Medcor Remote jobs

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $64,084.80 - $115,336.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-5 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5452 RI and Charge Capture This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Serves as a Charge Generation Tracker (CGT) and regulatory gatekeeper to ensure compliance with coding and billing guidelines. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. Acts as primary resource for providers, clinical and administrative staff for coding questions and research related to revenue enhancement and correct coding. I. Major Responsibilities: 1. Serves as a gatekeeper to ensure that regular and annual CGT updates compliant with third party regulatory and coding billing guidelines and reflect clinical practice. 2. Collaborates with clinical / ancillary departments to facilitate proper use of CGT files as well as synchronization of preference lists and orders in IT applications. 3. Ensures system wide compliance with federal, state and local regulations with regard to charge codes and related information in the CGT. 4. Ensures standardized CGT request processes are followed. 5. Reviews all assigned edits within prescribed timeframe and routes to appropriate owner for resolution. 6. Provides support and guidance to clinical and RI / Charge Capture staff to resolve outstanding edits. 7. Monitors daily edits reports and alerts clinical departments of delinquencies. 8. Provides regulatory (coding and billing) support to clinical charge capture specialists to address CGT, coding, charge capture and billing questions. 9. Utilizes subject matter knowledge to support proper interpretation and analysis of performance report(s). 10. Utilizes reporting and data analysis in combination with standard benchmarks and criteria to identify and follow-up on potential revenue integrity issues. 11. Ensures the CGT structure supports effective capture of all chargeable services based on a thorough knowledge of the regulatory requirements, IT applications and charge capture processes. 12. Provides subject matter knowledge related to the CGT for clinical departments, revenue cycle team, finance, compliance and administrative staff. 13. Provides accurate feedback and documentation to support educational needs. 14. Develops and conducts educational courses and seminars focusing on professional documentation, coding and billing for physicians, clinicians, administrative staff and Professional Billing Central Billing Office (PBCBO) staff. 15. Develops training programs and supporting materials relative to physician coding and billing guidelines and protocols to ensure that specific areas of need are addressed and that all materials comply with applicable rules and regulations. 16. Participates in PBCBO staff training on coding and billing guidelines. 17. Monitors CMS and applicable third party coding and billing publications, and abstracts key information relative to established coding and billing policies and procedures for distribution to UMMMG stakeholders (clinical, administrative, compliance, PFS, finance). 18. Researches third party coding and billing guidelines and ensures timely and accurate compliance with federal, state, local payer requirements as well as UMMMG contracts specific to charging, coding, bundling and unbundling, modifier reporting requirements. 19. Leads annual review process by providing updates regarding CPT, CMS regulatory updates, professional society publications (e.g., ASA) for clinical, administrative, compliance, revenue cycle, and finance. 20. Performs quality audits and reviews of focused patient accounts to identify improvement opportunities in clinical documentation, charge capture and coding. 21. Provides audit feedback to key clinical and revenue cycle stakeholders for continuous improvement. 22. Monitors downtime forms for each billing area. 23. Collaborates with clinical charge capture analyst to ensure that downtime procedure is maintained. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Associate's degree. 2. Certification in Professional Coding. (CPC) Certified Professional Coder. 3. EPIC Credentialed in Ambulatory within 12 months of hire date. Experience/Skills: Required: 1. Three to five (3-5) years of work experience related to professional billing and coding. 2. Knowledge of industry standard practices, including CPT / HCPCS codes and third-party reimbursement policies. 3. Knowledge of coding and billing requirements based on third party publications, including Blue Shield, Medicare, Medicaid, commercial insurers and HMOs / PPOs. 4. Strong interpersonal and communication skills required. Ability to speak and present in front of groups required. 5. Detail oriented, strong analytical skills with the ability to multi task and prioritize required. 6. A working knowledge of Microsoft Office applications, ability to develop reports and create presentations. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. *On-site work is required based on business need. Travel could be to any UMass office or facility* All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

AllOne Health is in the business of care; and service is what matters most. As a leader in workplace behavioral health, we've proven that a company's success is directly linked to the health and well-being of their employees. By joining our team, you will make a difference in the lives of our clients and their communities. The meaningful work that we do includes counseling, providing work-life resources, wellness and more through our Employee Assistance Programs (EAP). We are currently seeking a Human Resources Generalist to work remotely. This is a full-time, exempt position. POSITION SUMMARY: This role will be responsible for administering employee relations, recruitment, benefits, compliance, and HR programs while ensuring alignment with company policies and objectives. KEY ACCOUNTABILITIES & DUTIES: Assist with full-cycle recruitment including job postings, screening, interviewing, and hiring. Coordinate and conduct new hire orientations and onboarding activities. Act as a point of contact for employee inquiries regarding HR policies, procedures, and benefits. Support managers with performance management, conflict resolution, and disciplinary actions. Manage enrollment, changes, and terminations for employee benefits. Assist with annual open enrollment and employee communications. Maintain employee records in compliance with legal requirements and company policies. Ensure compliance with federal, state, and local employment laws and regulations. Support coordination and tracking of employee training and development programs. Assist with initiatives to improve employee engagement and retention. Maintain and update HRIS (Human Resources Information System). Prepare HR-related reports such as headcount, turnover, and compliance audits. QUALIFICATIONS: Bachelor's degree in Human Resources, Business Administration, or related field. 3+ years of experience in an HR generalist or similar role. Knowledge of HR laws and regulations (e.g., FMLA, FLSA, ADA, EEO). Proficiency with HRIS systems and MS Office Suite. Excellent interpersonal, communication, and organizational skills. Ability to handle sensitive and confidential information with discretion. HR certification (e.g., PHR, SHRM-CP) is a plus. Dependable and reliable. Proficient in Microsoft Excel and Microsoft Word. Company Perks: We don't want you to wait - Immediate medical (Blue Cross/Blue Shield), dental, and vision insurance is available Self-Care is a top priority - We offer desirable work schedules and a generous amount of Paid Time Off Thinking about your future? - We have a 401(k) retirement program with a company match Of course, we know that life happens - Employee Assistance Program (EAP) benefits are available to you and your family …and many more! AllOne Health is an AA/EO employer and actively seeks candidates from diverse backgrounds.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $67,288.00 - $121,118.40 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 7:00 a.m. - 3:30 p.m. Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5458 Coding Services This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Performs focused account and quality reviews of coded records to support the ongoing performance management process. Validates the Diagnosis Related Group (DRG) and current editions of ICD-CM, ICD-PCS, and CPT code assignment to ensure consistency and efficiency in the processing, data collection, and quality reporting associated with inpatient and outpatient claims. I. Major Responsibilities: 1. Performs focused account and Coder quality reviews on inpatient and outpatient records to validate the DRG and current editions of ICD-CM, ICD-PCS, and CPT code assignment as well as missed secondary diagnoses or procedures which may impact the Severity of Illness (SOI) and Risk of Mortality (ROM). 2. Ensures compliance with all DRG, outpatient coding, and charging mandates as well as reporting requirements. 3. Validates the DRG and current editions of ICD-CM, ICD-PCS, and CPT code assignment to ensure consistency and efficiency in the processing, data collection, and quality reporting associated with inpatient and outpatient claims. 4. Demonstrates competency in the use of computer applications, DRG grouper software, as well as all coding and abstracting software currently used in HIM. 5. Runs daily reports to ensure all focused account reviews are worked to prevent the unnecessary holding of accounts prior to billing. Informs the Manager of Coding-HIM when backlog situations arise and necessary documents are either incorrect or not received in a timely manner. 