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ATI Physical Therapy Remote jobs - 61 jobs

  • Sales Development - Worksite Occupational Health

    ATI Physical Therapy 4.4company rating

    Downers Grove, IL jobs

    As the Sales Development Specialist, you are responsible for new client acquisition and revenue generation in the ATI Worksite Solutions (AWS) business line. You will create a sales pipeline for new employers and provide visibility to senior management, attend industry conferences and other events to develop the ATI brand and network for lead generation. This is a remote position with travel across ATI's nationwide footprint. We are seeking candidates with experience in contractual B2B sales development to employers for on-site occupational medicine, wellness programs, workplace injury prevention services. **Responsibilities** * Prospect new employer clients. * Attend industry conferences to network with potential clients and establish the ATI brand including partnering with operations on presentation opportunities. * Collaborate with AWS colleagues to share leads generated to achieve the goal of securing business. **Qualifications** **Minimum Education** **Required:** * Bachelor's Degree **Minimum Experience** **Required:** * 5 years of employer sales experience. We are seeking candidates with experience in sales development to employers for worksite/onsite occupational medicine, wellness programs, workplace injury prevention services. **Knowledge Skills and Abilities** * Understands safety and wellness programs that employers implement to prevent workplace injuries. * Proficient in Salesforce, Excel, and PowerPoint. * Prospect new opportunities and develop a sales pipeline. * Connect with key employer decision makers to develop relationships to effectively sell AWS services. * Ability to collaborate with other ATI teams within Employer Solutions. * Work collectively with other AWS team members to articulate leads and pipeline opportunities to grow the business. * Support and execute a sales plan. **Virtual Employee?** Yes **Salary Range** $83,047-$115,000 annually **Location/Org Data : Dept Number** CORPIL **ReqID** _2025-27421_ **Job Locations** _US-IL-Downers Grove_ **Job Category** _Corporate - Health Services_ **Pay Class** _Full Time_
    $83k-115k yearly 60d+ ago
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  • Staff RN - Med/Surg Hybrid Unit

    Ohiohealth 4.3company rating

    Columbus, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position provides general nursing care to patients and families along the health illness continuum in diverse health care settings while collaborating with the health care team. He/She is accountable for the practice of nursing as defined by the Ohio Board of Nursing. Responsibilities And Duties: Assessment/Diagnosis - Performs initial, ongoing, and functional health status assessment as applicable to the population and or individual (30%). Outcomes Identification/Planning - Based on nursing diagnoses and collaborative problems, documents planned nursing interventions to achieve outcomes appropriate to patient needs (30%). Implementation/Evaluation - Evaluates and documents response to nursing interventions and achievement of outcomes at appropriately determined intervals; as part of a multidisciplinary team, revises plan of care based on evaluative data (20%). Leadership - Actively participates in process improvement activities to achieve targeted measures of clinical quality, customer satisfaction, and financial performance (10%). Operations (10%). As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time. Minimum Qualifications: BLS - Basic Life Support - American Heart Association, RN - Registered Nurse - Ohio Board of Nursing Additional Job Description: State Driver's License. RN - Registered Nurse BLS - Basic Life Support CPR - Cardiopulmonary Resuscitation Field of Study: Nursing Years of Experience 0 Work Shift: Night Scheduled Weekly Hours : 36 Department Medical Unit 3 Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $19k-60k yearly est. 2d ago
  • Vendor Specialist, Remote

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary: The role is responsible for the external vendor management, overseeing relationships, contracts, amendments, scope of work requests, vendor processes, analysis, and invoice submissions for the MGB Revenue Cycle Operations team. The position will also communicate with all business owners in the MGB RCO and collaborate with the strategy and innovation department. Does this position require Patient Care? No Essential Functions: Works closely with operational leaders to develop, recommend and establish strategies, plans and processes to understand and control external vendors. -Research and track vendor contract terms, alerting staff to renewal deadlines or extensions needed and documenting communications. -Maintain detailed records of correspondence and documentations of the entire contracting process, tracking and reporting on key projects including post-contract changes, amendments, and SOW fulfillment. < -Responsible for creating efficiencies, risk mitigation and vendor management. -Solve any contract-related problems that arise with guidance from MGB RCO leadership team. -Present information to key stakeholders about contract-related matters. -Develop and maintain vendor/contract management workflows. Qualifications Education Bachelor's degree required. Can this role accept experience in lieu of a degree? No Experience Vendor management 3-5 years required Knowledge, Skills and Abilities - Excellent communication and presentation skills both written and verbal with ability adjust to audience. - Strong management, problem-solving and organization skills. - Proven analytical aptitude, with the ability to create/extract/manipulate/analyze large amounts of complex financial and operational data. - Project management experience, with an ability to manage several projects simultaneously. - Ability to build collaboration across the organization. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $21.8-31.1 hourly Auto-Apply 10d ago
  • ECommerce Marketing Operations Specialist

