PN Cert Prof Coding Denial Specialist
Remote
Department:
CBO/PT Financial Services
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
The Certified Professional Coding Denial Specialist is responsible for reviewing and determining the root cause of complex coding denials for all providers employed by Cook Children's Physicians Network. This includes resolving complex coding issues, coding-related claims edits, and payer denials directly attributable to code assignment, while actively communicating effectively with payers to defend code assignment and successfully appealing coding-related denials using CMS, AMA, AAPC, and other governing entity guidelines to overturn them. The specialist will analyze and perform appropriate actions for timely completion of special projects, utilizing their deep understanding of coding and classification software and the electronic health record (EHR) system.
Education & Experience
High school degree or equivalent with at least 4-5 years of relevant experience in a medical practice or professional healthcare setting
This must include at least 3 years of dedicated coding experience
Working knowledge of International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) code sets
Comprehensive understanding of diversified payer clinical and reimbursement policies, advanced medical terminology, and proficiency in Microsoft Excel
Knowledge, Skills & Abilities
Exhibits professional interpersonal and communication skills
Certification/Licensure
Current coding certification through the American Academy of Procedural Coders (AAPC) or American Health Information Management Association (AHIMA) required
About Cook Children's:
Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.
At Cook Children's, we're more than a health care system-we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through-and how we can help you and your child get the best care and support possible.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Auto-ApplyManager, Sales and Account Management
Pittsburgh, PA jobs
Cook MyoSite, Inc., part of the Cook Group, Inc. family of companies, is on a mission to make regenerative medicine a part of everyday medicine. We're investigating our core technology, autologous muscle-derived cells, for the potential treatment of several muscle-related disorders. We at Cook MyoSite have the potential to make a difference in the lives of countless people around the world, and we also have the potential to make a difference in yours. Joining our team is an opportunity to ignite your passion, grow your potential, and define your purpose. If you're curious, motivated by helping others, and driven by integrity, we invite you to apply.
The Manager, Sales and Account Management at Cook MyoSite, Inc. is responsible for both leading and managing a team of account and sales managers to align strategies, deliver exceptional service, and drive revenue goals, as well as individually building and maintaining long-term relationships with existing Custom Cell Solutions customers. By combining customer relationship management with team management, the role ensures seamless support, sustained long-term relationships and strategic expansion of key Custom Cell Solutions accounts.
Responsibilities
* Serves as the primary relationship manager for key research accounts, ensuring satisfaction, engagement, and growth.
* Maintains regular communication with customers to address evolving needs, provide updates, and identify upselling or cross-selling opportunities.
* Develops tailored account plans to strengthen long-term relationships and drive renewals.
* Leads and coaches a team of customer service, account management, and sales management professionals to strengthen customer relationships, drive performance, and support business growth.
* Ensures customer inquiries, quotes, orders and issues are handled accurately and timely within the department or addressed directly as may be required.
* Develops and executes account-based sales strategies in collaboration with marketing and product teams to drive revenue growth.
* Tracks and forecasts account activity to support sales planning and achievement of targets.
* Gathers customer feedback to identify product improvements and advocate for service enhancements internally.
* Analyzes customer data and account performance metrics to inform retention and growth strategies.
* Ensures accurate records are maintained in the CRM and provides regular reporting on account health, customer satisfaction, and team performance.
Qualifications
* Undergraduate degree in Life Sciences or Business-related field; Advanced degree preferred
* 7+ years of experience in technical sales, account management, or customer success within the life sciences or research markets; 5+ years of experience managing or leading customer-facing teams
* Experience with muscle cells, muscle research, and muscle related biology/research
* Advanced proficiency in MS Office, specifically, advanced knowledge of Project, Adobe, OneNote, Excel, Word and PowerPoint; Expert in Outlook
* Basic understanding of cGMP, 21 CFR Part 11, and related regulations associated with Bio/Pharmaceutical product manufacturing
Physical Requirements:
* Full time remote position
* Ability to conduct and hear ordinary conversation and telephone communication.
* Must be able to work extended hours beyond normal work schedule to include, but not limited to, evenings, weekends, extended work hours and/or extra work hours, sometimes on short notice as required.
* Ability to work under specific time constraints.
* Must be able to sit at desk, in meetings and/or work on a computer for long or extended periods of time.
* Visual and manual acuity for working with computers and equipment.
HIMS Quality Assurance Analyst
Greenville, NC jobs
The Health Information Services Management (HIMS) Quality Assurance Analyst is responsible for providing HIMS quality audits on scanned documents and ROI requests using daily work queues by supporting the HIMS Team. The incumbent is responsible for assisting with monitoring/tracking imaging and ROI release quality, correcting errors, identifying trends, curriculum development, and providing continuous support for operational leadership. This individual will be knowledgeable in end-user systems and applications relative to HIMS for the purpose of assessing, educating and training staff on systems and applications used.
Responsibilities
* Consistently audit the performance of completed work for all HIMS Imaging and ROI team members, which may also include VMG Physician Practices.
* Adheres to Quality Assurance measures and metrics which report any trends or process improvement opportunities for each project, office, and HIMS division.
* Design/Develop Quality Assurance materials including electronic scorecard, individual quality assessment, and building quality dashboards in the EHR.
* Provide constant communication with senior leadership regarding quality monitoring results, any identified and/or recommended training needs and deficiencies, as well as possible project improvement opportunities.
* Reports all Quality indicators for identification of trends to determine where training deficiencies exist.
* Work with Training & Education (or HIT team) team to develop training modules and assist as needed with training initiative. Provide end user training and support when deemed necessary.
* Maintain the integrity of the current Imaging system with super user knowledge and general understanding of workflows between OnBase and EPIC.
* Responsible for knowing all aspects of the HIMS Operations workflows.
* Abides by the Approved Corporate QA policy.
* Assist HIMS Manager with Concurrent Scanning audits and rounds on units. Provide education and feedback to the units and nurse managers.
* Assist other VH entities as needed to keep WQs timely.
* Responsible for knowing all aspects of the Birth Registration process and workflows.
* Keeps work accurate and current at all times and notifies Manager and/or Supervisor when backlog develops.
* Maintains equipment in good condition.
* Demonstrates an understanding of the medico legal implications and responsibilities as relates to the maintenance of patient records to protect the patient and ECU Health.
* Provides strict control and confidentiality of medical record materials via computer and reception area and assists others in the department in maintaining the same control.
* Follows ECU Health guidelines regarding confidentiality of patient information and any HIPAA laws/regulations.
* Notifies HIMS Manager and/or Supervisor when inaccurate or inappropriate material is contained in medical record.