6. Provides feedback on Coder quality reviews to the Manager of Coding-HIM, Supervisor of Inpatient Coding, Manager of Emergency Department (ED) Coding, and Manager of Radiology Coding based on the Coding Audit and Performance Management policy and procedure. 7. Creates and monitors Case Mix Index (CMI) reports and accuracy of the top 25 assigned DRGs to identify patterns, trends, and variations. 8. Creates and monitors outpatient reports and accuracy of top 25 assigned principle diagnoses to identify patterns, trends, and variations in the organization's frequently assigned principle diagnoses, evaluation and management codes, modifiers, and CPT procedure changes. 9. Evaluates the root cause of any identified trends or possible problem areas. Reports variances to the Manager of Coding-HIM, Manager of ED Coding, and Manager of Radiology Coding. 10. Acts as a point person for Coding staff on questions or concerns related to ICD-CM (current edition), DRG, Evaluation and Management (E/M) code assignment as well as procedural coding and the retrospective query process. 11. Maintains direct and ongoing communications with Coding personnel to maximize overall effectiveness and efficiency of Coding operations. 12. Informs Manager(s) of any coding irregularities or trends contrary to policies / procedures and communicates with appropriate staff if necessary. 13. Assists the Manager of Coding-HIM in performance improvement initiatives and demonstrates the use of quality improvement in daily operations. 14. Assists the Manager of Coding-HIM in meeting department / unit goals and ensuring compliance with regulatory agencies such as Joint Commission, DPH, etc. 15. Works closely with the Retrospective CDIS Nurse and Clinical Documentation Improvement (CDI) Program team to continuously monitor the quality of clinical documentation to identify incomplete or inconsistent documentation in addition to any changes in DRG assignment and payment. 16. Monitors retrospective queries for appropriateness and may provide Coder feedback. Informs the Manager of Coding-HIM of any identified concerns. 17. Collaborates with the Manager of Coding-HIM as the primary department resource for the dissemination of DRG interpretations. 18. Collaborates with the Coding Educator to provide ongoing education to the Coding staff, Providers, and other clinicians to ensure appropriate assignment of current edition of ICD-CM, DRGs, E/M codes as well as modifiers and CPT procedure changes. 19. Collaborates with the Coding Educator to incorporate improvement efforts into coding in-services throughout the year. 20. Assists the Manager of Coding-HIM in preparing productivity reports and participates in the department's total quality management studies. 21. Maintains DRG and coding accuracy rate of not less than 95% for optimal reimbursement as well as department productivity standards as outlined in department policies. 22. Attends required training classes and coding in-services each year to stay abreast of new regulations and coding guidelines. 23. Participates in improvement efforts and documentation training for medical and clinical staff as it relates to coding practices and guidelines. 24. Monitors Medicare and other DRG payer bulletins and manuals. Reviews current Office of Inspector General (OIG) work plans for DRG risk areas. 25. Keeps current with all coding updates and information related to correct coding. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Bachelor's degree in Business or Health Care Administration. 2. Certification as a Certified Coding Specialist (CCS). Preferred: 1. Certification as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT). Experience/Skills: Required: 1. Minimum of five (5) years of experience coding in a large, teaching, acute tertiary care setting with demonstrated coding expertise. 2. Extensive knowledge of current editions of DRGs, ICD-CM, ICD-PCS, and CPT coding systems. 3. Through knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding and billing practices. 4. General knowledge of hospital information systems as well as extensive knowledge of computer systems / applications used in HIM. 5. General knowledge of the retrospective CDI query process as well as guidelines for achieving a compliant query and associated compliance concerns. 6. Excellent customer service skills with the ability to communicate efficiently. 7. Exceptional organizational skills with attention to detail. 8. Ability to lead, organize, and support the work of less senior Coders is a primary function of this position. 9. Ability to work independently within established guidelines. 10. Excellent oral and written communication skills required. 11. Ability to motivate, train and teach individuals; demonstrating skills in interpersonal relationships and in oral and written communication. 12. Ability to organize and coordinate multiple functions and tasks. 13. Ability to problem solve, organize, and prioritize workload to meet productivity benchmarks. 14. Ability to withstand significant level of on-going pressure, and ability to deal with individuals with tact, discretion and diplomacy. Preferred: 1. Coding review experience in DRG assignment, and current editions of ICD-CM, ICD-PCS and CPT coding with previous claims processing and data management responsibility. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Scheduled Hours: Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5416 Payment Variance and Contracts Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution. Responsible for processing payment discrepancies (under/overpayments). Reviews, analyzes and initiates appropriate action for discrepancy resolution. Major Responsibilities: Prioritizes standards and guidelines to perform payment variance follow up utilizing assigned work queue. Analyzes and researches overpayments and underpayments with payers. Determines and executes the best approach for resolution. Validates payment discrepancies using Hospital Billing Revenue Cycle management system calculations. Identifies and isolates payment variance trends and discrepancies, escalates as appropriate. Corresponds with third party payers, hospital departments, and patients to obtain information required for payment variance resolution. Clearly documents all actions taken during the resolution process. Applies reimbursement concepts while researching and triaging payment variance. Position Qualifications: License/Certification/Education: Required: High School diploma Experience/Skills: Required: Two or more years of experience in health care billing functions. Knowledge and experience with health care revenue cycle systems and billing tools. Proven track record of successful performance and goal achievement. Ability to perform assigned tasks efficiently and in timely manner. Ability to work collaboratively and effectively with people. Exceptional communication and interpersonal skills. Strong analytical skills. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Enjoy the experience of being a Virtual Mental Health Therapist - Let us take care of the rest. Embark on a fulfilling part-time role as a therapist with us, featuring competitive hourly compensation. Whether you opt for part-time employment or working as an independent contractor, this opportunity allows you to effortlessly pick up a part time or second job from home. Benefit from flexible work hours that suit your schedule. Apply now to bring your expertise to our team and enjoy a competitive rate for your valuable contributions. Limited license? No problem! We offer guaranteed hours with paid supervision at a lower hourly rate until licensure. AllOne Health is in the business of care; and service is what matters most. As a leader in workplace behavioral health, we've proven that a company's success is directly linked to the health and well-being of their employees. We are seeking Virtual Counselors to join our team! This position is 100% remote with flexible working hours. We are looking for both part-time employees and contractors! Position Summary: As an AllOne Health Virtual Counselor, you will play a vital role in supporting Assistance Program Members (EAP, MAP, SAP) by providing access to a comprehensive range of resources and services that foster holistic well-being. By emphasizing whole health, we contribute to the strength of individuals, families, and organizations. Full clinical licensure is preferred. Salary Range: $30.00 - $34.20 per hour. What You'll Do: Deliver counseling, coaching and support to Assistance Program Members, addressing their mental health and well-being needs. Foster a supportive and empathetic environment for clients to achieve their well-being goals. Collaborate with the AllOne Health team to ensure the highest quality of care and support. What You'll Need: Master's degree in a Behavioral Health field from an accredited institution. Full Clinical licensure in any state will be considered. Limited Licensure in preferred states will also be considered. Reliable internet connection and speed. Position Perks: This position is 100% telehealth, offering the flexibility of working remotely from your home office. Pick a schedule that works for you! We offer flexible working hours including nights and weekends. Don't worry about those last-minute cancellations! We pay by the hour, not by client sessions. Reimbursement of up to $500 for continuing education and/or License annually.

