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  • HIM QA Lead, Remote, Health Information Management, FT, 08:30A-5P

    Baptist Health South Florida 4.5company rating

    Remote job

    Serves as primary source of support for the Health System with 8 Acute Care Hospitals, All Baptist Outpatient Services (over 50 locations) and all Ambulatory Surgical Centers as well as supporting staff providing onboarding and ongoing education. Performs quality assurance for work function within area of responsibility and monitors reports and workflows identifying opportunities for improvement. Tests and trouble shoots new software applications and system upgrades working closely with Information Technology. Ensures compliance with TJC, CMS, OIG, Medical Staff Rules and Regulations, AHIMA guidelines, HIPAA regulations and State and Federal Laws for release of information. Interacts with clinical and administrative departments, physicians, clinicians, and patients. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Prefers Associates Degree in Health information Management with Certified Record Health Information Technician (RHIT) and/or Registered Health Information Administrator (RHIA), Health Services Administration, or equivalent experience in acute care setting for a large healthcare organization. * Knowledge of statistics, data collection and presentation. * Ability to problem solve, organize, plan, prioritize work, and meet specific objectives under time constraints. * Excellent communication skills and comprehension of oral and written instructions and attention to fine details. * Ability to travel between hospitals to perform job duties. * Requires typing of 25 wpm and passing of standard filing, Word, and Excel testing. Minimum Required Experience: 3 Years
    $80k-106k yearly est. 16d ago
  • Executive Assistant 2, Baptist Health Innovations, HYBRID, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    The Executive Assistant 2 is advanced and highly responsible executive clerical and related administrative work reporting to a Corporate VP (Entire Function) or Entity CEO. Employees in this position perform a variety of complex clerical, special projects and administrative duties. Emphasis of the work is on the performance of advanced clerical and administrative duties requiring considerable knowledge of the executive(s) responsibilities and an understanding of the policies, programs, procedures and regulations in effect in the entity. Duties typically include arranging for and attending conferences, independently answering inquiries where there is established policy or precedent action, taking and transcribing dictation, composing and typing correspondence and performing research to compile data for special reports and other purposes. Incumbents utilize a variety of office skills and considerable independent judgement in relieving supervisor of administrative details. General supervision is received from the employee's leader who reviews work for satisfactory performance of executive clerical and administrative duties and for attainment of desired goals and objectives. Estimated pay range for this position is $26.90 - $32.55 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Associates degree preferred. * Clerical/administrative experience. * Advanced computer knowledge, to include knowledge of MS Office Tools and Internet. * Ability to operate office equipment (i.e . : copiers, fax machines, printers etc.) * Work requires written and verbal communication skills. * General knowledge of company policies, practices and operations. * Must be able to maintain confidentiality. Minimum Required Experience: 4 Years
    $26.9-32.6 hourly 8d ago
  • Legal Operations Project Manager, General Counsel, Hybrid, FT, 09A-5:30P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    Baptist Health is seeking a Legal Operations Project Coordinator to support the modernization of workflows and automation initiatives within the Legal Department. This hybrid role, based in Miami, FL, is ideal for a tech-savvy professional with 2-4 years of experience in operations, project coordination, or IT systems support. The coordinator will play a key role in designing and implementing solutions using Microsoft 365 tools - particularly SharePoint, Power Automate, and Teams - to streamline legal processes and enhance efficiency. Familiarity with legal operations, compliance, or corporate support functions is preferred. The ideal candidate will also bring experience with additional automation platforms such as Power Apps or third-party workflow tools and have exposure to process improvement methodologies like Six Sigma. This is a high-impact opportunity to collaborate across departments and drive innovation in legal operations. Estimated salary range for this position is $63, 918.68 - $83,094.28 / year depending on experience. Degree: * Bachelor's degree Additional Qualification: * Bachelor's degree in business, information systems or other relevant field * Possess advanced proficiency in Microsoft 365, including SharePoint design and administration, Power Automate for workflow automation, and Microsoft Teams - preferably with experience in advance features * Familiarity with legal operations, compliance, or corporate support functions is essential * Experience with automation tools such as Power Apps, Microsoft Forms, or third-party workflow solutions * Exposure to process improvement initiatives and foundational knowledge of Six Sigma methodologies is highly valued
    $63.9k-83.1k yearly 6d ago
  • Endocrinologist