* Maintains work area in safe and orderly manner. Practices good ergonomic work habits. Confronts all work with a positive attitude.
* Demonstrates effective interpersonal relations and communication skills by maintaining good working relationships with co-workers, management, medical staff and customers.
* Assists in orientation of new HIM employees/volunteers/students. Works with Allied Health students in projects/oversight as assigned.
* Be able to work shift work on rotation, including weekends and holidays, in order to provide departmental coverage if necessary.
* Performs other duties as requested by the HIMS Leadership Team.
Minimum Requirements
* Associates degree or higher in Health Information Technology and 5 or more relevant years of experience is required, or Bachelors degree or higher in Health Information Management and 2 or more relevant years of experience is required.
* Current certification or eligibility for certification by AHIMA as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is required. If eligible, certification must be obtained within 6 months.
* Notary Public certification required within 6 months of employment (as deemed necessary).
* This role requires the incumbent to be detail-oriented, dependable and to work well with others.
Other Information
* Onsite role based out of Greenville, NC
* This position is predominantly onsite, providing opportunities for direct interaction and collaboration with colleagues. Remote work will be minimal and only required under specific circumstances.
* Monday - Friday day shift:
* 7:00 a.m. - 3:30 p.m.
* Great Benefits
#LI-AH2
ECU Health
About ECU Health
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
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Advanced Practice Provider - Telehealth - PRN
Virginia Beach, VA jobs
Sentara Medical Group is seeking an experienced PRN APP (NP or PA) to join our Telehealth Services team in providing primary care. The ideal candidate will have at least 3 years of experience working in family medicine. We are looking for someone who is open to working mornings, afternoons, and evenings depending on the day, including weekends.
Highlights Include:
* 100% Remote
* Flexibility within working hours (weekdays and weekends required)
* APP will see patients for acute issues as well as chronic condition management
* No call requirements
Minimum Requirements:
* Active NP or PA
* At least 3 years experience as APP
* Will be required to obtain a VA and NC License
* Applicants may live in the following states: Indiana, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, or Wisconsin
Our teams are dedicated to cultivating an environment where every individual feels recognized, appreciated, and supported, enabling them to perform at their best for themselves and our patients. Our Advanced Practice Providers (APPs) are essential to this foundation, and we seek to continue to grow their impact and scope of practice throughout our hospitals and clinics.
Facility & Address
* Sentara Medical Group Sentara Park
* 1300 Sentara Park Virginia Beach VA 23464
Contact Information
Shelby Fincham Talent Acquisition Specialist II
* Phone:************
* Email:Click to email
Auto-ApplySr Financial Analyst - Workday Financials - REMOTE
Chicago, IL jobs
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
680 Lake Shore Drive
Job Description
The Financial Systems Management Workday Sr Analyst (NOT HCM) will primarily support the Finance organization's reporting needs across all sub-workstreams including, but not limited to, general accounting, accounts payable, budgeting, grants, gifts, and payroll cost allocations. This position will play a significant role in developing, designing, standardizing, and maintaining the Finance related custom reports repository and related dashboards. Custom report development will include the development and modification of advanced, matrix, and composite reports while ensuring adequate data integrity and proper governance. The Financial Systems Management Workday Sr Analyst will also support the overall administration and governance of the Finance related business processes, security and related tasks to those aforementioned areas.
Job Duties:
Monitor, train, and implement future enhancements around the Payroll Cost Allocation (PCA) and Payroll Accounting Adjustment (PAA) processes
Collaborate across business and technical teams, with a focus on delivering transformational reports, in support of the Finance organization's business goals and initiatives.
Design, develop, configure, and test simple to complex Workday reports (advanced, matrix, composite) and dashboards utilizing Workday Report Writer access, as well as other organizational tools and available technologies.
Evolve to deliver against changing business needs and future Workday Reporting available functionalities.
Provide cross-functional understanding of financial data and its intersections and inter-dependencies across the overall Workday platform/ecosystem.
Provide technical guidance and ultimately become the subject matter expert around reports and dashboards to business and technical teams across the Finance organization.
Collaborate with technology and security teams to define and create calculated fields, edit security domain policies and other Workday objects to achieve the transformational reporting needs of the Finance organization.
Review Workday system upgrades and releases to determine overall impact on existing processes. Conduct regression testing and make recommendations for future enhancements/functionality with an eye to improve the overall platform and user experience.
Provide support to the overall Financial System Management team in identifying root cause issues of Finance related incidents and carrying out process improvements and break fixes while adhering to the organization's internal control policies.
Engage with Workday Community to understand technology capabilities and recommend solutions that address business needs.
Knowledge, Skills and Abilities:
Bachelor's Degree in Information Technology, Business Administration, Accounting, or Finance required.
5+ years of experience in the support and administration of Workday Financials (Required)
3+ years of experience in Workday Report Writing including complex calculated fields. A thorough understanding of the security dependencies related to Workday modules/data sources/data filters is also critical.
3+ years working knowledge of payroll, general ledger, budgeting, and financial accounting concepts.
2+ years relevant work experience in healthcare/research accounting preferred.
Working knowledge of personal computers and Microsoft Windows OS and applications.
Strong organization skills. Ability to demonstrate a strong commitment to customer relationships by taking ownership of issues and ensuring effective outcomes.
Excellent facilitation and project management skills. Ability to manage assigned projects to specified budget and timeline with minimal supervision. Must be able to prioritize, organize and assess work in order to meet aggressive deadlines and cope in fast-paced environment.
Ability to identify root cause problems, conceptualize resolutions, and implement change.
Ability to interpret and apply complex policies and procedures, develop innovative approaches and adapt to changes in policies and technologies.
Ability to create detailed work plans, timelines, and other appropriate project management documentation, that clearly illustrates resource needs/gaps and project status.
Excellent interpersonal and written communication skills, analytical skills, ability to meet deadlines, and to manage projects across programs. Demonstrated ability to proactively solve problems.
Education
Bachelor's Degree (Required)
Pay Range
$93,600.00-$154,440.00 Salary
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
Auto-ApplyNP or PA for Sentara Behavioral Health Specialists-Suffolk
Remote
City/State
Carrollton, VA
Work Shift
First (Days)
Provider Specialty
Behavioral Health
Sentara Medical Group is seeking a dedicated and compassionate provider to join our growing Behavioral Health team. This is an exciting opportunity to help build a new outpatient practice while being connected to a robust network of behavioral health professionals across the region.
