LHC Group Remote jobs - 27 jobs

*Employment Type:* Full time *Shift:* *Description:* Posting This RN position includes incorporating approved processes, systems, protocols and tools when screening incoming colleagues, providers, vendors and visitors entering Trinity Health facilities. These screening protocols follow CDC and other regulatory guidelines and internal procedures. This opportunity is located in our Preadmission Testing (PAT) department in the medical office building (MOB) on our main campus. Documents and maintains compiled screening information as necessary within the scope of the RN role. Reports to manager or identified escalation resources any issues or concerns and identifies person(s) who do not pass screening and/or compliance screening requirement guidelines per approved protocols. A Registered Nurse (RN) is a licensed health care provider who provides nursing care under the direction of a physician, or other authorized health care provider. There is no independent component to the RN role. The Nurse Practice Act defines the practice of a RN as "performing tasks and responsibilities within the framework of case finding, health teaching, health counseling, and provision of supportive and restorative care under the direction of a registered nurse or licensed physician, dentist, or other licensed health care provider legally authorized under this title and in accordance with the commissioner's regulations." *ESSENTIAL FUNCTIONS* Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. As outlined in processes, practice guides and protocols and applying required systems and tools, performs specific health screening of persons entering Trinity Health facilities following established regulatory and Trinity Health guidelines and internal procedures. May check temperature (no touch) and screens for symptoms by asking colleagues, providers, vendors and visitors a series of questions or ensuring that inquiry systems or electronic applications are used and that persons are approved for entry. Provides masks as needed. Educates those desiring to enter facilities on the practices and protocols for entry and re-entry. Reports to manager or other identified escalation resources any person(s) who refuses and / or does not pass the screening and / or compliance screening requirement guidelines. Monitors, organizes and keeps work areas sanitized and clean. Screenings may be required to take place outside the doors to Trinity Health facilities in order to maintain appropriate protection inside the buildings. Ensures testing related supplies are properly maintained and available. Maintains good rapport and cooperative relationships with colleagues, providers, vendors and visitors. Approaches conflict in a professional, calm and constructive manner; escalates problem resolution to manager or other identified resources, as needed and according to protocols and processes. Creates a positive environment that promotes customer satisfaction. Completes required training and sign off on usage of infrared thermometer and instructions needed to be followed. Keeps abreast of updated internal instructions, processes, protocols and CDC and/or regulatory guidelines. Performs other duties as assigned by the manager. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. *RESPONSIBILITIES:* Ensures quality nursing care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice. Utilizing the Nursing Process is involved in the provision of direct care of patients and families. *PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS* Operates in a healthcare, office or outdoor environment. Understands and follows infection control standards and complies with the use of personal protection equipment to prevent exposure and transmission of communicable disease. Ability to stand or sit for long periods of time. Frequent walking, sitting, bending and stooping. Must be able to hear and speak to those desiring to enter Trinity Health facilities and to communicate via phone, email and other electronic methods. Must be able to adapt to frequently changing work priorities and be able to prioritize and balance the requirements of the job. Ability to concentrate and pay close attention to details for over 90% of time *Mission Statement:* We, St Joseph's Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. *Vision:* To be world-renowned for passionate patient care and outstanding clinical outcomes. *Core Values:* In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. *Education, Training, Experience, Certification and Licensure:* Graduation from an accredited school for Registered Nurse and current licensure, or eligibility for licensure, in the State of New York. Maintains current BLS/CPR. Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise. *Work Contact Group:* All services, medical staff, patients, visitors, and various regulatory and professional agencies. *Supervised by:* Team Leader, Clinical Coordinator, Unit Manager, and Clinical Services/Nursing Administration. *Diversity and Inclusion* Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Trinity Health's Commitment to Diversity and Inclusion Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity. Pay Range: $33.00 - $43.58 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. *Our Commitment * Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Carle Health is seeking a **Physician Advisor** to help oversee the efficiency of care for our Behavioral Health team over the West, Central, and East regions in Central Illinois. Opportunity Details + Part-time position (.5 FTE and 100% Virtual) + The Behavioral Health Physician Advisor is responsible for conducting clinical case reviews referred by the Utilization Management Team, the Case Management Team, the Clinical Denial Management Team, and other health care professionals. + The Behavioral Health Physician Advisor, in accordance with Carle Health's objectives, will participate in discussions with payer physicians to ensure efficient and appropriate utilization of hospital services for their assigned patient population. + The Behavioral Health Physician Advisor can, at times, serve as a consultant and as a resource for attending physicians in individual settings as well as group meetings such as the hospitalist meetings related to their decisions around hospital utilization, appropriate level of care, and continued stays. + The Behavioral Health Physician Advisor is expected to participate in regular scheduled and ad hoc meetings related to utilization management, case management and clinical denials management. + The Behavioral Health Physician Advisor is also expected to onboard the new providers regarding utilization and case management objectives. + Conducts medical record review in appropriate cases for medical necessity of hospital admission, continued hospital stay, adequacy of discharge planning and quality care management. + Provides education to physicians and other clinicians related to improved clinical documentation, regulatory