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Franciscan Health Remote jobs - 44 jobs

  • Hospital Outpatient Coding Educator (1.0 D)

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Hospital Outpatient Coding Educator is responsible for coordinating and conducting coding training and developing training content and materials for the Franciscan Alliance Corporate Coding Department, hospital outpatient and professional coding staff. This position ensures training practices are standardized and result in consistent coding outcomes, as well as provides input regarding the content of policies and procedures. This position ensures all new and existing staff members are trained and adhere to current coding policies and procedures. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Develops and maintains all corporate outpatient coding education, training policies and procedures, and coding reference materials. Leads training sessions and assess coder comprehension of covered materials. Makes recommendations for the development of coding resources and policy and procedure development. Assists corporate coding leadership with training and/or development of a performance improvement track for coding coworkers in the corrective action process related to quality or productivity performance. Coordinates with Coding Auditors to prepare education material based on audit results. Develops and maintains a consistent coding operations orientation program, and reports the coders' progress to coding leadership throughout the orientation and training processes Assists Coding Manager and Supervisor with review and response to external coding audits. Acts as a nosologist, analyzing and interpreting disease, procedure classifications, and terminologies for the accurate translation of healthcare data. Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Ability to analyze information, make decisions and exercise independent judgement. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Participates in problem identification, performs root cause analysis and recommends a solution to Coding Management. Assists with development and maintenance of software system workflow for standardization and maximum efficiency. Oversees system testing with regards to any published software updates or software functionality changes Identifies template variation within the EMR that has a negative impact on coding edits/errors. Escalates trends and makes recommendations for template revisions/standardization to FAIS HIM team and Coding Leadership. Coordinates all testing efforts with coding superusers and FAIS teams. Assists with annual verification of coding staff credentials. Orients new physicians with regards to the coding department's role in the revenue cycle, and prepare training material for coding related to physician education. Assists with identification and implementation of process improvements according to industry best practice standards to make the best use of resources, decrease costs and improve coding services across the specialized service lines. QUALIFICATIONS High School Diploma/GED With 5 years of Franciscan coding experience - Required or Associate's Degree in Health Information Management - Required Bachelor's Degree in Health Information Management - Preferred Surgery Coding Experience - Required 5 Years Franciscan outpatient coding with CCS, CCS-P, CPC - Required or 3 Years Outpatient Coding Experience with RHIT/RHIA - Required 3 Years Coding Manager or Trainer/Auditor - Preferred CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or CPC, Certified Professional Coder from the American Academy of Professional Coders (AAPC) - Required or CCS-P, Certified Coding Specialist - Physician from the American Health Information Management Association (AHIMA) - Required RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred or RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coding Educator - Hospital Outpatient/Professional $51001.60-$75868.00INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $34k-64k yearly est. Auto-Apply 20d ago
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  • Certified Tumor Registrar

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 At Franciscan Health, the Certified Tumor Registrar (CTR) is a data information specialist responsible for the identification, collection, and management of health, medical, and outcome information on oncology patients. Primary responsibilities include abstracting and coding specific patient, cancer, and treatment information from numerous sources, as well as maintaining and updating existing patient records. WHO WE ARE Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Abstract cancer-related data, according to ICD-10, American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines, to generate reports regarding cancer surveillance and improvement of care. Review patient cases, identify potential cases for the registry, and assess whether the case is reportable, is already reported, or could potentially be recorded in a file of non-reportable cases. Assist with monthly and annual data submissions and quality assurance reviews, to ensure compliance with the American College of Surgeons, American Joint Commission On Cancer (AJCC), and other guidelines. Facilitate and organize tumor board and other case conferences. Monitor, report, and record tumor registry activities, to ensure compliance with Commission On Cancer (CoC) and other accreditations. QUALIFICATIONS Associate's Degree required 1 year of Tumor Registry experience p referred Certified Tumor Registry (CTR) OR Oncology Data Specialist - Certified (ODS-C) required RHIA or RHIT p referred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Tumor Registrar $25.58 - $33.25INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $47k-61k yearly est. Auto-Apply 14d ago
  • Administrator IV Office of Sponsored Program JC316101 (RABP Post-Award) - FT (Remote)