Position Highlights
Outpatient position with potential for remote/telehealth flexibility
M-F, 8:00-5:00 p.m. (No Call)
Average patient load: 12-14 patients per day
Initial team size: 1 provider at a new location, with plans to expand and integrate into a larger brick-and-mortar behavioral health center
Collaborative environment as part of a broader outpatient group of 20+ Advanced Practice Providers and 15 therapists
Provide support and treatment for a wide range of conditions
Benefits Highlights
Competitive compensation and comprehensive benefits package
Medical, dental, and vision coverage
Retirement plans with employer match
Paid malpractice with tail coverage
Paid time off and CME allowance
Supportive administrative and clinical leadership
Suffolk, Virginia, offers the perfect blend of small-city charm and modern convenience. Known for its scenic waterfronts, vibrant downtown, and expansive natural beauty, Suffolk provides a welcoming community with excellent schools, diverse dining, and easy access to Hampton Roads' cultural and recreational amenities. With a growing economy and a relaxed pace of life, Suffolk is an ideal place to live and work.
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-Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave• Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Annual CME Allowance• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance• Legal Resources Plan• 100% Malpractice and Tail Coverage• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Providers at Sentara are eligible for special benefits such as Annual CME Allowance and 100% malpractice and tail coverage.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs providers in the following states:
North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.
Auto-ApplySupervisor, Professional Coding (Remote)
West Allis, WI jobs
At Children's Wisconsin, we believe kids deserve the best.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it's like to work at Children's Wisconsin:
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Job Summary
Supervises the Professional Coding Team. Ensures accurate and timely coding of records to ensure compliant charging and accurate reimbursement. Thorough knowledge of medical coding and reimbursement topics and experience with electronic medical records required.
Essential Functions
Leads coding activities to ensure accuracy, consistency and timeliness in the application of ICD-10, HCPCs, and CPT codes.
Monitors key departmental metrics in quality, efficiency and production.
Collaborates with Revenue Cycle Leaders and Teams especially in the areas of Patient Accounts and Professional Billing to ensure resolution of denials and patient concerns.
Serves as a resource for the use and updating of all software and resources used by the team such as Epic workqueues, Claims Manager, and any coding knowledge sources.
Works to educate employees on documentation and clinical coding guidelines and written standards to promote accurate coding and compliance.
Maintains current knowledge of coding rules and guidelines and provides guidance on requirements established by CMS and payers.
Coordinates and performs training for team members as needed.
Participates in human resources functions including interviewing and selection of new employees, promotions, staff development, performance evaluations, and resolution of employee concerns and overall employee engagement.
Demonstrates knowledge of organization safety policies and procedures and actively maintains a safe and positive work environment.
Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development
People Management Responsibility
Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development
Education:
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
Associate's Degree preferred or
Bachelor's Degree preferred
Experience:
2+ years coding leadership experience demonstrating progressive responsibilities required
Recent experience applying ICD-10-CM, CPT and HCPCs codes required
Knowledge, Skills and Abilities:
Exhibits excellent customer service and professionalism when interacting with providers, staff, patients, families and co-workers to ensure all are treated with kindness and respect.
Professional attitude and ability to relate to and interact with others throughout the organization.
Demonstrates leadership skills, organizational skills, and conflict resolution skills.
Must be able to work collaboratively in a team environment.
Must have excellent attention to detail ability.
Exhibits a commitment to continuous quality improvement.
Responsible for understanding and adhering to the Children's Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business.
Required for All Jobs:
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that may be requested in the performance of this job.
Employment is at-will. This document does not create an employment contract, implied or otherwise.
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
Auto-ApplyRevenue Cycle Sr Project Manager
Chicago, IL jobs
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
680 Lake Shore Drive
Job Description
The Senior Revenue Cycle Project Manager is responsible and accountable for the collaborative leadership of multiple assigned projects involving interdisciplinary teams. They oversee the entire project life cycle from original concept through final implementation and benefit realization. They facilitate the work of the project team, ensuring on-time, on-budget, completion of the work effort within the approved scope. The position will interact with all stakeholders affected by the project, including executive leadership, revenue cycle and other operational stakeholders, vendors, information management, and front-line staff. Projects in the revenue cycle portfolio contain many different interrelated elements. The senior project manager is responsible for ensuring the team works collaboratively to accomplish and sustain project outcomes. The nature of this work is time bound, results driven and requires superior communication, organization, interpersonal and analytical skills. Additionally, the senior project manager mentors project managers and the revenue cycle leadership team in the principles of project management, ensuring rigor and process consistency.
*This position is fully remote. Rare travel on-site may be required based on project needs. *
Essential Job Functions:
Responsible for overall management of assigned projects and initiatives, from initiation through closure and transition to standard operating procedures to ensure sustained outcomes as directed by Revenue Cycle PM leadership.
Implement post project auditing at regular intervals to ensure alignment with defined benefits.
Work effectively with all staff, including providers, senior executives, operational leadership and front-line staff.
Facilitate and manage multi-disciplinary project teams; collaborates with operational owners to draft the charter, set goals and priorities for project.
Collaborate closely with information management and operational owners to develop and refine project plans that achieve the desired outcomes within budget.
Maintain accurate project plans to ensure timely completion of activities, modifying as appropriate in collaboration with project leadership timelines and expectations.
Develop, execute and manage project scoping, work plans, schedules, estimated resource requirements and status reports. Manage activities of the project team and acts as central coordinator of project communication.
Demonstrate effective issue escalation, resolution and conflict management skills reinforcing a team-focused culture and ensuring the project continues to move forward.
Communicate project status, including issues and risks, to the project team, stakeholders and leadership.
Present solution options for issues and risks to project leadership, document decision, next steps and assess for impact to project scope, timeline and budget.
Define roles and responsibilities for each member of the team including escalation protocol and decision- making authority.
Follow established revenue cycle processes and protocols for effective project oversight.
Foster teamwork and camaraderie within revenue cycle and with departments across the organization.
Senior Project Manager Responsibilities:
o
Mentor the revenue cycle team on the principles of project management to ensure results are delivered on time, on budget and with the stated benefit.
o Design and maintain the revenue cycle project health dashboards, area specific drill downs, and leader summaries.
o Design, implement and maintain the share point document repository.
o Lead failure analyses, focusing on continuous improvement and developing systems that obviate future errors.
• This position is Revenue Cycle Specific:
o
Participate in prioritization and coordination of revenue cycle initiatives and projects.
o Participate in development, documentation and improvement of revenue cycle project management processes.
o Document and store project artifacts, including, but not limited to outcome, process and balancing measures, success criteria, standard operating procedures, testing plans, validation plans, etc.
o Serve as liaison and facilitator between project team, vendors and operational departments.
o Work closely with the information management team to prioritize, resource, track and implement initiatives.
o Manage integration of vendor tasks; tracks and reviews project-related vendor deliverables.
