Directly coordinates, oversees and controls the flow of medical record coded information required of the hospital and ambulatory sites for billing/reimbursement purposes. The Coding Coordinator of Quality & Education is responsible for the completeness, accuracy, quality and timely submission of all medical data and supporting documentation for inpatient discharges and outpatient encounters. Acts as the departmental liaison to the activities in the coding reimbursement process. Assesses, designs and evaluates educational programs and processes that are aimed at improving the quality of documentation practices for Henry Ford Health System. Serves as an educational resource for providers and/or coding staff relating to coding and documentation.
EDUCATION/EXPERIENCE REQUIRED:
* High School Diploma or G.E.D. equivalent required. Associates Degree in Healthcare related field, Medical Records Sciences, or Business/Healthcare administration or five (5) years coding experience may be considered in lieu of education requirement.
* Additional specialty coding certification or two (2) years of specialty coding experience required.
* Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
* Five (5) years of specialty coding experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
* Certification in at least one of the following: Registered Health Information Technician (RHIT) or RHIT Certification eligibility, CPC-A, CCS, CCP, CCA, COC.
Additional Information
* Organization: Corporate Services
* Department: Inpatient Prof Coding
* Shift: Day Job
* Union Code: Not Applicable
$29k-42k yearly est. 43d ago
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Support Specialist- Utilization Review/Part Time/Remote
Henry Ford Hospital 4.6
Remote or Troy, MI job
The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR.
EDUCATION AND EXPERIENCE:
* High School Diploma/G.E.D.
* Working knowledge of computers and software systems Communication skills, verbal and written, and interpersonal skills necessary to effectively achieve department outcomes.
* Minimum one (1) year of experience in healthcare.
* Experience working in Epic preferred.
Additional Information
* Organization: Corporate Services
* Department: Central Utilization Mgt
* Shift: Day Job
* Union Code: Not Applicable
Under minimal supervision, this position is responsible for the Henry Ford Health System's (HFHS) transaction flow processes, including effective design of the insurance recovery and patient pay workflows, research and identification of root causes resulting in edits and denials, development of error prevention initiatives, and coordination with CBO staff, HFHS business units, and internal customers to drive performance improvement.
EDUCATION/EXPERIENCE REQUIRED:
* High school degree or equivalent.
* Associate's degree or equivalent years of college education, preferred.
* Two (2) years of experience within healthcare revenue cycle.
* One (1) year of healthcare accounts receivable billing. One (1) year of experience with resolving insurance payer denials.
* Experience with both technical (UB) and professional (1500) billing, preferred.
* Experience with billing and follow up of variety of insurance payers, preferred.
* Experience at a large, complex, integrated healthcare organization, preferred.
* Experience with patient billing, patient accounting and other related applications, preferred. Experience with EPIC Patient Accounting System, preferred.
* Ability to communicate effectively with colleagues, supervisors, and managers.
* Strong organizational and time management skills required to effectively prioritize workflow to meet third party requirements.
* Ability to work independently.
* Ability to understand and lead change.
* Knowledge of Medical terminology, preferred. Ability to analyze data and identify opportunities.
Additional Information
* Organization: Corporate Services
* Department: CBO - Transaction Flow
* Shift: Day Job
* Union Code: Not Applicable
$36k-44k yearly est. 27d ago
*Release of Info Specialist/Full Time/Hybrid -Troy or Jackson Michigan
Henry Ford Hospital 4.6
Remote or Troy, MI job
Release of Information Specialists are responsible for retrieving and processing medical records requests from government agencies, state agencies, insurance companies, court order subpoenas, attorneys, healthcare providers, disability services, workers' compensation, the Social Security Administration, and other authorized requestors, as well as supporting internal organizational projects as needed. They ensure accuracy and uphold the highest standards of product quality and customer service throughout all interactions.
EDUCATION/EXPERIENCE REQUIRED:
* High School diploma or equivalent required.
* Experience in a Health Information Management/Medical Record Department preferred.
* Experience with Microsoft Office products (word, excel).
* Experience with computers, electronic medical record, and release of information software preferred.
* Knowledge of HIPPA.
* Excellent quantitative, analytical, and problem-solving skills.
* Strong ability to work independently.
* Ability to organize and manage multiple priorities.
* Strong work ethic, reliable, resourceful, with a positive attitude.
* Knowledge of anatomy, physiology, medical terminology preferred.
Additional Information
* Organization: Corporate Services
* Department: HIM Operations
* Shift: Day Job
* Union Code: Not Applicable
$33k-46k yearly est. 49d ago
Trauma Registrar - 40 Hours - Day Shift
Henry Ford Hospital 4.6
Remote or Detroit, MI job
* Under minimal supervision responsible for all components of Trauma Registry operations including: data collection, data entry and retrieval, data quality and integrity, data analysis, display and statistical conversion. * Interact with state and regional regulatory agencies providing required data to ensure the accreditation of the hospital's designation as a Verified Trauma Center.
* This role will reflect the most recent criteria outlined in the current American College of Surgeons (ACS) document Resource for the Optimal Care of the Injured Patient with respect to registrar activities.
