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Memorial Hospital Remote jobs

- 28 jobs
  • Data Scientist - I/S - Administration-Days - FT

    Memorial Hospital at Gulfport 4.5company rating

    Remote

    The Data Scientist performs data studies of new and diverse data sources. Identifies unique methods to collect new data. Designs innovative algorithm solutions for complex data sets. Required Education: Bachelor's Degree in Computer Science, Business, Mathematics or IT related field or equivalent required experience may be substituted in lieu or degree. Required Experience: 5 years (with Bachelors degree), 8 years (with Associates degree) or 10 years (with no degree) of experience in a professional setting performing data mining, data analytics or industry standard methodologies for data extractions including queries and routines. Required Skills, Knowledge, Abilities: Strong critical thinking skills and a working knowledge of analytical and statistical methodology. Must posses a working knowledge of common data visualizations techniques and how/when best to deploy. Expert proficiency in Structure Query Language (SQL); SQL Server Integration Services (SSIS). Advanced Knowledge in Extract, Transform and Load (ETL) applications. Designs, modifies and builds new data processes form various sources. Develops and deploys innovative algorithm solutions for clinical and financial efficiency. Directs others to improve data processes and maintain data integrity. Participates as a member of the team to achieve business goals, quality outcomes and customer satisfaction. Practices within legal, ethical and professional boundaries. Performs other related duties as assigned or requested.
    $81k-113k yearly est. Auto-Apply 42d ago
  • Registered Nurse - Med/ Surg - PRN- Nights - Biloxi Location

    Memorial Hospital at Gulfport 4.5company rating

    Remote

    Job Summary: Under the direct supervision of the physician(s) in the clinic, this position provides professional nursing care to all patient populations. Works with team members and providers to ensure efficient, quality patient outcomes throughout the continuum of care. Required Qualifications: Education: Graduate of an accredited state approved, school of nursing. Licensure: Current MS RN license or temporary permit for same (valid for 90 days only), or Compact license. Experience: None. Skills, Knowledge, Abilities: Standard nursing principles, practices, and procedures. Ability to interpret physicians' instructions. Use and operation of equipment and instruments used in patient care. Good oral and written communication skills with the ability to educate patients.
    $53k-102k yearly est. Auto-Apply 43d ago
  • Housekeeper (Environmental Services Associate)

    UPMC 4.3company rating

    Seneca, PA jobs

    UPMC Northwest hospital Seneca, PA Housekeeper Full Time Shift: Primarily 2nd shift (3:00 PM-11:30 PM) with every other weekend on 1st shift (7:00 AM-3:30 PM), based on scheduling needs. Responsibilities: + Make beds, following established cleaning procedures in all patient discharge rooms and on-call rooms as assigned. + Inspect and ensure that all assigned areas are properly cleaned and in good repair, report problems to the supervisor. + Replenish paper towels, toilet paper, and soap in all locations of assigned areas to assure adequate supply. + Clean all assigned areas, including patient rooms, public areas, toilets, procedure rooms, offices and equipment, following established procedures. + Maintain assigned equipment in clean, working condition, reporting problems and suggestions to the supervisor. + Remove trash from all assigned areas. + Follow all safety and sanitation regulations. + Move equipment, furniture, boxes, wash walls, spot carpets, etc. as assigned. + Ability to follow written and verbal instructions in order to successfully complete housekeeping duties + Ability to work at off-site buildings. Transportation preferred. + Ability to use housekeeping equipment. + May in the course of duties be in rooms where medications are stored. No contact with medications is allowed.Licensure, Certifications, and Clearances: + Act 34 + OAPSA UPMC is an Equal Opportunity Employer/Disability/Veteran
    $25k-30k yearly est. 3d ago
  • Quality Data Analyst