• Other job functions as assigned.
Knowledge, Skills, and Abilities:
Bachelor's degree required. Master's degree preferred.
Project Management certification with 3+ years of experience required. Experience with Epic revenue cycle applications required.
Experience managing complex, enterprise-wide healthcare IT projects preferred; certification in an Epic revenue cycle application preferred.
Excellent project management, change management and prioritization. Able to organize and manage a project from initiation through closure and transition to standard operating procedures.
Effective communication, conflict resolution and problem resolution skills, including facilitation of groups, presenting to groups at all levels, assisting others to present effectively.
Effective listening skills to understand various perspectives and ability to synthesize findings to achieve results.
Excellent analytical and process/systems thinking skills; excellent problem-solving skills.
Demonstrated skills in the use of Excel, Visio, PowerPoint, and other Microsoft Office products.
Demonstrated skills in the use of Jira for project management and product discovery.
Excellent written and verbal skills.
Excellent interpersonal skills, including ability to understand and articulate the needs of the customer and assist them in making the necessary decisions to accomplish their objectives.
Demonstrated ability in earning creditability with leaders across the healthcare organization including clinicians.
Ability to challenge team members to perform against designated timelines in a team-oriented manner.
Experience in an Academic Medical Center is preferred.
Education
Bachelor's Degree (Required)
Pay Range
$93,600.00-$154,440.00 Salary
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
Supplemental Life, AD&D and Disability
Critical Illness, Accident and Hospital Indemnity coverage
Tuition assistance
Student loan servicing and support
Adoption benefits
Backup Childcare and Eldercare
Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
Discount on services at Lurie Children's facilities
Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
Auto-ApplyAPP RPMAPP - Ambulatory Remote Patient Monitoring - (Remote)
Norfolk, VA jobs
City/State
Norfolk, VA
Work Shift
First (Days)
Provider Specialty
Primary Care OverviewThe Advanced Practice Clinician (APC) is responsible for the provision of health care services to individuals, families, and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). The APC is expected to participate in quality assurance and improvement activities, engage in member of the team activities, and use resources (human and material) appropriately.
Nurse Practitioner/Physician Assistant experience preferred. Advanced Cardiac Life Support (ACLS) preferred. The APC maintains continuing education credits of at least 30 hours per year and maintains prescriptive authority and certification; acquires special clinical competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions.
100% Remote position
Monday- Friday 8am-4:30pm
No nights, No weekends, No call
Education
Master's Level Degree- Nurse Practitioner
Certification/Licensure
Licensed Nurse Practitioner (NP) - Certification - Other/National
Basic Life Support (BLS) - Certification - American Heart Association (AHA) RQI
Registered Nurse License (RN) - Nursing License - Compact/Multi-State License
Authorization to Prescribe License - Certification - Other/National
Physician Assistant License (PA) - State License - Other/National
Experience
1 year of related experience highly preferred
.
-Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave• Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Annual CME Allowance• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance• Legal Resources Plan• 100% Malpractice and Tail Coverage• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Providers at Sentara are eligible for special benefits such as Annual CME Allowance and 100% malpractice and tail coverage.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs providers in the following states:
North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.
Auto-ApplyStudent Business Analytics Developer (Co-op)
Remote
Halifax Regional Municipality is inviting applications for up to 4 positions, four-month winter term co-op positions for Student Business Analytics Developer in Information Technology. Halifax Regional Municipality (HRM) is committed to reflecting the community it serves and recognizing Diversity and Inclusion as one of the Municipality's core values. We have an Employment Equity Policy, and we welcome applications from African Nova Scotians and Other Racially Visible Persons, Women in occupations or positions where they are underrepresented in the workforce, Indigenous/Aboriginal People, Persons with Disabilities and 2SLGBTQ+ Persons. Applicants are encouraged to self-identify on their electronic application.
Looking to make a difference? Feel like making an impact to your community? Do you enjoy developing creative ways to collect data, or apply business rules to data to deliver analytical insight that supports evidence-based decision making?
To qualify for this position, you must be currently enrolled in a Computer Science, Business, Data Science, Advanced Analytics, Software Engineering, Computer Engineering, GIS Program or Information Systems/Technology Management program. You'll collaborate with HRM's Digital Services team and other stakeholders in HRM to undertake challenging assignments that will provide the opportunity for you to learn about new technologies, develop or enhance your skills, and make significant contributions to your municipality.
The student will assist the Digital Services team with the design, implementation, testing and support of analytical solutions, which include visualizations such as reports, dashboards, scorecards, Online Analytical Processing (OLAP) cubes and other leading-edge approaches, to collect and deliver information to the organization's knowledge workers. The student will find themselves working with a variety of tools including SAP's Business Objects suite, Microsoft Power BI, Microsoft's Reporting Services and Analytic Services, Microsoft PowerApps, MS Forms, MS Power Automate, Microsoft Excel and the ESRI ArcGIS suite of tools. This student role also includes learning, researching and supporting solutions including data modelling, warehouse design, stored procedure and SQL authoring.
The student will assist the Digital Services team with various current on-going projects which support key business components and decisions, will have the opportunity to work with the other stakeholder groups within IT and HRM and will obtain a basic foundation of knowledge of key business services divisions delivered by municipalities.
DUTIES AND RESPONSIBILITIES:
In support of Digital Service this position will, with support from the team:
Aid in the design, development, and implementation of solutions, interfaces, and reports using a variety of database platforms, programming tools, techniques, and languages.
Help investigate and recommend solutions to technical problems encountered by users.
Prepare documentation such as entity relationship diagrams, application flow diagrams, use cases, user guides, technical documentation, test plans, and maintenance procedures.
Adhere to established development standards and change/release management procedures.
Work with clients to determine requirements, evaluate proposed and existing solutions and make recommendations for implementation, jointly with Digital Services team.
Research, evaluate, and recommend various tools and techniques used to support analytical solutions, interfaces, and reports.
QUALIFICATIONS:
Education and Experience:
Currently pursuing a post-secondary degree in Computer Science, Business, Data Science, Advanced Analytics, Software Engineering, Computer Engineering, GIS Program or Information Systems/Technology Management program.
Technical / Job Specific Knowledge and Abilities:
Strong interpersonal and communication skills, both written and verbal.
Strong logic, analysis and problem-solving skill.
Experience with teamwork.
Ability to combine data from multiple sources when needed for the analysis.
Ability to produce entity relationship diagrams, application flow diagrams, UML, and use case documentation.
Ability to self-manage to task and schedule.