    Vail Health 4.6company rating

    Remote job

    Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here. Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift. About the opportunity: The endocrinologist physician is a key role in the organization and is responsible for clinical management of the Vail Health Clinic patients. What you will do: • Manage patients through the continuum of clinic care. • Provide consultative services for various physician teams. • Work with clinical team comprised of registered nurses, certified diabetes educator, advanced practice provider and care tech in addition to providing coverage as needed with physicians partners. • Participates in the implementation of appropriate clinical protocols. • Uses available reports, medical records, and on site observation to review and improve the quality of care delivered by team members. • Provide training to clinical staff or advance practice provider as needed. • Ensure accuracy of provider coding and documentation. • Assures medical involvement in the development, approval, and review of all policies, procedures, and protocols governing clinical care. • Monitor and manage patient satisfaction scores. • Collaborate with operations team to resolve patient care complaints and grievances. • Other duties may be required based on clinic specific requirements or needs. • Attend Quarterly Medical Staff Meetings. • Other committees as necessary. • Role models the principles of a Just Culture and Organizational Values. • Must be HIPAA compliant This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience: • Preferred two years clinical experience. • Preferred experience/skill with thyroid ultrasound and ultrasound guided FNAs. • Knowledge/interest/expertise in the advanced management of all forms of diabetes mellitus, including skilled interpretation of data from and use of insulin pumps and continuous glucose sensors. • Interest/knowledge in caring for patients with any and all forms of endocrine and metabolic disease, including, but not limited to: thyroid dysfunction, thyroid cancer, pituitary disease, adrenal disease, gonadal disease, symptomatic menopause, all forms of diabetes mellitus, metabolic/lipid disorders, calcium disorders, osteoporosis, etc. License(s) and Certification(s): • Board Certification in Endocrinology • A license to practice medicine in the state of Colorado • A current DEA registration number Education: • Completion of a Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from an accredited institution is required • Fellowship training required. Physician Benefits at Vail Health Include: Competitive Wages & Family Benefits: Competitive wages Parental leave (4 weeks paid) Housing programs Childcare reimbursement Comprehensive Health Benefits: Medical Dental Vision Educational Programs: Tuition Assistance Existing Student Loan Repayment Annual Continued Medical Education funds and days Medical Staff Dues Retirement & Supplemental Insurance: 403(b) Retirement plan with immediate matching Life insurance Short and long-term disability Recreation Benefits, Wellness & More: Up to $1,000 annual wellbeing reimbursement Recreation discounts Pet insurance Pay is based upon relevant education and experience per year. Yearly Pay:$280,000-$300,000 USD
    $280k-300k yearly Auto-Apply 4d ago
  • Performance Analyst 1, Hybrid, Clinical Reporting, FT, 08:30A-5P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    Conducts complex data comparisons using multiple internal and external databases for Baptist Health Center for Performance Excellence initiatives. Develops complex reports and analyses communicates the results in a comprehensive, accurate, and understandable format. Possesses excellent interpersonal, communication, organization and time management skills. Estimated salary range for this position is $65835.36 - $85585.97 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Bachelors Degree in business, engineering, or liberal arts. * At least three years experience working with quantitative and statistical data (master's degree may be substituted for two years of experience). * Advanced skills in spreadsheet, graphics and relational database software. * Demonstrated analytical and critical thinking skills, with the creative ability which enables data to be well presented and utilized. * Knowledge of Lean principles desired. Minimum Required Experience: 3 Years
    $65.8k-85.6k yearly 36d ago
  • Senior Laboratory Systems Analyst - Blood Bank, Hybrid, Technology & Digital, FT, 8A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    Baptist Health South Florida is seeking an experienced Business Systems Analyst to support the implementation, Epic integration, and long-term sustainment of the Haemonetics SafeTrace TX Blood Bank application. Estimated salary range for this position is $85,901 - $111,671 / year depending on experience. Degrees: Bachelor's degree in Computer Science, MIS, Information Sciences or related discipline or equivalent work experience. * Minimum of 3-5 years of experience supporting or implementing laboratory or Blood Bank information systems in a hospital setting. * Experience with Haemonetics SafeTrace TX is strongly preferred. * Knowledge of Epic Beaker or prior Epic implementation experience is highly desirable. * Familiarity with HL7 interfaces, data integration, and middleware solutions such as Data Innovations. * Understanding of Blood Bank workflows, including product management, crossmatching, transfusion documentation, and regulatory compliance. * Strong analytical, troubleshooting, and problem-solving skills. * Excellent communication and collaboration abilities to work with cross-functional clinical and IT teams. * Ability to manage multiple priorities in a fast-paced environment. * Certification as an MT/MLS (ASCP) or equivalent is preferred.
    $85.9k-111.7k yearly 60d+ ago
  • Resuscitation Education LMS Admin, Remote, Resuscitation Education, FT, VARIES