Salary Range: $71,260 to $106,870/year Preferred Experience with UKG Pro Workforce Management This position is a remote role that REQUIRES current residence in one of the following states. If you do not currently live in one of these states, please do not apply: Arkansas, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Human Resource Information Systems (HRIS) Analyst 2 REPORTS TO POSITION: HRIS Manager DEPARTMENT: Human Resources DATE LAST REVIEWED: April 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Human Resources Department provides a variety of functional and system support services for all department and campuses across the organization. At. St. Charles, we believe our strength is in our people. Human Resources is focused on supporting our people strategy by delivering a robust foundation of services and specialized expertise including people and organizational development, talent acquisition, caregiver (employee) relations, labor relations, compensation, benefits and absence management, human resources information services, and onboarding/off-boarding. POSITION OVERVIEW: The HRIS Analyst 2 works as a liaison between HR, IT and Operations to provide day-to-day support and analysis and to leverage technology solutions to meet the needs of Human Resources and users of HR information. The HRIS Analyst 2 maintains a broad knowledge of St. Charles administrative systems and processes with an expert understanding of their interrelationships and dependencies. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Supports Workday HCM, including data integration, reporting, and system configuration. Participates in system enhancements updates and upgrades ensuring that the system is functioning per the specifications and user's needs. Develops advanced reports, including creating calculated fields and maintaining dashboards, to provide accurate data, analytics and insights to the HR team and the wider organization. Monitors and tests business process workflows for both new and optimization of current configuration. Documents system configuration changes in compliance with internal controls policies and procedures. Provides end-user support, training, and documentation. Creates EIB and mass data change templates and processes. Supports projects related to HR, Payroll, Timekeeping, Absence, and Benefit systems. Logs HRIS end user issues in the help desk tracking system. Follows up with users to ensure issues were resolved promptly. Assists with problem resolution for assigned systems and applications including but not limited to: Error reports, calls from caregivers, Payroll, and other data feeds, etc. Supports multiple concurrent projects/systems, makes trade-offs, facilitates project meetings, meets tight deadlines, and escalates effectively in order to meet project timelines. Manages and mitigates project risks. Serve as a subject matter expert for Workday, providing guidance and support to end-users, troubleshooting issues, and delivering training as needed. Expands upon knowledge of HRIS and application design tools, and the ability to design, develop, test and support customization. Partners with IT/Vendors in a responsive manner to implement and repair technology solutions. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High School diploma or GED Preferred: Bachelor's degree in Human Resources, Information Technology, Business Administration or other related. LICENSURE/CERTIFICATION/REGISTRATION Required: N/A. Preferred: Workday Pro, PHR, PMP, HRIT, or other technical certification. EXPERIENCE Required: Three (3) years of increasingly responsible HRIS experience supporting a high-volume Human Resources department. Previous experience supporting an ERP system. Preferred: Experience with Workday. Experience with UKG WFM Pro. Prior healthcare experience is a plus. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: SKILLS: Must be able to break down a problem or situation into its component parts, and identify implications, time frames and sequences, while remaining cognitive of the big picture. Must have strong knowledge of system testing, best practices, and methodologies. Must have excellent understanding of ERP business modules and tools. Must be able to communicate effectively with internal and external audiences. Must be able to maintain a high degree of professionalism and confidentiality, while maintaining outstanding customer relations and understanding of customer needs. Must be self-directed, thrive in an unstructured environment, and handle ambiguity well. Must have excellent analytical, problem solving and decision-making skills. Must have strong team working and collaborative skills. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: ANALYST HUMAN RESOURCES Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0800 - 1700

Supervisor, Observation, Day Surgery and CVIR Coding Department: UCHlth Outpatient Coding 2 FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $29.54 - $44.31 / hour. Pay is dependent on applicant's relevant experience Summary: Supervises daily staff activities for facility Observation, Day Surgery and CVIR Coding.This is a 100% remote position. Eligible out-of-state candidates may be considered. Responsibilities: Determines, coordinates and supervises daily staffing assignments. Provides direction, orientation, training, coaching, and mentoring to staff. Performs or assists with performance evaluations and disciplinary actions. Supports management initiatives. Assesses quality of services delivered and facilitates staff development programs. Ensures staff compliance with departmental and organizational policies, procedures, and protocols. Performs staff responsibilities as needed to fulfill required service levels. Leads the handling and resolution of complex issues and complaints. Serves as an internal liaison with other departments that have coding concerns/questions. Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action. Requirements: + High School diploma or GED. + Coding-related certification from AHIMA or AAPC. + 2 years of relevant experience. Preferred: 2 years of supervisory experience. We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives. UCHealth invests in its Workforce. UCHealth offers a Three Year Incentive Bonus to recognize employee's contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years' employment. UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status): + Medical, dental and vision coverage including coverage for eligible dependents + 403(b) with employer matching contributions + Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank + Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options + Employer paid short term disability and long-term disability with buy-up coverage options + Wellness benefits + Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs + Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year Loan Repayment: + UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi. UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified. UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization. AF 123 Who We Are (uchealth.org)

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Hiring Range: $175.48/hr - $209.13/hr Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. UMass Memorial Medical Group is seeking additional Per Diem ED Radiologists to either work onsite or remotely read. We are seeking additional per diem radiologists for all shift types (7a-3p, 3p-11p, 11p-7a). About our Department: Our department is comprised of ~80 Radiologists, 20 residents, 9 fellows and 15 PhDs. In our ED group we have a team of 15. Our health system covers over one million lives and is a Level 1 Trauma Center with 95,000 ED visits per year. Our department has over $6M/year in research funding. Academic pursuits are encouraged and supported both in the realms of research and education. Our department has state of the art imaging equipment, AGFA PACS system, EPIC EMR, Tera-Recon image processing software, Powerscribe 360 and is running several AI algorithms. Radiologist Requirements: ED Radiologists work at the University campus with one resident and/or one Emergency Radiology fellow, and remotely cover several other hospitals. Additional opportunities for internal moonlighting within the department are available if desired. We offer three shift types to include 7am-3pm, 3pm-11pm and 11pm-7am. We can offer hybrid schedules to include remote reading days but an onsite presence is required. You must be comfortable interpreting the following modalities: CT, MRI, ultrasound, and Basic nuclear medicine. Fellowship training in Emergency Radiology is desired but not required. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Inside Account Manager will be responsible for building and maintaining strong relationships with a defined book of Concentra's national customers to ensure satisfaction, retention, and growth. This role serves as the primary point of contact for customer inquiries and account development opportunities. Inside Account Management responsibilities include virtually meeting with assigned customers to maintain correct and complete account data, ensuring satisfying customer experiences at Concentra medical centers nationwide, playing an active role in customer issue resolution, and increasing market share by expanding location utilization and additional services that Concentra provides. The Inside October 31, 2025 Account Manager partners closely with Sales, Operations, and Support teams to provide a seamless customer experience and deliver value through proactive communication and problem-solving. Responsibilities * Serve as the main point of contact for assigned customer accounts * Virtually meet with assigned customers to conduct periodic account reviews, stewardship meetings, and addressing customer pain points * Develop and maintain a deep understanding of customer needs, business goals, and challenges * Proactively engage customers to ensure satisfaction and address potential issues before they escalate * Review complex account data and practice critical thinking skills to uncover errors in account data that lead to service delivery problems and/or billing issues * Identify opportunities for upselling or cross-selling additional products and services that align with customer needs * Partner with Operations and Sales to maximize account growth potential * Regularly update and maintain accurate customer records in CCM system * Record interactions with customers in Microsoft Dynamics (CRM) and Salesloft * Collaborate with internal teams to resolve customer concerns and ensure timely service delivery * Provide exceptional service through responsiveness, transparency, and follow-through * Advise customer on Concentra processes, including onboarding support when needed Qualifications * Education Level: Bachelor's Degree ; Major: Business Administration, Marketing or related field * Degree must be from an accredited college or university. Education Details: * Bachelor's degree from an accredited college or university or equivalent education and experience * In lieu of higher education, the ratio is 1:1, meaning one year of college equals one year of work experience and vice-versa * Serves as the primary internal point of contact for all colleague injury claims and Workers' * Customarily has at least two years of experience in virtual account management, sales or customer service. * Healthcare industry, occupational health care or workers' compensation industry is preferred * Experience with sales, marketing and communications is preferred Job Related Skills / Competencies * Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility * Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions * Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism * The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies * Must be able to analyze complex customer data to make corrections and identify root issues * Must be able to maintain composure and professionalism when handling customer complaints and working with internal colleagues toward a resolution * Strong strategic thinking skills to include critical thinking when identifying customer concerns, revenue maximization opportunities, and customer solutions * Excellent oral and written communication skills, especially with virtual communication * Strong attention to detail * Strong drive to exceed client expectations * Enterprise awareness and being a self-starter to understand how to prioritize a large volume of work * Flexibility in moving between diverse job tasks * Ability to work in a fast-paced environment with aggressive performance expectations * Excellent systems skills including CRM (Microsoft Dynamics), SalesLoft and customer information databases * Solid work ethic and integrity with a desire to work with a high level of energy and be a Concentra brand advocate Additional Data Employee Benefits * 401(k) Retirement Plan with Employer Match * Medical, Vision, Prescription, Telehealth, & Dental Plans * Life & Disability Insurance * Paid Time Off * Colleague Referral Bonus Program * Tuition Reimbursement * Commuter Benefits * Dependent Care Spending Account * Employee Discounts We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required. * This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management* Concentra is an Equal Opportunity Employer, including disability/veterans

TITLE: Prior Authorizations and Referral Management Representative Applicable Ambulatory Access or Outpatient Clinic Leader DEPARTMENT: Patient Access Services / St. Charles Clinic DATE LAST REVIEWED: October 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: Patient Access Services is a support services division of St Charles Health System. Patient Access serves as a liaison to inpatient and hospital-based outpatient departments. Ambulatory Access serves as a liaison to ambulatory outpatient departments by providing scheduling, registration, prior authorization, medical record, population health outreach, and project management support. We encourage collaboration between clinical and non-clinical staff to ensure we are providing our community with comprehensive and compassionate health care. POSITION OVERVIEW: The Prior Authorizations and Referral Management Representative will be responsible for coordination of prior authorization and referral processes for patients being referred for services, testing, speciality care, diagnostic procedures, and surgery. This role acts as a liason between patients and the professional staff by facilitating coordination of care responsibilities. Extensive scheduling coordination with surgery department, specialist and ancillary departments. Prior Authorization and Referral Management Representatives' home department may be a specific centralized location that is supported by Patient Access Services, or in a SCHS outpatient clinic supporting a single specialty. This position does not supervise any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES Must be able to multitask and prioritize workflows; engage providers, care team, and patients in the prior authorization process. Confirms and validates patient health plan coverage and obtains accurate benefit eligibility and coverage. Makes appropriate system updates to coverage and benefits accurately. Communicates appropriate provider, facility, and order information to health plan as part of the prior authorization and referral process. Notifies health plan and gains financial clearance for plans for patient to undergo a course of care requiring prior authorization. Coordinates and supports providers with medication authorizations. May coordinate patient assistance programs with patients and providers. Utilizes internal and external systems to appropriately request and coordinate prior authorization and referrals for patient care. Faciltates the scheduling of patients with internal and external departments, clinics and hospitals. Updates and annotates systems with current and accurate information regarding requests for prior authorizations and referrals. Tracks, updates and investigates current orders and tasks; managing orders through the system to provide up to date and accurate information. Monitors system referral and authorization and patient work queues and lists to ensure each service or consultation order is managed, updated appropriately and accurately and routed for scheduling and completion. Obtains pertinent documentation from provider, facility and patient to ensure accurate prior authorization and patient assistance requests. Effectively communicate with provider, care team members and patients regarding authorizations, scheduling needs, insurance benefits, eligibility, etc. Assist with patient education and follow up regarding the prior authorization and referral processes. Oversees the facilitation of scheduling and appointments when referral is required on behalf of patient. Ability to work as part of a Care Team with providers and clinical staff. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High School diploma or GED. Preferred: College level course work. LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: N/A EXPERIENCE Required: Minimum of one year experience working in hospital, clinic, or medical insurance billing office, performing duties and responsibilities related to medical billing, pre-authorization, claims processing, or a related area of expertise. Basic understanding of medical coding. Preferred: N/A PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Must have excellent communication and organizational skills with ability to interact with a diverse population and professionally represent St. Charles Health System with internal and external customers. Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions. Must adapt quickly to frequent process changes and improvements. Is reliable, engaged, and provides feedback to inform process improvement. Attends all department, team, and company meetings as required. Requires exceptional critical thinking and analytical skills with the ability to work under minimal supervision. Requires strong communication, customer service, interpersonal skills and telephone etiquette. Ability to prioritize workflow according to pre-set instructions. Strong teamwork and collaborative skills. Ability to multi-task and work independently. Attention to detail is essential. Performs basic math (add, subtract, multiply and divide) calculations. Performs intermediate to advanced math (analysis, statistics, significant data, or number manipulation). Intermediate ability and experience in computer applications, specifically electronic medical records system, MS Office, MS Teams, and Excel. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 0 Caregiver Type: Relief Shift: First Shift (United States of America) Is Exempt Position? No Job Family: REPRESENTATIVE Scheduled Days of the Week: Shift Start & End Time:

Pay range: $29.37 - $44.05 per hour ($61,089 - $91,624 annually), based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Ambulatory Services Auditor and CDS II REPORTS TO POSITION: System Revenue Integrity Director DEPARTMENT: Revenue Integrity DATE LAST REVIEWED: May 2023 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Revenue Integrity department provides many services to our multi-hospital and medical group organization focusing on the patient financial experience along the entire continuum of care. Our goal is to deliver a delightful, transparent and seamless experience to our patients and customers that captures and collects the revenue earned by SCHS in a quality, efficient and timely manner. POSITION OVERVIEW: The Ambulatory Services Auditor and Clinical Documentation Specialist II is responsible for conducting chart reviews of outpatient, inpatient and ambulatory service medical documentation across St. Charles Health System to ensure compliance with ICD-10-CM and CPT-4 coding regulations, rules and guidelines. This position will also provide education, feedback and guidance to multiple parties, as needed. This position does not directly manage any other Caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Conduct system-wide pre- visit or post-visit chart reviews of professional services to include both hospital and clinic/office settings of care. Perform audits on/for the HIM Professional Services Coding team and provide feedback and education as needed to ensure compliance with quality coding standards. Evaluate medical records to ensure the accuracy of clinical documentation to support the acuity of the patient, risk profiles for HCC capture and recapture, and diagnostic and procedural code integrity in compliance with ICD-10-CM and CPT-4/HCPCs rules and guidelines. Develop and update procedure manuals to maintain standards for correct coding. Conduct system-wide education and training on complete documentation and other key concepts for supporting professional fee coding and billing in group setting or on an individual basis. Assist in setting the direction for and providing coding compliance and education. Provide technical guidance to physicians and other departmental staff in identifying and resolving issues such as incomplete or missing records, or codes that do not conform to approved coding guidelines or organizational standards. Recommend process changes and improvements within departmental and operational policies and procedures or system changes to reduce losses or improve efficiency. Monitor trends and prepare reports on such topics as documentation or coding issues and denied claims, for review by management. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High school diploma or GED Preferred: Associates degree in Health Information Technology or related field LICENSURE/CERTIFICATION/REGISTRATION Required: RHIA, RHIT, CCS-P, CPC, CPMA, CRC, RN or LPN Preferred: CPMA CRC, RN, LPN EXPERIENCE Required: Minimum of 3-5 years of coding, auditing, or clinical experience required. Physician Evaluation and Management coding experience required. Must meet all competencies of the Ambulatory Auditor and CDS I position prior to promotion. Knowledge of current Medicare regulations, including MPFS, IPPS and OPPS. Preferred: Inpatient, Outpatient, and Ambulatory services coding preferred. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: AUDITOR Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Flexible within core working hours

Pay range: $49.72 - $74.58 per hour ($103,417 - $155,126 annually), based on experience. St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: RN-Patient Safety & Risk Management REPORTS TO POSITION: Director of Risk Management and Patient Safety DEPARTMENT: Risk Management and Patient Safety DATE LAST REVIEWED: March 12, 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring, Teamwork, and Safety DEPARTMENT SUMMARY: The Risk Management and Patient Safety Department protects and enhances clinical services, patient, employee, and visitor safety associated with the health system operations, through the development and implementation of a clinical risk management and patient safety program. This mitigates risk and promotes patient safety improvement and compliance with applicable clinical standards and best practices to promote a Just Culture in the organization. The department works in collaboration with legal, claims, quality, safety, and entity leadership. POSITION OVERVIEW: The RN provides leadership for the design, implementation and coordination of the organization wide Risk Management and Patient Safety program across the facilities and service areas within St. Charles Health System with the objective of maintaining patient safety. The RN develops, coordinates, and facilitates implementation of effective systems for risk identification, investigation, and mitigation of both potential and actual patient safety concerns and risks. This position promotes and facilitates the transition from a retrospective and reactive model of risk management to a prospective and proactive approach for patient safety models consistent with the concepts expected of Enterprise Risk Management (ERM) and a High Reliability Organization (HRO). The RN serves as Subject Matter Expert for Root Cause Analysis, Safety Culture, National Patient Safety Goals, and other evidence-based programs as needed. This position is responsible for reviewing policy operational changes and making recommendations to the Director of Risk Management and Patient Safety. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Maintains oversight of the Safety Alert System (SAS) reporting and response process, including severity rating and evaluation of all safety events, the investigation and identification of risk exposures; risk analysis using selected tools, RCA and apparent cause analysis; risk evaluation and monitoring using algorithms and review criteria; and risk treatment including establishing a potential claim file, working with medical malpractice and general liability carriers follow-up and performance of trending analysis for assigned facilities/service areas. Stops the line to mitigate potential patient safety conditions and maximize learning. Facilitates cross-functional/site process improvement endeavors to support elimination of errors and other factors that contribute to potential or actual adverse patient outcomes. Uses trends obtained from safety reports, patient safety rounds and other sources of patient safety data to focus on areas for further analysis, risk management, patient safety, and loss prevention activities. Identifies potential and actual sentinel events or serious safety events with prompt notification and debrief to key stakeholders including senior leadership, and site administration for conducting investigation of event and root cause analysis. Leads investigation for a Sentinel or serious safety event investigation and analysis. Leads RCA process and failure effect mode analysis (FMEA) to identify opportunities for system and process improvements. Supports the preparation of documents for reporting serious harm events to State and accreditation agencies. Develops and provides education/communication to leadership, physicians, colleagues and other stakeholders on patient safety needs, initiatives, activities, and for shared learning. Participates in assigned Medical Staff and Hospital Quality and Safety Committees. Proactively performs surveillance and evaluates patient safety risks in a uniform and consistent manner for assigned facilities, service areas and affiliated joint ventures. Collaborates with internal legal counsel to support their investigation and defense of claims against the Health System. Provides external defense attorneys requested information to prepare for pending litigation and/or claim review. Prepares and submits PCE (potentially compensable event) reports for potential claims. Provides caregiver and provider guidance and support for patient care issues with patient safety/risk or legal