* Hours are 8:00am - 4:30pm, Monday - Friday
* Position is Hybrid (3 days St. John Hospital (Detroit) office & 2 days Remote per week)
* Fully remote option may be available for candidates with Trauma Registrar experience
EDUCATION/EXPERIENCE REQUIRED:
* Associate Degree in Health Information Technology/Management or completion of a correspondence course sponsored by the American Health Information Management Association as required.
* OR Commensurate Trauma Registry experience (i.e., American Trauma Society (ATS) Registry Course and/or Abbreviated Injury Severity (AIS) Scoring Course.
* Must possess intermediate computer skills to be able to input data, create spreadsheets, use data base applications, and use different software.
CERTIFICATIONS/LICENSURES REQUIRED:
* Certification as a Registered Health Information Technician (RHIT) required.
* OR Verification of completion of the American Trauma Society (ATS) Trauma Registrar Course and/or AIS Scoring Course.
#IND3
Additional Information
* Organization: Henry Ford Health St. John Hospital
* Department: Trauma Services 001
* Shift: Day Job
* Union Code: Not Applicable
$32k-40k yearly est. 49d ago
*Supervisor- Payment Application/Full Time/Remote-Michigan Residents Only
Henry Ford Hospital 4.6
Remote or Troy, MI job
The Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager. Responsible for coordinating and leading a designated area within the CBO across a multi-facility integrated healthcare delivery system; which includes all insurance billing and self-pay associated with HFHS hospitals, outpatient clinics and employed physicians. Responsible for oversight and support of the designated area of responsibility to provide timely billing processing and ensure accurate response to customers. Builds and maintains strong working relationships with departments to resolve patient inquiries.
Payment Application: Supervisor is responsible for functions related to timely and accurate posting of insurance and patient payments. This includes but is not limited to:
* Application of cash and contractual adjustments/discounts
* Research and follow up of misapplied or missing payments
* Timely balancing and reconciliation of all cash posted
* Document storage and retention.
* Timely resolution of self-pay credit balances
EDUCATION AND EXPERIENCE:
* Associates degree in Business Administration, Accounting, or related field preferred.
* Two years of experience with healthcare accounts receivable required.
* Knowledge of best practices related to revenue cycle operations and day-to-day functionality.
* Knowledge of CPT and diagnosis coding and Third Party billing regulations preferred.
* Experience at a large, complex, integrated healthcare organization preferred.
* Experience with insurance billing, patient accounting systems and other related applications preferred.
* Communication skills and the ability to interact effectively with staff.
* Ability to manage, coordinates, and leads simultaneously.
* Ability to estimate time frames and meet projected deadlines.
* Ability to work with a variety of individuals in executive, managerial and staff level positions.
* Ability to work independently.
* Ability to understand and lead change.
* Goal oriented, exceptional interpersonal skills, change management and political skill.
Additional Information
* Organization: Corporate Services
* Department: CBO - Payment Application
* Shift: Day Job
* Union Code: Not Applicable
$32k-38k yearly est. 4d ago
Medical Transcript - Sendout Lab - 24 hrs - Midnights
Henry Ford Hospital 4.6
Remote or Detroit, MI job
does not involve any testing. Using highly specified standard work, accessions anatomic pathology cases by typing clinical history into information systems, and printing cassettes. Triages and tracks a variety of cases and materials. Must be able to transcribe Pathology reports using
laboratory information systems with a high degree of accuracy. Requires rapid data entry
with good spelling and grammar, proofreading for accuracy and completeness, and
follow-up as needed with customers for missing information. Candidates must have the
ability to code diagnoses into the Lab and patient information systems.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Accession surgical cases that arrive in the Pathology laboratory by routine referral,
as well as outside surgical pathology consults and occasionally outside autopsy
reports. Preparation includes typing demographics from surgical request forms
from OR or clinics, typing clinical history, assigning pathologist, entering billing
information, making corrections, typing addendums, revising and correcting
reports.
2. Collate and transport slides and reports for members of the Pathology staff.
3. Print surgical batch and discard logs.
4. Triage and track specimens. Rehabilitate specimens if necessary and call to obtain
any missing information. Participates in process improvements to track and
reduce defects.
5. Receive and screen phone calls in a polite and helpful manner and following
policies on the proper method for release of information.
Additional duties include processing, packaging and shipping specimens to laboratories off-site, working with customers to resolve issues, and monitoring turnaround times. Order and result entry are also tasks associted with this role. Clinical laboratory experience in sample processing is necessary for this role.
EDUCATION/EXPERIENCE REQUIRED:
1. Requires a high school diploma or GED.
2. Must demonstrate proficiency in accurate and rapid data entry with good spelling,
grammar, and proofreading skills.
