HHS agreements * Collaborate as the liaison between IMERT, IDPH, ILEAS, and IEMA-OHS. * Represents IMERT through participation on committees at the request of IDPH and IEMA-OHS. * Work collaboratively with a multi-disciplinary approach with local, regional, state stakeholders involved in community preparedness. * Ensure operational response and readiness of all equipment, supplies, and program partners. * Capable of effectively coordinating and directing Team interaction during mission assignments. * Participate in recruitment to further develop the IMERT team to support operational readiness and program needs. * Ability to provide patient care within the scope of the professional license held. * Other duties as assigned. Requirements: Bachelor's degree required Three years of patient care experience required Business level writing skills required Previous disaster medical field experience preferred Five years of related experience in emergency incident management preferred Previous grant admin/oversight with budgetary experience preferred Previous volunteer management preferred Licensed as an RN in the state of Illinois OR Licensed Paramedic with NREMT and Illinois Paramedic licensure Approved BLS certification required within 3 months ACLS within 6 months of hire PALS within 6 months of hire OTHER SKILLS AND ABILITIES Ability to drive/tow trailers for deployments Ability to write at a high level Ability to work in remote and austere locations
    $62k-101k yearly est. Auto-Apply 7d ago
  • Request Fulfillment Coordinator

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 There are so many important jobs that go into providing the very best health care. Jobs that patients may never notice but could be critical to their care. This is one of those jobs. Our IS Request Fulfillment Coordinator oversees and optimizes the complete lifecycle of service request handling within the IT Service Management framework, including activities related to service fulfilment and catalogue management. It's the sort of job that needs a detailed eye and a knack for problem solving. Project Management and Business Analyst experience preferred Monday-Friday. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Partner with Service Owners to identify the requirements for Franciscan application functionality and workflow. Participate in and facilitate application workflow design and system build. Collaborate with onshore/offshore developers. Minor build as appropriate. Identify and respond to complex changes in service offerings and processes. Provide solutions while allowing for innovation. Identify the criteria needed for service requests fulfillment, and coordinate/organize all resources (technical and business teams) required to process requests. Work as a liaison for the service transition team and guides the organization on delivering changes into the service structure. Regularly coordinate with Service Owners to suggest improvements to system use and processes. Advocate for improvements through the integrated service management approach. Identify service gaps, errors, and changes that could introduce quality inefficiencies and pose a potential risk to the organization through testing. Validate request records for completeness and accuracy. Submit requests for a final quality control checkpoint, which includes findings of the requests fulfillment process for future reference. QUALIFICATIONS Preferred Bachelor's Degree Business, healthcare IT, information technology or computer science Required High School Diploma/GED 5 years Relevant work experience Required 10+ years In lieu of Bachelor's degree 10 years of experience Required 2 years IT Service Management, ITIL, and/or Request Management experience Required 2 years Mastery technical and business knowledge in multiple disciplines/processes Preferred 2 years System implementation and support Preferred 2 years Experience with ITSM tools for request fulfilment, process optimization, incident tracking, and workflow automation Preferred Information Technology Infrastructure Library (ITIL) Foundations - AXELOS latest version System certification - . ServiceNow Certified System Admin (CSA) course required; CSA certification preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Request Fulfillment Coordinator $93,148.92- $128,079.77INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $32k-39k yearly est. Auto-Apply 23d ago
  • Hospital Outpatient Coding Educator (1.0 D)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Hospital Outpatient Coding Educator is responsible for coordinating and conducting coding training and developing training content and materials for the Franciscan Alliance Corporate Coding Department, hospital outpatient and professional coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. This position ensures all new and existing staff members are trained and adhere to current coding policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and maintains all corporate outpatient coding education, training policies and procedures, and coding reference materials. Leads training sessions and assess coder comprehension of covered materials. Makes recommendations for the development of coding resources and policy and procedure development. Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance. Coordinates with Coding Auditors to prepare education material based on audit results. Develops and maintains a consistent coding operations orientation program, and reports the coders' progress to coding leadership throughout the orientation and training processes Assists Coding Manager and Supervisor with review and response to external coding audits. Acts as a nosologist, analyzing and interpreting disease, procedure classifications, and terminologies for the accurate translation of healthcare data. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Ability to analyze information, make decisions and exercise independent judgement. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Participates in problem identification, performs root cause analysis and recommends a solution to Coding Management. Assists with development and maintenance of software system workflow for standardization and maximum efficiency. Oversees system testing with regards to any published software updates or software functionality changes Identifies template variation within the EMR that has a negative impact on coding edits/errors. Escalates trends and makes recommendations for template revisions/standardization to FAIS HIM team and Coding Leadership. Coordinates all testing efforts with coding superusers and FAIS teams. Assists with annual verification of coding staff credentials. Orients new physicians with regards to the coding department's role in the revenue cycle, and prepare training material for coding related to physician education. Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines. QUALIFICATIONS High School Diploma/GED With 5 years of Franciscan coding experience - Required or Associate's Degree in Health Information Management - Required Bachelor's Degree in Health Information Management - Preferred Surgery Coding Experience - Required 5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required or 3 Years Outpatient Coding Experience with RHIT/RHIA - Required 3 Years Coding Manager or Trainer/Auditor - Preferred CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or CPC, Certified Professional Coder from the American Academy of Professional Coders (AAPC) - Required or CCS-P, Certified Coding Specialist - Physician from the American Health Information Management Association (AHIMA) - Required RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred or RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $34k-64k yearly est. Auto-Apply 22d ago
  • Coding Manager