    Medical Service Company 4.2company rating

    Cleveland, OH jobs

    At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program DEI&B Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays General: The Ecommerce Marketing Operations Specialist performs day-to-day tasks necessary to support E-Commerce and Marketing Operations initiatives. Performs E-Commerce customer service and order fulfillment as needed; ensuring phone coverage and that customers receive the correct items in a timely fashion, including providing updated order status through fulfillment and delivery. Updates E-Commerce inventory items. Performs marketing operations functions and support of internal and external initiatives such as ensuring event asset requests are processed and completed accurately, fulfills internal MSC employee projects including requesting mail files from HR, support for JSM operations and working with the Marketing Director and vendors, and the MSC warehouse staff to complete projects. Works with the Marketing Director on prioritization of initiatives. Reports to: Director of Marketing & ECommerce Responsibilities and Duties: Ecommerce: Order fulfillment: Ensures customer orders are placed with various vendors and order status is updated as products are shipped, as needed. Supports the Lead E-commerce Specialist by fulfilling items that are only inventoried in Cleveland. Works with the MSC warehouse staff to fulfill these items. Catalog Management Add, remove, and maintain products in online catalog. Add, review, and modify product descriptions to ensure effective descriptions and unique content, including features and benefits. Ensure proper pictures are displayed and manufacturer hyperlinks are current. Customer Service support: Ensures phone coverage with the other members of the e-commerce team, checks voice mail, and returns customer calls to support order management, returns and questions about orders and products. Reporting support: Pulls new customer and inventory reports working with the other e-commerce team members to ensure reporting is accurate and timely. Marketing: Request fulfillment: Logs into the MSC ordering portal (Vorex) to check requests. Routes marketing requests to Marketing Director through the MSC ordering portal. Coordinates printing and shipping of approved marketing collateral for sales and other areas of organization to the printer vendor (that is not available on the POD site). Event asset fulfillment: Assist in shipping event materials and maintaining log to ensure timely delivery and return of show items including tabletop accessories, pop up signage and giveaways. MSC employee and customer project fulfillment: Internal and external marketing communications initiatives for MSC employees, JSM attendees/speakers and other fulfillment requests. Works with Marketing Director and VP of Sales, Marketing & Ecommerce to execute project fulfillment requests. Works with the MSC warehouse staff to execute project fulfillment requests. Serves as the MSC internal contact for envelopes and other items not on the POD portal. Other Responsibilities Assigned Qualifications: Education: High school diploma or equivalent. College degree from an accredited college or university preferred. Experience/Knowledge/Skills/Physical Requirements: 1-2 Years' experience providing superior customer service in a call center or tele-sales environment. Digital Marketing/E-Commerce customer service experience a plus. Analytically inclined, strong attention to detail, multi taking and computer skills Enthusiastic, Customer Focused Familiarity with basic knowledge and use of Microsoft Excel Social Media knowledge Work effectively in a fast-paced environment
    $49k-76k yearly est. 12d ago
  • Home Base SOF Admissions Social Worker

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Massachusetts jobs

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. LCSW: starting pay rate $68,224 LICSW: starting pay rate $92,227 SIGN ON BONUS AVAILABLE for eligible Non-MGB employees: $3,000 FOR LCSW, $10,000 FOR LICSW/LMHC, Please ask about the details! Job Summary Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Massachusetts General Hospital seeks a dynamic Licensed Clinical Social Worker (LCSW)/Licensed Independent Clinical Social Worker (LICSW) to serve on the Special Operations Team. In this role, the LCSW/LICSW will provide and oversee the provision of psychiatric, psychosocial, and overall mental health services and referrals for military Special Operators into the Home Base program. They will also be dedicated to supporting the Special Operations Forces (SOF) program and will provide coverage to other clinical operations as needed. The LCSW/LICSW may help cover approximately 2-3 weekend shifts per year. Summary This position will collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team. They work collaboratively with all healthcare team members to develop and implement treatment plans that support patient-centered plans of care for both individual patients and the medical community. Does this position require Patient Care? Yes Essential Functions -Provides psychosocial assessments of patients and families with social, emotional, interpersonal, and/or environmental issues. Formulates biopsychosocial assessment, disposition, and treatment plans. -Collaborate with other professionals to evaluate patients' medical or physical condition and to assess client needs as part of the interdisciplinary team. -Monitor, evaluate, and record client progress according to measurable goals described in the treatment and care plan. -Coordinate care for Special Operations Forces (SOF) veterans and military-connected family members seeking care at Home Base with the appropriate internal or external clinicians in a multi-disciplinary team, coordinated care model. -Serve as a contact point for accepting and triaging SOF referrals from internal clinicians, outside clinicians and self-referred patients. -Serve as primary case manager for patients in SOF admissions process in collaboration with Admissions Coordinator, including, but not limited to, the following responsibilities: conduct pre-screening to assess treatment and evaluation needs for SOF patients referred; coordinate signing of Release of Information forms, acquire relevant medical records, and coordinate with SOCOM where applicable; serve as point of contact for ongoing questions from the patient as they arise. -Monitor patient's status in admissions process using appropriate documentation. -May be asked to collaborate with SOF/ComBHaT team, patients, clinical team, and Resource Specialist to identify clinical and psychosocial needs in patients' home communities and identify appropriate resources. -May provide direct clinical services to Veterans and/or family members, which may include group or individual therapy. -May provide psychoeducation regarding PTSD, TBI, and related conditions to Veteran patients and family members as clinically appropriate within the context of the Intake and triage duties. -Collaborate with an inter-disciplinary team of clinical staff (social workers, psychologists, nurses, psychiatrists, physiatrists, physical therapists, etc.) to coordinate patient care and plan for discharge/aftercare when needed. -Consult with team to facilitate mandated assessments when abuse is suspected (child, disabled adult, elder), and safety assessment when violence is reported. Collaborates with MGH resources (HAVEN and Child Protection Team). -May assist with crisis intervention and management. -Documents timely and relevant information in patient electronic medical record and Home Base database. -Provide coverage for social work responsibilities in Outpatient Clinic as needed. -For LICSWs: provide clinical supervision to LC-level and/or MSW students as needed. -Additional responsibilities as assigned. Qualifications Education Master's Degree Social Work required or Master's Degree Mental Health & Behavioral Medicine required Can this role accept experience in lieu of a degree? No Licenses and Credentials Current professional licensure in Massachusetts (LCSW required, LICSW preferred). Experience Clinical Social Worker I Clinical Experience in a medical setting 0-1 years required Clinical Social Worker II Clinical Experience in a medical setting 2-3 years required Knowledge, Skills and Abilities - Excellent organizational and time management skills. - Excellent crisis intervention skills. - Good problem solving and conflict resolution skills. - Ability to work well collaboratively and independently. - Strong written and verbal communication skills. - Knowledge of community resources and the aging process. - Demonstrates basic foundational skills, showing fundamental knowledge and a commitment to the application of professional values and ethics. - Demonstrates fundamental skills in formulation, assessment of risks, crisis intervention completion of psychosocial treatment plans, and appropriate documentation. - May need assistance and guidance in ensuring the patient's needs, safety measures, and concerns are brought forward. Emerging knowledge of internal and external resources. - Developing and demonstrating interpersonal collaboration in a medical setting- inpatient or outpatient. - May need coaching/guidance in this area. - May provide some assistance and support with onboarding for new team members. - Aware of opportunities in department/service initiatives; participates in initiatives at an entity level. Uses data to measure progress. - Demonstrate fundamental skills under supervision. May need assistance in promoting collaboration among healthcare team members, other colleagues, and the organization to support and enhance patient care. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $56,992.00 - $82,992.00/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $57k-83k yearly Auto-Apply 60d+ ago
  • Sales Support Representative