3. Competency to learn and use information systems and dictating equipment.
Additional Information
* Organization: Henry Ford Hospital - Detroit Main Campus
* Department: Lab Support Services
* Shift: Night Job
* Union Code: Not Applicable
Under the direction of the Outpatient Audit, Analytics & Technology Supervisor, in conjunction with OP Audit Analysts and Coordinators will utilize documentation and coding expertise to facilitate audits of the quality and completeness of medical record documentation for outpatient encounters, including but not limited to clinic visits, outpatient surgical procedures, telemedicine, and other ancillary services. Through concurrent, prospective and retrospective evaluation and assimilation of the medical record, the OP Audit - outpatient complex audit specialist will be responsible for utilizing knowledge of Local, State and Federal coding guidelines and regulations, NCCI Edits, ICD-10CM, CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to accurately abstract information from the electronic health record for compilation of an OP CDI Education database, which supports the Documentation & Coding Provider Education Program, data-driven resourcing, monthly provider performance scorecards, revenue cycle projects, KPI metric dashboards, and administrative decision making related to Revenue Cycle.
EDUCATION AND EXPERIENCE:
* High school diploma or G.E.D. equivalent required.
* Minimum of two (2) years coding experience required.
* Additional specialty coding certification or 5-7 years coding experience required.
* Prior experience in a healthcare revenue cycle position required. Specialty coding experience preferred.
* One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
* Must have through knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
* Strong organizational and time management skills required to effectively prioritize work.
* Ability to communicate effectively with colleagues, supervisor, and manager.
* Ability to work independently.
* Ability to work remotely.
* Proficient in medical terminology.
* Proficient in ICD-10 CM, CPT, HCC and HCPCS coding.
* Able to recognize patterns and trends and escalate to supervisors to support root cause analysis.
* Able to assist other team members.
Additional Information
* Organization: Corporate Services
* Department: CDI - Education Support
* Shift: Day Job
* Union Code: Not Applicable
The Audit, Education, Analytics, & Technology Supervisor, in conjunction with physicians, coders, and clinical staff, will utilize documentation and coding expertise to facilitate the quality and completeness of medical record documentation of outpatient encounters, including but not limited to clinic visits, outpatient surgical procedures, telemedicine, and other ancillary services. Through concurrent, prospective, and retrospective evaluation and assimilation of the medical record along with communication with physicians and other clinicians, the Supervisor will be responsible for achieving improved documentation results for the organization. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The Supervisor utilizes knowledge of national coding guidelines (ICD-10), CPT, Hierarchical Condition Categories (HCC), standards of compliance, and clinical knowledge to identify opportunities and to achieve results.
EDUCATION AND EXPERIENCE:
* Bachelors degree (Business Administration or Healthcare related field) or 5 years medical billing, coding, auditing, compliance, CDI, revenue integrity, healthcare/business financial or other revenue cycle experience, including at least 1-2 years lead role or supervisory experience may be considered in lieu of education requirement.
* Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
* Additional specialty coding certification or 5-7 years coding experience required.
* Data analytics experience preferred.
* Ability to build relationships, negotiate processes and outcomes, and influence behaviors.
* Knowledge of health care fiscal management goals and strategies, including but not limited to trends and issues in health care reimbursement, coding guidelines, and case management.
* Knowledge of electronic medical record systems and demonstrated proficiency of Microsoft Office.
* Ability to work and lead remote employees.
* Ability to withstand pressure of deadlines, multitask, prioritize, adapt to change, and receipt of work with variable requirements.
* Ability to work in a highly matrixed environment.
* Ability to work independently, be resourceful, and possess strong organizational skills.
* Ability to communicate effectively to physicians and other clinical staff; be courteous, tactful, and cooperative.
* Ability to use critical thinking and appropriate judgement throughout all phases of work.
CERTIFICATIONS & LICENSURES REQUIRED:
* At least one of the following certifications is required: CPC, CCS, CCS-P, CCDS, CDIP, RHIT or RHIA.
Additional Information
* Organization: Corporate Services
* Department: CDI - Education Delivery
* Shift: Day Job
* Union Code: Not Applicable
$32k-37k yearly est. 27d ago
Value Based Healthcare Operations Project Mgr. (Hybrid/Detroit & Jackson) - Mosaic CIN
Henry Ford Hospital 4.6
Remote or Jackson, MI job
Mosaic Clinically Integrated Network (CIN) is a Henry Ford Health company and is a leading value based care network, leveraging data and clinical tools to drive performance. To learn more visit: ***************** This position will be hybrid, requiring the ability to work successfully remotely in the Detroit/Jackson areas as well as in person once a week or as warranted in Detroit and Jackson.
GENERAL SUMMARY:
Under minimal supervision an Executive Leader, performs and/or manages project work of a generally complex nature aimed at improving operating systems and functions within HFHS , with increasing responsibility for project planning. Budgets and allocates analyst resources for projects within scope of responsibility. Prepares reports and recommendations for management and coordinates implementation whenever possible. May act as a consultant on projects outside of specific assignments. Supervises tasks of support staff relative to assigned projects.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
* Works independently to manage complex projects involving coordination of multiple participants and teams aimed at improving operating systems and functions within HFHS.
* Maintains a high level of responsibility for completion of projects within a department, Hospital or Region with strategic implications.