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Corporate Coding Manager develops and implements coding strategies and provides operational leadership to manage and maintain efficient coding processes. This position supervises staff, prepares and forecasts budgets and strategic plans oversees quality assurance programs, and ensures regulatory compliance. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. Oversees the auditing and education program to ensure accurate and compliant coding and billing practices. Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement. Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results. Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements. Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction. Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions. Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding. Function Purpose Orientation to coding fundamental support role in business operations in supporting the revenue cycle and how coding influences. (ex. Physicians, Clinical Operations teams, BPCI, quality measures Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency. Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines. Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines. QUALIFICATIONS Associate's Degree Health Information Management - Required Bachelor's Degree Health Information Management - Preferred 4 years Coding Manager - Required 4 years Franciscan Coding Supervisor - Required 3 years Coding Experience - Required Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required - OR - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required TRAVEL IS REQUIRED: Up to 20%JOB RANGE:Coding Manager $77,750.40 - $121,492.80INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $57k-75k yearly est. Auto-Apply 27d ago
  • Outpatient Coding Specialist - Work at Home - Any State

    Mercy Health 4.4company rating

    Remote

    Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. ESSENTIAL FUNCTIONS Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. ·Correctly abstract required data per facility specifications. ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. Training/Mentoring - SMART Responsibilities where applicable Required Minimum Education: Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire Preferred: RHIA or RHIT or CCS or COC or CCA or CPC MINIMUM QUALIFICATIONS Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Revenue Cycle - Legacy MH Acute It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
    $34k-50k yearly est. Auto-Apply 3d ago
  • Referral Management Coordinator

