Danbury Hospital Remote jobs

at Nuvance Health Maintains the records for Network company(ies). Prepares related financial statements, tax returns,budgets and abandoned property forms, when assigned . Assists with maintaining the fixed assets including processing purchase requisitions, disposals, transfers, and maintaining renovation projects. Assists in closing and reconciling subsystems to the General Ledger, when needed. Responsibilities: 1. Under general supervision of Accounting Manager, analyzes, compiles, and arranges data into computerized systems to generate financial data for management; prepares financial statements and other reports as needed by management. 2. Prepares daily cash reports, as assigned. 3. Prepares budgets and tax returns, as assigned. 4. Performs monthly reconciliations of balance sheet accounts and analyze income statement accounts to maintain accuracy and integrity of financial data. In addition, correct all reconciling items on a timely basis. 5. Maintains abandoned property records in addition to filing all necessary forms with the proper state authorities, as needed. 6. Assists in maintaining the Asset Management System including, but not limited to, processing purchase requisitions, processing disposals and transfers, and assisting the Accounting Manager in reconciling asset management systems. 7. Assists in closing and reconciling subsystems to the General Ledger, when needed. 8. Fulfills all compliance responsibilities related to the position. 9. Performs other duties as assigned. Other Information: Required: Competent in MS Excel & MS Word. Competent in accounting functions. Minimum Experience: three years Desired: Experience in Lawson and Asset Management Systems. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1775 Department: General Accounting Exempt: Yes Salary Range: $25.70 - $47.72 Hourly

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Inpatient Coder 2 performs activities involving moderate level inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital, regional and government reporting, and accurate reimbursement. This level of coding is expected to completely code cases of moderate complexity with lengths of stay greater than six days and continue to challenge themselves to code more complex cases with longer lengths of stay. They also support the department through a variety of project work and support the department through a variety of project work. EEO/AA/Disability/Veteran Responsibilities * 1. Coding Expectations - Coders are expected to perform coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, stop bills and communication and relationship building with the Clinical Documentation Improvement department. * 2. Quality - Coders are expected to maintain a minimum quality score of 95% in in all aspects of their coding including diagnosis code, procedure code, discharge disposition and POA status selection. Coders are evaluated by both, internal audits and third party external audits. * 3. Professional Development/Education - Coders are required to support the educational needs of the department and remain current with coding guidelines, ICD10 updates, regulatory changes, etc. They are also expected to collaborate closely with the CDI department in resolving coding questions or concerns. This can be demonstrated through active staff mentoring, promoting educational activities, participating in staff meetings, preparing and delivering group presentations, etc. Qualifications EDUCATION High school diploma and two (2) years of college or equivalent with additional training in medical terminology, anatomy and physiology required. Certified Coding Specialist (CCS) certification required at time of hire. EXPERIENCE Minimum two (2) years' experience Inpatient Medical Coding at a large academic medical center required. LICENSURE CCS certification required. SPECIAL SKILLS Knowledge of medical terminology, anatomy and physiology, and disease process. Understanding of ICD-10. Good oral and written communication skills. Ability to exercise good judgment, independent logic, light typing, and excellent computer data entry skills. Computer system experience including familiarity with encoder systems. YNHHS Requisition ID 161095

Job Posting Title: Home Based Primary Care - APP Hospital Site: Yale New Haven Work Schedule: Monday - Friday Scheduled Hours: 40 hours per week Position Type: Full-time with benefits EMR System: EPIC To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Yale New Haven Health is a leading integrated healthcare delivery system dedicated to providing exceptional patient-centered care. The Home-Based Primary Care (HBPC) program extends this mission into the community - serving patients who are homebound or have limited access to traditional office-based care. The Advanced Practice Provider (APP) plays a key role in delivering comprehensive, longitudinal primary care services in patients' homes, helping to improve outcomes, reduce hospitalizations, and enhance quality of life. What Makes This Opportunity Unique? * Conduct in-home patient assessments, routine follow-up visits, and telehealth encounters * Diagnose and manage acute and chronic medical conditions within the scope of practice * Develop and implement individualized care plans, emphasizing disease prevention, medication management, and patient education. * Collaborate closely with patient's care team - including home health services, specialists, and hospital partners - to ensure seamless coordination of transitions of care. * Utilize the electronic health record (Epic) to document all care accurately and in compliance with regulatory and billing requirements * Engage in ongoing professional development and remain current with clinical best practices and system protocols. Why Choose Yale New Haven Health? Excellent work environment - Flexible schedules to ensure work-life balance. Keeping the patient at the center of everything we do, we focus on improving clinical care, outcomes, patient satisfaction, safety, value, clinical research, and education. Our efforts reach beyond the walls of our hospitals to care for our communities, too. Career Advancement - Unlock your potential and embrace exciting opportunities for professional growth and career advancement within our esteemed healthcare system! Compensation Package - Enjoy an enhanced compensation package, including a . If you're looking for a challenging and rewarding career where you can make a real difference, we want you on our team. Relocation Assistance - We recognize how vital a smooth transition is, and with our relocation assistance, your journey can be seamless. Benefits- Competitive salary, comprehensive health, dental, and vision insurance. Pension plan matched tax-sheltered annuity plan and Roth contributions. Employment Perks- Employee wellness initiatives and support programs. Professional development and continuing education opportunities. Yale New Haven Health includes Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, and Westerly hospitals; several specialty networks; and Northeast Medical Group, a physician-led multi-specialty group with over 1,000 physicians. Intriguing cities with something for everyone, whether you love arts, history, parks or delicious food. Qualifications EDUCATION * Graduate from an accredited Nurse Practitioner or an accredited Physician Assistant Program. EXPERIENCE * Clinical working experience as an NP/PA in the specialty/service line is preferred but not required. * APRNs, PAs, CRNAs, and CNMs must be appointed to the Affiliated Medical Staff of a YNHHS hospital and go through the Medical Staff credentialing process. To be eligible, evidence of current competence to practice as an APRN, PA, CRNA, or CNM must be provided. This includes obtaining appropriate reference letters from physicians and other practitioners during the Medical Staff appointment process. LICENSURE * Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License. * Pediatric position profile PALS, when indicated for neonatal care NRP Certification. * Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. OR Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License. Additional Information To learn more, please email our In-House Provider Recruiter: Elena Geanuracos at ************************* Websites: ************************************* ************* EEO/AA/Disability/Veteran YNHHS Requisition ID 161924