* Conducts reviews of Hospital/Medical Group areas on a project basis; acts as a project lead for individual or multi-analyst projects.
* Prepares project plans including scheduling, costs, personnel matters and other operational concerns.
* Develops and refines project scope, objectives, and work plan.
* Recommends and provide input for budget preparation.
* Facilitates and/or leads meetings.
* Provides periodic project updates to administration.
* Prepares project management reports and written/verbal presentations of project findings, conclusions, and recommendations.
* Develops and determines priorities and monitors status of projects on an ongoing basis.
* Exercises independent judgment and makes difficult decisions.
* Works with all levels of the Hospital, Region and System.
* Conducts interviews with users and performs various data gathering techniques.
* Fosters teamwork with all involved parties to insure efficient project operations.
* Documents current systems and operations.
* Analyzes client systems, procedures, and operations and identifies opportunities for improvement.
* Identifies and tests alternative methods and procedures and identifies associated costs and benefits.
* Defines requirements to modify existing procedures or develops new system.
* Assists in the implementation of revised or new methods.
* Guides support staff in performing operations analysis and decision support activities.
* Establishes work schedules and priorities to ensure that work flow is controlled.
* Identifies internal staff development needs and opportunities for improvement or enhancement of staff skills.
Mosaic/CIN Business Unit focus:
* Partners with leaders across the Mosaic CIN, HFPN, and Mosaic ACO-including operations, contracting, finance, and care delivery-to advance value-based care and contracting efforts. Collaborates with key clinical and operational stakeholders to identify strategic opportunities that enhance network alignment and integration.
* Assists with the execution of network engagement strategies through programs and projects that support value-based care contracting goals, including achievement of contractual metrics and overall contract success.
* Maintains both a broad perspective and focused understanding of value-based care and contracting to inform forward-thinking strategies and recommendations.
* Prepares executive-level presentations, dashboards, and reports to enhance understanding among senior leadership, boards, and committees.
* Builds and maintains strong working relationships with operational, physician, and communications leaders to ensure accurate and timely messaging across the network and broader organization.
EDUCATION/EXPERIENCE REQUIRED:
* Requires a Bachelor's Degree in a related field, preferably in Healthcare Administration, Public Health, or business function. Master's Degree is preferred.
* Requires a minimum of four (4) years in Operations Analysis, Management Engineering, Operations management, or a related analytical field in health care or management consulting directed toward process improvement.
* Previous supervisory and/or consulting experience is preferred.
* Previous experience in leading quality improvement initiatives/project management is highly desirable.
* Lean training highly preferred.
* Significant project management experience and outstanding analytical, communication, and interpersonal skills are required.
* Ability to apply innovative solutions to problems and familiarity with TQM process is also required.
* Knowledge of value-based contracting and familiarity with risk/reward models (e.g., MSSP, Direct-to-Employer, etc.) preferred.
* Proficiency in project management software, Microsoft Office Suite (Excel, PowerPoint, Word), and virtual meeting platforms.
* Self-directed, detail-oriented, and results-driven.
Additional Information
* Organization: Corporate Services
* Department: HF CIN
* Shift: Day Job
* Union Code: Not Applicable
$46k-62k yearly est. 10d ago
Supervisor- Call Center Provider Inquiry (Hybrid/Troy) - Health Alliance Plan
Henry Ford Hospital 4.6
Remote or Troy, MI job
To supervise, organize and coordinate the Provider Inquiry Call Center. To maximize service levels through scheduling, floor management, coaching and performance management. To maintain and report on all information related to the provider's inquiries received via the telephone/lobby and/or fax. Review, triage, and facilitate all information related to the Provider inquiries, complaints, or grievances received throughout the HAP systems.
PRIMARY DUTIES AND RESPONSIBILITIES:
* Supervise, develop, coordinate and control all workflow activities in the Provider Inquiry Department (which includes phone monitoring, scheduling staff & adjudicating the phone queue assignment schedule, based on trends to maximize the efficiency of the call center productivity).
* Determine training, policies, procedures and benefit needs related to customer servicing.
* Maintain quality control within Provider Inquiry based on Provide inquiry--- feedback via letters, phone, e-mail via HAP's website, provider survey cards, and quality audits performed by the department Quality Auditors.
* Evaluate employee performance, initiate appropriate coaching and developing and implement disciplinary action within area of responsibility.
* Develop the Call Center Statistical Analysis Reports on a daily/monthly/annual basis, including developing all associated written policies and procedures.
* Monitor the quality and quantity of the communication between the Client Service Specialists and customers received by telephone and/or in person.
* Focus on continuous improvement on customer service and the development of staff in a customer oriented way.
* Interface with the Customer Services Correspondence and Grievance sections to be involved in the integral part of resolution for member complaints/grievances received by HAP.
* Develop processes/measures that will ensure staff receives continuing education on most current benefits, products, policies, procedures, systems tools, in cooperation with the departmental Training Coordinator.
* Assist and/or handle provider complaints received through the President's Office, Board of Directors, Media, Insurance Bureau, or the Department of Public Health ensuring a focus of customer satisfaction in complaint resolution.