    Aurora Health Care 4.7company rating

    Charlotte, NC jobs

    Department: 85204 Greater Charlotte Research and Other Sponsored Programs - Academic Office of Sponsored Programs Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: This position is part of the Research Administration Business Partners (RABP) Team. The RABP Team supports departments in the Charlotte/Georgia regions with management of their pre- and post-award activities and interfaces with the organization's central offices for sponsored programs administration. It consists of a pre-award sub team and a post-award sub team. This position will be part of the RABP post-award sub team, and it will assist departments with financial aspects of post-award administration such as the provision of monthly expenditure reports and assistance with maintenance of labor schedules. It is a fully remote position. Pay Range $35.50 - $53.25 This is a fully remote position. EDUCATION/EXPERIENCE: Bachelor's degree in business, Law, Accounting, Finance or related field of study. Three years of experience in grant accounting, research administration, grant/contract application, review/negotiation, and/or paralegal experience; or, an equivalent combination of education and experience. Master's degree or Juris Doctor (JD) preferred. LICENSURE, CERTIFICATION, and/or REGISTRATION: Certified Research Administrator (CRA) as granted by the Research Administrators Certification Council preferred or Certified Financial Research Administrator (CFRA) as granted by the Research Administrators Certification Council preferred. ESSENTIAL FUNCTIONS: The OSP Administrator IV is expected to work at either the technical or non-technical competency level indicated for their respective area of either pre-award, post-award, or contracts. Supports faculty members and department administrators in the various stages of grant and/or contract life cycle. Demonstrates knowledge and understanding of institutional cost policies and multiple funding agency guidelines including federal, state, private foundations, and associations and the application of these policies to budgets for the various stages of the grant and/or contract life cycle is required. Demonstrates understanding of all systems and applications utilized for storage and retrieval of data. Understands the negotiation and documentation process related to each stage of the grant and/or contract life cycle. Reviews financial information to ensure compliance with institution and granting agency requirements to provide assistance to stakeholders involved in the various stages of the grant and/or contract life cycle Demonstrates advanced understanding of appropriateness of consultation with institutional management and/or Legal Department related to contract language, financial, and post-execution monitoring of agreements. Possesses advanced knowledge to provide support and guidance to stakeholders for grants and/or contracts entered into by the institution. At this level, it is required that the OSP Administrator IV possess an advanced understanding of concepts and principles of contracts and grants, with a strong desire and motivation to gain additional knowledge and expertise. Demonstrates advanced knowledge and understanding to fulfill reporting requirements of grants and/or contracts awarded. Represents and promotes the institution's research activities at meetings. Demonstrates mastery of advanced skills to record, report, review, and reconcile grant budgets and expenditures to ensure compliance with sponsor and institutional requirements and policies. Demonstrate understanding of all systems and applications utilized for storage and retrieval of data. Maintains a positive working relationship with stakeholders and provide needed support during the grants and/or contracts life cycle. Demonstrates mastery of advanced knowledge needed to assist and support the formulation and implementation of policies and procedures relating to the administration of grants and/or contracts. Performs other related duties incidental to the work described herein. SKILLS/QUALIFICATIONS: Highly detail oriented and organized with a focus on teamwork, creating usable and accessible administrative tools Advanced ability to use all technologies related to grants and contracts management Ability to manage multiple priorities/deadlines Skilled knowledge of WFBMC/Non-Profit Organization research administration and financial processes and systems Advanced comprehension, interpretation skills and application of laws, regulations, and policies Excellent negotiation skills, and composition and analysis of business contract terms and language Exceptional desire to manage a larger caseload and is an excellent self-starter and problem solver Exceptional interpersonal, oral and written communication skills to work effectively with a large and diverse constituency, including senior leadership, faculty, support staff, granting agencies, and vendors WORK ENVIRONMENT: Clean, well lit office environment May be subject to interruptions Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $35.5-53.3 hourly Auto-Apply 7d ago
  • Oncology Data Specialist

    Tidalhealth 4.8company rating

    Salisbury, MD jobs

    Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. Our hospitals have been named among the Top 5 percent of all U.S. hospitals by Healthgrades and a five-star hospital by the Centers for Medicare & Medicaid Services. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and residency programs to grow both personally and professionally. Oncology Data Specialist Position Summary Under the supervision of the Cancer Registry Manager at TidalHealth, INCP (Integrated network cancer program). The Oncology Data Specialist (ODS) Quality Coordinator ensures the quality of the cancer data abstraction. This position is responsible for monitoring the quality of all collected cancer data and implementing and maintaining necessary quality control procedures. Additionally, this position must properly document all cancer cases in compliance with the American College of Surgeons & Commission on Cancer. Complex rules regarding topography, histology, and summary stage, multiple primary rules, extent of disease and TNM classification must be followed. Oncology Data Specialist Position Requirements * High School Diploma is required. * Associate's Degree is preferred. * Certified Tumor Registrar (CTR) certification is required upon hire. * Minimum three years of experience in an Oncology Registry Data Collection. * Experience training ODS and Data Quality Review. * Office 365. Oncology Data Specialist Work Schedule * Usual work schedule is Monday through Friday. * Fully Remote * Part-Time, Flex hours. * Occasional overtime and weekend work may be required, if needed. Oncology Data Specialist Benefits * At TidalHealth, full-time employees working at least 72 hours per pay period, part-time employees working at least 36 hours per pay period and part-time employees working at least 30 hours or more on weekends only are eligible for benefits. * Benefits include medical, prescription, vision, dental, flexible spending accounts, disability insurance plans, life insurance, paid time off plans, retirement plans, tuition assistance, employee assistance, and access to on-site childcare and a credit union. Salary range: $25.63 - $39.73 Commensurate with experience
    $25.6-39.7 hourly 52d ago
  • Hospital Coding Quality Specialist - Inpatient