requirements, appropriate utilization, alternative levels of care, and community resources. + Works collaboratively with the Clinical Denial Management team, the Utilization management team and the Clinical Denial Management team in defending payor claims denials for medical necessity through coordination of and participation (when appropriate) in the appeal process. + The Physician Advisor functions with or by the authorization of the Chief Medical Officer and works with our Utilization Management RN team, Clinical Denials Management team and the Physician Advisor Team which is comprised of five other physicians. + Conducts clinical review on cases referred by Care Management staff /Social Work (remove) Utilization management and Clinical Denials Team/or other health care professionals in accordance with the hospital's objectives for assuring quality patient care and effective, efficient utilization of heath care services, appropriate level of care, monitoring the appropriate use of diagnostic and therapeutic modalities, and to meet regulatory requirements. + Interacts with Medical Staff members, APP Directors and Medical Directors of payers to discuss the needs of patients and alternative levels of care. + Acts as consultant and resource to attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay and use of resources. + Acts as consultant and resource to the Medical Staff regarding federal and state utilization and quality regulations. **Candidate Qualifications:** + MD/DO, board-certified in Psychiatry + Active Illinois medical license or ability to obtain + 5 or more years of Psychiatric Clinical practice experience required + 1 or 2 years experience as a Physician Advisor or similar role About Our Community Champaign-Urbana has been defined as a micro-urban community, meaning we have many of the amenities of a much bigger city, with the feel of a smaller town. Almost equidistant to Chicago, St. Louis and Indianapolis for fun weekends away, the area offers excellent schools, a great downtown scene, the University of Illinois, Big 10 sports and an exciting college town atmosphere, including Krannert Center for the Performing Arts. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. Compensation and Benefits The compensation for this position is $160/hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits

THE CANDIDATE NEEDS TO BE LOCATED ON THE WEST COAST As a Director in alliant Consulting, you will own and lead the delivery of complex, large-scale projects while serving as the key relationship contact for strategic accounts. This role combines oversight of multiple projects and SOW's across various clients with subject matter expertise in specific industries or solutions. You will provide strategic leadership to project teams while serving as the primary escalation point for delivery matters. While achieving ongoing agreed-upon billable hours, you are also expected to generate targeted annual sales (either from new clients or additional services/projects of existing clients). As a key strategic leader, you will champion digital innovation across the organization. You will lead, mentor, and develop a team of consultants. As a national premier consulting firm, alliant is focused on providing solutions to help businesses transform and thrive. alliant offers six different service lines to our clients and this role is within alliant Consulting, which partners with companies to understand their challenges and guide them through their transformation journey. Responsibilities: Execute practice strategy and lead methodology development Serve as a trusted C-suite advisor to develop strategic client initiatives Lead thought leadership development and guide transformation strategies Integrate digital thinking into project solutions; demonstrate digital curiosity in exploring new tools and technologies Build and maintain strong client relationships; manage client expectations and ensure satisfaction Present effectively to key stakeholders; facilitate meetings and strategic discussions; present complex analyses in clear, actionable formats Lead proposal development; identity strategic growth/business opportunities; ability to “close the deal” Develop future practice leaders; drive talent strategy; provide executive coaching Qualifications: Bachelor's or Master's degree required (preferred in Business, Engineering, Economics, Organizational Development, or related field) Preferred 15+ years of professional consulting; preferred executive coach certification Established practice leadership experience with a proven track record of business development Executive presence with strong business/board advisory experience Demonstrated project and/or change management experience Outstanding analytical and problem-solving capabilities Excellent written and oral communication skills with the ability to present in a manner that is concise and engaging; preferred published thought leadership and preferred industry speaking experience Highly motivated and results oriented High sense of urgency with the ability to meet deadlines and changing priorities Receptiveness to performance feedback within a team environment is essential Proficiency in Microsoft Office Suite and other relevant software applications Available to travel 25% to 50% within the United States alliant offers a comprehensive compensation and benefits package including 100% employer paid medical/dental premiums for single coverage, 401(k) matching, PTO, company provided life insurance and disability, and more! Do Work That Matters. alliant #LI-CH1

As Change Management Manager, you will work in a team environment alongside some of the best in the business including those with extensive industry experience, years of consulting acumen, recognized certifications and a desire to serve clients. You will lead engagements and consulting teams as we interact with our clients to understand their overall business operations and address their most pressing business challenges. You will make a difference to truly affect their bottom line and allow them to be more successful. Job Description The Change Management Manager oversees and directs the strategic planning and execution of change initiatives across the organization. This senior role ensures that change management efforts align with business goals, leads the development of comprehensive change strategies, and manages a team of change management professionals to drive successful organizational transformations. Critical Skills: Must possess extensive experience with change management principles and methodologies, demonstrating exceptional strategic thinking and problem-solving abilities. Advanced leadership skills are crucial for guiding senior change management professionals and managing complex projects. Superior communication and negotiation skills are necessary for engaging with executives and stakeholders, while proficiency in data analysis and performance measurement drives informed decision-making. The role demands high adaptability