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Patient Engagement Access Center (PEAC) Referral Management Specialist is an important role for processing internal, incoming, and external referrals for all ambulatory services. In this role you will obtain prior authorizations, schedule patients, work inbound and outbound phone calls. You will also engage in conversations with patients on their responsibilities for copayment, prepayment, and any outstanding balance. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Ensure current and standardized referral policies and workflows are followed and utilized on a regular basis. Prioritize referrals by their urgency and address them in a timely manner. Ensure complete demographic, insurance information, and appropriate/pertaining clinical information is sent to referred specialists. Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance companies if deemed necessary to prove the medical necessity of services. Review details and expectations about the referral with ordering providers and patients. QUALIFICATIONS Required High School Diploma/GED 2 years Medical referrals, healthcare, and or prior authorization Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Referral Management Coordinator $18.55-$24.12INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $33k-39k yearly est. Auto-Apply 3d ago
  • Lead Clinical Documentation Integrity Specialist (1.0)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Lead CDI Specialist assists the CDI Manager by overseeing the day-to-day work functions of the CDI Specialists. In this role, you will assign daily duties, monitor CDI department volumes, and round with employees on a defined basis to solicit feedback. The position is responsible for escalating employee concerns, workflow opportunities, and technology barriers to the Manager/Director of CDI. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Oversee day-to-day CDI functions, including daily assignments and department-wide tasks, and escalates recommendations to the CDI Manager for adjustments to workflow when necessary. Coordinate staff schedules to meet service level expectations. Escalate inconsistencies in CDI operations that do not align with corporate standards. Make recommendations for the development of CDI resources and policy and procedure development based on observations with staff. Participate in problem identification, perform root cause analysis, and recommend a solution to CDI Management. QUALIFICATIIONS Associate's Degree Nursing or Healthcare related field - Required Bachelor's Degree Nursing or Healthcare related field - Preferred 7 years Acute Care Nursing in lieu of Bachelor's Degree - Required 3 years Direct CDI experience - Required 2 years Lead, Supervisory or Management - Preferred 1 year Prior leadership or mentoring experience formally as team lead or informally as a seasoned CDI specialist - Preferred 3 years EPIC/EHR experience - Required Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - Required within 180 days Registered Nurse (RN) - State Licensing Board - Preferred Strong communicator and approachable leader with a positive, servant-leadership style - Required Self-starter who takes initiative, solves problems effectively, and adapts well to change - Required Organized and confident working in dynamic environments - Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:CDI Lead Specialist: $75,441.60 - $103,750.40INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $52k-70k yearly est. Auto-Apply 22d ago
  • Clinical Documentation Integrity Education Specialist (1.0)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The CDI Education Specialist is critical for conducting CDI training and developing training content and materials for the CDI program. In this role you will ensure training practices are standardized and result in consistent outcomes and ensures all new and existing staff members are trained and adhere to current departmental policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develop and maintain all CDI education, training policies and procedures, and CDI reference materials. Lead training sessions and assess CDI comprehension of covered materials. Make recommendations for the development of CDI resources and policy and procedure development. Develop and maintain a consistent CDI operations orientation program and report the CDS's progress to CDI leadership throughout the orientation and training process. Serves as the subject matter expert with regards to medical terminology, anatomy/physiology, reimbursement schemes, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. QUALIFICATIONS Associate's Degree Nursing or Healthcare related field - Required Bachelor's Degree Nursing or Healthcare related field - Preferred 7 years Acute Care Nursing in lieu of Bachelor's Degree - Required 3 years Direct CDI experience - Required 3 years EPIC/EHR experience - Required 2 years Trainer/Auditor - Preferred Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - Required within 180 days Registered Nurse (RN) - State Licensing Board - Preferred Organized and creative in presenting information in clear, easy-to-understand ways - Required Patient and adaptable trainer who adjusts methods to meet individual learning needs - Required Nurturing mentor with strong time management and awareness of others' skill levels - Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:CDI Education Specialist: $73,278.40 - $100, 776.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $66k-79k yearly est. Auto-Apply 22d ago
  • Data System Engineer III

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 We are seeking a Site Reliability & DevOps Systems Engineer to design, automate, and maintain the infrastructure supporting our enterprise data and analytics platforms, including Power BI, Tableau, Databricks, and Epic Cogito. This role bridges systems engineering, DevOps development, and data operations - ensuring our analytics ecosystems are resilient, automated, secure, and high-performing. You will manage Azure DevOps and GitHub environments for CI/CD, infrastructure-as-code (IaC), and environment deployments, while collaborating with BI, data engineering, and cloud teams to standardize and optimize platform operations. Data Systems Engineer III (DSE) is responsible for making intuitive, high-level decisions in designing data analytics infrastructure to extract and organize data for authorized individuals to access. Responsibilities include identifying a company's internal and external data sources, collaborating with department heads to determine their data needs and using the information to create and maintain data analytics infrastructure for company employees. Is responsible for software design and implementation for the development team. The Architect will design and develop a unified vision for software characteristics and functions, with the goal of providing a framework for the development of software or systems that result in high-quality IT solutions. DSE III takes direction and guidance from lead data systems architect and department leadership to work towards enhancement of self and the team's capabilities around data and analytic competencies. Mentors junior architects and guides users across the organization to promote data education and a data-driven culture in all aspects of clinical and business operation. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Facilitate the establishment and execution of the roadmap and vision for information delivery and management; including the modernizing the data platforms, on-prim and cloud data, BI & analytics, content management and data management Work with stakeholders to understand their vision, challenges, and pain points. Work with data and analytics experts to strive for greater functionality in our data systems; consults with data systems management teams to get a big-picture idea of the data needs. Conduct detailed assessments of the data landscape including data platforms, technology architecture, data flows, data consumption, data integration and documentation Identifying installation solutions for new databases; determining the requirements for a new database. Develop future state architecture and process/data flows to realize the modern data strategy Design modern data supply chain, and evaluate and recommend new tools and technologies Guide the decision making of selecting cloud vs on-premise environments and assist with cloud service provider selection Document and present data strategies to stakeholders, gain buy in, and grow strategic relationships Assist in the development of capability roadmaps Identifying areas for improvement in current systems; participate in setting objectives and scope, and developing a roadmap for the data initiatives that support the client leadership in meeting their objectives Auditing database regularly to maintain quality; creating systems to keep data secure Own the technical relationship with the client, be a technical subject matter expert and principal data evangelist across the planning efforts that intersect the data discipline. Educate clients and internal constituents on the available technologies and general best practices. Mentor others as they build complex strategy and solutions Provide specialized expertise, cross-industry perspective, and thought leadership in big data, cloud, enterprise information management, and other next generation technology offerings Provides maintenance and support; performs other duties, as assigned. Qualifications Required Bachelor's Degree Business, Computer Science, Engineering, Information Systems, Public Health, or related field Preferred Master's Degree Computer Science, Business, Healthcare Management, Information Systems, or related field 6 years Systems, Application, and/or Database platforms administration experience with platforms such as Epic, SQL Server, Tableau, SAS, BusinessObjects etc. Experience architecting data management, analytics, business intelligence and application integration solutions. Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Data Systems Engineer III $82,931.74 - $114,031.14INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $83k-107k yearly est. Auto-Apply 60d+ ago
  • Physician Office Coding Educator

