Greenville Health & Rehab Remote jobs - 54 jobs

Inspire health. Serve with compassion. Be the difference. All employees are expected to be knowledgeable and compliant with Prisma Health's values of compassion, dignity, excellence, integrity and teamwork. This job is responsible for the identification of trauma patients meeting registry inclusion criteria, abstracting clinical and outcomes data from the medical record, coding diagnoses, procedures, and injuries utilizing ICD-10 coding, AIS coding, E-Codes, and entering data into the Trauma Registry per National Standards and State Standards/State Trauma Regulations published by the American College of Surgeons (ACS), National Trauma Data Bank (NTDB) and SC Department of Health and Environmental Control (DHEC). Performs data analysis on Trauma Registry data for monitoring data quality and performs data analysis and writes reports to support the activities of the Trauma Program such as performance improvement, research, administrative and medical staff meetings, injury prevention, and Trauma Center Designation/Verification process. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. * Maintains professional development and current in coding principles. Maintains current knowledge of and complies with National standards published by the ACS, State Standards published by DHEC and State Trauma Regulations. Maintains registry within the standards and dataset of NTDB, State Trauma Registry Data Dictionary, and PHR Trauma Program. * Accurately identifies patients meeting Trauma Registry inclusion criteria per SC Trauma Registry Data Dictionary, NTDB and ACS standards for inclusion into the Trauma Registry. * Accurately abstracts clinical data from pre-hospital EMS database and the in-patient medical record including demographics, co-morbidities, diagnoses, injuries, ED data, operations, procedures, complications, outcomes, performance improvement, and financial data per SC Trauma Registry Data Dictionary, NTDB and ACS standards, and PHR Trauma Program. * Accurately codes procedures, diagnoses, and injuries using ICD-10 coding, AIS injury coding, E-codes and other appropriate coding schemes, and accurately enters into Trauma Database within departmental guidelines. * Participates in performance improvement monitoring by gathering data on performance metrics, identifying and reporting complications, and performing analysis of registry data in support of clinical process improvement initiatives. Prepares reports pertinent to Trauma performance improvement and reports issues and trends identified to PI Coordinator and TPM. * Prepares, processes and submits Trauma Registry records to State Trauma Registry quarterly per State Trauma Regulations and annually to the National Trauma Data Bank within established timeframe. Ensures compliance of registry with Palmetto Health HIPPA regulations. * Responsible for report writing from the Trauma Registry Database for information requests by trauma administration, physicians, other PHR departments, and outside entities to support coding, billing, trauma research, injury prevention, performance improvement, Trauma Center Designation/Verification process, and other activities of the Trauma Program. Ensures compliance with Palmetto Health HIPPA and IRB research policies. * Performs data analysis and data validation on Trauma Registry Data on a routine basis for data quality and errors and omissions to maintain registry integrity. * Attends and participates in Multi-disciplinary Trauma Patient Care Conference, Multi-disciplinary Trauma Committee, and Trauma Association of South Carolina. Participates at the State level in all activities involving Trauma Registry. * Independently works with Trauma Registry software vendor and PHR information technology on NTDB and State data submissions, upgrades, data imports, and all enhancements involving Trauma Registry. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that report to a supervisor, manager, director or executive. Minimum Requirements * Education - Associate Degree in Health Information Management or related field of study. * Experience - Two (2) years in medical record coding or relevant clinical experience. In Lieu Of * In Lieu of the education and experience requirements noted above, the following combination of education, training and/or experience will be considered an equivalent substitution: An AHIMA, AAPC coding certification, CSTR and/or CAISS, or other healthcare related licensure. Required Certifications, Registrations, Licenses * RHIT, RHIA, CCS, or CSTR (Certified Specialist in Trauma Registry) preferred or eligible. Requires AAAM course certification (AIS coding) and Trauma Registry Course within one (1) year. Knowledge, Skills and Abilities * Extensive knowledge of ICD-10 coding, AIS coding, E-codes, anatomy, physiology, medical terminology and disease processes. * Computer literate and be proficient in keyboarding, spreadsheets, word processing, and databases. * Ability to analyze and report registry data to support the activities of the Trauma Program. * Ability to work independently and have a strong aptitude for detail. Work Shift Day (United States of America) Location Richland Facility 1510 Richland Hospital Department 15106579 Trauma/Neuro Administration Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Department Name: ALTCS CM Work Shift: Day Job Category: Clinical Care Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. **Travel is required for the role, must be located in Graham or Greenlee counties.** Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings. We are part of the insurance division with Banner Health. We service the Arizona long term care AHCCCS population. We case manage beneficiaries to ensure services are identified and authorized according to member's person centered assessments. The Case managers evaluate members and determine what type of services are required and authorize services. Our populations include members in the nursing home, assisted living, behavioral health settings and in member's home. Case managers day include phone calls, data entry, setting appointments for pre assessment call and assessments. Case managers travel to member's home. Assist with schedule medical appointments and transportation. Filing grievance from members. Collaborate with department nurses and behavioral health coordinators. Will attend community functions. 8am to 5pm Monday - Friday **Travel is required for the role, must be located in Graham or Greenlee counties.** Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position is responsible for assessing, documenting and monitoring the overall functional, physical and behavioral health status of members assigned to them. Based on the assessments, the case manager, collaborating with the member and his/her support system, develops a service plan that meets member needs in the most cost-effective and most integrated setting. CORE FUNCTIONS 1. Is the primary contact for the ALTCS member, explaining the program to members, including their rights and responsibilities, the grievance and appeal system and other information according to regulations. 