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    University of Pittsburgh Physicians is hiring a full-time Quality Data Analyst! This position will be based out of UPMC Presbyterian but will have a remote work option. Purpose: Designs and analyzes reports highlighting opportunities to improve clinical performance/patient care. Assist the teams (department and facility) in the proper analysis and presentation of information using various clinical and administrative systems and the corporate database. Reviews medical records for the determination of data collection as related to analysis of documentation, process issues, demographic elements, and as part of understanding and proceeding with database design / re-design, analyses, and improvement process . Needs to understand the clinical needs of the committee/projects to further progress the process improvement using analyses and recommendations. Manages designated external reports, including analysis, processing, submission, and final review. Responsibilities: + Knowledge of the process improvement project and supporting literature as appropriate. + PHC4 Open Heart Report requiring physician verbal and written communication re: clinical exclusions and the necessary supporting patient medical record information. + PHC4 Nosocomial Infection Report requiring Infection Control Practitioner communication re: reportable nosocomial infections and state report verification. + Responsive to deadlines and completes tasks within the amount of time prescribed bysupervisor. Maintain high level of accuracy and timeliness. + Track department and related facility quality projects. + Independently resolve problems encountered. + Develop plan and determines pertinent information to be extracted from the medical record (concurrent and retrospective) and/or associated electronic patient information (MARs, AccessAnyware, Power Chart, Cerner, Medipac, etc) for inclusion in and submission to project, committee, system, regional, and national databases, as applicable to the current projects. + Knowledge of the process improvement methodology. + Master new computer software and upgrades, as applicable. + PHC4 Hospital Performance Report requiring validation utilizing internal Atlas reports and cdb. + Develop appropriate goals and objectives for assigned projects. Determine appropriate procedures to meet goals in an efficient, effective, and thorough manner. + Present reports to appropriate team/committee as appropriate, includingrecommendations, as appropriate. + Organize discussions or multi-disciplinary teams, as applicable, including key personnel, chiefs, chairs, physicians to discuss findings and help identify, initiate, and assist in process improvement. Develop plan of action. + Provide consultation and assistance for presentations ( i.e. Total Quality Councils) andthe ongoing year-round preparation for Annual Quality Fair, including consulting with departments re: presentations using the data and the PDSA performance improvementmethodology. + Coordinate preparation, submission, and review of external reports. + Report information, analysis, outcomes, trends, patterns to the appropriate department member, committee chair, and/or director. + Work well with department and facility committee and project leads, understandingclinical needs of the committee/project to help progress the process improvement initiatives. + Advanced problem solving using various information sources. Must determine what thebest source of information is and query the data, analyze the data, and present it in most appropriate format, i.e., graphs, summary reports, etc. + Provide timely updates on significant problems and issues encountered. + Prepare concise, meaningful analysis or narratives which present conclusions clearly inan unequivocal manner in conformity to established goals and objectives. + Knowledge of project goals to identify key individuals/departments. + Consistently identify and understand technical issues presented by assignments. + Oversee staff that are proving data entry assistance. + Identify problems and develops meaningful recommendations as a result of workperformed. + Communication with identified individuals re: project goals and outcomes. + Identify meaningful opportunities for department involvement in quality improvement projects. Bachelor's degree in a healthcare related field (clinical or non-clinical, e.g., healthcare policy, healthcare administration, health information).Minimum of 2 years experience in a healthcare facility (e.g., hospital, insurance company).Strong knowledge of medical terminology and clinical situations. Strong knowledge of quality improvement, regulatory requirements and compliance preferred.Excellent ability to work with computer applications and functions. Knowledge of and ability to work with the MediQual Atlas system and with the Corporate Data Base, Cognos and Report Net.Strong problem solving, data analysis, and creativity that would enable and motivate change.A high level of energy and ability to work independently with strong communication,interpersonal, organizational, and prioritization. Confidentiality and accuracy is essential. Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $54k-73k yearly est. 2d ago
  • Manager, Actuary - Medical Cost Economics (Remote)

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    The Department of Health Economics is seeking a Managing Actuary! This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies for UPMC Health Plan in close collaboration with leaders across the organization. This includes managing an experienced team responsible for analyzing medical cost utilization and unit cost data, developing strategies to improve experience relative to external benchmarks, evaluating and communicating leading indicators of financial performance, identifying top trend drivers and affordability opportunities, and supporting the development of strategies across cross-functional teams. The Managing Actuary will require a diverse set of skills and experience, including data and analytics expertise, a deep understanding of medical and pharmacy claims, broad-based business and health economics acumen, a strategic mindset, and an ability to influence and leverage cross-functional teams in a non-traditional actuarial environment. Strong organizational skills are essential to effectively manage multiple priorities, oversee complex projects, and ensure timely delivery of high-quality analytical outputs. This position will supervise 2-4 supporting staff, including actuarial analysts, in the performance of duties. As a Managing Actuary at UPMC, you will be given support for professional designations through continuing education opportunities. This is a work-from-home position located anywhere within the continental US with the potential for infrequent travel into Pittsburgh (up to 2-3 times a year) for meetings/conferences. Responsibilities: + Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving medical cost improvement strategies. + Direct a team to produce detailed actuarial and financial models which communicate drivers of financial performance of all lines of business to facilitate corporate decision-making and the development of strategies and goals. + Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks + Analyze trends in spending and utilization. + Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions. + Bring clarity to complex problems using exceptional communication skills when engaging with senior leadership and technical audiences. + Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations and deliver results to leadership. + Creatively leverage a wide range of datasets to inform key analyses. + Build strong relationships with Actuarial, Analytics, and Finance teams across the enterprise. + Ensure that departmental work products meet the highest standards of quality. + Manage and develop a team of 2-4 supporting staff including actuarial analysts. + Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required. + ASA or FSA certification by Society of Actuaries required; FSA preferred. + Six and a half (6.5) years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. + Management experience preferred. + Experience with commercial and government health programs is preferred. + In-depth understanding of health insurance market dynamics. + Excellent problem-solving and analytical skills. + Excellent oral and written communication skills. + Adaptability and ability to prioritize effectively. + Strong PC skills. + Data retrieval skills and relational database experience. + Data visualization experience is preferred.Licensure, Certifications, and Clearances: + Licensure/Certification: ASA or FSA certification by Society of Actuaries required. + Membership in the American Academy of Actuaries required.UPMC is an Equal Opportunity Employer/Disability/Veteran
    $138k-275k yearly est. 5d ago
  • Supervisor, Patient Financial Support