    Baptist Health South Florida 4.5company rating

    Remote job

    The Resuscitation Education LMS admin coordinates AHA programs by scheduling rooms, building courses in LMS, reconciling class rosters, uploading completion records for AHA card distribution, and maintaining the instructor database. Performs data entry functions for all AHA required criteria for the courses offered through the LMS to ensure participant's certification in resuscitation courses (BLS, PALS, First Aid, Mock Code Reviewer, NRP and ACLS). Supports Baptist Health employees and community in need of course information. Possess good time management and organizational skills and works under short deadlines, multitasks, and adjusts to changing priorities and workloads. Utilizing information technology systems and methods, is responsible stablishing, coordinating, and maintaining data integrity processes. Communicates and collaborates with key departments outside Resuscitation Education to support eLearning. Supports department operations. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Experience using Microsoft based software including outlook, work, excel, access and power point. * Five years of business operation experience, preferable in healthcare enterprise. * Experience with Learning Management Systems (LMS), American Heart Association (AHA) programs and Kronos. * Possess strong interpersonal skills sufficient to establish and maintain effective working relationship across the enterprise including effective team building. * Can demonstrate strategic and organizational agility, customer focus, drive for results, priority setting and business acumen. Minimum Required Experience: 5 Years
    $70k-114k yearly est. 10d ago
  • Technical Manager- Integrations, Remote, Technology & Digital, FT, 8A-5P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    The primary purpose of this role is to lead a team (or teams) of software engineers in the development, configuration and modification of integrated business and/or enterprise application solutions. This includes providing oversight of the implementation and maintenance of business and enterprise software solutions to ensure successful deployment of released applications. This individual also provides insight and recommendations to inform the roadmap and overall health and care of the larger portfolio. This is a leader of people who clears obstacles for his/her team while empowering and enabling others to solve complex technical and business problems. To be successful, the individual in this role must bring a strong combination of business and technical acumen and be able to provide solutions that balance the unique needs of both the business and Technology Estimated salary range for this position is $167553.35 - $217819.36 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Bachelor's degree in Engineering, Computer Science or related field. * 6 years experience with Engineering People Leadership and Development or related. * Deep knowledge and understanding of emerging trends in software engineering. * Expertise with automation, monitoring and log analysis tools to manage operations. * · Strong development background in modern programming languages (Java, C#, Python, or Node.js). * · Deep expertise in API design, development, and lifecycle management * · Hands-on experience with at least one enterprise integration platform (e.g., MuleSoft, AWS Integration Services, Google Cloud Integration Services, Apigee, Boomi etc.) * Familiarity with event-driven architectures, message brokers (Kafka, AWS EventBridge, Google Pub/Sub), and streaming platforms. * Solid understanding of microservices architecture, containerization (Docker, Kubernetes), and cloud-native integration patterns. * Knowledge of security standards and best practices for integrations (OAuth, JWT, TLS, API security, data privacy). * AI/ML Integration Experience and Familiarity with autonomous/agentic AI frameworks is a plus * Exposure to DevOps/CI-CD practices, monitoring, and observability for integrations * Strong working experience in Scrum methodologies with detailed insight into Agile processes and ceremonies. * Strong communication, project management and analytical skills. * Deep understanding of application security, web applications, and modern techniques for building software. * Exceptional interpersonal skills: written and verbal, in person and remote. * You have the ability to build strong partnerships at all levels of our team, and have proven leadership skills in listening, influencing, and coordinating. * Knowledge of professional software engineering practices and best practices for the full software development lifecycle, including coding standards, code reviews, source control management, build processes, testing, and operations. * Demonstrated experience in leading and managing an engineering team to build and operate cloud services in a public cloud platform. Minimum Required Experience: 10 years
    $64k-102k yearly est. 60d+ ago
  • Biostatistician 2, Remote, Technology & Digital, M-F 8:00A to 4:30P