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Physician Office Coding Educator is a fully remote coding position responsible for developing training content and materials and conducting physician office coding training and for the physician office coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and maintains all corporate coding education, training policies and procedures, and coding reference materials. Leads training sessions and assess coder comprehension of covered materials. Makes recommendations for the development of coding resources and policy and procedure development. Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance. Coordinates with Coding Auditors to prepare education material based on audit results. Develops and maintains a consistent coding operations orientation program and reports the coders' progress to coding leadership throughout the orientation and training processes Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Maintains expert knowledge of Franciscan Alliance coding software tools. Assists with development and maintenance of software system workflow for standardization and maximum efficiency. Oversees system testing with regards to any published software updates or software functionality changes. QUALIFICATIONS High School Diploma/GED with 5 years of Franciscan coding experience - Required or Associate's Degree in Health Information Management - Required Bachelor's Degree in Health Information Management - Preferred 5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required or 3 Years Outpatient Coding Experience with RHIT/RHIA - Required 3 Years Coding Manager or Trainer/Auditor - Preferred Surgery Coding Experience - Required Proficient in Excel, Word and PowerPoint - Required Detail Oriented - Required TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $30k-35k yearly est. Auto-Apply 3d ago
  • Specialty Pharmacy Clinical Pharmacy Specialist

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Clinical Pharmacy Specialist provides comprehensive pharmacotherapy services for patient populations, responds to complex drug therapy issues, and provides leadership to improve medication use. The Specialist leads education efforts for Clinical Staff Pharmacists, Pharmacy Students, Pharmacy Residents, and other healthcare professionals. This position collaborates with other Franciscan Alliance medical staff and facilities to achieve best practices and optimal outcomes for all patients. BOTH INDIANA AND ILLINOIS PHARMACIST LICENSE REQUIRED. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Collaborate with allied health disciplines to provide quality patient care. Consult with and advise other Healthcare professionals and patients on matters pertaining to selection, procurement, distribution, and safe and appropriate use of medications. Coordinate and deliver ongoing staff education for clinical staff pharmacist. Direct and precept students and/or residents. Lead cost effective formulary management initiatives. Review adverse events related to the medication use process, recommend improvements to the medication use process, as needed, and ensure improvements are implemented. Review literature and publications in area of specialization, and recommend improvements to the medication use process. Review prescriptions and medication orders, check for appropriateness, and provide information needed to properly and safely administer the medication. Attend and participate in local and system-wide committees to improve the medication use process. Draft, review, and revise medication related policies, procedures, guidelines and protocols. Provide clinical pharmacy services as outlined in approved hospital policies, including but not limited to: pharmacokinetic consults, renal dosing, parenteral nutrition management, anticoagulation management, neonatal/pediatric/geriatric dosing management, route optimization, antimicrobial stewardship, and reviewing medications at transitions of care. QUALIFICATIONS Required Bachelor's Degree Pharmacy Preferred Doctorate Pharmacy 1 year PGY1 Pharmacy Residency Required 3 years In area of specialization Required 1 year PGY-2 Pharmacy residency Preferred Registered Pharmacist (RPh) - State Licensing Board Board Certified in applicable area of specialty or pharmacotherapy (if specialty area not available) - . Required within 24 months Basic Life Support Program (BLS) - American Heart Association As required by unit TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Clinical Pharmacy Specialist $128960.00-$153140.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $84k-135k yearly est. Auto-Apply 30d ago
  • Digital Solutions Architect - Data, Automation, & AI