    Aurora Health Care 4.7company rating

    Remote

    Department: 13244 Enterprise Revenue Cycle - Integrity Operations: Facility Coding Quality Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: First shift Remote Inpatient experience desired. May work remote from the following states for this opportunity: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $28.55 - $42.85 Major Responsibilities: Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions. Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes. Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed. Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded. Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment. Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches. Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation. Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes. Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials. Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team. Licensure, Registration, and/or Certification Required: Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Education Required: Associate's Degree in Health Information Management or related field. Experience Required: Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions. Knowledge, Skills & Abilities Required: Demonstrated leadership skills and abilities. Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions. Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups) Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams. Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.) Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. Excellent communication and reading comprehension skills. Demonstrated analytical aptitude, with a high attention to detail and accuracy. Ability to take initiative and work collaboratively with others. Experience with remote work force operations required. Strong sense of ethics. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $28.6-42.9 hourly Auto-Apply 9d ago
  • Clinician Coding Liaison - Medical Specialties

    Aurora Health Care 4.7company rating

    Remote

    Department: 13376 Enterprise Revenue Cycle - Individualized Clinician Services Primary Care and Medical Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Standard working hours between 6AM - 6PM CST Desired experience in any of the following specialties: Pulmonology, Sleep Medicine, PT/OT/Speech Therapy, Dental, Allergy, or Dermatology Remote position and can work remotely out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $35.50 - $53.25 Major Responsibilities: Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start. Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams. Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits. Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials. Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization. Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy. Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy. Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance. Licensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional specialty credential preferred. Education Required: Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required. Experience Required: Typically requires 4 years of experience in expert-level professional coding. Knowledge, Skills & Abilities Required: Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices. Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment. Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies. Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail. Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams. Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication. Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment. Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance. Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment. Physical Requirements and Working Conditions: Follow organizational and divisional remote work policy and guidelines. Operates all equipment necessary to perform the job. Handles a fast paced and creative work environment moving independently from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #LI-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $35.5-53.3 hourly Auto-Apply 11d ago
  • Fully Remote Coder for Outpatient Professional Services

    Southern Illinois Hospital Services 4.4company rating

    Texas jobs

    Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. • Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. • Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits Principal Accountabilities • Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education • High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline. Licenses and Certification • RHIA, RHIT, CCS, CCS-P, CCA, or CPC required. Role Specific Responsibilities 1. Follows all coding policies, procedures, standard operating procedures 2. Effectively uses encoding software and reference materials to assign appropriate codes. 3. Provider driven coding: Reviews and accepts or revises code selection based upon documentation and coding guidelines. 4. Non - provider driven coding: Reviews provider documentation and assigns appropriate codes based upon coding guidelines 5. Reviews coding edits and accurately resolves so encounter can be sent to claims. 6. Sends clear, respectful communications to provider in basket or queries when additional information is needed before finalizing coding. 7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity 8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager. 9. Maintains coding quality and productivity standards 10. Actively engages and makes meaningful contribution when participating in performance improvement initiatives, department meetings and other meetings as required. 11. Maintains required CEU's Compensation (Commensurate with experience): $22.29 - $34.55 To access our Benefits Guide/Plan Information, please click the link below: ***********************************
    $56k-83k yearly est. Auto-Apply 13d ago
  • Behavioral Health Therapist - Remote Option, IL Only