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Responsible for supervising and directing the work activities of employees responsible for Outpatient Coding. Ensures accuracy and timeliness of diagnostic and procedure data entered into the Hospital billing system. Ensures regulatory compliance. EEO/AA/Disability/Veteran Responsibilities * 1. Direct activities of ambulatory coding staff to ensure timely and accurate billing and data base integrity. Provides feedback routinely on performance standards. * 2. Participates in coding of ambulatory medical records. * 3. Plans on-going in-service training programs. * 4. Initiates recruitment process when vacancies occur. * 5. Participates in interview and selection of applicants for coding positions. * 6. Contacts physicians to resolve problems and/or seeks assistance and advice. * 7. Implements published changes in ICD-9-CM, CPT-4, and HCPC's coding system, as well as changes mandated by State and Federal regulations; provides appropriate orientation and training to coding staff. * 8. Provides routine reports/problems relating to coding and data entry for the Manager of Data Analysis. * 9. Participates with financial analysts in reviewing clinic ChargeMaster. * 10. Audits hospital based clinic coding. Provides results to clinicians and clinical administration. * 11. Analyses CCI edit report and identifies departmental and ChargeMaster related issues. * 12. Provides appropriate technical orientation and training relating to coding, APC assignment and data entry to newly hired coders. * 13. Conducts programs for staff orientation and ensures compliance to Hospital personnel Policy/Procedures and related personnel functions. * 14. Ensures employees adhere to requirements for good patient/customer relations and evaluate performance accordingly. * 15. Works as a team with other CIS Management Staff to coordinate related systems/procedures to ensure uniformity. * 16. Promotes and fosters a positive customer relations environment in the work place, setting example for staff members to interact successfully with co-workers. * 17. Provides input into CIS Departmental operating/capital budget preparation/monitoring process. * 18. Evaluates and coordinates supplies' equipment needs, ordering /arranging for ordering of supplies used within the unit. * 19. Ensures office equipment is maintained in good condition. Arranges for servicing of equipment when needed. * 20. Performs other related duties in the Department as required. Qualifications EDUCATION Bachelor's Degree in a healthcare related field and an Ahima or AAPC coding credential (COC-A, COC, CPC-A, CPC, CCS, etc.) required. EXPERIENCE At least five (5) years progressive experience in a hospital outpatient coding, coding compliance, or clinical healthcare environment with at least two years in a managerial or leadership capacity. Audit experience, knowledge of outpatient reimbursement, and charge master experience helpful but not required. LICENSURE Certified coding credential (COC-A, COC, CPC, CCS, etc.) required. SPECIAL SKILLS In-depth understanding and knowledge of medical terminology and anatomy and physiology. Demonstrated high level of oral and written communication skills. Comprehensive knowledge of ICD-9-CM, CPT and HCPC's Coding; understanding of medical record systems and APC's. Understanding of current billing and regulatory requirements, (CCI Edits) including Federal Compliance Regulations. Excellent organizational and personnel skills. YNHHS Requisition ID 146604

at Nuvance Health PART TIME POSITION- Monday-Friday- Evening Hours 5-9pm- Rotate Weekends/Evenings Provides high quality administrative support to Clinical Denial Prevention & Appeals Specialist RNs, Physician Advisors (PAs) and other stakeholders in ensuring all necessary correspondence and submission of documentation required by third party payers is accurate and provided in a timely fashion. This role is instrumental in liaising with all above parties to submit provider appeals to insurance companies including Medicare and Medicaid for the Nuvance Health network. The role also provides support for all administrative and clerical duties to promote efficient and effective department operation. Performs a full range of computer/clerical duties in compliance with Hospital, Governmental, and Regulatory requirements. Works within a variety of computer programs used within the department. Serves as front line liaison for department. Responsibilities: 1. Assist with tracking and compiling data for performance metrics and audit readiness. 2. Support onboarding new staff by organizing orientation schedules and materials. 3. Coordinate administrative duties including develop, maintain, and publish the Denial Prevention team weekly and monthly work schedules. Ensure sufficient staff coverage for all shifts, including holidays and weekends if applicable. Track time-off requests, holidays, and ensure fair scheduling rotation. Coordinate coverage plans for PTO, sick leave, or other absences. Provide daily administrative assistance to Denial Prevention leadership and clinical reviewers. Manage incoming calls, emails, and correspondence for the Denial Prevention team. Coordinate meetings, prepare agendas, take minutes, and follow up on action items. Maintain confidential departmental files, records, and documentation. Maintain historical records of schedules for audit and HR compliance purposes. Tracks and monitors department expenditures and reconciles expenses and vouchers 4. Faxes the discharge summaries to third party payers. Reviews and documents insurance approval communications, maintaining organized records in shared folders. 5. Serves as UKG payroll editor/approver. Tracks Timesheets for Denial Prevention department including absences, PTO, FMLA, etc. 6. Maintains credentialing/enrollment for Payor Portals sending letter out to vendors, maintaining and updating compliance with requirements 7. Assists in timely sorting and dissemination of requests for medical information from insurers and other sources to the Denial Prevention RNs, PAs, and other coordinators 8. Responds to inquiries and facilitates communications with the System Business Office related to appeals, denial and clinical reviews 9. Reviews new denials and appeal upheld cases in work queue and incoming fax queue. 10. Reviews denial letters through daily mail and sets up appropriate P2Ps. 11. Identifies retrospective denials, documents appropriately and routes to Denial Prevention RN in a timely manner. 12. Communicates with insurance companies to schedule peer-to-peer reviews and follows up on outcomes. Sends appeals with all supporting documents to third party payer(s) within the payer specific timeframe. 13. Documents and updates the denials status in the denial tracking tool in a timely and accurate manner. Collects and analyzes denial data as requested. 14. Interacts professionally with team members within the department, other departments, and insurance companies. 15. Demonstrates the ability to be flexible and organized during stressful situations. 16. Fulfills all compliance responsibilities related to the position. 17. Maintain and Model Nuvance Health Values. 18. Demonstrates regular, reliable and predictable attendance. 19. Performs other duties as assigned. Education Skills Experience High School diploma required; Associate Degree preferred 2 years clerical/computer experience required Knowledge of insurance protocols preferred Knowledge of medical terminology Excellent verbal and written communication skills Strong interpersonal and communication abilities. Excellent verbal and written communication skills Excellent organizational skills Prior Insurance claims processing experience helpful Notary Public preferred but not required Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: No Salary Range: $20.86 - $38.73 Hourly