2. Comprehensively assesses and documents the member's bio psychosocial functioning in accordance with AHCCCS time frames, identifying the individual's strengths and needs. 3. Develop and implements a service plan based on the member's strengths, needs and placement preferences, authorizes and coordinates with provider agencies. 4. Assists the member to define personal goals, identifying barriers to achieving these goals and encouraging the member to resolve the difficulties identified. 5. Acts as a facilitator and/or advocate for the member in dealing with issues with providers, community programs or other organizations. 6. Acts as a gatekeeper to ensure that the member is receiving the most appropriate, cost-effective services in the most appropriate setting. 7. Facility based while remaining within budgetary allowances. Internal customers: all levels of nursing management and staff, medical staff, and all other members of the interdisciplinary healthcare team. External customers: physicians, payers, community agencies, provider networks and regulatory agencies. MINIMUM QUALIFICATIONS Knowledge, skills and abilities as normally obtained through the completion of a bachelor's degree in social work, and two years of experience serving persons who are elderly and/or persons with physical disabilities or who are determined to have a Serious Mental Illness (SMI). PREFERRED QUALIFICATIONS Bilingual, preferred in some assignments. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

The Auditor/Educator Inpatient Coding performs internal Inpatient coding audits and coordinates Inpatient coder education in the Health Information Management department. Conducts data quality audits of inpatient encounters to validate coding assignments is in compliance with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Prepares and distributes audit results/reports to Coding Management staff. Prepares and presents education to Inpatient coding staff based on audit findings and denials related to Inpatient coding following ICD-10 Coding Conventions, Official Guidelines for Coding & Reporting, and American Hospital Association Coding Clinic guidance. Assists in the development of programs and procedures to support improvement of coding accuracy rate. Required Qualifications: Associate degree in health information management or a related field Minimum of five (5) years of hospital Inpatient coding experience In-depth knowledge of ICD-10-CM and ICD-10-PCS Proficient in Diagnosis Related Groups structure (MS-DRG, APR-DRG), and Inpatient Prospective Payment System Knowledge of reimbursement methodologies and claims processing. Ability to develop educational materials and job aids pertaining to Inpatient coding. American Health Information Management Association credentialed, RHIT or CCS Proficient in Microsoft Office Products including Word, Excel, and PowerPoint Strong Analytical skills, Critical Thinking, and excellent verbal and written communication skills Preferred Qualifications: Bachelor's degree in health information management or related field Previous Inpatient auditing experience. Essential Duties and Responsibilities: This position will work with the Corporate Director of Health Information Management and Inpatient Coding Manager to design, plan, and organize training programs and timelines for new hire and ongoing staff education. Monitors and reports coders progress through the orientation and training process. Develops ongoing audit schedule for all Inpatient coding staff and reviews cases for accurate ICD-10-CM/PCS, Diagnosis Related Group, Present on Admission Indicators, Severity of Illness, Risk of Mortality, and discharge disposition assignments. Conducts random and focused quality audits on all Inpatient Centra and contracted/vendor coding staff. Documents audit findings, trends and ensures they are investigated, and timely education is prepared and reviewed with coding staff when necessary. Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately. Communicates clearly, leads innovative and engaging training and education sessions for Inpatient coding staff development. Serves as a resource and subject matter expert to Inpatient coding staff Monitors changes in laws, regulations, standards as they affect coding, billing, and related compliance. Develops and maintains Inpatient facility specific coding guidelines. Attend Inpatient Denials Management meetings. Assists with the analysis of Case Mix Index (CMI) reports. Shares audit trends and key findings with Health Information Management team. Participates in strategic planning workgroups to develop and plan education curriculums. Other Functions: Maintains strict confidentiality of all information, including financial/operational, employee/human resource, healthcare/patient data and information. Works in close collaboration with Inpatient Coding Manager and Corporate Director of Health Information to ensure timely, accurate education. Performs other duties as assigned.

**Per Diem Hospice Medical Directorin Beautiful Northern, CO** **Remote Only & Flexible Schedule** **BANNER HEALTH and the Home Care & Hospice Division** , one of the countrys premier, nonprofit health care networks with more than 1,500 physicians and advance practice providers, **has an excellent opportunity for a compassionate, skilled clinician to join our interdisciplinary team!This position serves the growing community in Northern Colorado in partnership with the current care team.** Utilizing a multidisciplinary approach, the qualified candidate will provide remote support to the Home Care & Hospice team of Advanced Practice Providers. **Position Requirements and Information:** + BC/BE in a relevant specialty + Colorado state licensed + Fellowship training in Hospice & Palliative Medicine - NOT REQUIRED + Experience preferred, new graduates also welcome to apply + Flexible schedule primarily providing back-up coverage for the acting Medical Director **Compensation & Benefits:** + **$140/hr** + Malpractice and Tail Coverage **About the area:** With more than 300 days of sunshine, Northern Colorado is one of the best places to live and work offering spectacular views along the Rocky Mountain Front Range, great weather, endless recreational activities, cultural amenities, education, and professional opportunities. + Within one hour of majestic Rocky Mountain National Park & 90 minutes to world-class ski resorts + Numerous outdoor activities including golf, biking, hiking, camping, rock climbing, hunting, and fishing + Thriving cultural and retail sectors + Highly educated workforce & broad-based business sector leading to substantial growth along the front range + Variety of public and private education options for K-12 and easy access to three major universities **PLEASE SUBMIT YOUR CV TODAY FOR IMMEDIATE CONSIDERATION** As an equal opportunity employer, Banner Health values culture and encourages applications from individuals with varied experiences and backgrounds. Banner Health is an EEO Employer. POS15101 Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability.