    Baptist Health South Florida 4.5company rating

    Remote job

    The Biostatistician will work with health system research teams to manage datasets, design studies, form analysis plans, and perform sample size/power calculations and stratification/randomization of studies, statistical programming, data management, analysis and report writing. Additionally, will provide consultation on the design of data processing systems, specifying the needed output, the required input and the methods of validation and quality control. Will recommend and carry out effective statistical methodology and strategies necessary for the creation, completion, and analysis of research projects and supervises the planning and designing of analytical procedures by others as requested. Will recommend the most appropriate analytical design for a broad range of data and analyze data using the most appropriate statistical procedures for the evaluation of outcomes studies. The biostatistician will support the preparation of peer-reviewed publications and will serve as primary and/or co-author on publications. Incumbent will also contribute as a statistical reviewer and editor for other manuscripts produced by the professional staff. The biostatistician will provide technical leadership, consultation, and advice on statistical analysis, methods and techniques for epidemiologic or research studies. Estimated salary range for this position is $93867.22 - $122027.39 / year depending on experience. Degrees: * Doctorate. Licenses & Certifications: * Collab Inst Training Init. Additional Qualifications: * PhD in Biostatistics/Epidemiology, Statistics, Health Economics, or another relevant field. * Expert technical abilities in statistical methodologies and knowledge of outcomes research and clinical methodologies, cost effective analysis, ability to analyze complex genetic data with cutting edge statistical methods, and generating risk scores based on large available variables. * Skilled in data manipulation and linkage of large datasets. * Knowledge of computer software systems appropriate for data analysis like SAS or STATA. * Manipulation of large datasets. * Experience in using hospital administrative databases or large claim databases and familiar with medical coding (DRG, ICD, HCPC, CPT, NDC) would be desirable. * Experience in publication (abstract, poster, manuscript) preparation process. * Ability to work on multiple projects with competing priorities. * Excellent interpersonal, communication, problem solving, and analytical skills. Minimum Required Experience: 5 Years
    $93.9k-122k yearly 36d ago
  • Professional Coding Auditor - Remote

    Albany Medical Health System 4.4company rating

    Remote or Albany, NY job

    Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. CPC certificate upon Hire - Required Two years or more prior experience in professional fee coding - required Essential Duties and Responsibilities * Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring established productivity and quality standards are met. Complex coding skill set required to act as service line expert. * Assist Supervisor in the daily operations of coding team(s) in a Team Lead position, ensuring staff are meeting established coding/charge processing productivity and quality standards. * Assume supervisory tasks for the assigned coding staff in absence of Supervisor. * Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes. * Define and submit coding/edit rules for consideration to streamline coding accuracy and efficiency within multiple interfaced systems. * Participate as a workflow expert in all levels of application testing to include test script building, script processing through varying test systems, charge import into applicable systems and detailed review of accuracy for each process. * Assist with the implementation, testing, troubleshooting and maintenance of third-party vendor applications software. * Assist in preparing, overseeing, and approving staff schedule to meet the needs of the department. * Orient and train, provide feedback, and evaluate the staff as needed. * Assist in establishing department goals and assure goals are achieved utilizing LEAN management skills. * Participate in the recruitment and interview process to fill personnel vacancies. * Perform System Manager tasks for specified applications in his/her absence to include: compile and create daily reports, Import charges into applicable systems. Research/correct coding validation errors during charge import. * Assist in creating and updating policies and procedures to include system development and maintenance documentation. * Perform timely medical record chart reviews (which could include prospective, concurrent & retrospective auditing) to ensure documentation and selection of HCC diagnosis codes meet the requirements set forth by CMS and the Official ICD-10-CM Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities. * Conducts professional fee billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities. * Identify trends based on audit/review findings and formulate recommendations for follow-up education and corrective actions. Effectively communicate and educate relevant parties with the results of review/audit activity; and help with development of related action plans. * Assist with Denials Management to determine root causes and provide feedback and training to providers/staff to reduce denials. * Acts as a liaison for external audits and organizes the process. Implements necessary changes/education based on findings. * Attend and contribute in all PCO staff meetings, department meetings and all other meetings assigned. * Fulfills department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education. * Assume responsibility for professional development by participating in webinars, workshops and conferences when appropriate. * Ability to work well with people from different disciplines with varying degrees of business and technical expertise. * All other duties as assigned. Qualifications * High School Diploma/G.E.D. - required * Two years or more prior experience in professional fee coding - required * Knowledge of multiple coding specialties. - preferred * Working knowledge and experience with provider professional fee coding and charge processing. Complex coding skill set required. Computer experience, windows environment with proficiency in Microsoft Word and Excel is required. Excellent verbal and written communication skills. (High proficiency) * CPC, CCA, CCS, COC, RHIT, or RHIA - required Equivalent combination of relevant education and experience may be substituted as appropriate. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $60.4k-90.6k yearly Auto-Apply 36d ago
  • HIM Protected Health Information Specialist, Health Information Management, FT, 8A-4:30P Hybrid