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    Purpose: Do you have experience assisting patients with their financial obligations and billing inquires? Are you looking to grow your career? UPMC is hiring a full-time Supervisor, Patient Financial Support to support the Patient Advocacy department. This position would work Monday through Friday from 8:00am until 4:30pm. The position is eligible to work from home. The Supervisor, Patient Financial Support manages coordination and supervision of the patient finance support staff. They direct interaction with physicians, personnel from other practice plans and hospitals, and staff supporting the billing, collections and customer service functions. If you are looking to grow your career in patient advocacy and financial assistance, apply today! Responsibilities: + Assist management in the development and guidance to staff in their daily activities. + Engage in open communication with appropriate personnel regarding information system, regulatory updates and/or enhancements, and participate in the training of staff. + Perform random audits of staff work to monitor performance and quality. + Provide timely performance evaluations for staff. + Establish and support annual goals and objectives for Patient Financial Support team. + Investigate issues presented by management/leads/staff and provide timely feedback as appropriate on resolution. + Act as a resource to address patient (or family) needs, concerns, or questions. + Implement policies and procedures related to Patient Financial Support workflows and processes. + Strive to streamline and seek opportunities as needed to improve efficiencies. + Monitor team performance criteria for all Patient Financial Support functions. + Engage in open communication with Training and Development management regarding all updates and enhancements and ensure appropriate training of all staff. + Manage staff of employees, adhere to Human Resources policies and procedures, and provide timely performance evaluations for supervisors and all direct report staff. + Bachelor's degree in healthcare administration, finance, or related field and 1 year of experience in healthcare billing, registration, or patient business services OR High school diploma/GED equivalent and 3 years of experience in healthcare billing, registration, or patient business services, OR equivalent combination of education and experience required.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran
    $33k-47k yearly est. 2d ago
  • PRN - Physical Therapy Assistant

    Good Samaritan 4.6company rating

    Remote

    (These statements are intended to describe the essential functions and related requirements of persons assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities and requirements.) Under the supervision of the Physical Therapist, provides treatment within the established plan of care to accomplish the established goals. Exercises the skills, safeguards and professional conduct of a Physical Therapist Assistant. Completes documentation of patient accurate FIM scores, treatment, progress and response to treatment as well as thorough weekly progress notes and discharge summaries within the designated time frames Reports patient progress and changes in patient condition to the Physical Therapist in a timely manner to ensure high quality and safe outcomes. Assists in discharge planning with other staff team members on the rehabilitation unit. Maintains effective and timely communication with team staff members and physician on the rehabilitation unit ensuring high quality and safe outcomes. Contributes to a high performance work environment by seeking educational resources that enhance and maintain current knowledge and skills. Participate and completes other duties and special projects/ committees as assigned. Secondary Job Duties That May be Reassigned: Assist in orienting staff members. Supervise PTA clinical students, teen volunteers and shadow students. Assist with departmental Performance Improvement Program and designated committees. Maintain adequate supplies, assist in keeping department clean and ready for patient treatment. Attend appropriate patient care conferences or meetings. Assist in transportation of patients and preparation for treatment. Provide staff inservices as requested. Job Specifications: Education: Graduate from an accredited physical therapy assistant program. State licensure. Experience: Clinical experience from physical therapist assistant program.
    $45k-79k yearly est. Auto-Apply 60d ago
  • UPMC Enterprises & UPMC Clinical Marketing Intern

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    UPMC is seeking a motivated individual to join our team as an intern and gain hands-on experience in health care marketing and digital communications. In this role, you will contribute to high-visibility initiatives that elevate UPMC's clinical excellence, breakthrough research, and cutting-edge innovation. You will collaborate with two dynamic teams: UPMC Enterprises Marketing, which supports the innovation and commercialization arm of UPMC by developing marketing strategies and communications that showcase emerging digital health solutions, artificial intelligence platforms, medical technologies, and life science ventures to investors, partners, and health care leaders; and UPMC Clinical Marketing, which develops compelling campaigns and educational content to promote UPMC's world-class clinical programs and services. Together, these groups shape UPMC's mission to improve patient outcomes and define the future of medicine. As a marketing associate, you will help create impactful content, support strategic marketing campaigns, and tell powerful stories about health care innovation. This internship offers valuable hands-on experience in a professional environment, with flexibility to work remotely up to two days per week depending on departmental needs. The paid internship will be at the hourly rate of $20/hour. Apply today! Responsibilities: + Develop patient-centered stories and digital content for UPMC channels + Produce marketing materials such as physician profiles, brochures, and fact sheets + Draft and publish blog content for UPMC HealthBeat and UPMC Enterprises Insights + Assist with social media strategy, planning, and content creation + Assist in planning, organizing, and coordinating corporate events + Support multi-channel marketing campaigns across print, digital, and web platforms + Research industry trends and competitive positioning to inform strategy + Ensure brand consistency, accuracy, and compliance across all materials + Track, analyze, and report key campaign performance metrics + Contribute creative ideas during planning and brainstorming sessions + Current enrollment in a bachelor's or master's program in marketing, communications, journalism or business field preferred. + Looking for individuals entering their junior or senior year as well as those within a master's program. + Exceptional writing, editing, and storytelling skills with strong attention to detail preferred. + Familiarity with digital marketing tools and major social media platforms preferred. + Ability to manage multiple assignments and meet deadlines in a fast-paced environment. + Proficiency in Microsoft Office; experience with Canva or Adobe Creative Suite preferred. + Interest in health care, technology, innovation, and emerging digital trends. + Strong communication, organization, and collaboration skills. + Ability to work both independently and as part of a team.Licensure, Certifications, and Clearances: + Act 34UPMC is an Equal Opportunity Employer/Disability/Veteran
    $20 hourly 7d ago
  • Data Quality Monitor