implications, i.e. consent issues. Works in collaboration with the compliance department for potential EMTALA and HIPAA violations. Provides guidance to leadership as to acceptable bill adjustments under CMS stipulations. Initiates bill adjustments to mitigate potential claims in collaboration with claims management and in congruence with policy and CMS limitations. Reviews and supports the completeness of patient complaint and grievance response letters. Provides guidance to caregivers and providers for disclosure of unanticipated events to patient and their families. Proactively conducts failure mode and effect analysis for high risk or problematic care processes across System facilities and joint venture businesses, at minimum as required by The Joint Commission for continued accreditation. Provides for 24/7 Patient Safety/Risk Management coverage and response for assigned areas of responsibility. Collaborates with Subject Matter Experts to develop and spread learnings via Safety Alerts, Advisories, and key learnings based on best practices and evidenced based medicine. Refers clinicians and caregivers to Critical Incident Stress Management (CISM) when appropriate. Understands the basic model of event management and being sensitive to frontline caregiver emotional needs. Supports the vision, mission, and values of the organization in all respects. Supports lean with goal of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor's degree in related field. Preferred: Master's Degree in related field. LICENSURE/CERTIFICATION/REGISTRATION: Required: Current Oregon RN license. Ability to travel to business functions/trainings/meetings and all SCHS worksites required. Certified Professional in Health Care Risk Management (CPHRM) required within three years of employment or Certified Professional in Patient Safety (CPPS) within two years Preferred: Certified Professional in Patient Safety (CPPS) or Certified Professional in Healthcare Risk Management (CPHRM. EXPERIENCE: Required: Three years experience with direct patient care. at a health system, hospital, or other health care facility. Use of an occurrence reporting system and Microsoft Excel, PowerPoint and Word programs. Preferred: Three years experience in quality, regulatory, healthcare risk management and/or patient safety at a health system, hospital, or other health care facility. Proficient in use of an occurrence reporting system and Microsoft Excel. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category: No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: NON CONTRACT RN SPECIALIST Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0800-1700

This position may be filled at the coordinator level 1 or level 2, based on experience/qualifications and requires the incumbent to reside in Central Oregon: Level 1 Pay range: $25.18 - $37.77 per hour. Level 2 Pay range: $27.20 - $40.79 per hour. St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Clinical Research Coordinator I REPORTS TO POSITION: Research Manager DEPARTMENT: Research DATE LAST REVIEWED: November 15, 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: St. Charles Research Department conducts clinical trials for promising new treatments and therapies in a wide variety of medical fields, including cancer treatment and prevention, cardiovascular disease and supportive care. POSITION OVERVIEW: The Clinical Research Coordinator I is responsible for conducting clinical trials in compliance with FDA regulation, ICH Guidelines and applicable industry standards. The Clinical Research Coordinator 1 will oversee up to ten clinical trials as the main research coordinator. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Maintains surveillance system to identify potential subjects for study eligibility, prescreen patients, and assists physicians in determining eligibility. Obtains informed consent according to GCP and ICH guidelines. Performs study procedures and assessments following protocol specific guidelines. Assures research is conducted in an ethical and safe manner according to FDA, ICH and St. Charles Health System guidelines. Adheres to St. Charles Health System's compliance plan. Attends IRB meetings as requested by the IRB. Supports the processing of study alerts, protocol revisions, amendments, accrual suspension notices, informed consent modifications, product information and advertisement, and related memoranda. Supports the modification of template informed consent forms for local application in compliance with federal guidelines for patients in lay language at appropriate reading level Prepares for and participates in required sponsor and regulatory audits. Attend Investigator meetings as required to assure seamless study start-up. Assists with subject education and informed consent process, including tissue and genetics consent when indicated. Surveys for re-consent and obtains from eligible subjects. Educates patients regarding protocol diagnostic tests and assists with appointments. Process tissue/blood specimens and prepare it for shipment. Manages treatment and follow-up schedules to assure protocol compliance. Attends subject clinic visits and interacts with subjects and staff as appropriate to assist in protocol adherence. Track study drug usage per protocol and oversee study drug supply. Maintains subject research records including long-term follow up and reporting. Participates in institutional research activities (committee meetings, Tumor Boards, Grand Rounds, other conferences, etc.) that are relevant to the Position. Keeps current with new developments in research methodologies. Participates in quality assurance program for St. Charles Health System and affiliated research partners. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor of Science degree, or combination of college level education and Research experience to perform the full scope of position duties. Preferred: Bachelor of Science degree in related field. LICENSURE/CERTIFICATION/REGISTRATION Required: Association of Clinical Research Professional (ACRP) or Society of Clinical research Associates (SOCRA) certification or must obtain within 2 years of full time employment. Current American Heart Association (AHA) Basic Life Support for Healthcare Provider certification. Preferred: N/A EXPERIENCE: Required: None Required. Preferred: Experience as a Clinical Research Coordinator. Experience dealing with multidisciplinary teams. Basic Clinical task knowledge. ADDITIONAL POSITION INFORMATION: N/A Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: COORDINATOR CLERICAL Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Variable

Join AllOne Therapy: A Platform Where Therapists Thrive Transform lives and make a real impact as a therapist in our dynamic, client-focused private practice! We are actively seeking fully licensed, energetic therapists to join our growing team. This fully remote opportunity allows you to create your own schedule and focus on delivering high-quality care. At AllOne Therapy, we empower therapists to focus on transforming lives while we handle the rest. From marketing to billing, we take care of the administrative work so you can dedicate your energy to making a real impact. Compensation: Work as an independent contractor with a 50/50 revenue split per session. You'll receive 50% of the revenue generated for each session you conduct. Position Perks! Flexibility: Enjoy the freedom to design your own schedule without the hassles of billing, scheduling, credentialing, or intake calls. Benefits: (for therapists averaging 25 or more sessions per week): Continuing education reimbursement. Monthly benefits reimbursement. Paid vacation time. Professional Development - We provide access to free and discounted continuing education (CE) opportunities to support your licensure and career growth. What You'll Do Provide ongoing care for clients with mental health or substance use disorders. Assess and diagnose mental health conditions. Manage a private practice caseload. Deliver behavioral health services to a diverse clientele. Participate in staff meetings to engage in group consultation and receive support on clinical cases, fostering a collaborative and growth-oriented culture. What You'll Need A master's degree in Social Work, Counseling, or Marriage and Family Therapy. Full clinical licensure in any state. A minimum of two years of experience. Strong communication and problem-solving skills. A passion for building meaningful relationships with clients. Why Choose AllOne Therapy? At AllOne Therapy, you'll have the chance to: Grow professionally alongside a highly skilled team of clinicians. Make a lasting impact on the lives of your clients. Work in a supportive, private-practice-style environment with none of the administrative headaches. Diversity & Inclusion AllOne Therapy is proud to be an AA/EO employer. We actively seek candidates from diverse backgrounds to join our team. Ready to Thrive? Transform lives and grow your career with AllOneTherapy.com. Join us today!