at Nuvance Health The Career Navigator is responsible for implementing initiatives that ensure optimal recruitment in partnership with our communities, retention of diverse talent and development of career pathways within the Danbury/New Milford area. The Career Navigator will implement and champion strategic priorities for Danbury/New Milford Hospital around employment diversity and work to translate strategies into practical and actionable solutions. Responsibilities: 1.Implements innovative recruiting strategies to help create a brand that appeals to diverse applicants and removes bias. 2.Creates talent pipelines focused on entry-level employees; and establishes external programs to develop employees to fill those needs. 3.Develops partnerships with local community organizations and advocacy groups to attract diverse prospective employees. 4.Partners with local educational institutions to create continued educational opportunities to invest in career pathways. 5.Consults with internal Education Department(s) to understand the skill set needs along the early career ladders. 6.Shapes an employee experience that consistently offers and engages colleagues with opportunities to grow, find challenge and fulfillment at work by supporting Business Employee Resource Groups (BERGs) - a national best practice aligned with key business goals and objectives of the organization and helping to build communities. 7.Maintains and Models Nuvance Health values. 8.Demonstrates regular, reliable and predictable attendance. 9.Performs other duties as required. Other Information: Minimum Knowledge, Skills and Abilities Requirements: ·Knowledge of diversity and inclusion workforce, workplace and marketplace enablers ·Effective relationship building skills across all levels ·Exceptional communication, relationship and project-management skills ·Recognizes the value that different perspectives and cultures bring to a team and organization ·Demonstrated analytics skills to gather and interpret data and develop metrics to measure desired outcomes ·Proven ability to communicate, coordinate, negotiate and collaborate with a diverse range of people ·A problem-solving and growth-oriented mindset, and the demonstrated ability to prioritize work wisely ·Utmost tact, emotional intelligence, discretion, diplomacy and respect for confidentiality Working Conditions: Manual: Little or no manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1946 Department: Talent Acquisition Exempt: Yes Salary Range: $33.66 - $67.05 Hourly

at Nuvance Health FULLY REMOTE OPPORTUNITY! The IT Educator IV is responsible for the analysis, design, development, implementation, delivery, and evaluation of educational programs across the Nuvance Health System's hospitals and medical practices. Using knowledge, initiative and skills to create enthusiasm, provides team-members timely feedback regarding key performance indicators, and mentors other team members to resolve problems. Provides oversight of all IT Learning Services Educator staff including IT Educators, consultants and business partners who use and support the systems necessary to provide patient care and improve the patient experience. Performs an essential role together with the Manager to develop and administer comprehensive training strategies, develops and administers education programs, creates appropriate budget proposals, schedules, project plans and standards in accordance with the goals of the organization. Responsibilities: 1.Drives effort, or serves as the lead, to analyze, design, develop, implement, and evaluate education products for individuals who use IT systems throughout Nuvance Health. 2.Designs and delivers the learning and education services, including a focus on competency levels, for our super users and end users for hospitals and affiliates. 3.Responsible for developing and delivering engaging learning content that supports the end users to become more efficient through better use of the systems functionality. 4.Collaborates closely with stakeholders to share information and ascertain education requirements, including remedial activities. 5.Oversees the development of all training materials and training approaches based on best practice recommendations, by integrating clinical informatics and education to maximize staff efficiency and skills. 6.Keeps abreast of developments in subject areas, teaching resources and methods; and makes relevant changes to instructional plans and products. 7.Provides limited technical support to individuals and facilitates communication with appropriate resources when more advanced is required. 8.Gives all team-members timely feedback regarding key performance indicators and mentors them to resolve problems encountered while performing their functions. 9.Assists Manager to develop and administer comprehensive education programs, budget proposals, creation of appropriate schedules, project plans and standards. 10.Builds and maintains a positive, empathetic, and professional attitude toward customers. 11.Assists in the management and coordination of end user training schedules. 12.Maintain and Model Nuvance Health Values. 13.Demonstrates regular, reliable, and predictable attendance. 14.Performs other duties as required. Education: BACHELOR'S LVL DGRE Other Information: ·Bachelor's Degree in education, management, organizational development, or equivalent experience. A minimum of 5 years' experience as an educator/trainer teaching clinical applications to end users. A minimum of 5 years' experience developing education materials and delivering IT education as part of a health system. A minimum of 2 years of informal team leadership and supervisory experience. ·PREFER: Master's Degree in a related field. ·Strong computer skills, specifically knowledgeable of healthcare systems. ·Excellent customer service skills. ·Exceptional communication skills. ·Excellent interpersonal skills ·Ability to deliver high quality work, as assigned daily ·Understanding of analytical processes, along with demonstrated proficient computer skills Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1820 Department: IT Learning Services Exempt: Yes Salary Range: $40.43 - $75.10 Hourly