Department Name: Digital Transform Fdn Clin App Work Shift: Day Job Category: General Operations Estimated Pay Range: $19.00 - $19.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Find your path in health care. We want to change the lives of those in our care - and the people who choose to take on this challenge. If you're ready to change lives, we want to hear from you. This is a temporary part-time Internship position working in either Colorado or Arizona, 20hr/wk, typically 8:00a-1:00pm with some flexibility. This opportunity is open to Graduate level students pursuing degrees in Health Informatics, Data Analytics, Public Health, or related field, with strong analytical skills, attention to detail, and experience with Python. In this internship you will have the opportunity to work with our Quality Improvement team by reviewing and validating datasets prior to submission to National and State Registries. * Please note the email you apply with is where all updates and information will be sent to, even after you graduate. We recommend applying with a personal email rather than a school email address. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position typically will be up to one year in length and will work under the direct supervision of a department manager or designee. The position is responsible for expanding experiences and knowledge of practices and procedures as they relate to assigned department and area of study. These activities may include participation in a wide variety of projects. CORE FUNCTIONS 1. Expands and develops knowledge with exposure to a variety of roles related to area of study. 2. Participates on work teams, contributes to projects and initiatives, and performs various tasks as needed by the assigned unit/department. 3. Performs research and prepares reports on assigned topics and /or projects when required. 4. Works as a member of a team providing service to internal and external customers. MINIMUM QUALIFICATIONS Currently enrolled in an accredited college program with course work related to the internship or general knowledge normally obtained through the completion of a college degree. Must demonstrate effective verbal and written communication skills. Must have general knowledge related to the department/unit/area of study. PREFERRED QUALIFICATIONS Proficiency with commonly used office software and personal computers may be necessary, depending on assignment. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Department Name: Amb Billing & Follow Up Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $18.02 - $27.03 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. The PFS Insurance Follow-Up Representative (Ambulatory Denials) is responsible for following up with assigned payer for various denials, such as no authorization, eligibility denials, etc. This position is a higher-level PFS role, as it does range across all groups of patients and all types of provider specialties. Experience within medical insurance accounts receivable (AR) and physician fee-for-service billing is ideal. Location: Remote Schedule: Monday-Friday, varying shifts 6am-6pm after successful completion of training program. Ideal Candidate: Minimum of 1 year experience in Medical Insurance AR and/or Physician Fee for Service Billing clearly reflected in uploaded resume; Minimum of 1 year experience writing appeal letters for payer/payor denials; Intermediate to Advanced skill level in Microsoft Excel. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company's collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Job Requirements Assists with laboratory billing-related activities to ensure billing for laboratory services complies with regulatory standards. The Lab Denials and Coding Management-Specialist works with all areas of lab billing/denials functions to assure accounts are managed accurately and timely. Responsibilities vary based on department need. This position will be 50% remote based on business need. Productivity will be monitored and set by leadership after completion of probationary period. The Denial Management Specialist is responsible for denials and claim edits for the department as defined by their supervisor/manager. Minimum Requirements Education * High School graduate Experience * Four years of experience in Medical Billing and Coding License/Registration/Certifications * N/A Preferred Requirements Preferred Education * N/A Preferred Experience * Five years of experience in Medical Billing and Coding * Verifiable experience with Dex Z Laboratory Guidelines Preferred License/Registration/Certifications * National Coding Certification AAPC Core Job Responsibilities * Manage assigned WQ's based on business need. * Research and resolve all outstanding denials within work-que and complete all necessary follow up within a timely and accurate manner. * Identify denial trends and provide education of steps to prevent future avoidable denials. * Compile and respond to all reimbursement inquiries. * Investigate and resubmit all unpaid balances for correct processing. * Maintain accurate, systematic accounts receivable process. * Meet required productivity standards based on assigned day to day tasks. * Understand process on in house vs reference lab charges. * Productivity will be set based on WQ assignment and projects. * The use of TEAMS is required for communication with team members and Supervisor. * Proficiency in use of Microsoft Office applications. * Must have good knowledge of CPT, HCPCS, and ICD-9/10 codes. * Must have a good working knowledge with insurance explanation of benefits and comprehensive understanding of remittance and remark codes. * Understanding of 3rd party specimen for processing and billing. * Be familiar with multiple payer requirements for claims processing and claim re-processing. * Understanding of standard denials relating to specific Insurance Diagnosis and Procedure coding. * Manage assigned Work Queues in Epic as instructed. * Knowledge of precertification and prior authorization on an as needed basis. * Other duties as assigned.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Clinical Triage Specialist (CTS) (RN) - Access Center will compassionately deliver an exceptional patient experience and provide clinical support to CTS-MA team members by serving as a clinical resource. The CTS-RN is responsible for using nursing judgment in answering/returning patient calls related to direct care provided by the practices. When appropriate, the caller's symptoms will be assessed and triaged using approved nursing protocols and guidelines to assist in obtaining the appropriate level of care and/or self-care advice. JOB DUTIES AND RESPONSIBILITIES: Answers telephones, prioritizes clinical triage calls, follows clinical protocols, and coordinates services, as needed. Verifies patient demographic information and accurately enters the updated information into electronic health record. Serves as an escalation point for clinical patient issues and other POD team members requiring clinical support, and provides clinical advice based on clinical protocols and procedures. Manages and responds to escalated electronic patient messages whenever not answering inbound patient calls and uses clinical judgment to prioritize and accommodate patients. Creates a positive patient experience at every encounter, attempting to independently resolve any issues or concerns of the patient at the time of the phone call, within the scope of the role. Consistently meets productivity, schedule adherence, and quality standards as set by the Access Center. Utilizes all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule appointments, or refer calls when necessary to the appropriate medical facility or personnel. Accurately documents symptoms/complaints, nursing assessment, advice provided and patient/caller response. Partners with other Access Center teams/PODs and respective practice clinical team on behalf of the patient to assist with clinical concerns, medication refills, or scheduling appointments. Other duties as assigned. EDUCATION: Graduate of an accredited nursing program. Active Registered Nurse licensure in the state of Pennsylvania and New Jersey or other nursing compact state and other states as deemed necessary by state law. TRAINING AND EXPERIENCE: Minimum 2 years recent clinical experience in a physician office, home health, critical care and/or emergency room is required. Strong communication skills Focused on compliance Demonstrates continuous growth Quality-driven Service-oriented Excels at time management Strong problem-solving skills Ability to work from home in accordance with the Network Work from Home Policy if needed. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Department Name: Coding-Acute Care Compl & Educ Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $29.11 - $48.51 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). In this Inpatient Facility-based HIMS Coding Quality Associate position, you bring your 5 years of acute care inpatient coding background to a team that values growth and development! This is a Quality position, not a day-to-day coding production role but does require coding proficiency and recent Hospital Facility Coding experience. This position is task-production-oriented ensuring quality in the Inpatient Facility Coding department. If you have experience with DRG and PCS coding/denials/audits, we want to hear from you. Schedule: Full time, Monday-Friday 8am-5pm during training. Flexible scheduling after completion of training. Location: REMOTE, Banner provides equipment Ideal candidate: 5 years recent experience in acute-care Inpatient facility-based medical coding (clearly reflected in your attached resume); DRG and PCS Coding, Auditing experience; Bachelors degree or equivalent; Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please upload a copy or provide certification number in your questionnaire. This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. Interested in joining our Coding team? We have great opportunities, whether you're looking for entry-level or have been coding for years! Requirements for each position noted below. Not the right fit for you? Keep looking! We have a lot different teams with different focuses (Facility vs Profee). Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position is responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes. Works with clinical documentation improvement and quality management staff to: align diagnosis coding to documentation to improve the quality of clinical documentation and correctness of billing codes prior to claim submission; to identify possible opportunities for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides guidance and expertise in the interpretation of, and adherence to, the rules and regulations for code assignment based on documentation for all levels of complexity to include accounts encountered in Banner's Academic, Trauma, high acuity and critical access facilities, as well as specialized services such as behavioral health, oncology, pediatric. Acts as subject matter expert regarding experimental and newly developed procedure and diagnostic coding. CORE FUNCTIONS 1. Provides guidance on coding and billing, utilizing coding and billing guidelines. Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and reference information to internal and external customers regarding coding assignment based on clinical documentation which may require researching authoritative reference information from a variety of sources. 2. Reviews medical records. Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work and trends, and offers suggestions for improvement where opportunities are identified. Reviews accuracy of identified data elements for use in creating data bases or reporting to the state health department. If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding. Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines. 3. Assists with maintaining system wide consistency in coding practices and ethical coding compliance. If applicable, initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient's condition, treatment and outcomes. Identifies training needs for coding staff. Serves as a team member for internal coding accuracy audits and documents findings. 4. Acts as a knowledge resource to ancillary clinical departments, patient financial services and revenue integrity analysts regarding charge related issues, processes and programming. Participates in company-wide quality teams' initiatives to improve coding and clinical documentation. Assists with education and training of staff involved in learning coding. Assists in creating a department-wide focus of performance improvement and quality management. Assists and participates with management through committees to properly educate physicians, nursing, coders, CDM's, etc. with proper and accurate coding based on documentation for positive outcomes. 5. Performs ongoing audits/review of inpatient and/or outpatient medical records to assure the use of proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials, billing edits/rejections to provide coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as a basis for development of coding education and audit plans. 6. Maintains a current knowledge in all coding regulatory updates, and in all software used for coding, coding reviews and health information management for the operational group. Identifies and collects data to allow for monitoring and evaluation of trends in DRG (MS/APR-DRG), APC, HCC, other Heath Risk Adjusted Factors, National Correct Coding Initiative (NCCI) and the effect on Case Mix Index by use of specialized software. 7. May code inpatient and outpatient records as needed. Works as a member of the overall HIMS team to achieve goals in days-to-bill. 8. Works independently under limited supervision. Uses an expert level of knowledge to provide coding and billing guidance and oversight for all Banner facilities and services they provide. Internal customers include but are not limited to medical staff, employees, and management at the local, regional, and corporate levels. External customers include but are not limited to, practicing physicians, vendors, and the community. MINIMUM QUALIFICATIONS Requires a level of education as normally demonstrated by a bachelor's degree in Health Information Management or experience equivalent to same. Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Requires Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) or Certified Coding Specialist-Physician (CCS-P) or Registered Health Information Technologist (RHIT) or Registered Health Information Administration (RHIA) or other qualified coding certification in an active status with the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC). Demonstrated proficiency in hospital coding as normally obtained through 5 years of current and progressively responsible coding experience required. Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies. Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record. Extensive knowledge of all coding conventions and reimbursement guidelines across services lines, LCD/NCDs and MAC/FIs. Extensive critical and analytical thinking skills required. Ability to organize workload to meet deadlines and maintain confidentiality. Excellent written and oral communication skills are required, as well as effective human relations skills for building and maintaining a working relationship with all levels of staff, physicians, and other contacts. Must consistently demonstrate the ability to understand the Medicare Prospective Payment System, and the clinical coding data base and indices, and must be familiar with coding and abstracting software, claims processing tools, as well as common office software and electronic medical records software. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Department Name: Care Transformation Work Shift: Day Job Category: General Operations Estimated Pay Range: $32.09 - $53.48 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Plans & Networks (BPN) is an integrated network for Medicare and private health plans. Known nationally as an innovative leader, BPN insurance plans and physicians work collaboratively to keep members in optimal health while reducing costs. Supporting our members and vast network of providers is a team of professionals known for innovation, collaboration, and teamwork. If you would like to contribute to this leading-edge work, we invite you to bring your experience and skills to BPN. The Care Transformation Program Manager will support network performance by organizing, structuring and analyzing performance data to identify operational opportunities, trending data and developing reports that will be used in a variety of meetings. Will be responsible for creating solutions, not managing established processes. The ideal candidate will have a strong data analytics and data reporting background with Excel and PowerBI experience. Schedule Generally Monday - Friday 8am - 5pm Hybrid most work can be done remotely with occasional travel to Phoenix Corporate or Mesa Corporate. Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs. POSITION SUMMARY This position provides oversight of the Care Transformation department initiatives, projects, communications and operational work that is provided by the Care Transformation department. This position will support leadership in development and implementation of processes to increase efficiency and effectiveness in successfully achieving department and organizational goals. CORE FUNCTIONS 1. Serves as an example to peers for both behaviors and performance of job functions. Provides Managerial Care Transformation experience and training to Care Transformation representatives, and acts as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. 