Concentra is recognized as the nation's leading occupational health care company. With more than 40 years of experience, Concentra is dedicated to our mission to improve the health of America's workforce, one patient at a time. With a wide range of services and proactive approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Director of Sales for Onsites- West Coast Region is responsible for Identifying new business opportunities, securing, managing and maintaining business relationships with Onsite health and wellness center client accounts, brokers and consultants leading to expanded market share. The director meets sales growth objectives in accordance with Concentra onsite sales policies, practices, procedures and applicable regulations. In addition, the director will achieve objectives related to sales and growth of Concentra's complete service offering. Responsibilities * Develop and execute strategy to expand market share through new customer prospects and/or existing accounts with significant growth opportunity * Weekly Business Unit General Capabilities presentation delivery in person, via webex and/or phone conference * Grow and maintain select existing customer relationships as identified collaboratively with VP Onsite Sales and National Onsite Leadership Team * Maintain a Sales Funnel with expected values within each sales stage * Meet minimum quarterly/annual revenue goals established by Senior Management * Identify and pursue new customer opportunity and is articulate Concentra's full onsite scope of service with a focus on securing and growing new account revenue * Lead Onsite Customer Strategy and Pursuit approval calls. Go/No Go Calls. * Close/Finalize the sale, develops an implementation strategy across multiple disciplines as needed (Operations, Clinical, Sales), with established inception dates * Communicate and solicit appropriate approvals on Pricing/Margin targets across multiple disciplines * Coordinate "set-up" of Concentra service offering/protocol and customer on-boarding to ensure smooth business transition and implementation * Establish "open channel" communication with Concentra Management and service providers to create free flowing customer/market information * Coordinate sales/support activity with market/local leadership across multiple territories as needed * Submit weekly activity reports to designated management personnel via CRM system access * Submit Monthly Productivity reports to designated management personnel via CRM system access * Interpret and deliver various customer related outcome data * Identify, interpret and develop customer proposal requirements and communicate accordingly with management and corporate proposal development team * Maintain current knowledge of industry partners, brokers, consultants, competitors, industry organizations and resources * Pursue and maintain key industry thought leaders (consultancies, brokerage houses) relationships and endorsements * Attends Industry Trade shows and related events * Present at highest levels of client organizational management (Senior, C suite) * Role is based in the West Coast Region. * Travel required National Qualifications * Bachelor's degree in in public health, healthcare administration or business from an accredited college or university or equivalent education and experience * Experience in lieu of required education is acceptable * In lieu of undergraduate degree, the ratio is 1:1 meaning one year of college equals one year of work experience and vice versa * Advanced degree in public health, healthcare administration or business preferred * Concentra leadership and customer service training. * Customarily has at least five or more years of directly applicable experience in Onsite Health and Wellness Center sales and/or Operations * Existing onsite medical center client, broker and consultant relationships within the space a plus * Demonstrated general knowledge of Onsite Health Care delivery, billing, case management, network applications and state regulation standards within the Onsite Health and Wellness industry Job Related Skills/Competencies * Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility * Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions * Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism * The ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies * Basic financial analysis and ROI trend review skills * Demonstrated excellent written and verbal communication skills * Demonstrated deadline orientation * Demonstrated organizational and project management skills * Demonstrated time management * Demonstrated sense of urgency and prioritization skills * Demonstrated ability to form strong internal and external relationships * Demonstrated attention to detail * Demonstrated ability to follow-through and follow-up * Demonstrated research and data application skills * Competitive analysis and counter response skills Additional Data Employee Benefits * 401(k) Retirement Plan with Employer Match * Medical, Vision, Prescription, Telehealth, & Dental Plans * Life & Disability Insurance * Paid Time Off * Colleague Referral Bonus Program * Tuition Reimbursement * Commuter Benefits * Dependent Care Spending Account * Employee Discounts We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation, if required. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including but not limited to the Los Angeles County Fair Chance Ordinance, San Francisco Fair Chance Ordinance, and the San Diego County Fair Chance Ordinance. This position is eligible to earn a base compensation rate in the range of $90,000 to $110,000 annually plus eligible for bonus depending on job-related factors as permitted by applicable law, such as level of experience, geographic location where the work is performed, and/or seniority. This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management* Concentra is an Equal Opportunity Employer, including disability/veterans

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $20.94 - $33.59 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: any 8hr shift from 6am, 7am, 8am Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5442 Primary Care Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex surgical/procedural/multidisciplinary specialty claims for payments including coding and analyzing claims and claim payments/rejections. I. Major Responsibilities: 1. Contacts insurance companies, while working detailed reports, to secure outstanding payments, i.e. telephone calls, websites, written appeals. 2. Reviews complex rejections in assigned payors and plans to determine validity of rejections and take appropriate action to resolve. 3. Monitors changes in reimbursement policies, including payor fee schedule reconciliation. 4. Performs special projects as assigned by manager or supervisor defining problems, determining work sequence and summarizing findings. 5. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 6. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 7. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Two years of previous Revenue Cycle knowledge including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party reimbursement. 2. Knowledge of multiple third-party regulations, ICD, CPT and HCPCS coding and modifier assignment. Knowledge of billing and reimbursement practices/requirements of major third-party payors in Massachusetts. 3. Knowledge of medical terminology, anatomy& physiology and disease process. 4. Ability to organize and prioritize work to meet strict deadlines. 5. Computer skills to include mainframe, PC applications and excel. 6. Must be self-motivated, service oriented and have excellent communication skills (written and oral). 7. Physician coding certification is desired. Preferered: 1. Three years of physician or medical billing experience involving complex surgical/procedural/multidisciplinary specialties. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Hiring Range: $30.76 - $55.36 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: Flexible Shift: 4 - Mixed Shift, 8 Hours (United States of America) Hours: 0 Cost Center: 25080 - 4263 Outpatient Mental Health Svcs This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Provide quality treatment to patients within Behavioral Health Services. I. Major Responsibilities: 1. Provide individual & group therapy to patients with varied mental health/ co-occurring disorders. 