    Southern Illinois Hospital Services 4.4company rating

    Remote

    Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Shift: Day Time Type: Full Time Facility/Clinic Name: Harrisburg Medical Center Clinic Eldorado Position Summary • Responsible for the overall operation of case management and social services activities within the department. Education • Master's Degree in Social Work or Counseling Licenses and Certification • LCSW or LCPC in Illinois Experience and Skills • Technical Experience: 2 years of experience in providing individual, family and/or group therapy required. Experience in addiction disorders/cross addictions; excellent knowledge of the concepts of stigma, addiction, recovery, and relapse helpful • Excellent interpersonal skills • Excellent knowledge of available community resources Role Specific Responsibilities • Performs concurrent patient assessment related to appropriateness of the level of care, diagnosis, procedures performed, and intervenes to expedite the patient's plan of care. • Provides consultations to medical staff and other members of the multi- disciplinary team regarding the impact of socio-emotional factors on the patient's illness and intervenes to expedite the plan of care. • Provides and documents discharge planning services in a professional, collaborative and timely manner to optimize meeting patients' post- hospital discharge care needs. • Collaborates with the interdisciplinary team to assess, monitor, implement and evaluate patient care needs during the hospital stay in order to smoothly transition the patient to the next level of care. • Utilizes evidence-based practice standards to guide the evaluation of care, length of stay, medical necessity of services, and appropriate use of organizational and patient centered resources. Medically complex setting determinations may require consultation with the R.N. Case Manager. • Intervenes on behalf of patients with specific needs not limited to abuse, neglect, mental health issues, end of life issues, ethical concerns, legal matters, financial concerns, and challenges in family dynamics. • Facilitates and acts as a resource to other members of the healthcare team for functions to include but not limited to guardianship proceedings, adoption, advance directive planning, and emergency detentions. • Develops and maintains collaborative relationships with organizations in the community that facilitate provision of appropriate care during the hospital stay and facilitate efficient and effective planning for continued care for the patient: • Collaborates with necessary staff and post-discharge care providers to assure a safe and effective discharge plan; Facilitates care conferences with patient and/or family support structure to foster decision making that promotes patient advocacy. • Supports Service Excellence initiatives contributing to the organization becoming a top performer in quality care, patient safety and patient satisfaction strategies: Understands and applies techniques to support the provision of population based appropriate care utilizing Joint Commission standards, CMS Core Measure requirements, and other best practices • Acts as an expert resource to the interdisciplinary healthcare team, physicians and other leaders: •Participates in interdisciplinary team meetings in a collaborative manner resulting in achievement of best patient outcomes; Participates actively in departmental and hospital wide teams, committees, or other improvement initiatives. Compensation (Commensurate with experience): $56,472.00 - $87,526.40 To access our Benefits Guide/Plan Information, please click the link below: ***********************************
    $56.5k-87.5k yearly Auto-Apply 28d ago
  • Central Scheduler - South Region

    IU Health Inc. 4.8company rating

    Bloomington, IN jobs

    Hours are 9:00a-5:30p Monday-Friday. Possibility for remote work once training is complete and productivity measures are met. Location is the RCS Building in Bloomington. Must be able to attend onsite training, office days, and meetings. Position includes Scheduling OP Diagnostic testing for Radiology and Cardiology, Reviewing and Processing orders from Powerchart, Request lists and Faxes. Providing excellent customer services related to scheduling of tests. This position is responsible for the delivery of customer facing services within Revenue Cycle System Services. Responsibilities may include, but are not limited to, scheduling, registration, insurance verification, prior-authorization, financial counseling/individual solutions, cashiering, release of information and customer service. Position adheres to departmental productivity, quality, and service standards in support of operational goals. Scheduling knowledge, medical terminology, insurance knowledge and medical office experience preferred. Customer service skills are required. •At least one year of experience in hospital or physician Revenue Cycle strongly preferred. • Requires working knowledge of patient registration and financial clearance. • Requires a high level of interpersonal and problem solving skills. • Requires effective written and verbal communication skills. • Requires the ability to work within a team and maintain collaborative relationships. • Requires the ability to take initiative and meet objectives.
    $29k-33k yearly est. Auto-Apply 41d ago
  • Expert EPIC Configuration Analyst - Remote Eligible

    Presbyterian Hospital 4.8company rating

    Remote

    9521 San Mateo NE , Albuquerque, New Mexico 87113-2237, United States of America Compensation Pay Range: Minimum Offer $: 95388.8 is up to $: 149364.8 Now hiring a Expert EPIC Configuration Analyst - Remote Eligible Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled EPIC Configuration Analyst. Join a mission-driven organization where innovation meets impact. Presbyterian is looking for a highly skilled Epic Configuration Analyst to lead transformative work in healthcare technology. If you're passionate about optimizing systems that directly improve patient care and operational efficiency, this is your opportunity to make a difference. Position Overview: This role requires deep expertise in Epic System software and a strategic mindset. You'll collaborate closely with Epic, Subject Matter Experts (SMEs), and end users to design and tailor solutions that align with Presbyterian's evolving needs. Your work will directly influence how care is delivered across the organization. Type of Opportunity: Full time Job Exempt: Yes Job is based : Reverend Hugh Cooper Administrative Center Work Shift: Days (United States of America) Responsibilities: This role focuses on: Provide tier-2 support for application incidents, including 24/7 on-call coverage. Troubleshoot complex issues across applications and systems, ensuring timely resolution and adherence to change management and quality assurance processes. Modify Epic records and master files, implement updates and enhancements, and create integrated workflows in collaboration with SMEs. Analyze new functionality and proactively identify and implement process improvements. Develop and maintain requirements, specifications, and test cases. Ensure test scripts reflect workflow solutions and support training teams by communicating system changes and new functionality. Facilitate meetings, drive cross-functional teams to actionable outcomes, and maintain effective documentation. Act as a functional leader and advocate for change management across teams. Mentor peers and guide analysts across teams, tailoring support to individual needs. Recommend and implement strategies for knowledge transfer and present effectively to large groups. Demonstrate strong customer service, communication, and project management skills. Analyze data and workflows, manage major projects, and contribute to strategic planning and relationship-building with Epic customers and stakeholders. Ideal Candidate will have: Epic Ambulatory certification Remote: Open to remote applicants in the United States, except for the following states: California, Illinois, North Dakota, New York, Ohio, Washington and Wyoming Hybrid: In office expected for individuals within 60 Miles of Albuquerque every Tues, Wed, Thurs Qualifications: Bachelor's degree plus 3 years of IT or business experience. 3 years of Epic specific experience. 6 years' of additional experience can be substituted in lieu of degree. Epic certified in supporting application plus additional proficiency/certification/badges in related application area All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services
    $77k-108k yearly est. Auto-Apply 25d ago
  • Senior Accountant CPA