and resilience to navigate dynamic environments, along with strong business acumen and a deep understanding of organizational behavior to align change initiatives with overarching business goals. Responsibilities: Develop and implement organization-wide change management strategies to support strategic business objectives and ensure effective change adoption. Lead the assessment of change impact and organizational readiness, providing strategic direction to address challenges. Design and oversee the delivery of comprehensive communication and training programs to facilitate organizational transitions. Provide executive coaching and support to senior leaders, enhancing their capability to lead and manage change effectively. Monitor and analyze change management effectiveness, using insights to drive continuous improvement and achieve desired outcomes. Manage and mentor a team of change management professionals, fostering their development and ensuring high performance. Collaborate with senior executives, project managers, and business leaders to ensure change initiatives align with broader business strategies. Develop and manage relationships with key stakeholders, ensuring their needs and concerns are addressed throughout the change process. Oversee the integration of change management best practices and methodologies into organizational processes. Represent the change management function at the executive level, advocating for resources and support to drive successful change initiatives. Qualifications: Education: Bachelor's degree in business, Finance, Economics, Communications or a related field. Master's degree or MBA is strongly preferred. Experience: 10+ years of relevant experience in management consulting, corporate strategy, or a related field, with a proven track record of successful project delivery and client management. Leadership Skills: Demonstrated leadership and team management skills, with the ability to inspire and develop high-performing teams. Analytical Skills: Superior analytical and problem-solving skills, with the ability to synthesize complex information and develop actionable recommendations. Communication Skills: Outstanding verbal and written communication skills, with the ability to effectively present information to senior clients and stakeholders. Technical Proficiency: Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word). Experience with data analysis tools (e.g., Tableau, SQL) is a plus. Business Acumen: Deep understanding of mid-market business dynamics and challenges, with the ability to provide strategic insights and solutions. Adaptability: Ability to manage multiple projects and priorities in a fast-paced, dynamic environment. Business Development: Ability to identify opportunities to develop/ grow strategic client relationships while ensuring top-notch client deliverables. Preferred Change Certifications: PROSCI, LaMarsh Global Change Management, CCMP, Conner, CAP (change acceleration process) Preferred Technology proficiencies: Microsoft Suite, Canva, Adobe #LI-CH1

Responsible for assisting patients with activities of daily living, provides basic care to acutely ill patients. Assists in the maintenance of a safe and clean environment. Performs EKG's and Venipuncture as directed by the Registered Nurse. Work requires a High School diploma or equivalent. BLS (Basic Life Support) certification required at time of hire or must obtain BLS certification within 6 months of hire, Phlebotomy/blood drawing experience preferred but will train, and 1 of the following: PCA/PCT (Patient Care Associate/Patient Care Technician) diploma with 6 months to 1 year of previous work experience within the last 6 months in an healthcare setting OR Certified Nursing Assistant (CNA) certification OR PCA/PCT diploma with National Health Career Association certification OR EMT (Emergency Medical Technician) certification OR Enrolled in an accredited nursing school program and has completed Nursing Fundamentals level coursework in lieu of PCA/PCT diploma/certification OR provides evidence of completion in Nursing Fundamental level coursework OR evidence of completion in a Nursing Assistant training program OR 5 to 7 years of previous direct patient care hospital experience. Effective January 2019, St. Joseph's Health requires certifications for Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) to be granted through the American Heart Association.

The Autonomous Coding Implementation Analyst is responsible for supporting and monitoring the implementation, accuracy, and optimization of the hospital's autonomous coding (AC) solution. This hybrid position combines coding expertise with data analytics and system oversight, serving as a liaison between HIM Operations and Revenue Cycle Systems ensuring the workflows are compliant, efficient and aligned with revenue cycle goals. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations systems. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC), Education: Associate's Degree: Health Information Mgt, Work Experience: Coding Responsibilities Participate in configuration, testing, and deployment of the autonomous coding platform. Provide education as needed, either one on one or in group format to Carle medical staff and HIM coding team members. Compile and track statistics related to the audit process and system configuration changes as service lines are deployed. Attend meetings as required with providers and coding team members on topics related to autonomous coding process and auditing of results. Engage software vendor in configuration updates regularly. Develop education materials related to coding for coding team members and providers in formats such as power point and LMS system. Monitor daily production and exception WQs for autonomous coding. Audit accuracy and identify coding logic trends. Maintain dashboards tracking accuracy, turnaround, and productivity Collaborate with vendor and IT to troubleshoot data or system issues. Ensure compliance with ICD-10 CM, CPT/HCPCS, and DRG guidelines. Support internal and external audits and provide staff education on automation variances Meet with HIM Leaders and RCST to ensure the Autonomous coding software is accurately processing the codes for the final bill. Work with HIM Coding management team to establish coding guidelines and assure coding team audits are reflected in the software Report compliance or other concerns directly to HIM Director of Coding/Education/Audit/CDI as needed or indicated About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $26.48per hour - $44.22per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Payroll tax experience preferred. The Senior Payroll Accountant/Analyst supports the Payroll Manager by performing a variety of accounting, reporting and analyst functions within the payroll area. Qualifications Certifications: , Education: Experience In Lieu of Education: Accounting; Bachelor's Degree: Related Field, Work Experience: Accounting Responsibilities Reconciles multiple