    Medical Service Company 4.2company rating

    Cleveland, OH jobs

    At MSC, we are dedicated to enhancing patient comfort and quality of life with over 75 years of experience and accredited by the Accreditation Commission for Health Care (ACHC). MSC is a 13 -Time recipient of the prestigious NorthCoast 99 Award as a Top Workplace to work! MSC is a two-time recipient of the prestigious National HME Excellence Award for Best Home Medical Equipment company in the US. In addition, MSC is very proud to announce its debut on the Inc. 5000 list in 2024, marking a significant milestone in our company's growth and success! Join Our Team! We are excited to announce that we are hiring for a full-time hybrid position. Work in our office location on Tuesdays, Wednesdays, and Thursdays, and enjoy the flexibility of remote work on other days. Benefits included! Apply today to become a part of our dynamic team! Competitive Pay Advancement Opportunities Medical, Dental & Vision Insurance HSA Account w/Company Contribution Pet Insurance Company provided Life and AD&D insurance Short-Term and Long-Term Disability Tuition Reimbursement Program Employee Assistance Program (EAP) Employee Referral Bonus Program DEI&B Program Social Recognition Program Employee Engagement Opportunities CALM App 401k (with a matching program) / Roth IRA Company Discounts Payactiv/On-Demand Pay Paid vacation, Sick Days, YOU (Mental Health) Days and Holidays The Sales Support Representative is r esponsible for assisting the Business Development Team in growing our focus products and building strong relationships with identified key accounts. Responsibilities and Duties: Support the Business Development Team in servicing various key accounts by collecting and submitting the required documentation for pending patient orders. Conduct care calls to patients post set up to ensure they are satisfied with their support. Run reporting for key accounts to provide order status updates. Be accessible for assigned key accounts to help work through any patient care challenges. Be accessible for patients referred by key accounts who need issue resolution. Learn and understand the required information and documentation that is needed in order to proceed with a patient's orders. Support potential key accounts to help grow them into key accounts. Work with referral source staff to ensure documentation is obtained, complete and accurate. Work within EMR systems to obtain needed documentation to complete orders. Review cancelled orders and identify opportunities to recover and complete orders. Review documentation for completeness and accuracy prior to submission. Submit documentation to Customer Service Department for processing in a timely manner. Perform other related duties as directed. Qualifications: Education: Graduate of an accredited high school or GED equivalent. Experience/Knowledge/Skills/Physical Requirements: Minimum of 1 year of progressively responsible customer service or sales experience Ability to work with excel. Excellent skill set in communication and customer relations. Detail oriented with excellent interpersonal and organizational skills. Ability to work autonomously. Previous experience in referral intake and/or medical billing is preferred.
    $34k-44k yearly est. 42d ago
  • Clinical Genomic Scientist- Clinical Indication

    Baylor Genetics 4.5company rating

    Remote

    Baylor Genetics, one of the world leaders in clinical molecular genetics, is excited to announce an opening in the Clinical Genomics Interpretation (CGI) division. This role requires a comprehensive understanding of clinical genetics, familiarity with reviewing clinical notes, and ability to interpret a pedigree. As part of the WGS Clinical Indication Team, the “Clinical Genomic Scientist” reviews clinical notes and converts patient phenotypes into Human Phenotype Ontology (HPO) terminology, records prior genetic testing history, interprets family history from pedigrees, and confirms consent answers from test requisition forms. The Clinical Genomic Scientist position is a remote work opportunity, with daily huddles, clear objectives, and flexible scheduling. Come join our team from the comfort of your home office! Duties and Responsibilities on the WGS Clinical Indication Team: 80 to 100%: Reviewing test requisition forms and clinical notes, extracting clinical information into structured data, such as HPO terms Up to 20%: As needed, opportunities for cross-training in WGS variant curations or WGS report writing may become available Qualifications Degree: Master's in Genetic Counseling, MD/PhD with a background in clinical genetics Preferred: Master's in Genetic Counseling Experience: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Experience in communicating genetic details effectively. Excellence in reading/writing medical language. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Desired: Experience in genetic counseling, familiarity reviewing clinical notes and medical writing. Desired: Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Desired: Knowledge of genomic variation and its correlation with human disease. Rank: Clinical Genomic Scientist - Clinical Indication I Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 0-1 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication II Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 2-4 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication III Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality and leading projects toward goals Rank: Clinical Genomic Scientist - Clinical Indication - Senior Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Competencies: Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month)
    $118k-155k yearly est. 44d ago
  • Graphic Designer - Corporate Marketing