    Baptist Health South Florida 4.5company rating

    Remote or Boca Raton, FL job

    Serves as a primary source of support for the Health System with 8 Acute Care Hospitals, All Baptist Outpatient Services (over 50 locations) and all ambulatory surgical centers. Responds to requests of former patients, physicians, hospital staff and other requestors for health information while preserving the confidentiality of patient's protected health information. Performs quality assessment reviews on release of health information for proper, complete, and accurate disclosure by meticulously checking for all required components of requests received. Answers phone calls and provides information adhering to hospital Disclosure of Medical Record Information policy and State and Federal law and HIPAA and Information Blocking regulations while providing exemplary customer service. Works as a team to meet Release of protected health information and department goals. Prefers Associates Degree in Health information Management with Certified Record Health Information Technician (RHIT) and/or Registered Health Information Administrator (RHIA), Health Services Administration, or equivalent experience in acute care setting for a large healthcare organization. Knowledge of medical terminology, clinical chart format and computer skills. Ability to work in a highly-focused customer service oriented setting with high volume telephone experience. Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. Excellent computer proficiency (MS Office - Word, Excel and Outlook). Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. Ability to multitask and work independently to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Must be attentive to fine details and be a high volume performer with exceptional organizational skills. Requires traveling to different sites for depositions or Court hearings. Minimum Required Experience: 3 Years
    $52k-79k yearly est. 8d ago
  • Revenue Cycle Denials & AR Analyst / FT, M-F 8-5 Hybrid

    Children's Hospital & Medical Center 4.3company rating

    Remote or Omaha, NE job

    Schedule: FT, Mon - Fri, 8-5 Hybrid At Children's, the region's only full-service pediatric healthcare center, our people make us the very best for kids. Come cultivate your passion, purpose and professional development in an environment of excellence and inclusion, where team members are supported and deeply valued. Opportunities for career growth abound as we grow our services and spaces, including the cutting-edge Hubbard Center for Children. Join our highly engaged, caring team-and join us in providing brighter, healthier tomorrows for the children we serve. Children's is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities. A Brief Overview Analyzes system and payer issues that hinder claim processing and reimbursement. Coordinates with the Manager/Supervisor to research and identify root cause and develop and implement resolution for assigned area (hospital or professional services). When necessary, works with payer representatives to correct and resubmit affected claims for payment. Essential Functions Identifies and communicates trends in recurring denials resulting in need for process improvement or system edits to eliminate future denials for assigned area (hospital or professional services) • Under the direction of the Manager/Supervisor, works with necessary departments (e.g., IT Resolution Team, Case Management, Authorizations) to drive process improvement and system edits. • Research specific payer billing requirements to understand specific reasons for denials and preventable measures available. • Maintain professional relationship with payer representatives to facilitate process improvement. Logs and monitors all tasks and projects on the Revenue Cycle Project List. • Ensure all targets are attained and due dates as established by Revenue Cycle Leadership • Work with IT and Analyst to measure financial impact and improvement is maintained. Work special projects assigned by Manager/Supervisor …. • Review and analyze claims and perform appropriate action for claim resolution. Education Qualifications Associate's Degree from an accredited college or university in Information Systems, Business, Finance, or related field required. Equivalent relevant work experience may be substituted for education. Required Experience Qualifications Minimum 3 years' experience in Information Technology, Physician's billing or Hospital billing systems Required and Previous EPIC Experience Preferred Skills and Abilities Knowledge of internal operations to facilitate appropriate revenue cycle management efforts and pricing of our services. Knowledge of hospital and professional billing, collection and reimbursement requirements and standard practice. Ability to review, interpret and understand managed care contracts with third-party payors. Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental programs and regulations. Knowledge of CPT, HCPCS and revenue codes and their effect on reimbursement. Ability to communicate effectively both verbally and in writing. Basic knowledge of Word, Excel, Access and PowerPoint required. Children's is the very best for kids and the very best for your career! At Children's, we put YOU first so together, we can improve the life of every child!
    $47k-58k yearly est. Auto-Apply 60d+ ago
  • Oncology Authorization Coordinator, Lynn Cancer Institute Proton Therapy, FT, 8A-4:30P, Hybrid Remote