    Southern Illinois Hospital Services 4.4company rating

    Remote

    Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Responsible for coordinating the activities of the general ledger for all SIH entities including developing, implementing and monitoring accounting systems for financial reporting. Principal Accountabilities Standards of Performance: Respect, Integrity, Compassion, Collaboration, Stewardship, Accountability, Quality Education Bachelor's degree in Accounting Licenses and Certification Certified Public Accountant Experience and Skills Technical Experience: 3 years accounting, 1 year healthcare accounting preferred Physical Activities Intermittent hand manipulation required Intermittent lifting and carrying of 20 pounds which can be modified Role Specific Responsibilities Prepares and posts journal entries with appropriate supporting documentation. Analyzes all balance sheet accounts and prepares account reconciliations with appropriate supporting documentation and understands the relationships which exist. Processes properly approved and documented invoices and payment requests, including sales tax returns. Monitors capital related transactions. Analyzes AR and contractual accounts including balance sheet and income statement reserves, and understands the relationships which exist. Monitors cash related transactions. Monitors physician receivables and completes reports as required. Monitors grants, restricted donations and agency funds, completing reports as required. Analyzes and prepares Hospital Auxiliary financial data. Analyzes income statement account variances, determines operational explanation and corrects when appropriate. Analyzes, prepares and distributes financial reports. Collaborates with management, auditors, and others to answer questions and articulate variances regarding all aspects of the financial statements. Monitors and processes closing of Workday applications, including allocations, in conjunction with month-end close. Applies strong technical accounting knowledge, assisting with the integrity and accuracy of financial related activity throughout SIH. Assist with implementing and monitoring compliance with accounting standards Demonstrates advanced understanding of internal control risk and establishes and develops disciplines, sign off points and best practices ensuring compliance with standards. Maintains accurate, easy to follow, electronic procedures for each responsibility. Demonstrates ownership of work and interest in operational aspects of organization. Develops new processes, disciplines and guidelines to ensure standardization of best practices. Takes external information and turns it into effective internal plans and actions. Interprets knowledge to anticipate opportunities and needs. Develops positive, cooperative relationships across functional boundaries. Strives to work with peers, partners, and others to positively impact business performance. Understands the value of team work and instills collaborative practices throughout the organization. Builds and facilitates enduring partnerships across the organization. Focuses, aligns and builds effective teams. Drives results through motivation and communication. Builds strong relationships, mobilizing others to action and inspiring commitment and engagement. Demonstrates the ability to effectively convey complex ideas, communicate a vision and achieve buy-in and enthusiasm from groups of people. Possess a significant understanding of change management. Demonstrates the capacity to break down organizational barriers. Innovative in achieving results. Communicates a clear vision, motivates other to take on new opportunities. Strives to develop and advance their professional ability. Makes decisions aligned with the vision, mission, values of SIH. Seeks performance and behavior feedback to continually improve. Possesses self-awareness, emotional intelligence and relational aptitude. Understands business fundamentals and drivers of the financial and operational success of SIH. Understands the significant need to provide high quality care and service to SIH's patients while recognizing the need to meet financial and operational needs. Compensation (Commensurate with experience): $64,854.40 - $100,526.40 To access our Benefits Guide/Plan Information, please click the link below: ***********************************
    $64.9k-100.5k yearly Auto-Apply 40d ago
  • Pharmacy Technician I - In Person/Remote