2. Provides coaching, training, staff development, mentoring and overall support to assigned staff. Participation and responsibilities related to performance evaluation, performance improvement, coaching, training, mentoring, and time card processes. Creates a strong culture of engagement, inclusiveness, creativity, knowledge sharing to support the provider relations team and department. 3. Provides collaborative approach with leadership, partner departments and contracted providers in leading this work. 4. Create, develop, and manage communication materials, letters, content for provider newsletters, power point presentations, and other Care Transformation or provider communication resources as required. 5. Oversee, coordinate, and support provider engagement, and communications. Maintains all levels of communication with network providers, informing them of any operational, procedural, and contractual changes and updates. 6. Support Directors to consistently meet monthly goals as determined by management. Assists Directors with network development in various geographic regions within the organization, negotiates, implements and maintains managed care initiatives with payers and providers. 7. Works cohesively with appropriate parties to ensure delivery of outstanding customer service while facilitating timely research and issue resolution, in a positive work environment, that supports the department's ongoing goals and objectives. 8. Works on special projects as assigned. 9. Assists in the development and maintenance of a comprehensive provider network for Banner Networks. The incumbent must have a thorough understanding of managed care, medical office procedure, provider relations experience, medical claims and contracting. In addition, the incumbent must have excellent verbal and written communication skills, determine work priorities and is expected to accomplish all tasks with minimal supervision and instruction. Experience required in direct supervision and coaching of assigned teams. Analytical knowledge required. MINIMUM QUALIFICATIONS Must possess a strong knowledge of healthcare as normally obtained through the completion of a bachelor's degree in business, healthcare administration, or related work experience. Requires a proficiency level typically acquired through a minimum of four years of experience in healthcare operational/financial management or related field. Must have an excellent understanding of medical terminology and knowledge of CPT and ICD-10 coding. Must have an understanding of HEDIS, STARS and other value-based performance initiatives as required by government programs. Must have the ability to effectively communicate both verbally and in writing. Must know how or learn to program data retrieval utilities and queries. The incumbent must possess the ability to track and analyze statistical data. This position requires a mathematical aptitude, computer experience, typing skills and the ability to work on a variety of projects in an organized fashion. Adept at creating and communicating a clear and detailed program plan to internal/external stakeholders, effectively aligning resources and motivating multi-disciplinary teams to achieve goals and create partnership-style relationships. Demonstrated technical, organizational, project management and negotiation capabilities. Proficient in written communications, power point and presentations. Must be a self-starter with excellent ability to implement and execute. Ability to balance the big picture with the day-to-day delivery details, connecting key project needs and internal resources to prioritize the workload. Strong desire to improve the lives of patients, their care givers, and families. Possesses compassion and empathy coupled with accountability and execution. Requires proficiency in the use of sophisticated software programs. PREFERRED QUALIFICATIONS Five to ten years of experience in the healthcare field preferred, preferably in a managerial or supervisory capacity. Two years of medical office and/or provider representative experience is preferable. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

Primary Purpose As part of the CEO Cabinet at Advocate Health, the Chief Philanthropy Officer is responsible for the vision, planning, implementation, and management of all development programs across all divisions, academics, service lines, national service lines, community/mission-based programs, and enterprise-wide initiatives. This role provides strategic oversight of all philanthropy activities across the system, including infrastructure, staff and financial reporting, in order to maximize fundraising potential and establish, measure, and enhance fundraising goals and strategies. This role will also serve as the President of the Advocate Health Philanthropy Institute. Major Responsibilities Oversee strategic planning around philanthropy and the role it plays in achieving enterprise goals and strategic differentiators. Develop a comprehensive, integrated philanthropy strategy for all Divisions, Academics, Service Lines and National Services Lines, incorporating academic fundraising into the framework, inclusive of developing programs to accept local and enterprise-wide gifts Establish the Advocate Health Philanthropy Institute with a philanthropic vision and framework to elevate the importance of philanthropy across the Enterprise that enables continued growth. Establish annual goals, objectives, and strategies for fundraising programs, ensuring fundraising efforts are aligned with organizational goals and strategic differentiators. Develop system-wide processes whereby national and regional initiatives and projects are identified, prioritized and aligned with various types of funding, including traditional philanthropy and non-research government grants. Partner with senior leaders and executives to engage teams in philanthropy efforts locally and at an enterprise level. Provide professional fundraising guidance and create a strong development program with measurable goals. Oversee staff responsible for preparing proposals and materials to secure major gifts from individuals, corporations and foundations. Ensure smooth operations and data management systems and processes for all foundations. Manage accounts and provide periodic reports to the all appropriate boards. Streamline and, where appropriate, simplify Board governance and recruitment by creating a consistent policies and processes for selection criteria, while preserving important local nuances. Establish a framework to secure philanthropic support from both international and national foundations, corporations and prominent philanthropists. Develop system-wide policies, administer the annual operating budget, and maximize resources. Build strong relationships with donors, patients, business, and community leaders. Ensure local philanthropic efforts are honored and donor intent is respected. Represent Advocate Health at public functions and special events. Enhance community awareness and understanding of philanthropy and the Institute. Provide donor recognition programs to enhance donor morale and repeat giving. Minimum Job Requirements Education Bachelors Degree required. Work Experience Required a minimum of 12 years of experience, with at least 10 years of management experience. Knowledge / Skills / Abilities Proven ability to lead and inspire a fundraising team, develop strategic plans, and consistently surpass fundraising targets. Skilled in cultivating relationships with major donors, corporations, and foundations, fostering trust and strong connections. Extensive knowledge of healthcare philanthropy, including donor cultivation and stewardship, as well as best practices in grant writing. Experience in setting and executing a strategic vision for a new or expanding fundraising program, with a demonstrated ability to innovate, scale, and adapt fundraising efforts to align with organizational goals and objectives. Proven success in working within complex integrated organizations to achieve internal consensus on the importance of philanthropy, resulting in collaborative fundraising efforts. Proficient in analyzing data, identifying funding opportunities, and aligning philanthropic efforts with institutional goals. Excellent communication skills to effectively convey the healthcare system's mission and vision, and advocate for its community impact. Well-versed in the healthcare industry, understanding its challenges and unique needs within an academic setting. Preferred Job Requirements Education: Masters degree preferred. DISCLAIMER All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders.