    Ohiohealth 4.3company rating

    Homeworth, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Come change healthcare with us. At OhioHealth we're committed to improving the health of those we service. By putting people at the center of our work, we're looking to create products and experiences that make healthcare easier and reduce friction for all those involved. We believe we can be part of the solution that changes healthcare for the better. This position supports the OhioHealth Marketing and Communications Department (MarComm) by translating strategies into visual solutions that achieve OhioHealth system growth and brand awareness goals. The Graphic Designer will create consistently branded, effective design concepts, intended to engage a variety of audiences. Ability to individually manage projects as well as collaborate with the senior designer, content and social media teams, and creative operations on more complex, strategic projects is essential. Projects include ads, sell sheets, brochures, direct mail, digital graphics, promotional displays, powerpoint presentations and environmental graphics supporting all clinical programs and care sites across the organization. THIS POSITION IS A REMOTE POSITION HOWEVER CANDIDATE MUST LIVE IN OR NEAR-PROXIMITY TO CENTRAL OHIO. Responsibilities And Duties: Responsible for managing individual workload as assigned by the Traffic Managers to meet deadlines on a daily basis Support day-to-day design requests including a variety of marketing collateral and communication materials, from template, quick-turn pieces to larger, conceptual campaigns with multiple components Demonstrates an understanding of design for digital applications. Responsible for collaborating with the digital team to understand needs and functionality on more complex graphic requests. Accurately and efficiently make updates to existing files for reprints Responsible for accurately preparing final art and reviewing the printers' proof prior to production Supports Sr. Graphic Designer to build, maintain and uphold current visual identity and branding standards Participates in project kick-off meetings and brainstorm sessions as needed Supports the Creative Services team by helping build and maintain organization systems to efficiently share brand asset so Maintains/evolves creative server organization Helps manage photo assets by pulling selects and ensuring new images get uploaded to creative server and online photo library Maintains a print sample filing system with current proofs Supports workflow process by packaging native art files from creative server and uploading to off-site designers as needed Responsible for continually staying abreast of emergent design trends, technologies, and techniques Minimum Qualifications: Bachelor's Degree (Required) Additional Job Description: Field of Study: Graphic Design Field of Study: Visual Communications Field of Study: related field. Years of experience: 1 to 2 SPECIALIZED KNOWLEDGE Field of study in Graphic Design, Visual Communications, or a related discipline (or an equivalent combination of education and relevant experience), with 1-2 years of internship and/or professional graphic design experience in a corporate in-house or agency setting The ideal candidate brings a strong portfolio demonstrating sound design fundamentals and aesthetic judgment, with excellent print design and typography skills and a clear understanding of visual hierarchy and how to organize information. Must have demonstrated experience designing within established corporate brand identity standards and ensuring consistency across channels. Proficiency using a Macintosh-based design environment, with working knowledge of Adobe Creative Cloud (including InDesign, Illustrator, and Photoshop) and Microsoft Office 365, particularly Word and PowerPoint, for creating and updating brand-compliant documents and presentations (PowerPoint animation knowledge is a plus). The following skills are not required but considered a bonus: familiarity with CRM website platforms such as Squarespace or WordPress for simple content/visual updates; web development or advanced animation skills within Adobe AfterEffects, Firefly or Express. Critical-thinking skills, attention to detail, time management, and conceptual-thinking abilities are essential, along with the ability to manage multiple projects simultaneously, meet strict deadlines, and thrive in a fast-paced environment. Work Shift: Day Scheduled Weekly Hours : 40 Department Creative Services Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $43k-52k yearly est. Auto-Apply 4d ago
  • Coder II - OP Physician Coding (Ortho Surgery)

    Baylor Scott & White Health 4.5company rating

    Phoenix, AZ jobs

    ** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 60d+ ago
  • Per Diem Health Plan UM Medical Director

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan UM Medical Director Qualifications Education: MD or DO required Licenses and Credentials: Physician - Massachusetts active full license required Experience: 5+ years of Health Plan UM experience at least 5 years of clinical practice experience Knowledge, Skills and Abilities: Utilization Management experience Excellent written and oral communications skills Proficient in basic computer skills, use of EHR's, digital tools Multitasking abilities Adaptable to change due to business growth Job Description: Handles utilization management initial determinations, appeals and grievances within the scope of their expertise as defined by Medicare, MassHealth, NCQA and the Division of Insurance and within the compliance requirements of key regulatory and accreditation entities Use CMS, state and internal medical necessity policies to guide MN determinations Complete peer to peer case discussions with requesting providers as assigned Refer to IRO/external review if specialist match or expertise is needed Interact, communicate and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Monitors performance metrics to identify areas for continuous improvement and ensure compliance Establishes and maintains positive relationships with colleagues and customers and gains their trust and respect Ensure diversity, equity and inclusion are integrated as a guiding principle Other duties as assigned with or without accommodation Additional Job Details (if applicable) Primarily remote position M-F 830-5pm EST Ensures that all assigned work is completed within regulatory timelines Checks and addresses assigned work queues, email, Teams messages during assigned work hours Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 0 Employee Type Regular Work Shift Day (United States of America) EEO Statement: Balance Sheet Cost Centers is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $206k-287k yearly est. Auto-Apply 14d ago
  • Senior Healthcare Economics Analyst