* Coordinate with internal support departments, i.e., Marketing, Membership & Billing, Claims and Finance Divisions, in the resolutions of enrollment related problems.
* Perform other related duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
* Bachelor's degree in Health Care, Business or related field or a minimum of four (4) years recent and related work experience in customer service may be considered in lieu of the degree
* Minimum of three (3) years of experience in a health care or insurance environment
* Minimum of three (3) years of customer service experience in a call center environment and knowledge in claims processing and HMO, PPO and/or Medicare managed products
* Minimum of two (2) years of recent supervisory or team lead experience with evidence of driving customer service improvements.
* Demonstrate a clear understanding of health care delivery systems
* Demonstrate understanding of HMO/AHL health care concepts
* Demonstrate human relations management skills
* Demonstrate technical understanding of database-oriented computer systems, i.e. FACETS, PEGA
* Demonstrated proficient use of Microsoft Office software applications, i.e., Word, Excel, Power Point
Additional Information
* Organization: HAP (Health Alliance Plan)
* Department: CORRESPONDENCE
* Shift: Day Job
* Union Code: Not Applicable
$29k-34k yearly est. 4d ago
HRIS Consultant | Full Time | Hybrid
Henry Ford Hospital 4.6
Remote or Detroit, MI job
Under the direction of the Director of the department and with high degree of autonomy, the e HR Consultant will work independently or as a Project leader to manage work of a medium to complex nature. The e-HR consultant will plan, organize and coordinate project task completions with individuals and teams of professionals at other levels, as well as to specialized functional resources, and outside contractors while developing solutions for business opportunities/ challenges. Will team up with experts from other disciplines inside and outside HFHS. Focus will be on providing expert technical consultative guidance to HR leadership in the implementation, enhancements and recommending modifications for Human Resources Technology Systems. Work effectively with other members of team and promote a healthy high performing work environment.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
* Work independently to manage complex projects involving coordination of multiple participants and teams. Maintain a high level of responsibility for completion of HCM projects with strategic implications.
* Focus will be on providing expert consultative guidance on HR Data Management to peers and system users. The eHR senior consultant will focus on assuring the integrity of HR System data (employee and system tables) and the effective utilization of the HR System
* Make presentations on key initiatives; provide updates on work plans and implementation activities and results. Utilize consulting and project management methodologies in working with business customers and in executing projects.
* Analyze and recommend best practice business process/ data models to integrate HR data with self-service applications.
* Lead HR technology to next level for web based Self Service applications
* Works directly with external customers/Vendors to implement new or enhanced technology (e.g., interfaces, outsourced vendor arrangements, system integration) and manages service and support
* Recommend software upgrades for customers' existing programs and systems
* Ensure that a program continues to function normally through software maintenance and testing.
* Document every aspect of an application or system as a reference for future maintenance and upgrades
* Provide exceptional customer service to all customers in anticipating needs of application functionality, resolving problems, and related issues. Perform thorough documentation of programs, businesses process flows and systems.
* Assess organizational needs for HR institutional reporting and develop web based data analytics for predictive modeling using HR information. Design, develop and deliver comprehensive workforce analytics, System usage and HR Dashboard solutions.
* Work in collaboration with Financial Information System and Supply Chain System counterparts to develop efficient and innovative solutions to deliver managerial reports/information to business unit managers and senior leadership.
* Troubleshoot any design failure and determine resolutions for applications that you support.
* Run ad hoc reports to support customer's operational needs. Understand and anticipate customer needs to provide data with business insights and variations.
* Ability to analyze and recommend solutions for integrations of other ancillary systems like Time entry, Learning, Performance Management and Scheduling systems
* Continually strive to be knowledgeable of HFHS HR strategies to anticipate Application functional needs and fully utilize the capabilities of the PeopleSoft HRMS, and related applications.
* Use the service request database to manage all assigned cases with adequate and up to date details on progress and status of completion.
* Serve as a backup resource to other teammates, as identified on an ongoing basis.
* Maintain professional growth and development through seminars, workshops and other learning opportunities. Develop expertise on understanding technical aspects of PeopleSoft to have increased understanding of system design and integration with other facets of PeopleSoft HRMS.
* Perform other related duties as assigned or requested.
EDUCATION/EXPERIENCE REQUIRED:
* Bachelor's degree in human resources, Computer Science, or Qualitative systems.
* Degree course with electives in Database Management Systems, Software Engineering, Software Design and Quality, preferred.
* Four to six (4-6) years of experience in Information Systems department supporting applications.
* Two to three (2-3) years of HRIS/business consulting with experience in Peoplesoft HR, Base Benefits, benefits administration is Required
* 4-6 years of experience in SQL is required
* Strong interpersonal and analytical skills.
* Strong leadership skills to encourage team participation and successful outcomes.
* Expertise in designing and utilizing spreadsheets, database applications such as MS Access.
* Excellent writing skills as needed for procedural documentation and user communication.