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    Purpose: Do you have experience with medical insurance and codes? Do you have a high attention to detail? UPMC is hiring a full-time Data Quality Monitor to support the Patient Advocacy department. This position would work alternating shifts Monday through Friday between 8:00am and 7:00pm. The position is eligible to work from home, with travel on-site as needed. The Data Quality Monitor maintains data quality in the Enterprise Master Patient Index for the UPMC Health System. They act as a resource person for all implementation phases of the EMPI project as well as post implementation. They interact closely with IS, Medical Records and Patient Access employees and Managers, including working with local Medical Records offices to obtain, verify and finalize data. The Data Quality Monitor also troubleshoots and provides assistance for all levels of responsibility within UPMC as requested, as well as follows Confidential Policy guidelines to avoid legal complications and breach of confidentially. If you have a high attention to detail, enjoy monitoring data for accuracy, and have experience with medical insurance and coding, apply today! Responsibilities: + Keep management informed of work area status, plans, goals, problems and resolutions. + Responsible for full scope of entry and maintenance of the EMPI for UPMC Health System. + Responsible for verification of data integrity within the Enterprise-wide MPI as well as some legacy systems. + Participate in required educational activities and confronts all work with a positive attitude. + Acts as a resource to monitor data elements in the EMPI, rules and matching algorithms. + Review EMPI reports and take action accordingly to maintain data quality in the EMPI. + Participate in training activities for the Enterprise Master Patient Index for the UPMC Health System. + Support and contribute to UPMC Health System (UPMCHS) service excellence mission and abides by all UPMCHS departmental policies, procedures and goals in the process of performing all job responsibilities. + Coordinate and perform merging and unmerging of patient information in the Enterprise Master Patient Index. + High school education required. + Associate degree in Computer Science or related area preferred. + 3-5 years in a HIM (Health Information Management) or computer environment position, access management required. + Communication and interpersonal skills. + Good assessment and problem-solving skills.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $51k-75k yearly est. 2d ago
  • Medical Coding Auditor

    St. Luke's Hospital 4.6company rating

    Chesterfield, MO jobs

    Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
    $44k-65k yearly est. Auto-Apply 60d+ ago
  • Unit Clerk- Weekend Option, Surgical Unit

    Good Samaritan 4.6company rating

    Remote

    Greets and assists customers to provide information and access to appropriate resources. Promotes high quality patient care by supporting the physician order process and maintenance of the medical record. Assists the healthcare team by being fiscally responsible in the ordering supplies and items necessary for departmental operations. Provides for a clean and safe work environment. Contributes to a high performance work environment by maintaining specific knowledge and skills needed to perform tasks according to policy and procedure at Good Samaritan Hospital. Education: High school diploma or equivalent Licensure: Not applicable Experience: Exposure to healthcare work environment and secretarial skills preferred. Basic knowledge of computers.
    $28k-34k yearly est. Auto-Apply 3d ago
  • Financial Counselor

    UPMC 4.3company rating

    Monroeville, PA jobs

    Join our Medical Oncology team as a Financial Counselor in Monroeville, PA! Are you a skilled medical office professional looking to broaden your horizons? We have an exciting opportunity for a Financial Counselor who will not only work in the front office but also play a crucial role in ensuring patients receive the care they need. If you're passionate about healthcare, finance, and teamwork, read on! As a Financial Counselor, you'll be at the forefront of patient care, ensuring that insurance benefits are verified, authorizations are obtained, and financial assistance is explored. Your expertise will contribute to a seamless patient experience, and your ability to collaborate with various departments will make a significant impact. _Why Join Our Team?_ + Teamwork: At our oncology office in Monroeville, teamwork is at the heart of what we do. Collaborating with colleagues and providers is essential for success. + Work-Life Balance: This full-time position offers regular hours-Monday through Friday, 8:00 am to 4:30 pm. No evenings, holidays, or weekends! + Work from home flexibility will be available once training is completed. + Impact: Your work directly impacts patients' lives. You'll be part of a compassionate team dedicated to making a difference. Ready for the challenge? Apply online today and be part of our mission to provide exceptional care at Hillman Cancer Center! Responsibilities: + Obtain initial and subsequent prior authorization/referrals as required by specific payers. + Secure verification of insurance benefits prior to office visits and required treatments. + Initiate Financial Assessment Application for those patients who do not have adequate insurance coverage. + Work in collaboration with billing department to resolve open insurance claims as presented by walk-in patients. + Assists with other office functions as required. + Ability to work in a team environment. + Evaluate all self pay patients, as well as those patients who are being prescribed drugs that are not reimbursable, to determine eligibility for financial assistance through drug reimbursement programs, off label drug policy, medical assistance and/or all other applicable programs as made available. + Demonstrate the ability to solve problems through effective communication. + Demonstrate an understanding of patient confidentiality with regards to HIPAA Regulations in order to protect both the patient and the UPMC Cancer Centers. + Complete the financial counseling process for all patients prior to treatment, including evaluation of patient financial obligations. + Meet with patients and designated family members to discuss billing issues. + Utilize the Summary of Patient Reimbursement and Liability Form and obtain appropriate approvals, as required, prior to services being rendered. + Completion of High school diploma or GED + 3 years work experience, preferably in a medical office setting + Prefer knowledge of medical terminology; third party payer rules and regulations; and credit and collections laws + Word processing and computer experience required preferably including EPIC experience.Licensure, Certifications, and Clearances: + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $27k-31k yearly est. 8d ago
  • CDI Specialist