    Baptist Health South Florida 4.5company rating

    Remote or Boca Raton, FL job

    The incumbent will be responsible to request, follow-up, obtain, and validate authorizations/referrals/notifications with appropriate CPT and ICD-10 codes, within the appropriate timelines for Radiation Oncology and/or Oncology Infusion. This position requires the incumbent to be in a call center type environment and responsible for meeting individual quality metrics. Responsible for coordinating patient flow, timely processing, maintaining knowledge and deployment of practices used within the department/physician practice/hospital to address patient questions or concerns. Maintaining knowledge of insurance requirements, BHSF pricing, financial assistance options, and overall BHSF Revenue Cycle operations. Practices the Baptist Health philosophy of service excellence in providing professional, compassionate and friendly service to patients of all ages, families, employees, physicians and community members. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * For internal staff: A minimum of 3 years experience in validating/obtaining authorizations and has demonstrated the ability to independently perform all functions within the Level 1 job description. * Meets/exceeds all Individual Performance Standards for at least the most recent 6 months. * Exceeds departmental KPIs and is cross trained in multiple areas/product lines to substitute all staff positions as needed. * For external staff: Associates Degree preferred with 3 years experience in validating/obtaining authorizations with insurance payers, or 4 years experience in lieu of degree. * Association of Community Cancer Center, Prior Authorization On-Demand Webinars to be completed within 3 months of hire, and updated yearly education required. * Complete and pass the Patient Access training course. * Ability to work in a fast-paced work environment and perform basic mathematical calculations. * Desired: Knowledge of healthcare regulatory guidelines to include, but not limited to, HIPAA, AHCA, EMTALA. * Knowledge of authorization guidelines for Radiation Oncology/Oncology Infusion. * Understanding of insurance contracts, medical terminology, authorizations and pre-certifications. * Working knowledge of the Microsoft Office products and EMR applications. * Bilingual English, Spanish/Creole. Minimum Required Experience: 3 Years
    $47k-61k yearly est. 24d ago
  • Revenue Integrity Data Specialist, Remote, Revenue Integrity Management, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote or Miami, FL job

    The Revenue Integrity Data Specialist will report to the Manager of Revenue Integrity Management. The Revenue Integrity Data Specialist will work along with the pre-bill edit team to take appropriate action to resolve patient account issues preventing claims and communicate to the revenue cycle departments when changes need to be made. Estimated pay range for this position is $25.37 - $30.70 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * NAHAM Certified Healthcare Access Associate. Additional Qualifications: * High school Diploma or GED required. * Bachelor's degree in Health Information Management or nursing or related field preferred. * Two (2) years of hand-on healthcare registration. * Billing or audit experience required. * Must obtain Healthcare Access Associate Cerfication (CHAA) within one year of hire. * Clinical experience preferred. * Experience using MS-Excel require Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customers. * Excellent computer proficiency (MS Office - Word, Excel and Outlook). * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. * Requires ability to audit claims and accounts using medical records, report writing, critical and analytical thinking. * Demonstrates flexibility to perform other tasks as needed in an active work environment with changing work needs. * Self-motivated to work independently and work as a team member. * Organizational, interpersonal, written and verbal communication skills required. Minimum Required Experience: 2 Years
    $25.4-30.7 hourly 6d ago
  • Nurse Practitioner - Academic Home Based Primary Care Program