CERTIFICATIONS/LICENSURES REQUIRED:
* Project Management certification will be an added advantage, preferred. Certified or have specialized training in PeopleSoft HRMS/Information Technology, preferred.
#LI-VD1
Additional Information
* Organization: Corporate Services
* Department: E-HR
* Shift: Day Job
* Union Code: Not Applicable
$36k-58k yearly est. 60d+ ago
Nurse Practitioner Physician Assistant | Behavioral Health | Troy | Hybrid | Full Time | Days
Henry Ford Hospital 4.6
Remote or Troy, MI job
We are seeking a dedicated experienced Nurse Practitioner or Physician Assistant to join our Behavioral Health team at HFHS. This position offers a day shift schedule with no weekends, focusing exclusively on outpatient care. Ideal candidates will have a Nurse Practitioner certification and specialized education or certification in Behavioral Health. Join us in making a difference in the lives of our patients and community.
* Provides inpatient and/or outpatient psychiatric care with the supervision, but not necessarily the presence of a qualified member of the medical staff.
* Completes a biopsychosocial history, performs a mental status examination, orders and interprets tests, makes diagnoses and institutes and conducts appropriate treatment plans. Works in collaboration with other team members which may include medicine, social work, psychology, physicians in other departments as well as support staff. Performs nursing functions independently.
* 1+ year NP outpatient experience and PMHNP certification is required.
Must be licensed as a Registered Nurse and certified from MI State Board of Nursing as a Nurse Practitioner (NP) and ANA/ANCC Psychiatric-Mental Health Nurse Practitioner (PMHNP).
1+ year NP outpatient experience and PMHNP certification is required.
Requires DEA License and BCLS certification
#LI-LB1
Additional Information
* Organization: Behavioral Services
* Department: Troy_Adult_OP BHS
* Shift: Day Job
* Union Code: Not Applicable
$59k-91k yearly est. 49d ago
**HIM Data Integrity Specialist/Full Time/Remote
Henry Ford Hospital 4.6
Remote or Troy, MI job
The Health Information Management (HIM) department plays a vital role in maintaining the integrity of patient data, ensuring its accuracy. HIM Data Integrity Specialist professionals are responsible for reconciling health records to uphold quality and precision. Effective management of corrections within the health record is essential for preserving the highest standards of information quality and integrity, which are critical for patient safety.
EDUCATION/EXPERIENCE REQUIRED:
* Associate degree or two (2) years of experience within healthcare or an HIM department.
* Bachelor's degree in Data Science, Statistics, Computer Science, Information Technology, or a related field, preferred.
* Experience in data quality management, data analytics, or a related field.
* Proficiency in data analysis tools and visualization technologies such as Tableau or Power BI. Must possess strong analytical and problem-solving skills, with the ability to interpret complex data sets and provide actionable insights.
* Ability to apply high level of attention to detail and accuracy in data analysis and reporting.
* Ability to demonstrate strong communication skills with internal and external customers.
* Must have experience with Microsoft applications including but not limited to: Excel, Outlook, OneNote, Teams, Word.
* Must be able to work with minimal supervision.
* Work independently or in a team setting.
CERTIFICATIONS/LICENSURES REQUIRED:
* Registered Health Information Technician (RHIT), desired.
Additional Information
* Organization: Corporate Services
* Department: HIM EHR & Quality
* Shift: Day Job
* Union Code: Not Applicable
$34k-61k yearly est. 2d ago
Experienced Patient Services Specialist I - Days - Remote (Michigan Residents)
Henry Ford Hospital 4.6
Remote or Troy, MI job
Are you ready to make a difference in patient lives from the comfort or your own home? In this position you will be providing exceptional customer service to assist patients with their medical bills via phone. We pride ourselves on one call resolution and provide career growth to those who want to excel.
The hours are as follows with NO weekends required;
* 930am-6pm Monday through Thursday
* 830am - 5pm Fridays
* Training is 6 weeks with hours from 8am-430pm Monday-Friday
The position also offers Health Insurance and paid time off.
GENERAL SUMMARY:
Responds to patient inquiries regarding healthcare accounts receivables across a multi-facility integrated healthcare delivery system, which includes all hospital and
professional billing associated with Henry Ford Health inpatient hospitals, outpatient clinics, laboratory, radiology and employed physicians. Communicates effectively with patients, colleagues, providers, system operational staff, supervisors, and managers. Works independently for maximum efficiency in a high-volume billing Call Center.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Handles in-coming telephone activity including answering phones promptly according to system Quality standards, documenting all interactions thoroughly, accurately, and legibly, and takes accountability for inquiries.
2. Ensures timely responses to service center inquiries via phone, fax, email, or mail to assist the customer in understanding their patient responsibility. Strives for first contact resolution in a timely and efficient manner.
3. Ensures timely responses to pre-collection and bad debt collection agency inquiries.
4. Researches and educates patients on outstanding bills and their status, which includes but is not limited to accounts not included in a payment arrangement, recognizing inaccurate information, partnering with legal to review bankruptcies, assisting with Coordination of Benefits, third party liability claims, etc.