    Senior Medical Officer (Physician) In Atlanta, Georgia 4.5company rating

    Remote

    As a Healthcare Economics Analyst at Wellbe you will play a pivotal role in shaping the organization's healthcare strategy through advanced analytics and economic modeling. You will lead high-impact initiatives, provide strategic insights to senior leadership, and serve as a trusted advisor across departments.In this role, you will collaborate with cross-functional teams and serve as a subject matter expert, providing valuable insights and guidance to inform strategic initiatives. This role is ideal for a seasoned analyst with a strong blend of technical expertise, business acumen, and leadership capability. Lead complex analyses of medical and pharmacy claims, enrollment, and provider data to uncover cost drivers and utilization trends. Develop and implement innovative tools and methodologies to monitor healthcare trends and identify affordability opportunities. Deliver actionable insights to support contract negotiations, care management programs, and network optimization strategies. Build and maintain predictive models to assess the financial and clinical impact of strategic initiatives. Design executive-level dashboards and reports to monitor performance and diagnose cost trend anomalies. Partner with actuarial, clinical, data science, and business teams to forecast medical costs and evaluate risk adjustment performance. Present findings and strategic recommendations to senior leadership using clear, compelling visualizations and narratives. Conduct pro forma and sensitivity analyses to estimate the financial value of proposed cost containment initiatives. Mentor and guide junior analysts, establishing best practices in data validation, analytical methods, and reporting standards. Ensure all analyses adhere to regulatory requirements and industry best practices. Champion a culture of collaboration, innovation, and continuous improvement across the analytics team. Promote data governance, security, and compliance across all analytics workflows. Strong sense of ownership, bias for action, and drive Strong verbal and written communication Excellent analytical and problem-solving skills Strong work ethic and attention to detail Job Requirements Advanced proficiency in SQL, Tableau, and Snowflake; experience with enterprise reporting tools. Working knowledge of Python or R for statistical modeling and automation. Deep understanding of CMS programs (Medicare Advantage, Medicaid) and HCC risk adjustment methodologies. Experience with statistical modeling, forecasting, and predictive analytics. Strong communication skills with the ability to translate complex data into strategic insights for non-technical audiences. Proven ability to lead cross-functional projects and influence decision-making at the executive level. High level of ownership, initiative, and attention to detail. QUALIFICATIONS Bachelor's degree in Economics, Mathematics, Statistics, Public Health, Health Administration, or related field (Master's preferred). 5-7 years of progressive experience in healthcare analytics, medical economics, actuarial analysis, or health plan finance. Extensive experience working with medical and pharmacy claims, risk adjustment, and value-based care data. Strong understanding of healthcare reimbursement models (FFS, capitation, shared savings, risk contracts). Experience with cloud-based data platforms (Snowflake or similar). Demonstrated ability to lead and mentor teams, and drive strategic initiatives. Excellent problem-solving, interpersonal, and stakeholder management skills. Travel requirements: Travel may be required up to 15% locally or nationally Work Conditions: Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 50lbs. Ability to stand for extended periods Ability to drive to patient locations (ie. home, hospital, SNF, etc) Fine motor skills Visual acuity Work Environment: Remote Pay Range $ 110,000-$165,000 Sponsorship Statement WellBe does not offer employment-based visa sponsorship for this position. Applicants must be legally authorized to work in the United States without the need for employer sponsorship now or in the future. Pay Transparency Statement Compensation for this position will be disclosed in accordance with applicable state and local pay transparency laws. Drug Screening Requirement: As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company's Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee's ability to safely and effectively perform their job duties. Background Check Statement Employment is contingent upon successful completion of a background check, as permitted by law. As a healthcare organization, WellBe conducts monthly FACIS (Fraud and Abuse Control Information System) checks on all employees. Continued employment is contingent upon satisfactory results of these checks, in accordance with applicable laws and regulations. Equal Employment Opportunity (EEO) Statement WellBe is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected status. Americans with Disabilities Act WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application, interview or employment process, please contact Human Resources at *********************** At-Will Employment Statement Employment with WellBe is at-will unless otherwise specified by contract. This does not constitute an employment contract. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, and skills required. Management reserves the right to modify, add, or remove duties as necessary. The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.
    $110k-165k yearly Auto-Apply 9d ago
  • Sr Genetic Counselor

    Baylor Genetics 4.5company rating

    Remote

    As a Senior Genetic Counselor, you'll assume an advanced leadership role within the Clinical Support team, providing expert guidance, oversight, and mentorship in genetic counseling while facilitating communication among various stakeholders. Your duties will involve managing escalated, complex cases, leading protocol development and maintenance, and serving as a mentor to the broader counseling team. EDUCATION AND EXPERIENCE: Degree: Master of Science or Master of Arts in Genetic Counseling from an ACGC-accredited program or equivalent. Certification: Board-certified Genetic Counselor. Experience: Significant experience (5+ years) demonstrating leadership and expertise in clinical and laboratory genetics. Work Authorization: Must be eligible to work in the USA without restrictions. Training: Onsite training and occasional meetings may be required; remote work available for experienced Senior Genetic Counselors with relevant laboratory experience. DUTIES AND RESPONSIBILITIES: Provide strategic leadership and oversight in the coordination of complex and escalated cases, ensuring effective communication between Baylor Genetics and professional clients. Conduct comprehensive review and analysis of test orders and laboratory reports, ensuring accuracy and adherence to quality standards. Act as a key liaison for professional clients, offering expert guidance on testing strategies and recommendations based on genetic findings. Mentor and support junior genetic counselors and trainees, providing advanced expertise and guidance in clinical and laboratory genetics. Lead in the development of new testing protocols, policies, and procedures, guiding the enhancement of clinical operations. Assist in training new hires on existing protocols, policies and procedures and existing team members on new and updated processes Collaborate closely with the Medical Affairs team to lead the development of manuscripts and presentations focused on genetics. Collaborate closely with the Client Services team to ensure efficiency and quality in inquiry resolution Skills: In-depth expertise in clinical and laboratory genetics, demonstrating proficiency in analyzing and interpreting complex genetic data. Exceptional communication skills, both written and verbal, to effectively convey genetic information and recommendations to various stakeholders. Strong leadership abilities, fostering a collaborative and supportive environment while guiding junior team members. Impeccable attention to detail and organizational skills to ensure thorough review and precise reporting. Proficiency in relevant computer applications and databases used in genetic counseling and analysis. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to sit. Frequently required to stand. Frequently required to utilize hand and finger dexterity. Frequently required to talk or hear. Frequently required to utilize visual acuity to operate equipment, read technical information, and/or use a keyboard. Occasional exposure to bloodborne and airborne pathogens or infectious materials. EEO Statement: Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.
    $110k-185k yearly est. 12d ago
  • Patient Access Optimization Analyst