    Aurora Health Care 4.7company rating

    Menomonee Falls, WI jobs

    Department: 38590 API Central Fill - Retail Pharmacy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Hours of Operations: Monday - Friday 8AM-6PM Pay Range $21.85 - $32.80 Major Responsibilities: Develops competency in servicing pharmacy customers including obtaining and recording initial demographic and other required information, data entry of required information into the pharmacy system for record keeping, insurance verification and label generation purposes, and cashiering. Develops competence in dispensing and delivery of medications. This includes developing competence in the department's us of information systems, technology, and automation use for dispensing, storage of medications and clerical duties. Develop competence in insurance and third party billing functions including: data entry of customer demographics and third-party information, obtaining prior authorizations from appropriate third-party carriers, maintaining files of prior authorization, investigating and correcting errors in submission to third parties and handling private insurance, workers compensation, and third-party insurance coverage and prescription-related issues. Develops competence in clinical support needs such as but not limited to DIR fees. If applicable per assigned work location and workflow scope, will promote the sale of and assist customers in the appropriate selection and fitting of diabetic footwear, submit insurance billing (Medicare, Medicaid, and commercial), as well as maintain documentation records. If applicable, float technician develops competency in pharmacy workflow across multiple Aurora Pharmacy locations. Develops competence in pharmacy procedures and documentation as required, satisfying legal, regulatory, and department requirements of pharmacy practice. Complies with legal, regulatory, accreditation standards. This includes (but is not limited to) controlled substance procedures and USP requirements. Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards. Licensure, Registration, and/or Certification Required: Licensure (IL only): State of Wisconsin (registration): Pharmacy Technician or Pharmacy Technician Student; Certification (CPhT) issued by PTCB or ExCPT within two years of hire, or sooner if required by law. Must sit for the certification exam at least one time within the first year of employment. Patient facing teammates may be required to have three certifications: Immunization, BLS through an entity approved by Advocate Health and non-vaccine injectable to be granted from the state of WI or if from out of state, the program is approved by the accreditation council for pharmacy education (ACPE) or by the WI pharmacy examining board. Education Required: High School Graduate. Experience Required: No experience required. Knowledge, Skills & Abilities Required: Good Mathematic skills Attention to details Good customer service, communication, organization, problem resolution and process development skills Basic computer skills If applicable per assigned work location and workflow scope, diabetic shoe fitting certification is required and will be obtained through on the job training. Life support training courses may be required dependent on department discretion. Physical Requirements and Working Conditions: Ability to stand for long periods of time. Ability to walk, lift, squat, bend, twist, crawl, kneel, climb and reach about shoulders throughout the work day. Lifts, carries and/or pushes/pulls various items (bags, boxes, carts, etc.) while utilizing proper technique. Ability to deliver medications to via patient preferred mode (bedside, curbside, etc) Flexibility to travel amongst Aurora Pharmacy locations Must be able to: lift up to 35 lbs from floor to chest-level. lift and carry up to 35 lbs at waist height a reasonable distance. Must be able to: push/pull with 30 lbs of force. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $21.9-32.8 hourly Auto-Apply 7d ago
  • Coding Manager

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Corporate Coding Manager develops and implements coding strategies and provides operational leadership to manage and maintain efficient coding processes. This position supervises staff, prepares and forecasts budgets and strategic plans oversees quality assurance programs, and ensures regulatory compliance. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Provides oversight and leadership to the Coding Supervisors within the department, and manages the performance of coworkers through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team. Oversees the auditing and education program to ensure accurate and compliant coding and billing practices. Makes decisions regarding changes to coding staff day-to-day functions; aligns all aspects of coding operations to align acute and ambulatory corporate initiatives, including standardized corporate coding policy and procedure development and enforcement. Participates in problem identification, performs root cause analysis, and develops a solution that produces expected outcomes and intended results. Assists with the development of the organizational wide standardization and implementation of a corporate coding compliance plan to include compliance with external regulatory and accreditation requirements. Creates an environment that coworkers want to work in and maintain a high level of coworker satisfaction. Serves as department liaison for regional meetings and projects and to other teams that interact with the coding team; assists with items specific to coding needs for planning of new department builds and department revisions. Assists the Coding Manager with inquiries/audits and denials from third party agencies related to coding. Function Purpose Orientation to coding fundamental support role in business operations in supporting the revenue cycle and how coding influences. (ex. Physicians, Clinical Operations teams, BPCI, quality measures Acts as a nosologist, analyzing and interpreting disease and procedure classifications and terminologies for the accurate translation of healthcare data; applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. Serves as the subject matter expert with regards to diagnosis and procedure codes, coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, payer specific guidelines, public reporting of outcomes, quality of patient care outcome measures, and the interpretation of coded data as it relates to revenue cycle compliance. Maintains expert knowledge of Franciscan Alliance coding software tools; assists with development and maintenance of software system workflow for standardization and maximum efficiency. Assists with identification and implementation of process improvements, according to industry best practice standards, to make the best use of resources, decrease costs and improve coding services across the specialized service lines. Director with development and manages departmental budgets, including making budget allocations, approving expenditures and ensuring expenses are within budget. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders, and adheres to official coding guidelines. QUALIFICATIONS Associate's Degree Health Information Management - Required Bachelor's Degree Health Information Management - Preferred 4 years Coding Manager - Required 4 years Franciscan Coding Supervisor - Required 3 years Coding Experience - Required Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Required - OR - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Required TRAVEL IS REQUIRED: Up to 20%JOB RANGE:Coding Manager $77,750.40 - $121,492.80INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $57k-75k yearly est. Auto-Apply 25d ago
  • Senior Application Specialist- Revenue Cycle Analytics