5. Initiates and resolves account receivable errors with the hospital and professional billing or coding teams, which includes but is not limited to autopay updates, newborn/patient registration, and adding or removing balances to/from external collection agencies, coding errors, claim filing errors, etc.
6. Effectively discusses the patients' options for resolving outstanding balances including approved discounts and recognizing their eligibility for financial assistance. Connects patients to the Financial Counseling team for charity screening.
7. Ensures accurate and compliant processing and posting of all system payment types to patient hospital and professional claim balances.
8. Assists patients with setting up and navigating the online MyChart system.
9. Obtains, verifies through internal and external resources, adds insurance, and confirms payer filing order.
10. Analyzes and processes refunds as a result of overpayment.
11. Meets system standard quality and productivity expectations.
12. Identifies and escalates potential billing error trends to leadership.
13. Effectively communicates any patient balance issue with internal and external payer, vendors, or contractors.
14. Maintains strict confidentially standards for patient information. Complies with organizational, federal, and state regulations and policies on confidentiality.
15. Supports the standards set forth in the Henry Ford Health Code of Conduct by adhering to legal, ethical, and HIPAA standards.
16. Performs other related duties as assigned
EDUCATION/EXPERIENCE REQUIRED:
* High school diploma or G.E.D. equivalent. Associate's degree in Business Administration, Accounting, Billing, Coding, or related field preferred.
* Three (3) years of Call Center experience.
* One (1) year of billing (billing and coding) experience.
* Six (6) months of remote work experience.
* Internet requirement of 25 Mbps and wired.
* Experience in healthcare/medical office customer service strongly preferred.
* Ability to interpret insurance billing process (Primary, Secondary, co-insurance, deductibles, and co-pays).
* Technical skills (navigation, Microsoft Suite, initial troubleshooting) including guiding patients with online payment methods.
* Ability to remain calm and de-escalate callers, as needed.
Additional Information
* Organization: Corporate Services
* Department: CBO - Customer Service
* Shift: Day Job
* Union Code: Not Applicable
Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
EDUCATION/EXPERIENCE REQUIRED:
* High School Diploma or G.E.D. equivalent required.
* Additional specialty coding certification required or five (5) years coding experience.
* One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
* Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
* Minimum of two (2) years coding experience required.
* Specialty coding experience preferred.
CERTIFICATIONS/LICENSURES REQUIRED:
* Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.
Additional Information
* Organization: Corporate Services
* Department: Inpatient Prof Coding
* Shift: Day Job
* Union Code: Not Applicable
$28k-33k yearly est. 60d+ ago
Substance Use Disorder Therapist - Full Time - Fully Remote
Henry Ford Hospital 4.6
Remote or Dearborn, MI job
Psychotherpist needed! Addiction Treatment - Dearborn Full-Time: 100% Remote! * Full Time - 40 hours per week * Flexible schedule but must be available Monday, Tuesday & Thursday evenings from 6:00pm-9:00pm * No weekends or major holidays; Can work 8- or 10-hour shifts
A substance use disorder therapist provides compassionate care thru several mediums which include psychoeducation and individual and group therapy.
Responsibilities Include:
Initial assessments to develop a patient centered treatment plans.
Provide care in both individual and group therapy sessions.
Facilitate family sessions as needed.
Responsible for completing all documentation regarding patient care, treatment, and incidents in a clear, concise, timely, manner.
Evaluate patients needs for aftercare planning and complete prior to discharge.
Provide crisis intervention to patients as needed.
Provides evidence based care in the diagnosis and treatment of mental illness and substance use disorders within an interdisciplinary team. Also provides individual, conjoint, group and family psychotherapy; in addition to crisis intervention services, as needed. Ensures that the quality of care is safe, effective, patient-centered, timely, efficient, and equitable.
EDUCATION/EXPERIENCE REQUIRED:
* Master's (or Doctoral) degree in clinical or counseling psychology with one year supervised post masters experience;
* OR Master's degree in Social Work with two years post Master's experience in mental health/chemical dependency setting.
Seeking licensed Certified Substance Use Disorder Therapist with a CAADC or CAADC-DP
CERTIFICATIONS/LICENSURES REQUIRED:
Licensed Psychologist; OR Limited Licensed Psychologist; OR Licensed Master's in Social Work. (would also accept a limited licensed master of social work)
Additional Information
* Organization: Behavioral Services
* Department: Dearborn_Adult_OP_BHS
* Shift: Day Job
* Union Code: Not Applicable
The Payment Applications Specialist is responsible for accurately posting payments received from patients and third-party payers to healthcare accounts receivables across a multi-facility integrated healthcare delivery system. This includes managing billing associated with Henry Ford Health System hospitals, outpatient clinics, and employed physicians.
PRINCIPLE DUTIES AND RESPONSIBILITIES:
1. Post and balance patient payments received through various methods such as check, EFT, and credit card.
2. Post and balance payments received from third-party payers, applying related contractual adjustments and determining patient responsibility.