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    UPMC Corporate Revenue Cycle is hiring a Clinical Documentation Specialist to join our coding team. This position will be a work-from-home position working Monday through Friday during normal business hours. The Clinical Documentation Specialist (CDS) facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team to ensure appropriate clinical severity is captured for the level of services rendered to all inpatients. If you are ready to take the next step in your coding career and have experience as a CDI Specialist, look no further! Responsibilities: + Participating at the organizational level in clinical documentation improvement initiatives + Communicate with physicians, face-to-face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness + Preparing trended data for presentation one-on-one and small to medium groups of physicians + Demonstrate an understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix, secondary diagnosis, impact of procedures on the final DRG, and an ability to impart this knowledge to physicians and other members of the healthcare team + Be responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team + Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plans + Three years of previous clinical acute care nursing experience medical/surgical experience to include critical care in conjunction with an expanded knowledge of DRG's; OR completion of Health Records Administration program (RHIA) or Accredited Record Technician (RHIT) AND 3 years of experience with the Prospective Payment System and DRG selection; OR specific knowledge as a consultant in Medical Record coding and DRG assignment required. + Prior CDI work experience preferred. + Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review background is highly preferred. + Ability to communicate with staff, physicians, healthcare providers, and other healthcare system personnel in a professional and diplomatic manner required. Licensure, Certifications, and Clearances: + Certified Coding Specialist (CCS) OR Certified Registered Nurse Practitioner OR Doctor of Medicine (MD) OR Doctor of Podiatric Medicine OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Registered Nurse (RN) + Act 34 *Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state. *Employees practicing in Maryland: Respiratory Therapist license may be used in substitution of the aforementioned certifications and licensure. UPMC is an Equal Opportunity Employer/Disability/Veteran
    $45k-77k yearly est. 3d ago
  • PRN - Reg. Radiologic Technologist I

    Good Samaritan 4.6company rating

    Remote

    Works under the supervision of the Diagnostic Radiology Manager. The Radiologic Technologist acts as a positive interface with all customers while contributing to a high performance, high quality work environment. Responsible for the administration of ionizing radiation for diagnostic and/or therapeutic purposes. Performs radiographic procedures and related techniques producing high quality images for the interpretation by, or at the request of, a licensed independent practitioner. Ensures efficient operations, workflow, and patient safety through collaboration with the healthcare team. Essential Job Duties: Acts as a positive interface with all customers and in a manner consistent with world class service. Demonstrates the ability to competently perform those duties within the scope of practice for radiographers as outlined by the Indiana Administrative Code and American Society of Radiologic Technologists. Adheres to and practices in accordance with the American Society of Radiologic Technologists Clinical, Quality, and Professional Performance Standards for Radiographers related to assessment, analysis/determination, patient education, performance, evaluation, implementation, outcomes measurement, documentation, quality self-assessment, education, collaboration/collegiality, and ethics. Ensures services are delivered with the highest possible quality, safety and outcomes within a model plan of care consistent with world class care. Secondary Job Duties That May be Reassigned: May assume responsibility as Charge Technologist according to assigned work shift requirements, or as needed/delegated. Rotate regular work schedule to accommodate vacations, illnesses, and weather conditions. Transport patients and assist others with patient transportation relative to patient acuity level. Provide fixed and mobile radiography services at outlying centers, facilities, and/or physician offices. Perform various tasks to assist Department in maintaining cohesive, efficient operation. Perform other responsibilities and duties as assigned. Job Specifications: Education: Satisfactory completion of a Program in Radiologic Technology, which is Accredited by the Joint Review Committee on Education in Radiologic Technology. Licensure: Current Certification in Basic Life Support for Healthcare Providers; Current Registry and Certification by the American Registry of Radiologic Technologists (ARRT) in Radiography (R) OR must complete Registry and Certification within 6 months of completion of a Program in Radiologic Technology. Current Radiologic Technologist License issued by the Indiana State Department of Health OR a Student Radiologic Technologist License.
    $40k-54k yearly est. Auto-Apply 22d ago
  • Systems Analyst-Technical Lead