at Nuvance Health The Charge Integrity Coordinator is response for supporting and maintaining the Charge Description Master (CDM) for all Nuvance Health entities, including but not limited to, 7 hospitals and 4 physicians groups across two states. Responsible for the accuracy and completeness of the CDM and the interface of charges into the system and the linking of charges and services to the clinical build. The CDM Coordinator supports the Charge Integrity team as well as the CDM Analyst role. Assists the Charge Integrity Team in the development of charge reconciliation reports and supports all audit, CDM and revenue and usage activity. Responsible for assisting in the build of the system wide CDM Tool as well as developing a process with IT to interface all charges and new codes into the billing and medical record system in order to ensure an accurate and timely Revenue Cycle. The Charge Integrity Coordinator oversees the integrity of the pricing of the CDM and the pricing maintenance in the Cerner systems and audits the charges after interfacing them in the system in collaboration with the CDM Analyst. The Charge Integrity Coordinator will be the subject matter expert relating to the CDM structure, CPT, HPHCS, revenue codes, industry trends, and deferral, state and payer regulations and guidelines. Responsibilities: 1.Perform daily reviews/analysis of charging errors, working with all Nuvance Health hospital and physician departments. Investigates, analyzes and recommends actions and solutions for registration, coding, charge entry, cash collection, posting and balance problems. 2.Effectively support the Charge Description Master Maintenance coordination activities in a timely manner, including charge additions, CPT/HCPCS code changes, and pricing updates. 3.Work with Charge Integrity Auditors and Revenue Cycle to identify, analyze and resolve CDM-related claim submission issues. Assist in the CEWL and EBEW error resolution. The CDM Coordinator will assist in the implementation and system build of the annual price adjustment. 4.Provide full cooperation and support to internal and external auditors by providing access to data, policies or other requested material. Understands the clinical event that will allow charges to trigger and coordinates with ITG to ensure that triggers are built for all CDM codes. 5.Participate in testing, validation and implementation of all system enhancements and upgrades to ensure that functionality, validation, transparency, charge and price accuracy is maintained. Evaluates, develops, and implements computer based departmental charge processes in collaboration with operating departments and ITG. 6.Processes CDM additions, deletions and change requests in all systems, including CERNER MILLENIUM to maintain regulatory compliance and meet operational requirements. 7.Builds exploding codes in CERNER. Ensures that Providers are attached to service codes at the departmental level to ensure correct billing. Assists in the streamlining of CDM codes across Nuvance Health in an effort to reduce charge line items in accordance with the Corporate Strategy. 8.Collaborates with clinical departments and Nuvance Health resources to ensure appropriate inpatient, ancillary, clinical and billing modules are aligned with regard to standardized CDM maintenance process, quarterly and annual CPT/HCPCS updates. Identifies clinical workflows that will impact design build. Evaluates consistency of data across financial and clinical systems to ensure CDM data is interfaced appropriately and consistent. 9.The CDM Analyst provides support for special projects which includes but is not limited to, collecting and analyzing revenue and usage claim data for the hospital, physicians and provider groups in preparation for regular changes to charging, transparency regulations and an assessment of utilization changes for operational leadership. 10.Acts as a liaison with Charge Integrity, Managed Care, Access Services, Patient Accounting and the Service Lines regarding billing and pricing issues and concerns. Supports the activities of the Charge Integrity Audit Team by running reports and processing changes. Works closely with the CDM Analyst. 11.Maintain and Model Nuvance Health Values. 12.Demonstrates regular, reliable and predictable attendance. 13.Perform other duties as required. Other Information: ·Bachelor's Degree in Business Administration, Accounting, Health Care Information Technology, Computer Science or a related area and/or equivalent combination of training and experience. ·Minimum of three (3) years relevant experience in CDM Management or IT. Patient Accounting experience preferred. ·Coding Certification (CPC, COC, CCA, CCS, and RHIT) Preferred. ·Clinical experience a plus. ·Experience with large scale, automated patient billing systems, medical terminology and coding. Cerner CDM and Charge Capture preferred. ·In depth knowledge of electronic data interchange and claims processing, third party payer rules, reimbursement practices and regulatory guidelines. Experience working with revenue cycle information systems or system implementation teams for complex projects, application development and/or support. ·Charge Capture/Coding/Clinical Documentation analysis experience preferred. ·In depth knowledge of issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring ·Strong Excel Skills required. ·Technical knowledge of all revenue generation sources, including CDM, Charge Capture, CDI, Coding and all other related issues. ·In depth knowledge of the hospital and physician practices, procedures and all health care concepts related to healthcare revenue cycle and its component operations, including billing, collections, charge capture, coding compliance, managed care contractual terms, Medicare and Medicaid reimbursements, thirdparty reimbursements and cash management. ·Ability to interpret a large volume of data and report it in a concise, meaningful manner. ·Ability to use billing codes including CPT, HCPCS, Revenue Codes and ICD-10 codes. Minimum Knowledge, Skills and Abilities Requirements: ·Ability to build financial and statistical models, analyze data, and translate analysis into specific, targeted action to drive results. ·Proficiency in working with complex and large volumes of data. ·Strong problem-solving skills. ·Ability to work in a fast paced and changing environment. ·Strong organizational and written/oral communication skills. ·Ability to work independently and with little supervision. ·Excellent ability to manage to deadlines. ·Professional attitude required in challenging conditions. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1814 Department: Charge Integrity Exempt: Yes Salary Range: $32.23 - $59.86 Hourly

at Nuvance Health The Cyber Security Engineer will have responsibility for incident response along with a desire to relentlessly champion best practices. This role will perform all functions required to support day-to-day data security operations, supporting and maintaining a broad suite of cyber security operations infrastructure, serving as a tier 2 escalation point during incident response and investigations and monitoring compliance with IT security policy. Participate in the planning, design, installation, maintenance and tuning of security operations systems in support of security policies and best practice. Work with Information Technology staff and business units to assess risk and address security issues. Responsibilities: • Manage security responsibilities, including firewalls, proxy systems, SIEM, EDR and other security devices. 15% • Strong skills implementing and tuning security components. 15% • Server as an escalation point during incident response and investigations. 15% • Maintain cyber security operations tool to insure detection, response and remediation of latest security threats 15% • Create and review reports on event and incidents. 10% • Stay up to date with latest security threats and assist with developing defense strategy's to combat them. 10 % • Investigate and respond to security violations 10% • Ability to maintain in depth knowledge of security and networking infrastructure utilized by the company including the management and reporting of each. 10% Education Skills Experience • Bachelor's degree in computer science field required • 2 or more years Security Operations with a minimum of 4 years IT experience. • Demonstrated experience in Incident response investigations. • Working knowledge of EDR technologies. • Working knowledge of SIEM technologies. • Working knowledge of common vulnerability management tools. • Working knowledge of enterprise firewall technologies preferred. • Working knowledge of web filtering and proxies preferred. • Working knowledge of MDM solution preferred. • Experience with DLP and IPS/IDS systems preferred. • Working knowledge of email filtering product preferred. • Working knowledge of litigation hold processing and forensic investigations preferred. • Experience participating in Red/Blue/Purple team exercises. • Experience working with information security practices, networks, software, and hardware. Other Information: • CISSP, CEH, or other equivalent certification is a plus. • Disaster recovery and business continuity experience is a plus. • Working knowledge with HIPAA regulations as they pertain to the healthcare industry. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1795 Department: Information Security Exempt: Yes Salary Range: $40.43 - $75.10 Hourly