    Aurora Health Care 4.7company rating

    Remote

    Department: 13492 Enterprise Revenue Cycle - Billing Operations Reporting and Analytics Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Mon- Fri 9am-5pm Remote from: WI, IL Divisions(Org 581/600) : AL, AK, AR, AZ, DE, FL, /GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $44.15 - $66.25 Job Summary Responsible for building, maintaining, and analyzing reporting tools for Revenue Cycle customers. An effective application specialist will build relationships with customers to best understand operational needs and will work collaboratively or independently to complete projects. Essential Functions Coordinates with clients and peers to enhance system functionality while understanding the possible ramifications to the client's business processes and Information Services. Ensures client requests are properly evaluated and responded to in a timely manner. Leads teams of one or more members in accordance with project demands. Ability to recognize individual team member competencies and assign tasks accordingly. Plans work effort of one's self and possibly other project team members. Manages training when necessary, inclusive of course development and delivery. Ability to break down complex problems into manageable tasks. Demonstrates knowledge of applications and their integration (interface) with and effect on other systems. Provides feedback to management to be used during the evaluation and counseling of team members. Leads projects in one or more aspects of the information systems lifecycle (product selection, business requirement definition, communication, implementation, issue resolution, production support). Develops workplans, estimates tasks, and properly records time tracking for one's self and possibly other team members. Ensures successful completion of assigned projects on schedule, within budget, and in accordance within System standards. Physical Requirements Must be able to lift objects that weigh up to 35 lbs. This position is subject to high-level visibility through verbal and written communications with senior hospital management, associated project deadlines, personnel evaluation, and counseling. Must be available for on-call support on a regular basis. Due to project requirements, overtime will be required, as needed. Required 3 years of experience in Revenue Cycle Analytics Strong Microsoft Office Skills (Excel, Word, PowerPoint, Outlook) Cogito Epic Certification, or other applicable Epic Certification Ability to communicate effectively with customers Preferred Epic Certification in Clarity/Caboodle Data Models Experience building dashboards in PowerBI/Tableau Experience creating SQL queries Education, Experience and Certifications High School Diploma or GED required; Bachelor's Degree in Computer Science, Business Administration, or related field preferred. Formal training in Information systems, desktop applications, databases, software development packages and programming languages preferred. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $44.2-66.3 hourly Auto-Apply 12d ago
  • Specialty Pharmacy Clinical Pharmacy Specialist

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Clinical Pharmacy Specialist provides comprehensive pharmacotherapy services for patient populations, responds to complex drug therapy issues, and provides leadership to improve medication use. The Specialist leads education efforts for Clinical Staff Pharmacists, Pharmacy Students, Pharmacy Residents, and other healthcare professionals. This position collaborates with other Franciscan Alliance medical staff and facilities to achieve best practices and optimal outcomes for all patients. BOTH INDIANA AND ILLINOIS PHARMACIST LICENSE REQUIRED. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Collaborate with allied health disciplines to provide quality patient care. Consult with and advise other Healthcare professionals and patients on matters pertaining to selection, procurement, distribution, and safe and appropriate use of medications. Coordinate and deliver ongoing staff education for clinical staff pharmacist. Direct and precept students and/or residents. Lead cost effective formulary management initiatives. Review adverse events related to the medication use process, recommend improvements to the medication use process, as needed, and ensure improvements are implemented. Review literature and publications in area of specialization, and recommend improvements to the medication use process. Review prescriptions and medication orders, check for appropriateness, and provide information needed to properly and safely administer the medication. Attend and participate in local and system-wide committees to improve the medication use process. Draft, review, and revise medication related policies, procedures, guidelines and protocols. Provide clinical pharmacy services as outlined in approved hospital policies, including but not limited to: pharmacokinetic consults, renal dosing, parenteral nutrition management, anticoagulation management, neonatal/pediatric/geriatric dosing management, route optimization, antimicrobial stewardship, and reviewing medications at transitions of care. QUALIFICATIONS Required Bachelor's Degree Pharmacy Preferred Doctorate Pharmacy 1 year PGY1 Pharmacy Residency Required 3 years In area of specialization Required 1 year PGY-2 Pharmacy residency Preferred Registered Pharmacist (RPh) - State Licensing Board Board Certified in applicable area of specialty or pharmacotherapy (if specialty area not available) - . Required within 24 months Basic Life Support Program (BLS) - American Heart Association As required by unit TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Clinical Pharmacy Specialist $128960.00-$153140.00INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $84k-135k yearly est. Auto-Apply 28d ago
  • Coder VI Specialist - Hospital Inpatient