    Baylor Scott & White Health 4.5company rating

    Remote

    The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions. * This is a remote position * Working hours Central time zone - 8AM - 5PM * Two positions available The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE * Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations. * Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement. * Excellent verbal and written communication skills, as well as presentation skills. * Strong analytical and advanced research skills. * Solid organizational skills, especially the ability to meet project deadlines with a focus on details. * Ability to successfully multi-task while working independently or within a group environment. * Ability to work in a deadline-driven environment, and handle multiple projects simultaneously. * Ability to interact effectively with people at all organizational levels. * Build and maintain strong relationships. KEY SUCCESS FACTORS * Decision tree design, documentation, and maintenance experience strongly preferred. * Ability to think critically and analyze complex technical solutions. * Epic Cadence Certified strongly preferred. * ServiceNow experience preferred. * Epic Cadence Provider template management and build experience strongly preferred. * Ambulatory and/or Surgery scheduling experience required. * Experienced proficiency in Excel and SQL required. * Able to work through complex business problems and partner with clients using a consultative approach. * Exceptional data/modeling skills with ability to convert raw data into actionable business insights. * Able to apply knowledge of healthcare industry trends and their drivers. * Able to work in a dynamic setting and work well under pressure. * Intermediate to advanced knowledge of statistics (including modeling techniques) preferred. * Lean Six Sigma experience preferred. * 5 years of experience working in Epic strongly preferred. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience
    $31.7-54.9 hourly 16d ago
  • Collector 2 - Remote

    Baylor Scott & White Health 4.5company rating

    Dallas, TX jobs

    The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. 100% remote position **_The pay range for this position is $16.12/hour (entry level qualifications) - $24.17/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $16.1-24.2 hourly 60d+ ago
  • Sr. Manager, Genetic Counseling Clinical Review

    Baylor Genetics 4.5company rating

    Remote

    As the Manager of Genetic Counseling Clinical Review, you will oversee a team responsible for clinical review of genetic testing orders, ensuring accuracy, consistency, and timely processing. This role provides day-to-day leadership, coaching, and performance management while fostering a collaborative, high-quality work environment. The manager evaluates and improves workflows, conducts routine quality audits, and partners with cross-functional teams to enhance efficiency and customer experience. They also maintain up-to-date SOPs and training materials and ensure effective onboarding and ongoing competency development for all team members. This position plays a key role in supporting operational excellence and the delivery of high-quality genetic testing services. EDUCATION AND EXPERIENCE Master of Science or Master of Arts in Genetic Counseling from an ACGC-accredited program or equivalent. Board certified or board eligible in Genetic Counseling by ABMGG or ABGC. Must be eligible to work in the USA without restrictions. Experience: 3-5+ years of genetic counseling experience, preferably in a clinical genetic testing laboratory, with 3+ years of supervisory experience Training: Onsite training and occasional meetings may be required; remote work may be available depending on experience and operational needs. DUTIES AND RESPONSIBILITIES Essential Functions: Lead, mentor, and manage the clinical order review team, including workload oversight, staffing, coaching, and performance evaluations. Oversee quality assurance by conducting routine QA checks, monitoring accuracy of clinical order reviews, and implementing corrective actions or retraining as needed. Drive process improvement by analyzing workflows, identifying inefficiencies, and partnering with cross-functional teams to implement scalable, data-informed solutions. Maintain and update SOPs, work instructions, and training materials to ensure compliance, clarity, and alignment with evolving workflows and test offerings. Manage onboarding, training, and competency assessments to ensure all GCAs are properly prepared, up-to-date on workflow changes, and consistently delivering high-quality work. Serve as a clinical stakeholder in cross-functional projects, including workflow and system improvements. Assist in managing clinical process improvements to enhance efficiency, reduce error rates, and support scalability. Educate and support trainees, including new clinical team members. Skills: In-depth knowledge of clinical and laboratory genetics. Excellent written and verbal communication skills, with ability to simplify complex scientific concepts. Superior organizational skills and attention to detail for content accuracy and workflow documentation. Ability to work independently and collaboratively across laboratory and clinical teams. Understanding of regulatory and quality standards relevant to genetic testing laboratories (e.g., CLIA, CAP). Proficiency with learning management systems, document management tools, and general computer applications. PHYSICAL DEMANDS AND WORK ENVIRONMENT: Frequently required to sit. Frequently required to talk or hear. Frequently required to use visual acuity for reading technical materials, reviewing documents, and working on a computer. Occasional exposure to laboratory environments or biohazard materials depending on operational needs. EEO Statement: Our organization is an equal opportunity employer committed to fostering an inclusive, diverse, and equitable workplace. We do not discriminate based on race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, veteran status, pregnancy or related conditions, or any other protected status.
    $67k-107k yearly est. 12d ago
  • Clinical Review Specialist, Remote