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan, our IS Enterprise Digital Solutions Architect ("Architect") is a strategic and hands-on technical leader responsible for designing and delivering enterprise-grade digital solutions across data analytics, automation, interfaces, and AI domains. In this role you will be accountable for creating a cohesive architectural strategy that unifies the organization's technology stack to solve complex business challenges and advance digital transformation. You will play a key role in shaping the technical direction for developing integrated business and enterprise data product solutions, providing technical expertise to project teams, and ensuring that new and existing software solutions are strategically aligned and effectively developed. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Working in close partnership with other IS architects and colleagues, lead the architectural vision, reference models, and standards for several domains including data, AI, and automation, ensuring alignment with enterprise goals and IT strategies. Serve as the Product Owner for prioritized digital, AI, and solutions dev initiatives, working across clinical, operational, and administrative teams. Increase the analytics, AI, and solutions development maturity for the organization. Drive best practices and continuous improvement in domains including business applications, open API-based architecture, data lifecycle management, interoperability, information delivery, closed loop analytics, and vendor/partner integration. Effectively lead, in partnership with other FA colleagues, to promote, deliver, and adopt mature and robust solutions and capabilities for data segmentation, data security, privacy, compliance, monitoring, and auditing. Define, articulate, and update the guiding principles that drive the technical standards for the organization across assigned areas. Endorse technical standards and ensure that they are aligned with technical vision, architecture, and roadmap. Prescribe and optimize the use of modern platforms and capabilities, effectively integrating cloud-native and third-party systems, services, and technologies into FA tech stack. Drive reuse of components, modular architecture, and standardized practices across business units and solution teams through technical leadership in designing integrated data pipelines, orchestration workflows, model deployments, and automation frameworks. QUALIFICATIONS Required Bachelor's Degree Computer Science, Informatics, Computer Programming, Engineering (Computer, Mechanical, Network, or Electrical), Information Security Preferred Master's Degree Computer Science, Informatics, Computer Programming, Engineering (Computer, Mechanical, Network, or Electrical), Information Security 10+ years Hands-on solutions development and architecture across cloud and on-prem environments Required 8 years Custom development experience with deep understanding of IT systems, applications, data structures, and infrastructure, including end-to-end system mapping across data, digital, or business solutions areas. Required 8 years Software development/engineering and programming with one or more industry standard languages such as SQL, Python, Java, C++ etc. Required 7 years Progressive experience in enterprise architecture or IT strategy roles through technical leadership at an architect or solutions lead level Required 5 years Experience with cloud-native tool and technologies on Microsoft Azure platform with solid technical knowledge of relevant data architecture, metadata management, AL/ML and automation frameworks. Required 5 years Experience with healthcare enterprise platforms such as Epic, Workday, ServiceNow etc. Preferred 5 years Healthcare technology experience, particularly within hospital systems or integrated delivery networks Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:IS Enterprise Digital Solutions Architect $117,340 - $161,343.63INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $98k-128k yearly est. Auto-Apply 60d+ ago
  • Certified Tumor Registrar

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan Health, the Certified Tumor Registrar (CTR) is a data information specialist responsible for the identification, collection, and management of health, medical, and outcome information on oncology patients. Primary responsibilities include abstracting and coding specific patient, cancer, and treatment information from numerous sources, as well as maintaining and updating existing patient records. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Abstract cancer-related data, according to ICD-10, American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines, to generate reports regarding cancer surveillance and improvement of care. Review patient cases, identify potential cases for the registry, and assess whether the case is reportable, is already reported, or could potentially be recorded in a file of non-reportable cases. Assist with monthly and annual data submissions and quality assurance reviews, to ensure compliance with the American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines. Facilitate and organize tumor board and other case conferences. Monitor, report, and record tumor registry activities, to ensure compliance with Commission On Cancer (CoC) and other accreditations. QUALIFICATIONS Associate's Degree required 1 year of Tumor Registry experience p referred Certified Tumor Registry (CTR) OR Oncology Data Specialist - Certified (ODS-C) required RHIA or RHIT p referred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Tumor Registrar $25.58 - $33.25INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $47k-61k yearly est. Auto-Apply 16d ago
  • Physical Therapist Remote PRN Pelvic Floor