Knowledge of relational databases (e.g. Oracle, MySQL, and MS-SQL).
Familiarity with Business Intelligence tools (e.g. SAP Business Objects, Microsoft Power BI) and concepts.
Familiarity with a variety of programming languages (e.g. Java, Visual Basic, SQL, R, Python, DAX, Javascript).
Familiarity with MS PowerApps, MS PowerPlatform.
Familiarity with GIS tools (e.g. ArcGIS Desktop, ArcGIS Online) and spatial intelligence concepts.
Familiarity with statistical analysis techniques.
Familiarity with Web Server software including IIS, Apache and Tomcat.
Familiarity with machine learning and artificial intelligence driven analytics.
Familiarity with Master Data Management practices.
Familiarity with Data Governance practices.
Familiarity with change and release management procedures.
Security Clearance Requirements: Applicants may be required to complete an employment security screening check.
Please note - Testing may be conducted as a component of the selection process to assess technical and job specific knowledge. Candidates, who are selected for testing, may be tested in a group setting, scheduled at the employer's discretion.
COMPETENCIES: Analytical Thinking, Communications, Customer Service, Decision Making, Organization and Planning, Teamwork and Cooperation, Valuing Diversity, Values and Ethics
WORK STATUS: Temporary, up to four (4) months; January to end of April.
HOURS OF WORK: 8:30am - 4:30pm, Monday to Friday; 35 hours per week
SALARY: $21.00 - $24.00 per hour depending on education level.
WORK LOCATION: 14th Floor Barrington Tower, Halifax (with flexibility regarding work from home)
CLOSING DATE: Applications will be received up to 11:59 pm on Thursday, November 6, 2025
Applications must be submitted through our Brass Ring; applications submitted through other methods will not be reviewed.
Please note: We thank all applicants for their interest in this position. Only those applicants selected for interview/testing will be contacted.
To ensure a fair and equitable hiring process, candidates are expected to complete all parts of the recruitment process, including assessments, assignments, and interviews independently and without the use of artificial intelligence (AI) tools or other forms of external assistance. The use of AI to complete any component of the hiring process is not permitted and may result in disqualification from consideration.
During the recruitment process, applicants have the right to request an accommodation. Applicants invited to participate in an assessment process (such as interview or testing) and who require an accommodation, should discuss their needs with the Talent Acquisition Advisor when invited to the assessment process. For more information on our accommodation process please click on the link; Accommodations | Hiring | Employment | Halifax
(position # 78624150)
Provider Performance Liaison-Clinical
Remote
Department:
Quality
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40 The Provider Performance Liaison -Clinical (PPL) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Provider Incentive Programs, Alternative Payment Model (APM) programs Performance Improvement Projects. The PPL will assist providers with questions regarding HEDIS metrics and support them by providing best practices to achieve objectives. The PPL will work closely with providers, community-based organizations, and internal partners to implement interventions that impact improved quality outcomes for CCHP membership.
Additional Information:
The Provider Performance Liaison -Clinical (PPL) will develop partnerships with providers to close identified gaps in care and achieve targeted thresholds in Provider Incentive Programs, Alternative Payment Model (APM) programs Performance Improvement Projects. The PPL will assist providers with questions regarding HEDIS metrics and support them by providing best practices to achieve objectives. The PPL will work closely with providers, community-based organizations, and internal partners to implement interventions that impact improved quality outcomes for CCHP membership.
Education and Experience
Registered Nurse or Advanced Practice Nurse with knowledge of HEDIS and Texas Medicaid.
Minimum of five (5) years of experience in a Provider-facing setting or role is required.
Licensure, Registration, and/or Certification
Registered Nurse or Advanced Practice Nurse
*Position is remote, will be required to travel to providers office in DFW area.*
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Auto-ApplyClinical Applications Analyst I - EPIC Anesthesia Full Time Days
Remote
BASIC PURPOSE OF THE JOB
This position is responsible for the implementation of low complexity tools and processes, and the proactive support and maintenance of clinical information systems. Works under direct supervision to effectively scope, plan, and deliver on customer requests to include break fix issues and projects. Leads and coordinates projects with low complexity. Utilizes best practices to implement and document consistent builds. Takes ownership of issues, is highly responsive to customers, and shows an aptitude for the development and documentation of customer requirements.
This position primarily supports the Anesthesia application of the Epic EHR system.REPORTS TO
Manager, Clinical Applications
JOB REQUIREMENTS
Supervisory Responsibilities: No
Minimum Education: High School Diploma
License/Certification Required: No
Minimum Work Experience: Three years' experience in Information Technology, clinical operations, or related field. Degree may be used to substitute years of work experience.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
Excellent oral and written communication skills.
Service oriented.
Able to work independently, think critically, and problem solve.
Is proactive and makes routine decisions independently.
Must have above average problem-solving skills.
Excellent organizational, time management and customer service skills.
Proficient in MS Office, Outlook, Excel and PowerPoint and other computer applications.
DUTIES AND RESPONSIBILITIES
Serves as the IT contact and resource for assigned user departments and develops understanding of their business and information requirements.
Determine information needs of operational departments and presents potential solutions.
Implement system changes that are low in complexity following Change Management policies and procedures.
Gains an understanding of and sensitivity to the users' environment and information needs.
Consistently demonstrates effective verbal communication skills; communicates ideas clearly and in a manner appropriate for the audience.
Assists with on-going support, problem diagnosis, and problem resolution related to assigned clinical information systems.
Assists with coordination of problem resolution with users, other IT personnel, and vendors.
Assesses problem situations with care and considers all aspects before pursuing a solution; seeks advice from management appropriately.
Ensures system changes are thoroughly tested before placing in production; following department change management policies and procedures and monitoring results before signing off on changes made.
Establishes and maintains a good rapport with users and other personnel.
Demonstrates good analytical ability in evaluating existing systems.
Assists user departments in user training, documentation, and development of policies and procedures related to information systems.
Demonstrates proficiency in the use of assigned departmental systems as well as internal communication, and presentation.
Assists with development of training material; conducts informative training classes and one-on-one training as assigned.
Demonstrates good written communication skills; writes documents and reports clearly, concisely, and grammatically correct.
Gains knowledge of corporate and departmental policies and procedures, applicable regulatory agencies, and information systems security policies and procedures.
Maintains end user system security in compliance with information security policies and procedures.
Ensures system access provided is appropriate for the end user role.
Ensures completion of access and termination requests meet or exceed the required timelines as stated in the information systems security policy and procedure.
Conducts regular audits to ensure continued need for access by end users.
Reports breaches in security to appropriate IT management in a timely manner.