payroll liability accounts and posts any required general ledger adjustments.Work from home, out of state employees - payroll portion (increased jurisdictions, filings, and registrations; management/maintenance of payroll taxes for these employees).Submit payments and file the various state tax returns.Assist manager in providing and analyzing payroll data for a variety of regulatory, legal and other reporting purposes.Assist in year-end payroll processes and provide backup support for critical payroll tasks and processing.Coordination of payroll tax returns for not-for-profit organizations in addition to other non-health insurance for-profit entity returns. This also includes the general compiling, documenting, monitoring, and review of payroll tax forms.Maintains compliance with federal and state regulations by facilitating and filing returns and tax payments.Responds to related tax correspondence by researching federal, state, and local taxation issues and recommends tax strategies.An organizational resource for tax education and support, collaboration with consultants related to Carle payroll tax returns, and coordination of audits as necessary.Review, validate and if necessary correct incoming financial data to ensure its integrity for accurate financial reporting.Continual growth in job knowledge by participating in educational opportunities and reading professional publications.Payroll system setup and maintenance for new jurisdictions, cost Center maintenance for Kronos and Lawson HR.Semi-monthly Physician Payroll Processor, assist in maintaining PR Balancing Sheet.Maintaining payroll portion of executive retirement plans - 451 & 457.Assist in editing Kronos training documents/modules, participating in HR/PR bi-weekly collaboration meetings.Preparing complex reports/data such as Sullivan Cotter Workforce Insights 360 (for HR), assistance with 990 salary data, annual budgeting for executive salaries, annual Workman's Compensation data, and assistance with Bureau Labor of Statistics reports. About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $30.54per hour - $52.53per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Utilization Management Manager, PRN - Remote (Job Number: 550618) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job SummaryThe Utilization Management Manager plays a vital role in ensuring patients have timely access to care by managing both front-end prior authorizations and in-house concurrent review authorizations. This position blends strong relationship-building skills with clinical knowledge to navigate complex payer requirements, streamline the authorization process, and support seamless patient transitions. From start to finish, this role drives the authorization process-reviewing prospective, retrospective, and concurrent medical records; coordinating with referring hospitals to secure prior authorizations; and partnering with case management teams at ScionHealth facilities to complete concurrent review authorizations. Acting as a navigator and liaison between Business Development, facility administration, managed care organizations, and payors, the specialist ensures determinations are communicated promptly and accurately to all relevant stakeholders. By combining attention to detail with proactive collaboration, the Utilization Management Manager safeguards revenue integrity, reduces delays, and supports the organization's mission of delivering exceptional patient care. This role actively contributes to quality improvement, problem-solving, and productivity initiatives within an interdisciplinary model, demonstrating accountability and a commitment to operational excellence. Essential FunctionsExtrapolates and summarizes essential medical information to obtain authorization for admission and continued stay to/at ScionHealth Level of Care. Prepares recommendations to sumbit timely request for reconsideration of denial determination in attempt to have denied authorization requests overturned. Ensures authorization requests are processed timely to meet regulatory timeframes. Reviews medical necessity assessments completed by case management, evaluating documentation for specific criteria related to severity of illness, and level of care appropriateness. Generates written appeals to medical necessity-based payor denials for denials prior to admission and concurrent review authorizations. Appeal letters may be processed on behalf of the physician, combining clinical and regulatory knowledge in efforts to have consideration of authorization. Documents authorization information in relevant tracking systems. Effectively builds relationships with business development team, admissions team/clinical staff and managed care team, to coordinate the patient admission functions in keeping with the mission and vision of the hospital. Supports review of patient referral for clinical and financial approval and/or escalation to leadership for approval following the Care Considerations grid. Coordinates and facilitates pre-admission Prior Authorizations for patients from the referral sources:Identifies /reviews medical record information needed from referring facility. Applies appropriate clinical guidelines to pre-authorization determination process. Communicates specific patient needs for equipment, supplies, and consult services as related to prior authorization requirements. Acts as a liaison with the Business Development team through every stage of the authorization process through determination. Initiates appeals process as appropriate. Facilitates and coordinates physician-to-physician communication as appropriate to support the denial management process. Communicates to appropriate teams, including business development and facility administration when clinical authorization and financial approval is complete, following standard authorization process. Provides hospital team with needed prior authorization information on pending / new admissions. Coordinate with managed care payor on all coverage issues and supports the LOA process as requested. Coordinates and facilitates Concurrent Review Authorizations for patients actively in-house at a ScionHealth facility Identifies /reviews medical record information needed from facility. Applies appropriate clinical guidelines to concurrent review authorization process. Review medical necessity review information provided by the case management team and communicates any additional questions or information requests Acts as a liaison with the Case Management team through every stage of the concurrent review authorization process through determination. Initiates appeals process as appropriate. Communicates with Medical Advisors or case managers of managed care company as necessary, including during Care Coordination / Managed Care calls Maintains a knowledge of areas of responsibility and develops and follows a program of continuing education. Participates in continuing education/ professional development activities. Learns and develops full knowledge of the