    Franciscan Alliance 4.1company rating

    Lafayette, LA jobs

    YMCA Lafayette3001 S Creasy Ln Lafayette, Indiana 47905 At Franciscan, our Telehealth Physical Therapist I is critical for providing remote evaluation and treatment of the patient. In this role you will remotely evaluate and implement the plan of care to improve, restore and enhance physical functional performance and promote injury prevention. *** Position is fully remote. Franciscan Health provides equipment. Worker must be agreeable to Franciscan Health Flexible Work Agreement.*** Flexible availability: including days, evenings, and weekends Minimum of 12 visits/month required. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT 1:1 Therapist/Patient Focused Care Mentorship PRN Days Opportunity to work at various Franciscan Health therapy locations. QUALIFICATIONS Minimum of Bachelor of Science Degree from an accredited program is required Must have a valid license or temporary permit for the applicable state Experienced and new graduate Physical Therapist eligible Adapt and respond quickly to changing priorities Ability and willingness to work in team environment TRAVEL IS REQUIRED: Never or Rarely EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $74k-90k yearly est. 12d ago
  • Clinical Denial Specialist II

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Clinical Denial Specialist II functions as a hospital liaison to appeal denied claims for Medicare, Medicaid, Managed and Commercial insurance. This position entails detailed retrospective review via EPIC of patient medical records to analyze and compile data for additional documentation request and claim denials, using trends and patterns identified to support process improvement. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Schedule: Monday - Friday, 8am - 5pm Develop reports Review governmental contractor's response Identify underlying root causes for potential denials and works closely with departments and Clinical Documentation Integrity to reduce denials Write and ensure all appeals are filed in a prompt and timely manner for Medicare, Medicaid, Managed, and Commercials Payor Audit medical documentation for adherence to insurance and CMS guidelines relating to inpatient/observation services, or other denial issues Knowledge of inpatient criteria to establish medical necessity letters QUALIFICATIONS Active Indiana RN license required BSN or Associate's with 5 years of nursing experience required 3 years of denial experience required 5 years of nursing or case management experience preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Clinical Denial Specialist II $52395.20-$77948.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $38k-64k yearly est. Auto-Apply 14d ago
  • Inpatient Coder - Work at Home - Any State

    Mercy Health 4.4company rating

    Remote

    Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 20 Work Shift: Afternoons/Evenings (United States of America) Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. Essential Job Functions Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. Correctly abstract required data per facility specifications. Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation Required Licensure: RHIA, RHIT, CCS, CIC, or CCA Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Revenue Cycle - Legacy MH Acute It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.
    $34k-50k yearly est. Auto-Apply 3d ago
  • Pediatric Speech Language Pathologist REMOTE PRN

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 *** Position is fully remote. Franciscan Health provides equipment. Worker must be agreeable to Franciscan Health Flexible Work Agreement. Worker has OMT-Orofacial Myofunctional Therapist.*** Flexible availability: including days, evenings, and weekends Minimum of 12 visits/month required. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT 1:1 Therapist/Patient Focused Care Mentorship Continuing Education opportunities Part time Days Opportunity to work at various Franciscan Health therapy locations. QUALIFICATIONS Required Master's Degree Speech Pathologist (SPE) - . Cardiopulmonary Resuscitation (CPR) - . American Speech Language and Hearing Association (ASHA) - . TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Speech Language Pathologist I $75441.60-$103740.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $68k-94k yearly est. Auto-Apply 17d ago
  • Hospital Inpatient Coder VI (1.0 D)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Hospital Inpatient Coder VI Specialist analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $54k-66k yearly est. Auto-Apply 2d ago
  • Hospital Inpatient Coder VI (1.0 D)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required RHIT, Registered Health Information Technician from the American Health Information Management Association (AHIMS) - Preferred RHIA, Registered Health Information Administrator from the American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $54k-66k yearly est. Auto-Apply 22d ago

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