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Outpatient Clinical Documentation Specialist I RN facilitates modifications to clinical documentation through extensive concurrent interactions with physicians and other clinicians to provide an accurate picture of true acuity and clinical condition of the patient, highest level of specificity, medical necessity and the documentation support the services provided to the patient in the outpatient setting. The specialist shall review and evaluate selected patient 's medical records for overall quality and completeness. The specialist will educate physicians, non-physician clinicians, nurses and coding staff on an ongoing basis regarding documentation opportunities, coding and reimbursement issues, and relevant quality and performance improvement opportunities. The specialist will identify quality of care issues in documentation and will seek resolution of issue through appropriate channels. This individual uses clinical expertise and leverages past work clinical experience in addition to familiarity with coding guidelines, DGs, reimbursement methodology, compliant coding and billing practices, payer policies, coverage determinations, denial data to identify opportunities that are compliant and appropriate to achieve maximum results. This individual also supports other team members, shares knowledge and role models the professional standards of behavior. EEO/AA/Disability/Veteran Responsibilities * 1. Performs focused clinical medical record reviews and of discharged outpatient patients to identify the most appropriate diagnosis and the medical record documentation supports services rendered. Performs initial reviews, post discharge case reviews, retrospective review and analysis. Performs and supports other types of clinical documentation record reviews to ensure documentation sufficiently supports services rendered. * 1.1. Completes the initial review within 24-48 hours of discharge * 1.2. Completes clinical record reviews to ensure coding is supported and documentation elements are met and documentation by the providers to the greatest specificity. * 1.3. Collaborates with coding staff and other departments throughout the health system to ensure the chart has all of the necessary documentation to support the most accurate coding. * 2. Educates internal staff on clinical documentation documentation and coding guidelines. Develops and conducts ongoing training, education to ensure charts have all the necessary documentation to support the most accurate coding for services rendered. This includes training, education, and documentation improvement opportunities and trending for new and existing staff including new clinical documentation specialists, coders, physicians, residents, nursing and allied health professionals. * 3. Develops and supports strong professional relationships with team members, coding staff, clinical and operational department leadership, and medical providers across the system and others necessary to advance the department goals and initiatives. * 4. Utilizes a compliant query process per guidelines and policy when conducting all queries. Follows each query through to closure including complete documentation on ongoing follow up activities, communication, and outcomes. * 5. Works collaboratively with physician and nursing leadership to ensure positive program outcomes * 6. Provides in person CDI training to providers one on one, during staff meetings or department meetings. Creates custom dashboards, score cards, and messages department performance metrics and CDI opportunities on a regular basis to work collaboratively with departments to improve quality of clinical documentation. * 7. Assists in other monitoring activities, special department projects or other needs as determined by the department manager. * 8. Provides ongoing CDI team learning opportunities through sharing of professional knowledge. * 9. Maintains integrity and compliance in all chart reviews and CDI documentation and queries at all times. * 10. Supports and implements quality measures as identified by department manager. * 11. Identities opportunities of performance improvement and leads initiatives from initial assessment through post implementation monitoring. * 12. Performs other duties as needed to support program and its initiatives. Qualifications EDUCATION Registered Nurse with active license, BSN strongly preferred. Coding credential through AAPC or AHIMA preferred. EXPERIENCE At least three (3) years of recent acute care nursing experience required. Clinical expertise required. LICENSURE RN license required. Must obtain a CCS or COC coding credential within 12 months of hire. Must obtain and hold CCDS-O (Certified Clinical Documentation Specialist-Outpatient through acdis upon reaching eligibility after two years in the position. SPECIAL SKILLS Excellent communication, negotiation and organizational skills. Adaptability to a wide variety of interpersonal encounters with the entire hospital team. Comprehensive understanding in the use of medical record to extract data . Working knowledge outpatient and professional payment methodology or willingness to upskill in coding and necessary revenue cycle elements needed to be effective in role. Computer PC literacy required, including the ability to take data and translate into dashboards and executive summaries to share with leadership and department heads. Must be able to work collaboratively and independently. Must be able to train, educate, present knowledge and information to a wide range of audiences, including tailoring messaging and materials. Must be flexible with responsibilities in order to meet departmental needs. Must have keen eye to detail. PHYSICAL DEMAND Ability to communicate clearly and confidently to providers the program goals and documentation issues using email, in person communication, telephone and other written and electronic forms of communication. Must be able to travel for face to face meetings and training, as needed to support the work and program goals. YNHHS Requisition ID 156259

at Nuvance Health The Manager of Wellness will design, plan, direct and evaluate WCHN wellness programming and initiatives; Identify network-wide wellness needs and issues; Develop wellness initiatives that improve community health and wellness; Promote health and wellness through the supervision of dissemination and deployment of credible educational materials, workshops, presentations, and organizational events; and Support an overall culture of wellness through innovative programs and services with the goal of improving wellness while reducing health risks. Responsibilities: 1. Responsible for program planning, development, management, evaluation, and communication: In partnership with the Administrative Director of Total Rewards, and in collaboration with the VP of Population Health Operations, plans and develops all aspects of the comprehensive employee wellness program (incl. Vitive Health) including oversight of multiple integrated components across the network and in the community; Provides oversight for the coordination of all wellness-related providers and vendors; Establishes, develops and manages the Vitive Health Wellness Champion program; Ensures collaboration with the HR team to increase employee participation in wellness activities and improve ROI related to the Vitive Health program; and Develops strategies to motivate staff and achieve goals. 2. Leads the supervision of the operations of WCHN's Vitive Health Wellness Program with continuous evaluation and new development of comprehensive community and employee health and prevention programs, policies, and procedures; evaluation of program outcomes and operations; oversight of Wellness Associate duties of setting of annual Vitive Health Biometric screenings and on-site educational events; and continued development of relationships with partners in wellness including WCHN spiritual department as well as outside vendors such as YMCA and WCHN Healthy Living Partnership, Morrison Food Service, and other vendors integrated into wellness offerings. Establishes a health education team to develop workplace community health awareness and health outreach strategy, materials, and educational programs. Leads communications related to Vitive Health and Healthy Living 3. Supervises communications and promotions related to the Vitive Health program, both internally and externally; leads the planning and oversees the coordination of annual/quarterly/monthly events; ensures the implementation of announcements/ information and the monthly calendar of events; and supervises the Annual Health Fairs at 4 major locations. Researches, designs, implements, monitors and evaluates Wellness initiatives designed to promote a culture that improves the health and well-being of participants in the WCHN Network and community. Evaluates programs on an ongoing basis and reports on program effectiveness; determines additional employee needs and interests; and facilitates changes and/or additions to the program to reflect the changing needs of the employee and community population. 4. Wellness Liaison & Community outreach: Represents WCHN on subcommittee on Employee Wellness and Populations Health Management at the Connecticut Hospital Association and external community health committees as needed. Makes recommendations affecting relevant wellness policies and programs. Establishes and tracks health and wellness program metrics. Reviews and monitors WCHN departments training programs and schedules to ensure that departments are providing required offerings and training on health and wellness. Establishes and oversees dashboards including tracking of health and wellness program metrics. Leads or provides guidance to other staff and/or departments on health and wellness related issues. 5. Establishes and oversees multi-tiered wellness committees. Establishes relationships within the community and network with those who share the goal of providing health and wellness to the community. Works in partnership with the ambulatory are management program to implement activities that promote health and wellness for defined populations. 6. Works in partnership with the RN Health Coach of the Healthy Living Partnership with the Wilton YMCA. Oversees wellness interns and manages the relationship with academic institutions' (such as WCSU) health and wellness departments. Directs and oversees the wellness associate and wellness coaches. 7. Fulfills all compliance responsibilities related to the position. 8. Performs other duties as assigned. Education: MASTER'S LVL DGRE Other Information: This position requires a minimum formal education of Master Degree and minimum of five years job-related experience. Competency in health and medical terminology Knowledge of nutrition and physical fitness education; Experience with stress management and weight management strategies Knowledge of chronic disease management as part of a wellness program. Demonstration of program development, coordination, implementation and supervision. Competence in public speaking and group presentations. Knowledge of clinical guidelines and public policy related to community health. Strong telephone, office, and online etiquette. Research oriented. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1788 Department: Total Rewards Exempt: Yes Salary Range: $40.43 - $75.10 Hourly