CAAT Admission Processes and actively seeks to continuously improve them. Knowledge/Skills/Abilities/ExpectationsStrong relationship building skills and a spirit to serve to ensure effective communication and service excellence Knowledge of regulatory standards and compliance guidelines Working knowledge of medical necessity justification through but not limited to non-physician review guidelines (InterQual and Milliman), Medicare and Medicaid rules, regulations, coverage guidelines, NCDs and LCDsWorking knowledge of Medicare, Medicaid and Managed Care payment and methodology Extensive knowledge of clinical symptomology, related treatments and hospital utilization management Excellent interpersonal, verbal and written skills to communicate effectively and to obtain cooperation/collaboration from hospital leadership, as well as physicians, payors and other external customers Critical thinking, problem solving, and decision-making capabilities with the ability to discern, collect, organize, evaluate, and communicate pertinent clinical information with effective verbal and written skills. Technical writing skills for appeal letters and reports Effective time management and prioritization skills Computer skills with working knowledge of Microsoft Office (Word, Excel, PowerPoint, and Outlook), word-processing and spreadsheet software Demonstrates good interpersonal skills when working or interacting with patients, their families and other staff members Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers and others Adheres to policies and practices of ScionHealthMust read, write, and speak fluent EnglishMust have good and regular attendance Approximate percent of time required to travel: N/APay Range: $32. 71-$40. 98/hr. ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. Qualifications EducationPostsecondary non-Degree (Cert/Diploma/Program Grad) of an Accredited School of Nursing required Associate's Degree in healthcare or related field required Bachelor's Degree in healthcare or related field preferred Equivalent combination of Education and/or Experience in lieu of education (3+ years in a related field) may be considered Licenses/CertificationsHealthcare professional licensure preferred In lieu of licensure, 3+ years of experience in relevant field required Some states may require licensure or certification Experience3+ years of experience in a healthcare strongly preferred Experience in managed care, case management, utilization review, or discharge planning a plus Job: Case Mgmt/MDSPrimary Location: IL-Chicago-Mid America Region OfficeOrganization: 4294 - Mid America Region OfficeShift: Day

Responsible for performing routine sonographic exams in either an inpatient and/or outpatient setting in accordance with established protocols for positioning, image quality, and ALARA principles. Utilizes a variety of specialized equipment to produce sonographic images, as well as computers and various software programs to enter patient related information into hospital databases. Contributes to the overall excellence of the department through commitment to personal excellence in technical and interpersonal skills. Work required the level of knowledge normally acquired through completion of two to three years of occupationally specific education beyond high school or an Associate's degree in Ultrasound technology or closely related field. Experience in maternity care and obstetrics is required. ARDMS required within 12 months of hire in the specific modality or prior to ACR re-accreditation date. Requires the analytical ability to resolve problems that require the use of basic specific, mathematical, or technical principles and in depth experience based knowledge. Requires the ability to explain clinical, technical, and diagnostic procedures to patients and their families.

Hospital Medicare Biller (Remote) (Job Number: 549918) Description At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job SummaryThe Patient Account Representative I performs a variety of revenue cycle activities including billing, collections, cash posting, and customer service in support of hospital and physician accounts. This position ensures accurate and timely financial documentation and reimbursement through effective communication with patients, insurance companies, and other stakeholders. The representative maintains compliance with all regulations including HIPAA, and adheres to organizational policies and procedures. Essential FunctionsAccurately and efficiently processes patient accounts, including billing, collections, and payment posting. Responds to and resolves inquiries from patients, insurance carriers, and internal departments. Prepares and submits claims using billing systems; works claim edits and rejections. Follows up on unpaid accounts and performs collections activities as appropriate. Researches and applies unidentified payments. Balances daily cash posting and reconciles discrepancies. Files appeals and reconsideration requests as per department protocol. Identifies and reports overpayments; ensures appropriate refunds. Participates in A/R clean-up projects and other revenue cycle initiatives. Maintains productivity and quality standards while managing daily work queues. Demonstrates ownership and accountability in completing assignments. Knowledge/Skills/Abilities/ExpectationsAbility to communicate effectively, both verbally and in writing. Ability to work independently with minimal supervision. Strong customer service and interpersonal skills. Basic general accounting and bookkeeping knowledge. Knowledge of medical billing practices and medical terminology. Proficient in Microsoft Excel, Word, Outlook, and experience with systems such as Epic and SSI (preferred). Operates 10-key pad efficiently (for cash posting roles). Demonstrates flexibility and teamwork across all business office functions. Qualifications EducationHigh School Diploma or GED EquivalentLicenses/CertificationsRelevant licensure and practices obtained within timeframe required by facility policy Experience1-2 years previous hospital and/or physician business office experience preferred Job: Administrative/Clerical/SecretarialPrimary Location: TN-Brentwood-Corp Personnel Area 8Organization: 0297 - Corp Personnel Area 8Shift: Day