    Albany Medical Health System 4.4company rating

    Remote or Albany, NY job

    Department/Unit: PCI - Internal Medicine Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 We are seeking a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, serving approximately 200 homebound older adults across an 11-county region in the Greater New York Capital Region. This position will work in close collaboration with a full-time board-certified geriatrician to provide comprehensive, longitudinal care to medically complex, homebound patients. The NP will manage a personal panel of approximately 40 patients and provide cross-coverage for an additional 160 patients in the practice. The role includes home visits, telehealth support, and the management of chronic and acute medical conditions, with a strong emphasis on geriatric syndromes, care coordination, and diagnostic oversight. Essential Duties and Responsibilities Clinical Care: * Provide primary care services to a panel of ~40 homebound patients through in-person home visits and virtual encounters as appropriate. * Collaborate closely with the geriatrician to co-manage patient care across the full practice panel (~200 patients). * Cross-cover the remaining 160 patients, including addressing urgent clinical needs, medication adjustments, and patient/caregiver inquiries. * Conduct comprehensive assessments and develop individualized care plans that reflect patients' goals, preferences, and functional status. * Manage acute and chronic conditions, focusing on geriatric syndromes (e.g., falls, dementia, polypharmacy, frailty). * Coordinate with caregivers, visiting nurses, specialists, and other home-based service providers. * Provide palliative and end-of-life care consistent with best practices and patient wishes. Diagnostic & Lab Oversight: * Order and interpret laboratory tests, imaging, and other diagnostic studies. * Track and review results for the entire patient population in collaboration with the geriatrician. * Ensure timely communication of clinically significant findings and follow-up planning. Team Collaboration & Communication: * Participate in regular team meetings and interdisciplinary case conferences. * Maintain thorough, accurate documentation in the electronic medical record (EMR). * Educate patients and caregivers regarding health conditions, medications, and treatment options. * Contribute to quality improvement and academic initiatives within the practice. Qualifications Required: * Master's or Doctorate degree from an accredited Nurse Practitioner program * Current NY State NP license and board certification (Adult-Gerontology Primary Care or Family NP) * DEA license and BLS certification * Minimum of 2 years of experience in primary care, geriatrics, or home-based care * Valid driver's license and reliable transportation for home visits Preferred: * Experience with home visits and medically complex, frail older adults * Prior experience in academic or teaching settings * Familiarity with value-based care models and interdisciplinary care approaches Skills & Competencies * Strong clinical judgment and autonomous decision-making capability * Excellent interpersonal and communication skills with patients, families, and care teams * Ability to manage a large panel and track results for a broad patient population * Comfortable with mobile technology, EMRs, and virtual communication tools * Compassionate, patient-centered, and team-oriented Working Conditions * Home visits required across urban, suburban, and rural areas in an 11-county region (travel reimbursed) * Flexible schedule with support for remote administrative work * Participation in a collaborative academic environment with opportunities for teaching and quality improvement Thank you for your interest in Albany Medical Center! Albany Medical Center is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification. Thank you for your interest in Albany Medical Center! Albany Medical is an equal opportunity employer. This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
    $90k-131k yearly est. Auto-Apply 60d+ ago
  • Coding Auditor, Remote, Health Information Management, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote job

    The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. Performs con-current audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports, and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Works with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement on a monthly, quarterly and on an as needed basis. Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Estimated pay range for this position is $31.20 - $40.56 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * If not CCS or RHIT certified upon hire they must obtain within 2 years. * Prefer Bachelor's Degree in Health Information Management or equivalent. * Prefer AHIMA approved ICD10CM/PCS trainer. * Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder and National and Local Coverage Determinations. * Proficient in MS Word, Excel and PowerPoint. Minimum Required Experience: 2 Years
    $31.2-40.6 hourly 16d ago
  • Lead Data Analyst, Remote, Technology and Digital, FT, 09A-5:30P

    Baptist Health South Florida 4.5company rating

    Remote job

    As a Lead Data Analyst, you will provide leadership to analysts building and implementing advanced analytics solutions that drive valuable insights and create actionable health and wellness solutions. Ideal candidate has proven track record and leadership experience in defining analytics strategies that supports business objectives through data mining & identifying opportunities to improve current processes or identifying new ways to achieve desired benefits. Design methods of exploratory analysis & derive insights through the collection, aggregation, and assessment of data from a variety of internal and external sources including digital and clinical exhaust/telemetry data. Guide others to identify correlations and causations across data sets. Presents findings and recommendations in simple and clear ways to drive action. Monitor production report, dashboard and other analytics processes to ensure proper service recovery. Estimated salary range for this position is $115444.27 - $150077.55 / year depending on experience. Degrees: * Masters. Additional Qualifications: * Masters or PhD Degree in a quantitative field (mathematics, computer science, physics, economics, engineering, statistics, operations research, etc. ) and minimum of 10 years of experience. * Must have healthcare data analyst experience. * Proven working experience as a Lead data analyst. * Experience with Agentic AI or agents strongly preferred. * Experience in leading teams that work on data querying, visualization, dashboarding and/or scorecard tools. * Expert level skills in SQL, Excel, Tableau or similar. * Ability to apply data visualization, descriptive and summary statistical techniques for discovery and timely insights (data exploration, ad-hoc queries, and analysis). * Hands on experience with statistical analysis, visualization, and data mining tools such as R and Python. * Experience with Epic EHR preferred * Direct experience with healthcare data, exposure to electronic health records, open source/publicly available healthcare data sets is strongly preferred. Minimum Required Experience: 10 Years
    $115.4k-150.1k yearly 8d ago
  • Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P