PHYSICAL REQUIREMENTS
Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.
Light lifting, pushing and pulling is required for 1-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending, and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
Come work where you can make a difference everyday.
Auto-ApplyPN Cert Prof Coding Analyst II
Remote
Department:
CBO/PT Financial Services
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
The PN Cert Prof Coding Analyst II is primarily responsible for the accurate assignment of CPT, HCPCS, modifiers and diagnosis codes. Following appropriate coding guidelines, the Coding Analyst II utilizes expert knowledge and application of CPT, HCPCs and ICD-10 coding guidelines to ensure accuracy of coding and charge capture. PN Cert Prof Coding Analyst II must be able to perform a complex review of provider documentation or other types of reports and assign the appropriate CPT codes, HCPCs, ICD-10 codes and appropriate modifiers to ensure proper coding and billing, be able to communicate effectively and professionally with providers or other teams to resolve CPT, ICD-10, HCPCs or modifier discrepancies and able to resolve complex coding-related denials.
Qualifications:
High school graduate or equivalent
At least 5 years' experience in a medical practice or other related healthcare setting with a minimum of three years of coding experience performing in the capacity of a certified medical coder
Understanding of diversified insurance plans
Proficiency in basic medical terminology
Exhibits good interpersonal and communication skills
Maturity to withstand pressure that may arise in relation to the public, physician or administration interaction or assigned duties
Current coding certification through the American Academy of Procedural Coders (AAPC) or other recognized coding certification organization
About Cook Children's:
Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.
At Cook Children's, we're more than a health care system-we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through-and how we can help you and your child get the best care and support possible.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Auto-ApplyBusiness Systems Analyst III- Finance Full Time Days
Remote
Working independently, serves as Subject Matter Expert (SME) for implementation and support of a broad set of business and administrative information systems. Provides project management, analysis, design, installation, and maintenance of business and administrative information systems. Must have advanced software knowledge. Primary responsibilities include advanced system support, and project management of all assigned systems. Assists departments in the evaluation, documentation, technical planning, and implementation of business systems. Develops policies and procedures that ensure applications are used as intended. Evaluates new and existing software products, provides accurate cost estimates, and assists in the development of best practices. Formulates statements of problems or objectives and design solutions.
This role requires extensive experience with Workday.
Minimum Education
Bachelor's degree required, Degree in Computer Science or related field preferred.
Minimum Work Experience
Six years of system design and programming experience.
Eight years of technical experience with computer systems can be substituted for a bachelor's degree.
Required Licenses/Certifications
None
Required Skills, Knowledge, and Abilities
Excellent oral and written communication skills.
Service oriented.
Able to work independently.
Is proactive and makes routine decisions independently.
Must have above average problem-solving skills.
Excellent organizational, time management and customer service skills.
Proficient in MS Office, Outlook, Excel and PowerPoint and other computer applications.
Responsibilities include:
Provides all aspects of project management for a variety of Information System projects.
Communication of project statuses, risk, milestones, task and associated due dates.
Analyzes business unit requirements and designs, develops, tests, implements, maintains, and supports software solutions that meet the needs of all associated users and processes.
Research new technologies that can be applied to solve or improve processes that positively impact users and processes.
Provides strategic recommendations based on consultation, problem analysis, and thorough research to departments regarding Information Technology
Reviews and analyzes the effectiveness and efficiency of existing systems and develops strategies for improving or further leveraging these systems.
Provides effective software application system administration, support, and troubleshooting:
Performs software administration duties related to access and software configuration.
Provides user training as necessary.
Troubleshoots software issues when they arise and provides or suggests solutions.
Coordinates and maintains hospital software and hardware as assigned.
Ensures software versions are up to date.
Maintains and upgrades hardware to meet the requirements of the software or by recommending hardware changes to the server manager.
Provides effective operating system support and analysis in a timely manner as required.
Demonstrates a high level of analytical ability to evaluate hardware and software issues, as indicated by the identification and resolution of technical issues.
Coordinates report writing services.
Specifies and relates report requirements to report writing resources or provides report writing services directly to the requesting party.
Trains end users in ad hoc report writing.
Maintains and accurately documents tasks, as required and according to department policies.
Coordinates and/or provides complete software and process documentation resources for support personnel and end users.
Integrates the hospital's mission and vision into daily tasks through dedication to customer satisfaction, quality improvement, and collaborative working relationships as applies to Information Systems
Coordinates and/or provides training for appropriate personnel to ensure software products are used effectively.
Provides effective project management training for appropriate team members.
Participates in opportunities for continued education as assigned or required for problem solving and technical expertise.
Willingly accepts any other assignment that may be requested.
Utilizes hospital resources and time respectfully and accountably.
PHYSICAL REQUIREMENTS
Light lifting, pushing, and pulling is required for 10-20 lbs occasionally and frequent moving of objects of less than 10 lbs is required. Frequent sitting with some walking, standing, squatting, bending, and reaching is required. Keyboard/computer use and/or repetitive motions may be required.
Come work where you can make a difference everyday.
Auto-ApplyAdvanced Practice Provider for Pulmonary Critical Care Medicine
Remote
City/State
Hampton, VA
Work Shift
Rotating
Provider Specialty
Pulmonary Critical Care Medicine
Sentara Medical Group is seeking a Part-Time Advanced Practice Provider (APP) with Acute Care training and experience in Pulmonary Critical Care Medicine to support the Intensive Care Unit at Sentara Careplex Hospital in Hampton, VA. This is an exciting opportunity to join a distinguished team delivering top-tier care in a collaborative, patient-centered environment.
Position Highlights:
Part-Time: 0.5 FTE (20 hours/week)
Location: Sentara Careplex Hospital
Schedule:
Day Shift: 8:00 AM - 6:00 PM
Night Shift: 6:00 PM - 7:00 AM (rotating at least 2 nights/month)
1:3 weekends
ICU Beds Covered: 16
Procedures: Central Lines, Udalls, Arterial Lines, Thoracentesis, Paracentesis, Chest Tube Placement
Responsibilities: 100% inpatient care of critically ill patients
EMR: Epic
Benefits:
Comprehensive benefits and retirement packages
Malpractice and tail coverage
Annual CME allowance
Annual QPI bonus
$10,000 student loan reimbursement
PSLF eligible
We welcome new graduates and experienced APPs with a strong interest in Critical Care. Our goal is to grant General Supervision privileges for independent bedside procedures.
Why Hampton, VA?
Hampton offers a unique blend of coastal living, community history, and a vibrant boating community.