Reports to the HIM Coding Manager and is responsible for coordinating and directing activities related to coding of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision of either the professional, hospital inpatient and/or hospital outpatient coding processes. Position is responsible for ensuring these areas meet all the facility required standards for productivity and accuracy. Responsible for monitoring work flows; including measuring and managing performance indicators and key functions in the department to maintain business objectives. HIM Coding Supervisors assists HIM Coding Managers with budget preparation, staffing decisions, development and implantation of strategic goals for the coding areas. Assists in preparing a variety of recurring reports, and special projects and other duties as assigned. Provides daily staff supervision and scheduling to ensure the effective and efficient operations of the department while promoting customer satisfaction. Serves as an expert coder and the knowledge base for questions related to inpatient, professional or hospital outpatient coding. Responsible for maintaining the daily coding work flow to minimize coding backlogs. Qualifications Certifications: Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Education: Associate's Degree: Related Field; Associate's Degree: Healthcare, Work Experience: Health information Responsibilities Ensures team members under their supervision are adequately trained and are competent to perform all required job tasks. Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations. Assists employees in solving work related issues including software and connectivity issues. Reviews operational performance and employee audit results and manages team toward achieving performance metrics related to quality, productivity and turn around time Schedules team members to assure coverage for all coding areas. Serves as Carle expert on CPT and ICD coding and answers team member coding question and assists with auditing team members as needed. Analyzes regulatory information and materials for impact on the hospital environment, identifies affected functions, and works with them to implement changes. In collaboration with manager (or director) conducts regularly scheduled meetings with staff, facilitates and collaborates on initiatives within the department, enterprise wide and with external entities. Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding on staff and completion of all reports needed to have meaningful and productive monthly meetings with the manager (or director) In collaborations with the manager (or director) prepares and follows annual budgets Supports manager (or director) by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department Trains staff as needed and develops cross training matrix to assure Carle's coding team has the skill set needed to cover all coding areas. Creates, updates and maintains all department policies and procedures to ensure best practices are enforced and adhered to Ensures quality and productivity is measured on a regular basis. Works closely with Coordinators to stay on schedule with coding audits and productivity metrics as well as timely responses to CDI queries. Attends meetings as required by one up leader, including provider meetings as needed. Reviews policies and procedures related to HIM coding for accuracy yearly In collaboration with manager (or director) establishes goals for coding productivity and quality Assures HIM team members who work from home follow appropriate work from home policies and audits as necessary to assure compliance About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $30.84per hour - $53.04per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Due to exciting practice growth, Carle Health is seeking a **BE/BC Radiologist** to join our established Radiology Department at Carle Foundation Hospital in Champaign-Urbana, Illinois. Opportunity Details + **$500/hour base salary plus production and incentive bonuses, additional internal moonlighting available** + **100% remote 1 week on/2 weeks off 10p-6a CST** + **Non-profit status with public service loan forgiveness eligibility** + Required modalities include: X-ray, CT, MRI, and US + Internal moonlighting available with immediate elite earning potential + **Excellent benefits package** : health/dental/life insurance, 403-B plan with employer match, 457b retirement plan, short and long-term disability, **generous signing bonus** (please inquire), CME allowance, and paid malpractice insurance with **tail insurance** covered + **Home workstation provided** , **fantastic 24/7 live IT support** , **dedicated 24/7 reading room assistants** to enhance communication workflow + State of the art equipment including a new Siemens MRI fleet, new GE CT and PET/CT scanners, **Visage PACS** , **Powerscribe** **One** , **EPIC EMR** , AI workflow integrations (AIDOC, ClearRead, RapidAI, RadAI impression generation, etc.) + Opportunity for academic and/or research affiliation with the Carle Illinois College of Medicine, the nation's first medical school focused at the intersection of healthcare and engineering About Our Community Globally connected, innovative and culturally rich, Champaign-Urbana is centrally located to Chicago, Indianapolis and St. Louis and is home to one of the world's great public research universities - the Big Ten University of Illinois. With ease of transportation, excellent schools and affordable housing options, our community features the friendliness and advantages of a smaller town while offering the dining, arts, sports, and entertainment options found in a much larger city. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. Compensation and Benefits The compensation range for this position is $475,000 - $675,000. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits

Are you looking for a rewarding career in homecare as an AR Coordinator ? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay * $17-$20 / H What's in it for you * A full benefits package with choice of affordable PPO or HSA medical plans. * Paid time off. * Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. * Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* * Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. * 401(k) with a company match. * Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. * Fleet vehicle program (restrictions apply) and mileage reimbursement. * And more. Please note: Benefit eligibility can vary by position depending on shift status. * To participate, you must be enrolled in an Amedisys medical plan. Responsibilities As an AR Coordinator, you will be responsible for ensuring proper payment according to payor guidelines for an assigned portfolio of claims. The position is in a productivity based working environment. * Knowledge of medical billing guidelines and criteria for reimbursement including governmental payors. * Familiarity with medical billing terminology. * Demonstrates analytical thinking and problem-solving capability. * Demonstrated professional level of verbal , written communication and interpersonal skills. * Strong software skills and knowledge of all Microsoft products (i.e., Excel, Word, Outlook) as well as office equipment including copiers, fax machines and other methods of electronic communication. * Demonstrates initiative and skills in planning and organizing work. * Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. * Ability to meet daily production goals set by manager, completing work accurately and within expected time frames. * Requires minimal supervision and is self-directed. * Knowledge of customer service skills applied when responding to inquiries from internal and external customers. * Performs other duties as assigned. Qualifications Required: * Must be proficient in collecting payments from insurance payors on denied or partially paid claims. * Two (2) years' experience Healthcare AR Collections. * Familiar with medical terminology. * Strong data entry and ability to type 40-50 WPM with a high level of accuracy. * High School Diploma or equivalent. Preferred: * Post-secondary education or training in business or medical billing/collections. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. Required: * Must be proficient in collecting payments from insurance payors on denied or partially paid claims. * Two (2) years' experience Healthcare AR Collections. * Familiar with medical terminology. * Strong data entry and ability to type 40-50 WPM with a high level of accuracy. * High School Diploma or equivalent. Preferred: * Post-secondary education or training in business or medical billing/collections. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. As an AR Coordinator, you will be responsible for ensuring proper payment according to payor guidelines for an assigned portfolio of claims. The position is in a productivity based working environment. * Knowledge of medical billing guidelines and criteria for reimbursement including governmental payors. * Familiarity with medical billing terminology. * Demonstrates analytical thinking and problem-solving capability. * Demonstrated professional level of verbal , written communication and interpersonal skills. * Strong software skills and knowledge of all Microsoft products (i.e., Excel, Word, Outlook) as well as office equipment including copiers, fax machines and other methods of electronic communication. * Demonstrates initiative and skills in planning and organizing work. * Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. * Ability to meet daily production goals set by manager, completing work accurately and within expected time frames. * Requires minimal supervision and is self-directed. * Knowledge of customer service skills applied when responding to inquiries from internal and external customers. * Performs other duties as assigned.

Responsible for following established policies and procedures, and various activities related to the patient registration process. This includes collection of demographic, financial, insurance information, and financial screening of patients prior to services being rendered. Completes collections of patient financial responsibility, and refer self pay patients to appropriate financial service when needed. Enters data accurately and ensures prompt service to all patients and acts as a liaison for other ancillary departments. The position is on site 6 months for training and then work from home. Work requires a High School diploma or equivalent and up to one year of basic technical training in medical office practice plus 3 to 6 months of on the job training and orientation. Certified Healthcare Access Associate (CHAA) by National Association of Healthcare Access Management preferred. Bilingual preferred. Knowledge of Microsoft Office required. Knowledge of medical terminology is considered an asset.

The Autonomous Coding Implementation Analyst is responsible for supporting and monitoring the implementation, accuracy, and optimization of the hospital's autonomous coding (AC) solution. This hybrid position combines coding expertise with data analytics and system oversight, serving as a liaison between HIM Operations and Revenue Cycle Systems ensuring the workflows are compliant, efficient and aligned with revenue cycle goals. Auditors help identify training needs through ongoing internal provider and staff audits and assist with remediation and reaudit post education. Auditors are responsible to produce coding education materials in formats such as power point or LMS educations systems. Qualifications Certifications: Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Professional Coder - Hospital (CPCH) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC), Education: Associate's Degree: Health Information Mgt, Work Experience: Coding Responsibilities Participate in configuration, testing, and deployment of the autonomous coding platform. Provide education as needed, either one on one or in group format to Carle medical staff and HIM coding team members. Compile and track statistics related to the audit process and system configuration changes as service lines are deployed. Attend meetings as required with providers and coding team members on topics related to autonomous coding process and auditing of results. Engage software vendor in configuration updates regularly. Develop education materials related to coding for coding team members and providers in formats such as power point and LMS system. Monitor daily production and exception WQs for autonomous coding. Audit accuracy and identify coding logic trends. Maintain dashboards tracking accuracy, turnaround, and productivity Collaborate with vendor and IT to troubleshoot data or system issues. Ensure compliance with ICD-10 CM, CPT/HCPCS, and DRG guidelines. Support internal and external audits and provide staff education on automation variances Meet with HIM Leaders and RCST to ensure the Autonomous coding software is accurately processing the codes for the final bill. Work with HIM Coding management team to establish coding guidelines and assure coding team audits are reflected in the software Report compliance or other concerns directly to HIM Director of Coding/Education/Audit/CDI as needed or indicated About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************. Compensation and Benefits The compensation range for this position is $26.48per hour - $44.22per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Education: High School Diploma or G.E.D Certifications: Certifications: Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Work Experience: Knowledge of ICD10, CPT and HCPCs coding rules as applicable to the position. Ability to work with others collaboratively, both orally and in writing. Knowledge of medical science, anatomy and physiology required. Ability to perform computer data entry. Experience with encoders and other coding software preferred **.** Responsibilities Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties Performs provider and peer coding audits as requested Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. About Us **Find it here.** Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. _We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************._ Compensation and Benefits The compensation range for this position is $23.58per hour - $39.38per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Due to exciting practice growth, Carle Health is seeking a **BE/BC Radiologist** to join our established Radiology Department at Carle Foundation Hospital in Urbana, Illinois. Opportunity Details + **$450/hour** **base salary plus production and incentive bonuses, additional internal moonlighting available** + **100% remote 1 week on/2 weeks off 5p-1a CST** + **Non-profit status with public service loan forgiveness eligibility** + Required modalities include: X-ray, CT, MRI, and US + Internal moonlighting available with immediate elite earning potential + **Excellent benefits package** : health/dental/life insurance, 403-B plan with employer match, 457b retirement plan, short and long-term disability, **generous signing bonus** (please inquire), CME allowance, and paid malpractice insurance with **tail insurance** covered + **Home workstation provided** , **fantastic 24/7 live IT support** , **dedicated 24/7 reading room assistants** to enhance communication workflow + State of the art equipment including a new Siemens MRI fleet, new GE CT and PET/CT scanners, **Visage PACS** , **Powerscribe** **One** , **EPIC EMR** , AI workflow integrations (AIDOC, ClearRead, RapidAI, RadAI impression generation, etc.) + Opportunity for academic and/or research affiliation with the Carle Illinois College of Medicine, the nation's first medical school focused at the intersection of healthcare and engineering About Our Community Globally connected, innovative and culturally rich, Champaign-Urbana is centrally located to Chicago, Indianapolis and St. Louis and is home to one of the world's great public research universities - the Big Ten University of Illinois. With ease of transportation, excellent schools and affordable housing options, our community features the friendliness and advantages of a smaller town while offering the dining, arts, sports, and entertainment options found in a much larger city. About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. Compensation and Benefits The compensation range for this position is $425,000 - $600,000. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits

Reports to the HIM Coding Manager and is responsible for coordinating and directing activities related to coding of individual patient health information for data retrieval, analysis, and claims processing. Assures revenue integrity and quality of coding through supervision of either the professional, hospital inpatient and/or hospital outpatient coding processes. Position is responsible for ensuring these areas meet all the facility required standards for productivity and accuracy. Responsible for monitoring work flows; including measuring and managing performance indicators and key functions in the department to maintain business objectives. HIM Coding Supervisors assists HIM Coding Managers with budget preparation, staffing decisions, development and implantation of strategic goals for the coding areas. Assists in preparing a variety of recurring reports, and special projects and other duties as assigned. Provides daily staff supervision and scheduling to ensure the effective and efficient operations of the department while promoting customer satisfaction. Serves as an expert coder and the knowledge base for questions related to inpatient, professional or hospital outpatient coding. Responsible for maintaining the daily coding work flow to minimize coding backlogs. Qualifications Certifications: Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA); Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC); Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Education: Associate's Degree: Related Field; Associate's Degree: Healthcare, Work Experience: Health information Responsibilities Ensures team members under their supervision are adequately trained and are competent to perform all required job tasks. Recommends or initiates personnel actions for hires, promotions, transfers, discharges, and disciplinary measures. Initiates and completes staff performance evaluations. Assists employees in solving work related issues including software and connectivity issues. Reviews operational performance and employee audit results and manages team toward achieving performance metrics related to quality, productivity and turn around time Schedules team members to assure coverage for all coding areas. Serves as Carle expert on CPT and ICD coding and answers team member coding question and assists with auditing team members as needed. Analyzes regulatory information and materials for impact on the hospital environment, identifies affected functions, and works with them to implement changes. In collaboration with manager (or director) conducts regularly scheduled meetings with staff, facilitates and collaborates on initiatives within the department, enterprise wide and with external entities. Endorses and performs all required tasks associated with the Carle Experience such as, but not limited to, regular rounding on staff and completion of all reports needed to have meaningful and productive monthly meetings with the manager (or director) In collaborations with the manager (or director) prepares and follows annual budgets Supports manager (or director) by interpreting and analyzing financial data to identify and monitor performance and establish benchmarks for the department Trains staff as needed and develops cross training matrix to assure Carle's coding team has the skill set needed to cover all coding areas. Creates, updates and maintains all department policies and procedures to ensure best practices are enforced and adhered to Ensures quality and productivity is measured on a regular basis. Works closely with Coordinators to stay on schedule with coding audits and productivity metrics as well as timely responses to CDI queries. Attends meetings as required by one up leader, including provider meetings as needed. Reviews policies and procedures related to HIM coding for accuracy yearly In collaboration with manager (or director) establishes goals for coding productivity and quality Assures HIM team members who work from home follow appropriate work from home policies and audits as necessary to assure compliance About Us Find it here. Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health. Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: *************************. Compensation and Benefits The compensation range for this position is $30.84per hour - $53.04per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

Responsible for utilizing the Nursing Process in a collaborative manner to plan, implement and evaluate nursing care in accordance with his/her scope of practice. The RN supports the goals and philosophy of the Department of Nursing within the St. Joseph's Healthcare System and on his/her assigned unit. Knowledge of theories, principles, and concepts normally acquired through completion of a Bachelor's degree in Nursing preferred. Licensure required as a Registered Nurse by the State of New Jersey. Successful completion of department specific orientation and department specific certifications of Basic Life Support (BLS) and VABC (Board Certified in Vascular Access) within one year of hire. Effective January 2019, St. Joseph's Health requires certifications for Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) to be granted through the American Heart Association