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    UPMC is hiring a Technical Lead Systems Analyst to join their ISD Revenue Cycles team. This opportunity offers opportunity for additional training and for career advancement within the department. If you have experience supporting the OnBase application, HL7, and managing and leading integration projects, APPLY NOW! Fully Remote Opportunity: Must be able to work eastern standard time. Purpose: Under the general direction of the management team and Senior staff, the Systems Analyst - Specialist requires a high degree of experienced analytical and solid project management experience. This role requires the ability to perform and lead tasks such as defining requirements, developing and/or maintaining computer applications/systems, and providing services to meet client IT and business needs within budget and targeted deadlines. Serves as the lead of complex technical projects overseeing the design, development, testing and installation of IT solutions within a client group. Serves as a mentor for other analysts. Responsibilities: + Lead the support efforts for the new deployment of Hyland OnBase in an Epic hospital environment. + Documentation: Complete detail-oriented documentation for new and complex processes. Responsible for quality and validity of documentation. Extract and document customer/business requirements and needs for use by enterprise architecture and engineering teams (network, system, and software). + Second and Third Level Support (Including Maintenance Activities): Independently triage and resolve Level 2 and Level 3 issues. Act as a mentor for associate-senior level staff in resolution of Level 2 and Level 3 issues. Manage complex support events. Problem Management. + Project Management: Manage multiple, complex projects. Facilitate the full project management life cycle. Mentor team members on aspects of project management. Ability to prioritize projects and assign tasks to team members. Update all project management and time tracking tools accordingly. + SDLC (System Development Life Cycle): Ability in defining how to use different System Development Life Cycles, ability to establish processes around SDLC's. + Data Confidentiality/Security: Maintain confidentiality of sensitive information at all times. + Data Quality: Maintain data quality at all times. + Vendor Relationships: Interact with vendor (technical issues, project initiatives) independently, as necessary. Ability to act as the point person for issues escalation. + Report Writing/Analysis: Write and analyze complex reports. Make modifications to complex reports. + Mentor less experienced team members. + Communicate effective with business, act as business analyst. Ensure data governance is involved when necessary. + End User Training: Create training content. Manage onboarding programs for super users, as necessary. Facilitate training sessions as necessary. Ability to be responsible for training content. + Process Improvement: Manage process improvement. Provide framework for needed processes. Ability to own process improvement through successful implementation. Recognize opportunity for process improvement in existing workflows. + Application Upgrades and Implementation: Identify new functionality and/or hardware requirements. Creates test plans. Responsible for review and validation of functionality. Report back any problems. Create and/or manage cutover plans including downtime, etc. Responsible for evaluating impact and coordinating efforts as necessary across multiple platforms where applicable. + System Integration: May be responsible for coordination of tasks and resources related to system integration, validation of testing and implementation. + Communication: Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day to day work and projects. + Interactions with Others: Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. May be asked to lead people when working on specialized IT and/or systemwide projects. + Self-Development: Responsible for continuous self-study, trainings, partnering with management and more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from management and more senior team members for development and effectively incorporates feedback into work and behaviors. + *Performs in accordance with system-wide competencies/behaviors. + *Performs other duties as assigned. + Typically has 7+ years' experience with modern technology and application support through education or practical experience. + Highly driven and self-motivated to exceed expectations. + Ability to work independently and in a team-based environment. Effective in mentoring and leading less experienced team members. + Demonstrates thorough understanding of information technology fundamental tools and concepts (SDLC) of one of the information technology professional disciplines and applies that understanding to make independent practical contributions to IT work within a UPMC department or function. + Completes on-going training on-the-job, through courses, self-study, certifications and/or advanced degrees to maintain and enhance technical and business capabilities. + Additionally, this position may be required to maintain a standby status as part of a rotation within the team. + This requires 24 hours per day, 7 days per week availability during the standby period. + The frequency varies based upon the number of colleagues in the rotation. Top 3 Skills: + OnBase certified supporting the OnBase application + Technical skills including: HL7 integration knowledge, SQL query development solutions. Knowledge of Microsoft IIS configuration for OnBase infrastructure. + Managing and leading integration projects Preferred: + Someone who already has the experience with the suite of applications required to support the Hyland OnBase project long-term. + Experience leading and supporting Hyland OnBase projects in a hospital environment. + Knowledge and experience managing conversions from clinical systems to OnBase. + Current or Past UPMC employee or contractor Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran
    $94k-113k yearly est. 3d ago
  • Patient Care Technician, Nights

    Good Samaritan 4.6company rating

    Remote

    Standards of Care Assists the patients with activities of daily living. Assists the healthcare team by collecting, reporting, and documenting patient data. Maintains high patient and family satisfaction by providing care that is based upon individual needs. Essential Job Duties: (These statements are intended to describe the essential functions and related requirements of persons assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities and requirements.) Standards of Performance Quality Care The patient care technician systematically evaluates the quality and effectiveness of assigned duties throughout the unit. Performance Appraisal Patient Care Technicians evaluate their own nursing practice in relation to standards and regulations. Education Patient Care Technicians acquire and maintain current knowledge of their assigned duties. Collegiality Patient Care Technicians interact with, and contribute to, the development of peers. Ethics Patient Care Technicians deliver care in a nonjudgmental, nondiscriminatory, sensitive, and culturally competent manner. Collaboration Patient Care Technicians collaborate with the client, family members, significant others, and health care providers in providing care. Communication Patient Care Technicians communicate effectively with clients, families, and other health care professionals. Secondary Job Duties That May be Reassigned: Supportive of ordering process when needed. Assists with maintaining the medical record. Greets and assists guests to provide information and access to appropriate resources. Assists with ordering supplies for the department while being fiscally responsible. Education: High school diploma or equivalent. Licensure: Not applicable Experience: Previous hospital or healthcare experience preferred
    $25k-33k yearly est. Auto-Apply 60d ago
  • Software Engineer - Associate (.Net/Cloud)