Beautiful beaches and Chesapeake Bay views
Family-friendly activities: boating, fishing, hiking, golf
Proximity to Norfolk (20 min), Virginia Beach (30 min), Richmond (1 hr), and Washington, D.C. (3 hrs)
A vibrant cultural scene and historic institutions like Hampton University
If you're passionate about Critical Care and ready to make an impact, we'd love to hear from you!
.
-Benefits: Caring For Your Family and Your Career• Medical, Dental, Vision plans• Adoption, Fertility and Surrogacy Reimbursement up to $10,000• Paid Time Off and Sick Leave• Paid Parental & Family Caregiver Leave• Emergency Backup Care• Long-Term, Short-Term Disability, and Critical Illness plans• Life Insurance• 401k/403B with Employer Match• Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education• Student Debt Pay Down - $10,000• Annual CME Allowance• Reimbursement for certifications and free access to complete CEUs and professional development• Pet Insurance• Legal Resources Plan• 100% Malpractice and Tail Coverage• Colleagues may have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met Providers at Sentara are eligible for special benefits such as Annual CME Allowance and 100% malpractice and tail coverage.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission “to improve health every day,” this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs providers in the following states:
North Carolina, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia and Wisconsin.
Auto-ApplyRevenue Cycle Sr Project Manager
Remote
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
680 Lake Shore Drive
Job Description
The Senior Revenue Cycle Project Manager is responsible and accountable for the collaborative leadership of multiple assigned projects involving interdisciplinary teams. They oversee the entire project life cycle from original concept through final implementation and benefit realization. They facilitate the work of the project team, ensuring on-time, on-budget, completion of the work effort within the approved scope. The position will interact with all stakeholders affected by the project, including executive leadership, revenue cycle and other operational stakeholders, vendors, information management, and front-line staff. Projects in the revenue cycle portfolio contain many different interrelated elements. The senior project manager is responsible for ensuring the team works collaboratively to accomplish and sustain project outcomes. The nature of this work is time bound, results driven and requires superior communication, organization, interpersonal and analytical skills. Additionally, the senior project manager mentors project managers and the revenue cycle leadership team in the principles of project management, ensuring rigor and process consistency.
* This position is fully remote. Rare travel on-site may be required based on project needs. *
Essential Job Functions:
* Responsible for overall management of assigned projects and initiatives, from initiation through closure and transition to standard operating procedures to ensure sustained outcomes as directed by Revenue Cycle PM leadership.
* Implement post project auditing at regular intervals to ensure alignment with defined benefits.
* Work effectively with all staff, including providers, senior executives, operational leadership and front-line staff.
* Facilitate and manage multi-disciplinary project teams; collaborates with operational owners to draft the charter, set goals and priorities for project.
* Collaborate closely with information management and operational owners to develop and refine project plans that achieve the desired outcomes within budget.
* Maintain accurate project plans to ensure timely completion of activities, modifying as appropriate in collaboration with project leadership timelines and expectations.
* Develop, execute and manage project scoping, work plans, schedules, estimated resource requirements and status reports. Manage activities of the project team and acts as central coordinator of project communication.
* Demonstrate effective issue escalation, resolution and conflict management skills reinforcing a team-focused culture and ensuring the project continues to move forward.
* Communicate project status, including issues and risks, to the project team, stakeholders and leadership.
* Present solution options for issues and risks to project leadership, document decision, next steps and assess for impact to project scope, timeline and budget.
* Define roles and responsibilities for each member of the team including escalation protocol and decision- making authority.
* Follow established revenue cycle processes and protocols for effective project oversight.
* Foster teamwork and camaraderie within revenue cycle and with departments across the organization.
Senior Project Manager Responsibilities:
o Mentor the revenue cycle team on the principles of project management to ensure results are delivered on time, on budget and with the stated benefit.
o Design and maintain the revenue cycle project health dashboards, area specific drill downs, and leader summaries.
o Design, implement and maintain the share point document repository.
o Lead failure analyses, focusing on continuous improvement and developing systems that obviate future errors.
* This position is Revenue Cycle Specific:
o Participate in prioritization and coordination of revenue cycle initiatives and projects.
o Participate in development, documentation and improvement of revenue cycle project management processes.
o Document and store project artifacts, including, but not limited to outcome, process and balancing measures, success criteria, standard operating procedures, testing plans, validation plans, etc.
o Serve as liaison and facilitator between project team, vendors and operational departments.
o Work closely with the information management team to prioritize, resource, track and implement initiatives.
o Manage integration of vendor tasks; tracks and reviews project-related vendor deliverables.
* Other job functions as assigned.
Knowledge, Skills, and Abilities:
* Bachelor's degree required. Master's degree preferred.
* Project Management certification with 3+ years of experience required. Experience with Epic revenue cycle applications required.
* Experience managing complex, enterprise-wide healthcare IT projects preferred; certification in an Epic revenue cycle application preferred.
* Excellent project management, change management and prioritization. Able to organize and manage a project from initiation through closure and transition to standard operating procedures.
* Effective communication, conflict resolution and problem resolution skills, including facilitation of groups, presenting to groups at all levels, assisting others to present effectively.
* Effective listening skills to understand various perspectives and ability to synthesize findings to achieve results.
* Excellent analytical and process/systems thinking skills; excellent problem-solving skills.
* Demonstrated skills in the use of Excel, Visio, PowerPoint, and other Microsoft Office products.
* Demonstrated skills in the use of Jira for project management and product discovery.
* Excellent written and verbal skills.
* Excellent interpersonal skills, including ability to understand and articulate the needs of the customer and assist them in making the necessary decisions to accomplish their objectives.
* Demonstrated ability in earning creditability with leaders across the healthcare organization including clinicians.
* Ability to challenge team members to perform against designated timelines in a team-oriented manner.
* Experience in an Academic Medical Center is preferred.
Education
Bachelor's Degree (Required)
Pay Range
$93,600.00-$154,440.00 Salary
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
* Supplemental Life, AD&D and Disability
* Critical Illness, Accident and Hospital Indemnity coverage
* Tuition assistance
* Student loan servicing and support
* Adoption benefits
* Backup Childcare and Eldercare
* Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
* Discount on services at Lurie Children's facilities
* Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
Auto-ApplyProfessional Pro-Fee Inpatient Coding Specialist III
West Allis, WI jobs
At Children's Wisconsin, we believe kids deserve the best.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.
We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
Please follow this link for a closer look at what it's like to work at Children's Wisconsin:
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The Professional (Pro-Fee) Inpatient Coding Specialist III will fully abstract, code and release Inpatient initial, subsequent, discharge, consult services and bedside procedures for multiple specialties in a timely manner to ensure correct coding, billing compliance and complete charge capture. Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics.