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary General Summary: Under the general direction of the Director of Risk Capture, the Pre-Visit Clinical Review Specialist (CRS) facilitates the accurate and appropriate identification of patient medical conditions through comprehensive chart review combined with review of coding output data sources (internal and external claims) that results in improvement in the overall quality, completeness and accuracy of problem lists, visit documentation and disease registry assignments. The CRS utilizes both clinical and coding knowledge of Hierarchical Condition Categories (HCCs) to inform accurate and appropriate diagnosis considerations for suspect condition identification and recapture opportunities. This role serves to educate providers and the clinical care team on all aspects of risk capture and linkages with quality. Qualifications Principle Duties: Drive Clinical Delivery Performs accurate and timely pre-visit review of selected ambulatory encounters to identify opportunities to recapture medical conditions that meet criteria as HCC diagnoses and to capture new, suspected HCC conditions. Accurately interprets clinical information in the medical record, evaluating clinical indicators to identify potential diagnoses Presents clear HCC Consideration Communication to provider and educates providers to obtain greatest possible diagnostic specificity to accurately reflect the patient's condition(s) Identify Education Opportunities Identifies themes through chart review that might present education opportunities for individual or groups of providers Gathers feedback from periodic post-visit chart reviews and incorporates these learnings into educational opportunities with providers Identifies opportunities for Process Improvement and Quality Improvement, as needed Foster collaborative relationships across the enterprise Communicates appropriately and compliantly with physician or care team through Epic resources to improve medical record documentation Participates in ambulatory unit/organizational programs and meetings as needed Maintains professional competency by keeping abreast of new coding issues and guidelines. Attends classes and meetings as assigned. Reviews professional CDI and coding literature regularly Maintains clinical licensure and/or medical coding credentials (e.g. RN, PA, NP, CRC, CDEO, CCS, CPC) and completes all required Organizational Competencies and trainings (if applicable) Meets with providers on an as-needed basis to address concerns or areas of opportunity, and performs chart reviews as needed Maintains good rapport and professional relationships, as outlined in MGB Code of Conduct - Approaches conflict in a constructive manner, helps identify problems, offers solutions and participates in resolution Responsible to perform any other assigned duties as requested Qualifications: Minimum three (3) - five (5) years' experience required in either, case management, outpatient coding, utilization review, CDI or other disciplines with either coding experience however, an equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements. 2 years' experience in Primary Care, medical coding, risk adjustment or CDI preferred Current certification in Clinical Documentation Improvement (CDIP, CCDS, CCDS-O or CDEO) preferred Certification in medical coding and or risk adjustment (i.e., CRC, CPC, CCS, CDEO, or CCS-P or other pertinent to outpatient) preferred (CRC Required training within 1 year of employment) Medical licensure (RN, PA, NP) preferred Bachelor's degree healthcare related preferred Strong PC skills / Microsoft applications, including Outlook, Teams, Excel, PowerPoint Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $62,400.00 - $90,750.40/Annual Grade 6 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $62.4k-90.8k yearly Auto-Apply 9d ago
  • SR Data Integrity Analyst, Revenue Cycle

    Ohiohealth 4.3company rating

    Homeworth, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position supports the System-wide Enterprise Master Patient Index (EMPI), chart corrections, duplicate merges, overlays, and other Data Integrity Analyst functions for all OhioHealth entities on Epic (Care Connect). In addition, this position may support all EMPI functions related to Community Connect entities. These tasks require effective critical thinking skills to analyze regulatory requirements, state and federal laws, including Joint Commission, the 21st Century Cures Act and HIPAA. The Senior Data Integrity Analyst must apply this knowledge when evaluating and working multiple inbaskets and interface error queues requiring deductive reasoning for the purpose of ensuring accurate documentation in the patient's EHR. This role requires excellent written and verbal communication skills. The position also requires working independently with little to no supervision. Data abstraction and computer skills are essential to this role along with excellent customer service skills. Excellent organizational skills with attention to detail are necessary to perform this role successfully. This position is responsible for training, process and workflow assessment, recommendations for improvement, implementing changes to workflows, reporting, GEMBA board, tracking and analyzing statistics, leading huddles and assisting with team engagement. May also assist with more duties and responsibilities requiring advanced critical thinking and analysis skills. The position must work independently with little to no supervision. This associate must also be able to perform other duties as assigned by HIM Leadership. Responsibilities And Duties: 40% Assists with various functions in Data Integrity/EMPI to include, but not limited to duplicate merges, chart corrections and overlays as assigned. • Troubleshoots data integrity issues by ensuring each patient has one medical record number, including performing necessary changes in all Ohio Health systems as needed. • Monitors overlay reports and potential duplicate patient work queues, researches and performs maintenance required to validate patient identity utilizing established department guidelines / processes in addition to personal discretion and judgement. • Monitors assigned chart correction cases (document corrections, amendment requests, etc) or tasks on a routine basis and follows up with all members assigned within the case to ensure timely resolution. • Utilize internal and external resources as needed to aid in the necessary research to resolve duplicates, overlays, and other chart correction issues. Utilize various applications and validate documents such as clinical and registration notes, physician orders, prescriptions, medications, and other data fields/resources. • Search for and analyze demographic and clinical data applying critical thinking skills to discern correct patient information in accordance with established processes and procedures. • Manage multiple critical tasks and assignments simultaneously with speed and accuracy in a fast paced and evolving environment. 40% • Uses logic and reasoning to identify corrective measures, process improvements, approaches to solving problems, and alternate solutions, as necessary. • Notify all downstream systems/departments and/or support staff external to department of data integrity or medical record number (MRN) changes in a timely fashion to keep systems synchronized. • Reviews and processes inbound messages or tasks into the Ohio Health electronic medical record for patient care coordination, privacy/security, and integrity of the patient's protected health information. • Responds to questions from external facilities/practices regarding the operation and support of our health information exchange (HIE) and completes processes and tasks related to the HIE. • Manage multiple critical tasks and assignments simultaneously with speed and accuracy while under pressure. • Leads cross training and new hire onboarding • Prepare documentation and guidelines as assigned. • Generates reports and analyzes data for distribution to other areas or for the team as assigned. • Participates with task forces, project teams or committees as assigned. • Leads department huddles and GEMBA board preparation and presentation. • Maintains positive behavior and adapts to a changing environment. 10% • Understand and present complex information and respond to questions about patient chart/data integrity issues from all departments across the organization • Work both independently and collaboratively with others in a professional manner within and externally to the department with minimal supervision / guidance. • Assumes responsibility for professional growth and development by completing training/recertification designed to maintain and increase job knowledge. 10% • May be required to provide afterhours/on-call support for urgent requests and coverage. • Attends meetings as required. •Other duties and projects as assigned Minimum Qualifications: Associate's Degree, Bachelor's DegreeRHIA - Registered Health Information Administrator - American Health Information Management Association, RHIT - Registered Health Information Technician - American Health Information Management Association Additional Job Description: Data Integrity/EMPI Data Experience of 2 years or greater. Work Shift: Day Scheduled Weekly Hours : 40 Department Corporate HIM Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $42k-54k yearly est. Auto-Apply 37d ago
  • Senior Corporate Compliance Consultant- Healthcare Billing