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    UPMC is seeking two Associate .NET/Cloud Software Engineers to help grow and strengthen our team across multiple strategic initiatives. Candidates will collaborate closely with software engineers, architects, product managers, product owners, scrum masters, QA professionals, and business stakeholders-working within and across IT departments in a SAFe/Agile/DevOps environment. The ideal candidate for the .NET/Cloud role is a self-starter with a solid understanding of the relevant technologies, a passion for continuous learning, and a willingness to share best practices. They should be comfortable navigating cross-functional teams and complex systems to help build scalable, future-ready business capabilities. This is a 100% remote opportunity. Responsibilities: * Application Development Cycle - Show fundamental knowledge of the application development cycle. * Security - Show fundamental knowledge and the ability to learn secure coding processes and writing, accessing, and following established security protocols. * Troubleshooting - Show the ability to resolve basic issues and offer input on issue resolution. * Quality - Follow established coding standards. Submit code for review and deliver quality, unit test code. * Design - Follow established design patterns and has awareness of user experience standards. Responsible for individual components of design. * Integration - Responsible for less complex components of integration within a module. * Documentation - Create basic technical documentation. * Project Management - Has ownership in the success of projects. Responsible for estimating and delivering on individual task within the project. * Communication - Responsible for demonstrating appropriate, clear, concise, and effective written and oral communications in all interactions to build relationships and accomplish day-to-day work and projects. * Interactions with Others - Successfully completes projects, tasks, and initiatives by embracing a team-first approach. Works in collaboration with team and offers feedback, where appropriate, to complete individual and group efforts. Shows the ability to adjust and be flexible to change by adapting approach when necessary. Mentors less experienced staff. * Self-Development - Responsible for continuous self-study, training, partnering with more senior members of team, and/or seeking out opportunities to broaden scope to stay up to date with industry and organizational trends. Seeks feedback from senior team members for development and effectively incorporates feedback into work and behaviors. * Software Solutions - Develop, validate, and implement software solutions based on customer requirements, Enterprise architecture standards and defined project designs. + Familiarity with the work through education or practical experience. + Proven ability to work in complex development environments, translating abstract concepts into detailed deliverables. + Experience developing within cross-functional systems. + Programming knowledge and technical proficiency. + Basic understanding of the Software Development Life Cycle (SDLC). + Self-motivated with a drive to learn and exceed expectations. + Capable of working independently and collaboratively within team settings. + Effective communicator with strong oral and written skills.Must Have Experience: + Exposure to .NET, C#, and Microsoft server-side technologies through coursework or hands-on projects. + Basic front-end development skills using AngularJS, TypeScript, HTML, CSS, JavaScript, jQuery, or Bootstrap. + Understanding of how RESTful APIs are designed and consumed. + Familiarity with source control tools like Azure DevOps (TFS/VSTS), Git, or SVN. + Experience writing or maintaining unit tests as part of development. + Foundational knowledge of object-oriented programming and interest in learning clean coding practices and design patterns. Preferred Experience: + Working in Agile/Scrum environments. + Exposure to cloud platforms and non-relational databases. + Prior experience in the healthcare domain and current or past UPMC employee or contractor. Licensure, Certifications, and Clearances: ACT 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $64k-80k yearly est. 2d ago
  • Certified Coding Specialist I-Profee

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    UPMC is seeking to hire a Certified Coding Specialist I to join our Coding Department. This is a work-from-home position, working Monday through Friday during standard business hours. To qualify for this position, you must have at least five years of coding experience. As a Certified Coding Specialist I, you will have the same responsibilities as a Certified Specialty Coder, plus provide training on code selection for new and existing staff. Specifically, you will be working on denials, special projects in targeted specialties to assist in the reduction of denials. You will perform audits to determine code and charge selection accuracy as well as summarize coder accuracy for Managers. Identify topics for training and education, research topics and assist with the assembly of training materials and CDI process. Assist with audit reviews including all internal, external, and RAC associated coding audits. Supervise on-site staff. Review and approve adjustments to accounts. Responsible for Kronos approval and sign-off. Responsibilities: + Adhere to internal system-wide policies, competencies, behaviors and procedures to ensure efficient work processes. Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements. + Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. + Supervises staff including assignments and Kronos approval and signoff. Also assist with recruitment. + Code all diagnoses and procedures by assigning and verifying the proper ICD and CPT codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. + Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. + Investigate and resolve reimbursement issues, including denials, in a timely manner and demonstrate proficiency on billing system. + Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. + Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification. + Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer. Coder should meet appropriate coding productivity standards within the time frame established by management staff. + Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system. + Refer problem accounts to appropriate coding or management personnel for resolution. + Lead, participate in and/or assist with departmental coding audits. + Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. + High school graduate or equivalent. + Graduate of an approved certified coding program preferred. + Proficient computer skills with MS excel knowledge preferred. + Five years surgical coding experience (includes anesthesia coding) OR advanced E/M coding experience.Licensure, Certifications, and Clearances:CPC or Certified Coding Specialist (CCS) specialty certification required + Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $36k-51k yearly est. 5d ago
  • Senior AI Architect, IT