3. Post and balance payments received from collection agencies via electronic payment files.
4. Utilize automation processes to balance and post EFTs.
5. Balance and reconcile 835 Remittance files following proper work queue procedures to address remittance file errors and PLBs.
6. Resolve aged deposits to ensure proper application of payments or return of funds to the appropriate party.
7. Understand and apply HFH third-party insurance contract terms to appropriately apply contractual adjustments.
8. Analyze payer denial reasons to appropriately determine insurance responses based on adjudication using standard ANSI remittance codes.
9. Retrieve remittance files from payer websites and upload to document retention software.
10.Research and process misapplied or missing payments following proper work queue procedures.
11.Review and analyze unposted 835 remittance file activity and make recommendations on proper resolution.
12.Process refunds resulting from payments received in error.
13.Handle credit card chargebacks and items returned for nonsufficient funds.
14.Meet established quality and productivity expectations.
15.Identify and report any potential issues to leadership.
16.Adhere to legal and ethical standards as set forth in the HFH Code of Conduct.
17.Perform other related duties as assigned
EDUCATION/EXPERIENCE REQUIRED:
* High school diploma or equivalent required.
* One year of experience in finance, accounting, or healthcare revenue cycle related position preferred.
* Experience with general ledgers or other accounting functions preferred.
Additional Information
* Organization: Corporate Services
* Department: CBO - Payment Application
* Shift: Day Job
* Union Code: Not Applicable
GENERAL SUMMARY: The Inpatient Coding Supervisor is responsible for daily oversight and coordination of the inpatient coding processes across the multi-facility integrated healthcare delivery system. Provides supervision and oversight to inpatient coding team while maintaining complete and accurate coding and acceptable DNFB levels. Complies and has working knowledge of coding rules and regulations, HIPPA, case mix index (CMI) analysis, and reimbursement requirements. Builds and maintains strong working relationships between data quality coordinators, documentation specialists, audit team, quality, and medical staff.
EDUCATION/EXPERIENCE REQUIRED:
* Associate degree and two (2) years' experience in related field or in lieu of degree two (2) years of management or supervisor experience in a position that demonstrates leadership ability, initiative, and assertiveness.
* Five (5) years of working experience with ICD10 Coding, MSDRG assignment and reimbursement methodology.
* Proficiency with database, spreadsheet, and related software programs.
* Demonstrated ability to multi-task in a high-level multidisciplinary environment.
* Communication skills and the ability to interact effectively with staff.
* Analytical ability necessary to conduct basic research analyzes and interprets data, evaluate processes, and propose improvements.
* Ability to supervisor, coordinates, and leads simultaneously.
* Ability to estimate time frames and meet projected deadlines. Interpersonal skills necessary to provide effective leadership to departmental personnel and to develop and maintain a wide variety of internal and external cooperative working relationships.
* Ability to work independently. Goal oriented, interpersonal skills, change management and political skill.
CERTIFICATIONS/LICENSURES REQUIRED:
* RHIA, RHIT, or CCS certification
Additional Information
* Organization: Corporate Services
* Department: Inpatient Coding
* Shift: Day Job
* Union Code: Not Applicable
$32k-38k yearly est. 49d ago
Medical Transcript - Sendout Lab - 40 hrs - Days
Henry Ford Hospital 4.6
Remote or Detroit, MI job
does not involve any testing. Using highly specified standard work, accessions anatomic pathology cases by typing clinical history into information systems, and printing cassettes. Triages and tracks a variety of cases and materials. Must be able to transcribe Pathology reports using
laboratory information systems with a high degree of accuracy. Requires rapid data entry
with good spelling and grammar, proofreading for accuracy and completeness, and
follow-up as needed with customers for missing information. Candidates must have the
ability to code diagnoses into the Lab and patient information systems.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Accession surgical cases that arrive in the Pathology laboratory by routine referral,
as well as outside surgical pathology consults and occasionally outside autopsy
reports. Preparation includes typing demographics from surgical request forms
from OR or clinics, typing clinical history, assigning pathologist, entering billing
information, making corrections, typing addendums, revising and correcting
reports.
2. Collate and transport slides and reports for members of the Pathology staff.
3. Print surgical batch and discard logs.
4. Triage and track specimens. Rehabilitate specimens if necessary and call to obtain
any missing information. Participates in process improvements to track and
reduce defects.
5. Receive and screen phone calls in a polite and helpful manner and following
policies on the proper method for release of information.
Additional duties include processing, packaging and shipping specimens to laboratories off-site, working with customers to resolve issues, and monitoring turnaround times. Order and result entry are also tasks associted with this role. Clinical laboratory experience in sample processing is necessary for this role.
EDUCATION/EXPERIENCE REQUIRED:
1. Requires a high school diploma or GED.
2. Must demonstrate proficiency in accurate and rapid data entry with good spelling,
grammar, and proofreading skills.
3. Competency to learn and use information systems and dictating equipment.
Additional Information
* Organization: Henry Ford Hospital - Detroit Main Campus
* Department: Lab Support Services
* Shift: Day Job
* Union Code: Not Applicable
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