Inspire health. Serve with compassion. Be the difference. Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions * Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% * Responsible for resolving all assigned pre-billing edits.15% * Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% * Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10% * Participates in coding educational opportunities (webinars, in house training, etc.). 5% * Provides timely feedback to providers in order to clarify and resolve coding concerns. 5% * Maintain knowledge of governmental and commercial payer guidelines. 5% * Assists with the Coding Education team to identify areas that need additional training. 5% * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements * Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree - Preferred * Experience - 2 years - Professional coding only In Lieu Of * NA Required Certifications, Registrations, Licenses * Certified Professional Coder-CPC Knowledge, Skills and Abilities * Knowledge of office equipment (fax/copier) * Proficient computer skills including word processing, spreadsheets, database and data entry * Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions Conducts review and audit of discharged inpatient records (prebill and retrospective reviews) to validate the coding/DRG assignment according to official coding guidelines as supported by the clinical documentation in the record. - 60% Monitor work queues daily to identify, prioritize and assign accounts that need to be coded based on department-specific guidelines and within designated timelines in coordination with leadership. - 10% Mentors and trains coders on application of correct ICD-CD and ICD PCS guidelines. - 10% Coordinates and identifies provider documentation queries for the Clinical Documentation Integrity team to send to clinical providers. Identifies coding and documentation opportunities following established guidelines when existing documentation is unclear or ambiguous following American Health Information (AHIMA) guidelines and established policy. Maintains working knowledge of Centers for Medicare & Medicaid Services (CMS) regulations and applicable carrier local medical review policies. - 10% Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Collaborates with Coding and CDI to develop and maintain coding curriculum and training materials. - 3% Assists with and develops educational programs for coding staff, clinical documentation staff and medical staff to including yearly coding/DRG updates. - 2% Applies ICD and ICD-PCS codes including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Codes inpatient records periodically based on review of clinical documentation. - 2% Identifies and assists management with the resolution of coding issues, process improvement and system testing for HIM applications. - 1% Interacts with other departments to resolve coding issues and assists with coding and clinical validation denials. - 1% Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS, Specialty areas and Quality; perform other duties as assigned. - 1% Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Associate's degree or Coding Certificate through approved American Health Information Management (AHIMA) or other coding certification program. Experience - 4 years - Four (4) years of experience in in-patient coding and abstracting with healthcare billing process experience in acute care setting. Work experience may NOT substitute for education requirement. Demonstrated high coding accuracy and productivity. In Lieu Of NA Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Knowledge of electronic medical records and 3M or Encoder System. EPIC health information system experience. Preferred. Strong knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Knowledge of Clinical Documentation Improvement principles, quality indicators, formal and informal coding audit process. Ability to work effectively, independently and manage multiple demands consistently. Proficient computer skills (spreadsheets and database). Strong knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Ability to apply broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. - Preferred Work Shift Day (United States of America) Location 1 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Job Requirements Join Our Healthcare Finance Team! Financial Manager II - FP&A The Financial Manager II - FP&A provides leadership, management, and coordination related to month-end close process, including forecasting and variance analysis. The position will develop and maintain skills related to financial analysis, long range financial plans, budgets, and decision support. Directs the preparation of financial plans that are consistent with historical trends, strategic growth projections, and inflationary assumptions. The Financial Manager II - FP&A reports to the Director of Financial Planning and Analysis. Minimum Requirements Education Bachelor's Degree in Accounting, Finance, or any healthcare related field Experience * 5+ years of experience in a Finance / Accounting related function License/Registration/Certifications * Must be proficient user of Excel and high understanding of database programs. Preferred Requirements Preferred Education * Master's Degree in Healthcare, Accounting, Finance, or Business-Related Field Preferred Experience * 8+ years' experience in finance / decision support / or related field, to include at least 2 years in a healthcare setting. Core Job Responsibilities * Promote a culture of initiative, ownership, and continuous improvement. * Contributes to preparation of long-range financial plan through analysis of historical performance, incorporation of inflationary and strategic growth assumptions, and collaboration with financial leadership to align w/ systemwide objectives. * Produce, review, and analyze monthly financial statements, complete with variance explanations; collaborate w/ internal and external stakeholders recommending corrective action. * Translate complex data into strategic insights, preparing impactful presentations for finance leadership team. * Remains current on the latest relevant accounting and healthcare issues, including state and governmental regulations and procedures. * Identify opportunities for improving financial reporting processes, systems, or other tools. * Perform leadership duties as assigned, related to the operating budget. This includes tracking changes, review budget for exceptions and variances, and audit functions. * Provides leadership to and manages the productivity and performance of staff members. * Demonstrates proficiency in the use of Excel, Power Pivot, Power Bi, and other data analytics/decision support tools to achieve organizational goals and initiatives. * Demonstrates excellent project management skills as well as a working knowledge of generally accepted accounting principles. * The above responsibilities are a general description of the level and nature of the work assigned to this role and is not to be considered as all-inclusive. Why Join Spartanburg Regional Healthcare System? This is an exciting opportunity to lead and innovate within a respected healthcare organization. If you are ready to make a meaningful impact while advancing your career in financial management, we encourage you to apply today!