    Baptist Health South Florida 4.5company rating

    Remote job

    Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system. * Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). * Works as a team to meet departmental goals and AR goals. * Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $29.41 - $38.23 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. * AHIMA Registered Health Information Technician. Additional Qualifications: * Required coding certificate. * If not CCS or RHIT certified upon hire they must obtain within 2 years * For Boca they are required to have either CCS, CCA, CPC, COC, RHIT or RHIA. * Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff, and physicians. Minimum Required Experience: 3 years of IP facility coding
    $29.4-38.2 hourly 6d ago
  • HIM Clinical Data Analyst, Remote, Health Information Management, FT, 08:30A-5P

    Baptist Health South Florida 4.5company rating

    Remote job

    Serves as a primary source of support for the Health System with 8 Acute Care Hospitals, All Baptist Outpatient Services (over 50 locations) and all ambulatory surgical centers. Responsible for the tracking and trending of Physician Delinquency Reports. Sends timely notifications to the Medical Staff in regard to their pending delinquent medical records and impending actions for non- compliance. Performs follow up as needed and reports non-compliant physicians to key Hospital and Medical Staff Leadership to enforce the Suspension List. Prepares reports and graphs for the various Medical Record Committee meetings and the Joint Commission. Works as part of a team to meet individual and departmental goals. Estimated pay range for this position is $16.04 - $19.41 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Additional Qualifications: * Bachelor's Degree in health information management, Health Services Administration, or related field preferred. * Prefer Certified Record Health Information Technician (RHIT) and/or Registered Health Information Administrator (RHIA). * Experience in medical record functions in an acute care setting. * Experience with medical record review process for accurate and complete medical records according to CMS and TJC accreditation standards. * Knowledge of statistics, data collection, analysis, and data presentation. * Ability to problem solve and organize work priorities and meet specific objectives under time constraints and attentive to fine details. * Excellent verbal and written communication skills, including ability to effectively communicate with internal and external customer. * Ability to travel between hospitals to perform job duties. * Requires typing of 25 wpm and passing of standard filing, Word, and Excel testing. * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Minimum Required Experience:
    $16-19.4 hourly 20d ago
  • Lead Cloud Infrastructure Engineer, Hybrid, Technology & Digital, FT, 9A-5:30P

    Baptist Health South Florida 4.5company rating

    Remote or Coral Gables, FL job

    Systems Engineer supports a large-scale Distributed Infrastructure, providing technical leadership in problem solving, maintenance, and project build situations, formulating solutions for improvement, and working with peers to establish a strategic direction for the environment. This position will install, maintain, and configure systems infrastructure on both on premise and Cloud platforms. Estimated salary range for this position is $108,816 - $141,460 / year depending on experience. Degrees: * Bachelors. Additional Qualifications: * Masters preferred. * 10 yrs of exp in Comp Science, Comp Engineering or comparable industry exp. * Strong, demonstrated skills needed in AWS, GCP or Azure; Kubernetes, Terraform, Ansible and Python. * Hands-on, proven expertise with developing tech solutions involving multiple apps to solve business/production needs. * Excellent communication & interpersonal skills, particularly in working within teams/stakeholders. * Expertise in Linux, MacOS, &/or Windows sys admin. * Exp managing cloud-based solutions using VMware, AWS, GCP, & Kubernetes. * Exp with LDAP, DNS, SSO, MDM, SMTP, sys performance-monitoring tools, virtualization, HTTP, email routing & admin, interacting with REST APIs for app integration & automation, & familiarity with authentication standards. * Strong ability to query & visualize data using tools like Grafana, Kibana, &/or ElasticSearch. * Excellent troubleshooting & problem-solving skills, example: Understanding of TCP/IP networks, troubleshooting & related tech. * Nice to have experience with F5, Couchbase, Apache, Nginx, Tomcat, ElasticSearch, Rabbit MQ, Angular. * Required knowledge & understanding of technical architecture, app sys design & integration in a large enterprise environment. Minimum Required Experience:10 years
    $108.8k-141.5k yearly 30d ago

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