100% Remote
Full time: Monday-Friday (40 hrs per week)
Requirements
3 years of coding experience in a healthcare position.
Coding Certification - one of the following: CPC or CCS or CCS-P or RHIT
Knowledge, Skills and Abilities
Knowledge of ICD10, CPT and HCPCS coding guidelines.
Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
Specialty Coding knowledge.
Epic experience preferred.
Excellent communication (oral and written) skills.
Ability to work independently, exercise independent judgment and solve problems effectively.
Education:
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required.
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses:
Auto-ApplySr Financial Analyst (REMOTE GA)
Remote
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America) Job Summary: The Senior Financial Analyst is responsible for providing management with the financial data, information, and analysis necessary to make their operational, investment, and tactical decisions. This analysis is both routine and ad hoc,. It involves interaction with employees at all organizational levels and across multiple disciplines. Routine responsibilities include month-end and year-end closing, journal entry preparation, monthly balance sheet and income statement analysis, consolidation, intercompany transactions and reconciliations, balance sheet account reconciliations and ensuring the accuracy of the financial statements in accordance with Generally Accepted Accounting Principles (GAAP) and in accordance with Wellstar Health System's policies and procedures. Core Responsibilities and Essential Functions: Financial Analysis, Reconciliation and Reporting Research, review and perform account analysis of assigned accounts to ensure accuracy of balances and monthly activity Follow up on account discrepancies and resolve in accordance with GAAP Reconcile assigned Balance Sheet and Income Statement accounts to source documents. Prepare reconciliation journal entries as needed Research accounting issues as necessary and report to management Interact and consult with departments to ensure that all entries are recorded and complete Compile and review financial reports and presentations as relevant Participate in the validation of new and existing reports Month-end and Year-end General Ledger Close Duties Compile and prepare month end journal entries for assigned areas to record activity, month end and year end reports and variance analysis Perform Balance Sheet account reconciliations, account analysis, research, accrual calculations and other related accounting documents/schedules. Prepare reporting packages for assigned functional areas Prepare consolidation and elimination entries Communicate with leadership related to financial close, issues and deliverables in a timely manner Other Duties as Assigned Prepare interim and year-end audit schedules Prepare/assist with interim reporting Prepare and update process documentation on a routine basis Cross-train with team members within department Responsible for performing special projects as assigned by management Other ad hoc reporting and duties, as assigned. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education:
Bachelors Accounting or Bachelors Business Administration/Management or Bachelors Finance
Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.Additional License(s) and Certification(s): Required Minimum Experience: Minimum 5 years treasury, finance, accounting, preferably in healthcare. Required Required Minimum Skills: Detail oriented with above average analytical, organizational, interpersonal, project management, technical and computer skills. Must be able to communicate well with employees at all levels and across multiple disciplines. Must be able to manage multiple responsibilities/duties. Above average excel skills
Join us and discover the support to do more meaningful work-and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
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Norfolk, VA jobs
Overview The Advanced Practice Clinician (APC) is responsible for the provision of health care services to individuals, families, and/or groups who receive their care under the auspices of Sentara Medical Group (SMG). The APC is expected to participate in quality assurance and improvement activities, engage in member of the team activities, and use resources (human and material) appropriately. Nurse Practitioner/Physician Assistant experience preferred. Advanced Cardiac Life Support (ACLS) preferred. The APC maintains continuing education credits of at least 30 hours per year and maintains prescriptive authority and certification; acquires special clinical competencies as required by the group; participates in quality assurance and utilization management activities; and assists with risk management functions. 100% Remote position Monday- Friday 8am-4:30pm No nights, No weekends, No call Education * Master's Level Degree- Nurse Practitioner Certification/Licensure *
Licensed Nurse Practitioner (NP) - Certification - Other/National * * Basic Life Support (BLS) - Certification - American Heart Association (AHA) RQI * * Registered Nurse License (RN) - Nursing License - Compact/Multi-State License * * Authorization to Prescribe License - Certification - Other/National * * Physician Assistant License (PA) - State License - Other/National Experience * 1 year of related experience highly preferred Facility & Address * Virginia Remote * 6015 Poplar Hall Drive Norfolk VA 23502 Contact Information Shelby Fincham Talent Acquisition Specialist II * Phone:************ * Email:Click to email
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Department:
IS Administration
Shift:
First Shift (United States of America)
Standard Weekly Hours:
40
As a Lead Analyst you will support service line initiatives within the Identity and Access Management (IAM) team. With limited supervision, provide analysis and development knowledge for Identity Governance and Administration (IGA), Privilege Access Management (PAM), Single Sign-on (SSO), Epic workflows, and/or Multi-Factor Authentication (MFA) Assist in the review and design of new IAM security technologies and support to ensure that the appropriate controls and tools are selected and operationalized. Work closely with team leads, peers, development teams, business analysts, and end users to ensure we have appropriate controls and protection. Regularly participate in new projects to learn new technologies and perform detailed feature and usability analysis based on vendor's offerings and business needs. Support Information Security programs which include governance (policy & standards), security enhancements, new security technology evaluation and testing, project requirement gathering, internal client communications, documentation, and security awareness. Support Identity and Access Management (IAM) operational team(s); including Identity Governance and Administration (IGA), Privilege Access Management (PAM), Single Sign-on (SSO), or Multi-Factor Authentication (MFA) platforms. Work with stakeholders to gather requirements needed for system and application integration with all Identity and Access Management (IAM) platforms. Participate and/or lead the installation, integration, deployment, and support of IAM tools and products. Deliver process improvements utilizing Identity and Access Management platforms. Communicate aspects of both the product and the implementation at the technical and functional level appropriate for the solution. Participate in operations and tactical planning within a team environment. Provide scripting experience/knowledge to automate critical privileged account maintenance processes and/or other IAM related activities. Ability to work Remote.
Qualifications:
Position requires a Bachelor's degree in the field of computer science or other related field and 5 years of professional experience working within an information security program requiring compliance with regulations such as HIPAA, PCI/DSS or equivalent.
Extensive critical thinking and troubleshooting skills.
Excellent technical writing skills and ability to communicate effectively at all levels of the organization.
Experience identifying, measuring and mitigating network security risks.
2+ years of experience in documenting, developing, or implementing IAM systems
2+ years of experience with technical experience integrating identity management, access management, access governance, or privileged access management software into clients' infrastructure and applications.
1+ year of experience in implementing enhanced security for elevated accounts in Active Directory.
Privileged Access Management (PAM) skillset preferred.
About Us:
Cook Children's Health Care System
Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents.
Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
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