Department Name: IT Data Protection-Corp Work Shift: Day Job Category: Information Technology Estimated Pay Range: In accordance with State Pay Transparency Rules. Banner Health was named to Fortune's Most Innovative Companies in America 2025 list for the third consecutive year and named to Newsweek's list of Most Trustworthy Companies in America for the second year in a row. We're proud to be recognized for our commitment to the latest health care advancements and excellent patient care. The Cybersecurity Network Engineering Team at Banner Health plays a critical role in safeguarding one of the most vital sectors-healthcare. As part of Banner Health's broader cybersecurity and business strategy, this team is dedicated to detecting, mitigating, and preventing network threats before they can impact patient care or sensitive data. By leveraging advanced technologies and modern security frameworks, the department ensures that the organization's digital infrastructure remains resilient, compliant, and aligned with the mission of delivering safe, uninterrupted healthcare services. Team members are key contributors to implementing the organization's Zero Trust Network Access (ZTNA) vision, engineering secure solutions that protect both internal and external access to systems and applications. A day in the life of a Cybersecurity Network Engineer at Banner Health is dynamic and impactful. You'll collaborate with cross-functional teams to analyze network traffic, fine-tune security controls, and respond to real-time detections that help prevent potential cyber incidents. Your toolkit will include industry-leading technologies such as Zscaler, Cloud Browser Isolation (CBI), Web Application Firewalls (WAFs), IDS/IPS, and API security platforms, all essential to defending against evolving threats. Beyond operational responsibilities, you'll design and implement new security architectures, contribute to the development of secure access models, and ensure certificate management and governance are seamlessly executed. Each day presents the opportunity to enhance both your technical expertise and Banner Health's cybersecurity maturity-protecting what matters most: patient trust and safety. Schedule: Monday - Friday 8am - 5pm AZ Time This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD,MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position leads the designs, develops, configures, implements, tunes, maintains solutions, resolve technical and business issues related to cybersecurity threat & vulnerability management, identity management, security operations center, forensics, and data protection. Cybersecurity Engineers work with Cybersecurity Architects to execute strategic cyber initiatives, evaluate security components of the network, applications and end-user devices, and provides guidance to ensure new systems meet regulatory and technical standards. Cybersecurity Engineers leads root-cause analysis on Cyber systems to determine improvement opportunities when failures occur. Cybersecurity Engineers work closely with other IT organizations to ensure cyber products are working and integrating with non-cyber environments (apps, networks, End User devices, Servers, etc). CORE FUNCTIONS 1. Proactively initiates the design and implementation of cybersecurity solutions, upgrades, enhancements, while looking forward three to five years. 2. Leads in providing technical expertise and support for cybersecurity solutions, including operational aspects of the software. 3. Serves as subject matter expert in the design, implementation, and compliance of secure baseline configurations for applications and infrastructure components. 4. Proactively initiates technical assessments of systems and applications to ensure compliance with policy, standards and regulations. 5. Authors new cybersecurity standards and procedures. Leads the revision of existing cybersecurity policies, standards, and procedures, as needed. 6. Serves as technical leader for cybersecurity projects, including the development of project scope requirements, budgeting, work breakdown and operational handoff. 7. Identify threats and develop suitable defense measures, evaluate system changes for security implications, and recommend enhancements, research, and draft cybersecurity white papers, and provide first-class support to the cybersecurity operations staff for resolving difficult cybersecurity issues. 8. Under limited direction, self starter, this position is responsible for cybersecurity across multiple departments system-wide and requires interaction at all levels of staff and management. Work closely on cross functional IT Teams. Leads work through indirect leadership across other cyber resources. Articulate complex Security functions into simple business ease. MINIMUM QUALIFICATIONS Must possess strong knowledge of business, information security and/or computer science as normally obtained through the completion of a bachelor's degree. Bachelor's Degree in Computer Science, Information Security, Information Systems, or related field, or equivalent. Experience normally obtained through seven plus years of experience of enterprise-scale information security engineering, preferably in healthcare. Must also possess three plus years' experience in a healthcare environment or an equivalent combination of relevant education, technical, business and healthcare experience. Experience with IT operations, automation of security processes, coding and scripting languages, ability to document security processes as well as use case development. Experience with the assessing cyber products, including vendor selection, define requirements, contractual documentation development. Experienced assessing and reaching out to vendors for needed features via enhancement requests. Expert understanding of regulatory and compliance mandates, including but not limited to HIPAA, HITECH, PCI, Sarbanes-Oxley. Experienced in planning, designing and implementing cybersecurity solutions, operating, maintaining and managing the lifecycle of cybersecurity solutions. Advanced knowledge of Security Engineering Principles, including risk management, resilience, vulnerability management, Information Security, NIST, MITRE ATT@CK, etc. Advanced expertise in Cyber products supporting Data Loss Prevention, EDR, AntiVirus, Perimeter services, threat systems, cyber platform analytics, SIEM, CASB, CLOUD Security, ETC. Proven Cloud Security experience. Requires independent judgment, critical decision making, excellent analytical skills, with excellent verbal and written communications. Ability to think quickly under difficult or complex conditions and clearly communicate to appropriate staff; ability to balance project workloads with customer support and on-call demands. Must demonstrate deep knowledge of information technology and information security principles and practices. Requires communication and presentation skills to engage technical and non-technical audiences. Requires ability to communicate and interact across facilities and at various levels. Incumbent will have skills to mentor less experienced team members. As is typical in this industry, variable shifts and hours and responding to after-hours notifications may be required. PREFERRED QUALIFICATIONS Certification in two or more of the following areas Systems Security Certified Practitioner (SSCP), HealthCare Information Security & Privacy Practitioner, (HCISPP), CompTIA Security+, Certified Information Systems Security Professional (CISSP) - Engineering (ISSEP), Certified Ethical Hacker (CEH), SANS GIAC, or Certified Information Systems Auditor (CISA). Four plus years as a System Administrator or in IT Operations. Or four plus years in risk management or GRC experience in the healthcare/medical environment. Five plus years' experience in a healthcare environment or an equivalent combination of relevant education, technical, business and healthcare experience. Additional related education and/or experience preferred. Anticipated Closing Window (actual close date may be sooner): 2026-05-20 EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy

is a remote position, supporting our Pediatric patient population. Provides patient evaluation and care planning for speech-language pathology. Delivers patient care appropriate to age specific and other population needs. Provides clinical leadership. Essential Functions Assesses and documents patient's medical, mental and emotional needs at admission and on an on-going basis. Develops and implements a plan of care to meet patient and family needs, to include discharge planning and utilization of available resources. Acts as patient advocate; treats patients and families with compassion and implements plan of care in a safe and timely manner. Demonstrates clinical reasoning, coupled with clinical skills to conduct accurate clinical assessments and perform patient care activities; evaluates effectiveness of therapy interventions, identifies and prioritizes patient/family strengths, needs and priorities. Identifies the normal course of illness in assigned patient population recognizing and intervening appropriately when deviations occur. Communicates patient information and thoroughly documents therapist's actions and plan of care. Provides clinical leadership and mentoring. Physical Requirements Hearing (corrected) adequate for oral/aural communication. Vision (corrected) adequate for reading. Intelligible speech and adequate language/cognitive skills to perform job duties. Sitting, standing, and walking required throughout the day. Job duties sometimes require climbing stairs, kneeling, twisting, bending; on occasion, crouching, crawling and reaching overhead. Lifting of patients, equipment or supplies will be required up to 20 pounds frequently and 50 pounds occasionally. Must be able to demonstrate any appropriate exercise and activities to patients/caregivers. Personal Protective Equipment such as gloves, goggles, gowns, and masks are sometimes required due to possible exposure to hazardous chemicals or blood and body fluids. Work is in a fast-paced clinical environment. The work environment is primarily indoors but occasionally outdoors. Education, Experience and Certifications Master's Degree in Speech Language Pathology required. NC license for Speech Language Pathology required. BLS required per policy guidelines.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Outpatient Care Manager, Social Worker (OP CM SW) is responsible for providing Social Work and care management services to out-patients and their families (occasional in-patients) as directed by the policies and procedures of the entity and Outpatient Care Management Department. The OP CM SW provides professionally established methods of assessing a patient's unique bio-psychosocial status, assists patients and families in resolving problem areas, and connects them with appropriate community resources and services. Responsible for the psychosocial component of patient care as it relates to medical stability and wellness, the OP CM SW collaborates with both health care and community partners to address social determinants of health and promote self-management of care needs. The OP CM SW also collaborates with the Outpatient Care Manager RN, Community Health Worker and extender staff as needed to address the social needs of the medically complex patient.JOB DUTIES AND RESPONSIBILITIES: Provides assessment, care planning and intervention to patients and caregivers, including psychosocial and resource evaluation and planning, advocacy, as well as crisis intervention as appropriate. Provides counseling directed toward helping patients/caregivers cope with and understand the relationship between physical functioning, illness and the consequent social/emotional impact and adjustments required. Consults with providers, nurses and other members of the health care team to facilitate interdisciplinary care and address effective continuum of care coordination. Investigates insurance benefits as well as community resources to provide and facilitate appropriate referrals based on patient/caregiver agreement. Organizes individual patient care meetings with internal and, as necessary, external multidisciplinary team members and the patient/caregiver to evaluate progress and to identify and resolve problems that may interfere with a positive patient outcome. Provides patient/caregiver and/or care team education as needed as it relates to government mandates/laws. Proactively collaborates with patient/caregiver, care team members, and community partners as necessary to address bio-psychosocial needs to ensure efficient and effective continuity of care, utilization of resources and to avoid unnecessary hospitalizations. Ensures appropriate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system. Functions autonomously under the Organization and Departmental policies and procedures and in compliance with the NASW Code of Ethics. Acts as a liaison to community agencies, health institutions, etc., to address systems issues affecting patient outcomes by serving, as able, in community groups and organizations. Demonstrates competency in the assessment, range of treatment, knowledge of growth and development and communication appropriate to the age of the patient treated. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for one to two hours at a time, stand for two to three hours at a time, walk on all surfaces for up to five hours per day, and climb stairs. Must be capable of driving a car. Fingering and handling objects frequently. Occasionally firmly grasp, twist and turn objects with hands and fingers. May be required to lift, carry, push, and/or pull objects weighing up to 25 pounds. Occasionally stoops, bends, squats, kneels and reaches above shoulder level. Must have the ability to hear as it relates to normal conversations and high and low frequencies and to see as it relates to general and peripheral vision. Must have the ability to touch as related to telephone and computer keyboard. EDUCATION: Master's degree in Social Work from an educational institution accredited by the National Council on Social Work Education (NCSWE) preferred. LICENSURE / CERTIFICATION: State licensure for MSW in PA and NJ preferred.State licensure for MSW in NJ required if working in NJ.TRAINING AND EXPERIENCE: MSW with minimum of two (2) years' experience in medical social work case management or other experience as related to site of service preferred or as above. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Inspire health. Serve with compassion. Be the difference. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Follows departmental policies for charge corrections. Participates in coding educational opportunities (webinars, in house training, etc.). Provides feedback to providers in order to clarify and resolve coding concerns. Resolves assigned pre-billing edits. Assists in identifying areas that require additional training. Mentors and assists in training other coders and new team members Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred Experience - Five (5) years professional fee coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder (CPC) Specialty Certification from AAPC that correlates with assigned specialty Knowledge, Skills and Abilities Maintain knowledge of governmental and commercial payer guidelines. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.