at Nuvance Health Administers the non-retirement, broad-based employee benefit plans for the WCHN organization. Prepares reports and conducts employee and manager meetings. Manages the day-to-day vendor relationships and resolves problems that may occur. Responsibilities: 1. Administers the health, disability and life insurance plans for hospital employees, including union and non-union plans, ensuring compliance with all applicable regulations. Maintains awareness of changing regulartory requirements. This may include Norwalk, Danbury or New Milford locations. 2. Manages the day-to-day relationship with the benefit vendors. Independently resolves issues, and escalates if necessary. 3. Prepares reports and analyses for management. Completes government reports as necessary. 4. Calculates monthly premiums and audits for accuracy. Prepares invoices for approval and processing . 5. Conducts new employee benefits orientation. Works with the staffing group during the recruiting process and meets with candidates as necessary to help prospective employees understand the benefits package offered by WCHN. 6. Prepares communications for employees which may be posted on the intranet or sent to employee homes. 7. Implements new plans and conducts employee meetings. 8. Calculates COBRA rates, and develops models for cost sharing between employee and employer. Works with the labor relations team or other HR staff members to cost out potential union rate changes during negotiations. 9. Oversee the annual open enrollment process. Ensure files are transmitted to the vendors. Works closely with IT to ensure accurate programming of the benefits system. 10. Coordinate with the third party administrator (TPA), employees and managers to help ensure the leave of absence process runs smoothly. Provides education to employees and managers on the leave process, hospital policies and FMLA. Works closely with the TPA and Payroll to ensure employees are paid correctly during their leaves . 11. Provides assistance with other HR programs as requested. Participates in surveys. Provides advice to HR Staff members on benefits issues. Participates on project teams and completes special projects as necessary. Works with internal or external auditors on periodic plan audits. 12. Fulfills all compliance responsibilities related to the position. 13. Performs other duties as assigned. Education: BACHELOR'S LVL DGRE Required: Ability to present to large groups of employees. Knowledge of FMLA, COBRA, HIPAA and related state laws or regulations. Computer skills required: MS Word, PowerPoint and Excel. HRIS Software such as PeopleSoft, Lawson or other databases. Lotus Notes, Outlook or other email systems. Minimum Experience: three years Desired: 3 to 5 years experience in human resources, benefits experience preferred. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 1788 Department: Total Rewards Exempt: Yes Salary Range: $28.78 - $53.45 Hourly

at Nuvance Health Implements and maintains WCHN credentialing department processes and standards to assure compliance with all third party payers including Commercial, Medicare and Medicaid programs. Credentials and re-credentials all WCHN physicians and allied professionals. Responsible for providing credentialing reporting and ongoing support to WCHN administration and providers. Responsibilities: 1. Responsible for the credentialing, re-credentialing process and notification of changes including privileges, specialty, contact information, demographic information, and/or provider identification numbers. Ensures that credentialing records are maintained in an accurate and 100% complete status at all times. Work with third party payers to insure that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes to comply with any changes in federal or other accreditation agency requirements as appropriate. 2. Ensures that organization is in compliance with all credentialing regulatory requirements and national standards established by various third party payers including CT Department of Health Services and regulatory requirements for the Centers for Medicare & Medicaid services and state requirements. This includes completing Commercial payer, Medicare and Medicaid applications for all WCHN providers as well as those community providers that serve in WCHN clinics. 3. Development of standardized reporting, data collection and verification. Updates all credentialing dashboards and reporting, including WCMG provider roster and demographic info, payer credentialing/contracting guidelines, maintains and distributes all credentialing status updates, maintains Pecos/Nppes NPI reporting, as well as any other reporting requests from WCHN leadership. Maintains Med Kinetics provider enrollment database with all required information. 4. Responsible for maintaining delegated status for all commercial payers i.e. Aetna, United/Oxford, Anthem, Cigna, etc. and delegated credentialing agreements signed by WCHN to assure timely participation in their respective provider networks. 5. Participates in WCHN payer meetings to resolve outstanding issues or disputes related to credentialing. Responsible for reviewing claim issues involving payer and WCHN credentialing holds and/or payer issues. 6. Group and individual CT & NY Medicare enrollments and revalidations and Medicaid enrollment/re-enrollment. CT license updates for New York Medicaid for the Pathology and Hospitalist providers. 7. Serves as resource to the WCHN departments and physician offices in regard to standards and requirements of credentialing. Enhances professional growth and development through participation in educational programs, current literature, in-house meetings and workshops. 8. Athena responsibilities include maintenance of credentialing enrollment table, client enrollment dashboard, credentialing reporting, and correspondence dashboard. 9. Responsible for CAQH attestations and Meaningful Use registrations. 10. Fulfills all compliance responsibilities related to the position. 11. Performs other duties as assigned. Education: ASSOCIATE'S LVL DGRE Other Information: Required: Associate Degree and minimum of three years of job-related experience. High School Diploma and 7+ years experience in lieu of Associates Degree. Desired but not required: NAMSS Certified Provider Credentialing Specialist (CPCS) Certification Minimum Experience: three years Desired: In-depth understanding of physician credentialing process. Understanding of Joint Commission and NCQA requirements related to credentialing. Excellent organizational and record keeping skills. Company: Nuvance Health Org Unit: 1784 Department: Payer Relations Exempt: No Salary Range: $20.86 - $38.73 Hourly