    Baylor Scott & White Health 4.5company rating

    Remote

    Description - External The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: * Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. * Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. * Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. * Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS * Continually demonstrates initiative by learning business processes and applicable auditing techniques. * Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. * Excellent written and oral communication skills based on level of expertise. * Proficient in Microsoft Word and Excel. * Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Belonging Statement We believe that all people should feel welcomed, valued, and supported. QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience
    $31.7 hourly 36d ago
  • Manager, Coding

    Ohiohealth 4.3company rating

    Homeworth, OH jobs

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position is responsible for managing all coding personnel, education and operations, department metrics, data abstracting, and related billing processes for inpatient and outpatient encounters to meet financial goals for the OhioHealth enterprise. Vendor management is a key function, ability to engage, hold accountable and partner with external resources to drive success. Responsible for coordination of data collection efforts with other primary users in clinical and non-clinical roles as necessary regarding Claims Processing, Quality Metrics and Data Integrity. Serves as subject matter expert and as an internal Revenue Cycle consultant for OhioHealth initiatives. This position is responsible for the development of coding guidelines in accordance with the most recent published regulations from CMS, AHIMA, and Official Coding Guidelines. Accountable for collaboration with any new payment methodology impacting any area of the department and/or reimbursement. The Manager of Coding encompasses participation in implementation of new or upgraded coding software and hardware systems. Manager is also charged with the development and monitoring of standards of performance, including revisions as new technologies become available and potentially affect production. Responsibilities And Duties: 30% Manage department operations aligning daily function with desired outcomes to meet KPIs. Major goals include workflow efficiency, production to meet coding turnaround time targets, coding accuracy and education, processes, and system integration, DNFB and Pre-AR targets. 20% Works with departments to ensure processes are in place to collaborate on initiatives and/or address issues. Support plans requiring intervention as indicated through identified industry trends, changes, payer behavior or any relevant OhioHealth goal. Serves as an internal consultant with new initiatives, reviews and provides recommendations. 15% Coordinates billing/coding activities with Revenue Cycle representatives Patient Accounts, Patient Access and participates with problem-solving. 10% Develops Coding Supervisors through delegation and direct operational support. 8% Manages staffing scheduling within budget for coding operations. Conducts staff evaluations and disciplinary actions as necessary at all campus locations. Hires and/or fires any direct reporting positions. 7% Works with Medical Record Services management team on department and enterprise-wide processes and operations as related to coding, abstracting, billing, and documentation. Implements and/or updates new IS systems. 5% Maintains current information on governmental regulation changes, especially ICD-10, CPT-4 and HCPCS coding, and APC and DRG updates affecting coding, staffing, and health system reimbursement. 5% Administers physical, procedural, and technical safeguards for protection, control, and monitoring of information assets, including access management, staff education, responses to breaches, business continuity planning, auditing, and information security risk management. Minimum Qualifications: High School or GED (Required) CCS - Certified Coding Specialist - American Health Information Management Association, RHIS - Routine Health Information Systems - State of Ohio, RHIT - Registered Health Information Technician - American Health Information Management Association Additional Job Description: MINIMUM QUALIFICATIONS Equivalent Experience and Relevant Coding Certification by AHIMA or AAPC (must). Minimum 7 years coding experience, at least 3 years in a large acute care network with multiple specialties. Minimum 1-year progressive leadership experience. PREFERRED QUALIFICATIONS Bachelor's Degree - Field of Study: Health Information or related. RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician. Minimum 3 years of hands-on coding experience. Minimum 1 year leadership experience. SPECIALIZED KNOWLEDGE Experience with large multi-facility coding operations and vendor management. Certification in coding by AHIMA or AAPC. Evidence of successful KPI management and driver. Strong background in ICD-10 and CPT classifications and corresponding reimbursement methodologies. Technical skills a plus. Work Shift: Day Scheduled Weekly Hours : 40 Department Physician Coding Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $54k-72k yearly est. Auto-Apply 3d ago
  • Coding Specialist II, Remote

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Somerville, MA jobs

    Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. This position will be coding for vascular surgery. Job Summary Summary: Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team. Does this position require Patient Care? No Essential Functions -Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines. -Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes. -Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines. -Manages complex coding situations and supports peers through challenging questions. -Peer reviews records for management to ensure accuracy of information. -Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. -Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. -Identifies reportable elements, complications, and other procedures. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Experience Medical Coding Experience 2-3 years required Knowledge, Skills and Abilities - In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. - Strong understanding of coding guidelines, regulations, and industry best practices. - Excellent leadership and team management skills, with the ability to motivate and develop coding team members. - Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders. - Strong problem-solving skills to address coding-related challenges and implement effective solutions. - Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment. Additional Job Details (if applicable) Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $21.78 - $31.08/Hourly Grade 4 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $21.8-31.1 hourly Auto-Apply 10d ago

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