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Coder VI Specialist- Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. Notify coding leadership of trends and topics for education and feedback to physicians and departments. Identify and enter data elements for abstracting. Participate actively in performance improvement teams, projects, and committees. Serve as a Superuser and assist with system testing. Serve as a backup to coding reimbursement specialist. QUALIFICATIONS High School Diploma/GED - Required Associate's degree - Preferred 2 years Coding - Required CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required or RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred or RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Coder VI Specialist - Hospital Inpatient $22.70-$33.77INCENTIVE: EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $32k-38k yearly est. Auto-Apply 21d ago
  • Manager Data Engineering

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Manager of Data Engineering leads a team responsible for building and maintaining reliable, scalable data pipelines and models that support enterprise reporting, analytics, and data science. This role is critical in delivering data across a hybrid architecture, with a strong emphasis on our modern cloud data lakehouse platform that follows structured frameworks such as the medallion architecture (bronze, silver, gold layers). WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Lead, mentor, and develop a high-performing data engineering team, fostering a culture of technical excellence, accountability, and continuous improvement in data pipeline development and delivery. Design, implement, and maintain scalable, efficient ETL/ELT pipelines across cloud and legacy systems. Develop robust data models leveraging best practices such as the medallion architecture (Bronze, Silver, Gold layers) to organize raw, refined, and curated data for trusted analytics. Ensure data workflows and structures are optimized to support analytical, operational, and self-service use cases with high performance, reliability, and maintainability. Deliver and support seamless data integration in and out of enterprise data platforms ensuring timely, accurate, and secure data availability for reporting, analytics and other data needs. Drive adoption of best practices in data engineering design and coding standards to ensure scalable, maintainable, and reusable solutions aligned with architectural principles. Qualifications Bachelor's Degree Computer Science, Information Systems or related field - Required Master's Degree Computer Science, Information Systems or related field - Preferred 4 years Relevant work experience managing/leading data engineering teams - Required 3 years Hands-on development experience with Moden Cloud Data Platforms (Azure, AWS, Google, etc.) - Required 7 years Hands-on data engineering experience with ELT/ETL, Pipelines, Modeling, Warehousing, etc. - Required 3 years Advanced experience with SQL & Python - Required 3 years Experience modeling data for BI Platforms (Power BI, Tableau, BOE) with medallion architecture - Preferred 3 years Experience with Epic Cogito data platforms & reporting tool - Preferred 3 years Experience with DevOps, CI/CD & Agile delivery - Preferred 3 years Experience with DevOps, CI/CD & Agine delivery - Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Manager Data Management $117,340.82 - $161,343.63INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $119k-168k yearly est. Auto-Apply 60d+ ago
  • Clinical Denial Specialist II

    Franciscan Health Indianapolis 4.1company rating

    Remote

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

    Franciscan Health Indianapolis 4.1company rating

    Remote

    Work From HomeWork From Home Work From Home, Indiana 46544 The Supervisor of Denial Management oversees the daily operations of a team responsible for medical claim denial follow-up and underpayments, and all support activities associated with managing claim denials. This position assists management in maintaining the denial management system, workflows and analysis reporting including the collection and interpretation of patterns to quantify denial causes and their financial impact. The Supervisor of Denial Management collaborates with other system departments to apprise them of trends and process improvement opportunities, with a focus on preventing future claim denials. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT Supervise the work of others and manage the performance of individuals through feedback and recommendations. Implement process innovations and works closely with Insurance Payers, Revenue Cycle leadership and Department Managers in revenue-producing departments to reduce denials and to improve upon the Revenue Cycle KPIs. Participate in people management activities for direct team members such as conducting performance evaluations, disciplinary actions, and interviews. Analyze reports and use software to track, trend and identify root causes of denials; offer suggestions for process improvement to resolve denial issues, supported by documentation and data. Coordinate department efforts with other departments to align interdepartmental functioning, strategic goals, and expectations. Develop and monitor a structured, organized workflow to ensure actions carried out consistently and accurately. Act as the first point of escalation within the team by acting as a coach and mentor. Prepare operational progress or status reports on a regular basis. Independently develop effective relationships with patients, hospital departments, and other external parties. Coordinate meetings and in-service training with Payor representatives and vendors. Develop reports, policies, procedures and training materials for employee training and business improvements. Ensure compliance with state and federal billing regulations. Review the final documentation for write-offs and adds avoidable write off language. QUALIFICATIONS Preferred Associate's Degree Required High School Diploma/GED 5 years Patient Accounting required 1 year Supervisory or leadership experience Preferred TRAVEL IS REQUIRED: Never or RarelyJOB RANGE:Supervisor Denial Management $48,838.40-$72,675.20INCENTIVE:Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.
    $52k-68k yearly est. Auto-Apply 8d ago
  • Data System Engineer III

    Franciscan Health Indianapolis 4.1company rating

    Remote

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

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