2. Responsibilities include completing initial assessments, counseling, group therapy, case presentations to the treatment team, treatment planning, and aftercare planning. 3. Clinicians are also responsible for identifying the need for medication evaluations and making referrals to the on-site providers. 4. Complete all documentation and paperwork specific to the department and in compliance with hospital requirements, DMH, BSAS, The Joint Commission, and insurance providers. 5. Responsible for managing caseload which may include consultations, collateral contact, and following up with the patient on missed appointments. 6. Maintain independent professional licensure and maintain credentialing necessary for specific role. Standard Staffing Level Responsibilities: (STANDARD UMMH) 1. Complies with established departmental policies, procedures, and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. Graduation and training from an accredited graduate (Masters) program. 2. Active unrestricted independent license by the Massachusetts Board of Registration: LICSW/LMHC/LMFT/Licensed Clinical Psychologist. Experience/Skills: Required: 1. 2+ years of experience working within the Human Services field. 2. Strong diagnostic skills and abilities. 3. Must have strong and effective communication, organization and time management skills. 4. Must be able to work as part of a robust multi-disciplinary clinical team. Preferred: 1. 2+ years of experience working within behavioral health and/ or addictions treatment. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.

Pay range: $27.20 - $40.79 per hour, based on experience. This full-time position comes with a comprehensive benefits package that includes medical, dental, vision, a 403(b) retirement plan, and a generous Earned Time Off (ETO) program. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: HB Coding Specialist III - Inpatient coder REPORTS TO POSITION: Coding Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Hospital Coding Specialist III at St. Charles Health System is responsible for coding/abstracting inpatient records. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD-10-CM diagnoses and ICD-10 PCS procedures by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, and other appropriate coding references and tools to ensure proper code assignment. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures. Uses available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Selects principal diagnoses and procedures in accordance with coding and UHDDS standards, CMS requirements, and prospective payment systems. Ensures that correct MS DRG is assigned for proper hospital reimbursement. Ensures that APR DRG severity of illness and risk of mortality values are accurate for reporting purposes. Queries physicians for clarification when conflicting or ambiguous information is present by following appropriate SCHS procedures. Assigns Present on Admission (POA) indicator accurately for each diagnoses coded, per CMS requirements published in official ICD-CM coding guidelines, and if uncertain, query the physician. Accurately assigns discharge disposition code, paying particular attention to post-transfer program DRGs for proper hospital reimbursement. Plays an active role with the CDI (Clinical Documentation Improvement) team ensuring chart documentation meets the necessary requirements for accurate coding and reimbursement. Maintains productivity and quality standards. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High School diploma or GED. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred: Risk Adjustment Coding (microcredential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA or AAPC. EXPERIENCE: Required: Three years of hospital coding experience. Preferred: Inpatient coding experience. Familiarity with 3M encoder. Familiarity with CAC (computer assisted coding). PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Position Specific: Knowledge of ICD-10 CM and PCS code assignment. Knowledge of MS DRG and APR DRG reimbursement methodology. Knowledge of Present on Admission “POA” assignment. Knowledge of CPT-4 code assignment. Knowledge of CCI and MN edits and APC grouping. Knowledge of modifier and revenue code assignment. Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees. Strong team working and collaborative skills. Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills. Ability to work in a fast paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times. Ability to effectively reach consensus with a diverse population with differing needs. Organizational Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, written and oral communication and customer service skills. Strong analytical, problem solving and decision-making skills. Language Skills: Read, write, speak, and understand English. Computer Skills: Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL's. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: SPECIALIST HIM Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Flexible between the hours of 6a - 6p

Are you a current UMass Memorial Health caregiver? Apply now through Workday. Exemption Status: Non-Exempt Hiring Range: $19.74 - $30.80 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday Scheduled Hours: 8-430 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5436 Med Specs Ancillary Pod Ar Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Responsible for follow-up of complex claims for payment. I. Major Responsibilities: 1. Calls insurance companies and utilizes payor web-sites while working detailed reports to secure outstanding payments. 2. Reviews rejections in assigned payors and plans to determine validity of rejection and takes appropriate action to resolve the invoice. 3. Calculates and posts adjustments based on third party reimbursement guidelines and contracts. 4. Makes appropriate payor and plan changes to secondary insurers or responsible parties. 5. Inputs missing data as required and corrects registration and other errors as indicated. Standard Staffing Level Responsibilities: 1. Complies with established departmental policies, procedures and objectives. 2. Attends variety of meetings, conferences, seminars as required or directed. 3. Demonstrates use of Quality Improvement in daily operations. 4. Complies with all health and safety regulations and requirements. 5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. 6. Maintains, regular, reliable, and predictable attendance. 7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions. II. Position Qualifications: License/Certification/Education: Required: 1. High School Diploma Experience/Skills: Required: 1. Previous Revenue Cycle knowledge in one of the following areas including PFS, Customer Service, Cash Posting, Financial Assistance, Patient Access, HIM/Coding and/or 3rd party Reimbursement. 2. Ability to perform assigned tasks efficiently and in timely manner. 3. Ability to work collaboratively and effectively with people. 4. Exceptional communication and interpersonal skills. Preferred: 1. One or more years of experience in health care billing functions. Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements. Department-specific competencies and their measurements will be developed and maintained in the individual departments. The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents. III. Physical Demands and Environmental Conditions: Work is considered sedentary. Position requires work indoors in a normal office environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're striving to make respect a part of everything we do at UMass Memorial Health - for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day. As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law. If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at ***********************************. We will make every effort to respond to your request for disability assistance as soon as possible.