    UPMC 4.3company rating

    Pittsburgh, PA jobs

    Purpose: The Senior AI Architect position requires a high degree of technical expertise in at least 2 relevant domains such as AI solution development, data science, security, cloud, integrations, Healthcare IT or similar. As a Senior AI Architect, you will be challenged with aligning the AI strategy with the business strategy of multiple projects and/or department initiatives. You will lead the creation of best practices, policies, procedures, and other applicable AI documentation. You will collaborate with data scientists and other AI professionals to augment digital transformation efforts by identifying and piloting use cases. You will align technical implementation with existing and future requirements by gathering inputs from multiple stakeholders - business users, data scientists, security professionals, data engineers and analysts, and those in IT operations. Fully Remote Opportunity! Must be able to work eastern standard time. Responsibilities: The AI architect role spans the life cycle of AI solution development. The following paragraphs summarize the key responsibilities at each AI development stage. + Develop Business Case - The AI architect works with business stakeholders and business owners to develop the architecture needed and clearly define the outcomes and success metrics. + Data Discovery - The AI architect must work with information/data architects, analytics team members and data scientists to identify and make available the data required. In addition, the AI architect must be sensitive to the data's privacy, security and compliance issues. + Model Selection- Depending on the business outcome sought, the AI solution development team will need to select the right foundation model to deliver the services needed. The AI architect will support the identification of the foundation model and ensure that it can address the needs of the business architecture. + Model Training and Testing-The AI architect must work with stakeholders from across the IT organization to ensure that the right environment and computing resources are available for training and testing. This extends to ensuring that the data needed for testing and training is made available to the development team. The AI architect also supports the development of a training and testing plan, as well as the analysis of results and opportunities for improvement. + Model Deployment- The AI architect will work with business and IT stakeholders to develop a roll-out plan for the AI solution. + Continuous Monitoring- The AI architect will support the development of the monitoring plan and participate in the governance model if needed. + Bachelor's Degree in a related field with 10 years of relevant work experience OR 14 years total relevant work experience. + Holds deep technical mastery and business knowledge across multiple technology domains. + Strategic thinking and analytical skills with demonstrated ability to combine broad technical, business, clinical and political factors. + Has a broad background implementing different architectures to meet differing needs. + Strong written and verbal communication skills and possesses good presentation skills. + Demonstrated ability to direct the implementation of diverse technologies in a complex organization. + Diplomacy and interpersonal skills to lead others to provide inputs for the purpose of sharing with customers, partners, and higher management on vision and need for key technologies. + Demonstrated experiences innovating beyond the state of the art. + Maximizing technical efficiency and setting technical direction. MUST HAVES: + Understand the workflow and pipeline architectures of ML and deep learning workloads. An in-depth knowledge of components and architectural trade-offs involved in data management, governance, model building, deployment and production workflows of AI. + Demonstrates a good understanding of product management, agile principles and development methodologies + Translates business and technical requirements into an architectural blueprint to achieve business objectives; documents all AI solution architecture design and analysis work + Supports the development and delivery of data strategy for AI solution training, testing and deployment + Creates architectural designs to guide and contextualize AI solution development across products, services, projects and systems, including applications, technologies, processes and information + Leads evaluation, design and analysis for the implementation of an AI solutions architecture across a group of specific business applications or technologies, based on enterprise business strategies, business capabilities, value streams, business requirements and enterprise standards. + Develops data management strategies for AI model development, training and deployment + Articulates the business impact of AI solutions that translate technical performance into business success metrics + Deliver presentation skills to relevant stakeholders and technical audiences + Demonstrates a broad background implementing different architectures to meet differing needs. + Experience in software development and coding in various languages (C#, .NET, Java etc.) PREFERRED: + Healthcare IT experience preferred. + Has a Healthcare Payers knowledge of business and processes + Deliver presentations to senior-level executives + Experience with such AI techniques as natural-language processing (NLP); computer vision; deep learning tools, such as PyTorch, TensorFlow and AI/ML; libraries, such as GitHub and Hugging Face **Licensure, Certifications, and Clearances:** N/A **UPMC is an Equal Opportunity Employer/Disability/Veteran**
    $97k-120k yearly est. 5d ago
  • PRN - Rehabilitation Technician

    Good Samaritan 4.6company rating

    Remote

    (These statements are intended to describe the essential functions and related requirements of persons assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities and requirements.) Obtains, organizes and maintains therapy equipment, utilizing appropriate resources for use and maintenance in order to prolong life of equipment and safety. Assists therapists in transferring and treating patients as well as safe transporting of patients to and from therapy sessions. Cleans all therapy equipment and treatment rooms/supplies as well as keeping equipment and treatment areas in an organized and safe manner according to state health department requirements. Maintains and oversees the supply and proper storage of oxygen tanks and provides yearly and intermittent inservices/ education on oxygen tank set up and care as needed for rehab staff. Monitors and maintains supplies for therapy staff on rehab with ordering needed supplies in a timely manner with the supervision of the therapy supervisor/ program director. Maintains the parameters of safe temperatures and care on the therapy hot packs, ice packs, refrigerator (as needed), and paraffin bath keeping required and up to date logs in reportable state at any time requested. Completes other duties and special projects as assigned. Assists Nurses Aides in morning bathing and dressing to prepare patients for day. Assists the patients with activities of daily living (e.g. bathing, dressing, etc). Secondary Job Duties That May be Reassigned: Educate and inservice staff members in equipment use and care. Orient and train new staff members of job duties and equipment care. Job Specifications: Education: High School graduate. Successful completion of RehabCare Group rehabilitation technician training program or equivalent training. Experience: On the job training provided by a registered therapist. Experience in working in a health care setting is preferred; experience with adult/geriatric population and /or serving people with physical disabilities is also desirable.
    $26k-33k yearly est. Auto-Apply 43d ago

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