at Nuvance Health Med Practice CT LCSW Full Time Opportunity Norwalk Hospital Provides clinical services to emotionally ill individuals, collaborating with psychiatric and other health professionals for the purposes of quality diagnostic and treatment Responsibilities: 1. Conducts interviews with patients/family members to evaluate coping abilities, dysfunctional adjustments, maladaptive behaviors, functional status. 2. Establishes objectives and develops patient-focused treatment plans to provide disposition and/or referral. Identifies potential barriers, limitations & lack of coping abilities, adjustments, functional status. Evaluates patients for mental disorders. 3. Provides individual, family, group therapy, crisis intervention and psycho-education. 4. Evaluates for child, elder abuse, domestic violence and makes appropriate referrals. Acts as a consultant and/or educator to staff relative to assessment, criteria & referral. 5. Maintains resume information and refers patients & families to agencies for supportive services & concrete resources (financial assistance; housing; transportation; medications) on regular & emergency basis. 6. Mentors and acts as consultant to peers, staff & community. 7. Acts as a liaison for the patients within community (local, state and private agencies). 8. Participates in patient care planning, policy and procedure development, quality performance improvement & projects as assigned by the department manager. 9. Provides coverage for absent (vacation, sick, etc.) social workers in medical/surgical, rehabilitation, women's and children's semi areas, emergency & neonatal unit. 10. Completes hospital and state required documentation & other paperwork & forms. 11. Fulfills all compliance responsibilities related to the position. 12. Performs other duties as assigned. Other Information: Master's degree in Social Work from an accredited school Minimum of three years experience Current Licensed Clinical Social Worker (LCSW) PREFER: Experience in assigned specialty area, crisis intervention, discharge planning, DSMIV diagnosis and treatment Department: NW Psychiatry Exempt: Yes Salary Range: $32.23 - $59.86 Hourly

at Nuvance Health The Manager, Denials Prevention & Appeals Operations is responsible for the direct oversight of daily operations of clinical denial prevention and Utilization Review (UR) activities, including daily collaboration with physicians as well as payers to ensure all hospital inpatient stays/days are approved for medical necessity. This position will work closely with the Denials Prevention & Appeals Administration Manager to guide the development and implementation of new programs and related workflows, policies, procedures for all service lines, and serve as a resource for internal departments, team members, providers, delegates, and community partners. In addition, the Manager Denials Prevention & Appeals Operations is responsible for supervising nurses and coordinators to ensure that all administrative denial prevention processes are performed in accordance with all applicable state and federal regulatory requirements, organization policies and procedures and business requirements focusing on concurrent denials prevention and management. This role requires a strategic thinker who can collaborate effectively with various departments to ensure compliance with regulatory requirements and optimize the utilization review process. Responsibilities: Lead and manage daily operations of the corporate Denial Prevention & Appeals team, ensuring timely and appropriate medical necessity reviews. Supervise and support Denial Prevention nurses and non-clinical staff, including training, coaching, performance evaluations, and ongoing development. Conduct performance evaluations and provide coaching and feedback to team members. Collaborate with Manager Denials Prevention & Appeals Administration to oversee UR processes for inpatient, outpatient observation and outpatient in-a-bed services, ensuring compliance with state, federal, and payer regulations. Ensure the integration of denials prevention operations such as prior authorization, initial and concurrent review, and denials management into other internal and external teams/departments including Denials Management and Care Coordination Conduct clinical assessments to evaluate the appropriateness of admissions, continued stays, and discharge planning, ensuring that care is medically necessary and meets established medical necessity criteria or 2 MN Rule, depending upon payer. Perform oversight and assignment of caseload across various UR functions including routine and ad hoc audits and monitoring of corrective action plans. Utilize clinical criteria (e.g., InterQual, MCG) and the 2 MN Rule to guide decision-making and ensure the delivery of appropriate care. Oversee the management of concurrent denials, ensuring timely and accurate responses to payer requests for information and documentation. Establish and maintain effective interpersonal relationships with all local Care Coordination/Discharge Planning team members and key stakeholders such as VPMAs, PAs and attending physicians. Resolve or facilitate resolution of problematic and/or complex issues by escalating to appropriate management/leadership colleagues. In collaboration with local CM Directors, Ensure UR Committee preparedness. Prepares and present reports on utilization review outcomes, compliance metrics, and performance indicators to hospital leadership and for the UR Committee. Attend off-site meetings, upon request. Maintains a clinical appeal process for all inpatient denials assuring that proper documentation is provided to support appeals of unauthorized inpatient days or days denied for lack of documentation, including concurrent denials. Works collaboratively with the Physician Advisors or attending physicians to support concurrent appeals. Monitor and analyze utilization data to identify trends, variances, and opportunities for improvement in resource allocation and patient care. Ensure that the UR department maintains compliance with all relevant accreditation and regulatory requirements. Responsible for monitoring and identifying payer trends/behaviors and escalation to leadership for assistance with resolution. Shares management coverage with AVP Care Coordination and Manager Denials Prevention & Appeals Administration. Demonstrates regular, reliable and predictable attendance Maintain and model the organization's values Performs other duties as required. Education Skills Experience Bachelor's degree in Nursing (BSN) required. Masters degree preferred 5 years of clinical nursing experience required with at least 2 years relevant experience in denials, case or utilization management required. 5 years management experience preferred RN License in CT and NY required Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: Yes Salary Range: $51.31 - $95.29 Hourly

at Nuvance Health Per Diem Shifts Available- Days, Evenings, Nights available The purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing communication (electronic and telephonic) with payers ensures timely approval of all hospital days, preventing delays in reimbursement. This role plays a critical part in preventing payment denials by providing timely and accurate clinical information to all payers, while ensuring compliance with CMS requirements, guidelines, and standardized published criteria to support the medical necessity of patient admission and continued hospital stays. This role will require specialized system skills, best practice application of investigating, payer practices, successfully challenging payers as they prevent obstacles and deny claims and escalating any egregious payer behaviors to internal leadership for assistance in resolution. Responsibilities Review all inpatient admission and observation cases using InterQual, or Milliman Care Guidelines or CMS 2 Midnight Rule (depending on payer) within 12-24 hours of admission, seven days a week for assigned shifts. Complete an initial screening review within the first few hours of decision to admit from ED and communicate with appropriate Provider if initial status is to be re-considered. Identify incomplete clinical reviews in work queues and complete them within two hours whenever possible. If clinical information is not available by the time the lack of a review may result in a denial, escalate to the appropriate Provider/VPMA. Identify and complete clinical reviews required for submission to specific payers. Validate admission orders for all new admits/observations/outpatients daily. Ensure that the patient status order documented in the chart aligns with the MCG and/or InterQual criteria, or the CMS Two- Midnight Rule, to support the appropriate status and level of care. Prioritize review of all outpatient observation and outpatient bedded cases at least every 8 hours for conversion to inpatient status or discharge opportunities. Participate in daily Observation Huddles. Conduct concurrent reviews for all payers daily for the first three days of admission, then every 2-3 days, or more frequently if criteria are waning. Submit concurrent reviews to payers to ensure authorization of all days for per diem and percentage of charge reimbursement payers. If concurrent inpatient case does not meet medical necessity review criteria during the first level review, discuss with the attending MD to obtain additional clinical information and documentation to support inpatient level of care. If the case still does not meet, send to the Physician Advisor (PA) for a second level review. Forward cases that require secondary physician review to appropriate resource (e.g., Physician Advisor). Resolve any discrepancy at the time of review. If unable to resolve, escalate to the PA and Utilization Review (UR) Leadership. Coordinate with the care team in changing patient status, as needed. ï ½ Notify the care team when patient does not meet medical necessity per InterQual or MCG guidelines or 2 MN Rule and escalate appropriately. Document and proactively communicate relevant clinical information to payers for authorizations for treatments, procedures, and Length of Stay ï ½ submit clinical information as required by payers. Ensure completion and delivery of required patient notices (by onsite team member). These include but are not limited to: HINNs, Condition Code 44, MOON, Connecticut notice of conversion, etc. Tracking and trending all appeals and communicating on a daily/regular basis with the Denials Management team. Assists with informing Managed Care contracting team with necessary contractual language to protect organization financial position specific to inpatient medical necessity requirements. Employs creative solutions with team members and leadership to prevent denials. Performs other duties as assigned. Education: BACHELOR'S LVL DGRE Other Information: Education Skills Experience Bachelor's Degree (BSN) is highly preferred. Minimum of Associate's Degree in Nursing required when accompanied by strong demonstrated competencies and significant experience. Minimum of 5 years experience in acute care Nursing Proficiency in Milliman and InterQual Guidelines required Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum of 4 years experience required for Associate's Degreed individuals. PREFER: Master's Degree in related field Current RN License in Connecticut and New York InterQual/MCG proficiency testing completed (preferred); required within 1 year of hire. As certification becomes available, requirement will be revisited. Knowledge of regulatory requirements for CMS Have the positive attitude and aptitude to adapt to the continuing change in payer behaviors Recognizes that education is the responsibility of the individual as well as the organization Seeks external knowledge on payers (such as free email services as Becker's) Must have analytical abilities to assist in obtaining solutions to problems Self-starter and highly motivated Must be able to work independently in a fast-paced environment, manage workload and prioritize work Must be able to manage multiple competing priorities and maintain calm professional demeanor during peak demand Must possess a high degree of prioritization skills Exceptional interpersonal skills to effectively communicate with the physicians, payers, and other members of the interdisciplinary care team Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions: Manual: Some manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Company: Nuvance Health Org Unit: 2092 Department: Care Coordination Exempt: Yes Salary Range: $45.29 - $84.11 Hourly

Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.

at Western CT Health Network Inc Responsible for ensuring the timely and efficient credentialing, including initial appointment, reappointment and privileging of all new and standing medical staff members in order to be in compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as the Medical Staff Bylaws, Rules and Regulations, policies and procedures and delegated contracts. Responsibilities: 1. Prepares, disseminates, collects, reviews and processes applications for appointment and reappointment, and accompanying documents, ensuring applicant eligibility. 2. Conducts thorough background investigation, research and primary source verification of all components of the application file, including retrieval of National Practitioner Database Reports in accordance with the Health Care Quality Act. 3. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up and closure. 4. Prepares and completes credential files for review by the appropriate department chair and presentation at relevant Medical Staff Committees, ensuring file completion within time periods specified. 5. Reviews and processes request for change in privileges, ensuring compliance with the Medical Staff Bylaws, Credentials Policy, and criteria outlined in clinical privilege descriptions. 6. Reviews and processes requests for change in staff status, ensuring compliance with the Medical Staff Bylaws and Credentials Policy 7. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issue as they arise. 8. Assists with credentialing audits by internal and external surveyors. 9. Utilizes the credentialing database, optimizing efficiency, and performs data entry, query, report and document generation. 10. Adheres to the credentialing and privileging process for assigned medical staff members, ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state), as well as the Medical Staff Bylaws, Rules and Regulations, policies and procedures and delegated contracts. 11. Creates, updates, and disseminates to relevant individuals within the organization, detailed reports on credentialing activities. 12. Collects appointment and reappointment application fees, annual medical staff dues and reappointment fines. 13. Performs miscellaneous job-related duties as assigned. 14. Fulfills all compliance responsibilities related to the position. 15. Performs other duties as assigned. Education: HS GRAD/EQUIVALENT Other Information: Required: Proficiency in the use of credentialing databases and MS Word, Excel and Outlook. Ability to: communicate effectively, both orally and in writing; work effectively in a team environment; plan, prioritize and work multiple actives and tasks effectively, to produce work in high quantity and quality; to analyze, interpret and draw inferences from research findings and to prepare reports; to use independent judgment to manage and impart confidential information. Must have knowledge of related accreditation and certification requirements, to have knowledge of medical credentialing and privileging procedures and standards, working knowledge of clinical and /or hospital operations and procedures, database entry and management skills including querying, reporting and document generation. Minimum Experience: three years Desired: Associate's degree desired. Working Conditions: Manual: significant manual skills/motor coord & finger dexterity Occupational: Little or no potential for occupational risk Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force Physical Environment: Generally pleasant working conditions Credentials:CPCS Company: Western CT Health Network Inc Org Unit: 305 Department: MCA - Credentialing Exempt: No Salary Range: $20.86 - $38.73 Hourly

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 2 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in two complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities * 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. * 2. Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD-10-PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. * 3. Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection in a two (2) complex OP coding service lines. * 4. Maintains the productivity expectations as defined by the department for the OP coding service lines. * 5. Capable of coding a minimum of two (2) complex OP service line, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency. * 6. Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles. * 7. Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals. * 8. Prioritizes coding workload appropriately by focusing efforts on cases and service lines with the potential to impact department goals. * 9. Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance. * 10. Handles coding DNBs and stop bills, if assigned, or other projects and/or coding initiatives as assigned. * 11. Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures. * 12. Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department. Qualifications EDUCATION Bachelors degree preferred. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process EXPERIENCE Requires a minimum of three (3) years of outpatient or professional coding experience in complex types of coding. Up to two years of coding experience may be substituted for a college degree with an RHIT credential or a CCS/CCS-P coding credential. Prior experience in Epic and 3M encoder preferred. LICENSURE CCS, CCS-P, or RHIT credential preferred. Must possess a valid coding credential through AAPC and/or AHIMA. Coding credentials specific to areas of expertise preferred. CCA or CPC-A not accepted. SPECIAL SKILLS Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced OP coding department setting. Knowledge of professional E/M leveling preferred. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision. YNHHS Requisition ID 156392