Moses Taylor Hospital Rehab Department jobs - 51 jobs
Director, Global Issues & Public Affairs - Hybrid
Texas Children's Hospital 4.7
Remote or Houston, TX job
A leading children's healthcare institution is seeking a Director of Issues Management in hybrid format. This role focuses on shaping and protecting the organization's reputation through strategic leadership across various issues management and external communications. The ideal candidate will have significant experience in navigating high-impact issues and driving public affairs strategies effectively. Candidates should possess a relevant bachelor's degree and at least 12 years in public affairs or related fields.
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If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. This is a Stanford Health Care job. The purpose of this job is to gain practical experience in health care operations and administration through contributions to department operations and initiatives.
Locations
Stanford Health Care
What you will do
* Assist with detailed data gathering for initiatives, including synthesizing qualitative and quantitative data from a variety of sources
* Draft project deliverables that summarize key findings and propose solutions
* Interface with clinicians, employees, and leaders to share results and gain input
* Present findings and results to internal audiences
* Other special projects and duties as assigned.
Education Qualifications
* High School Graduate, at least 18 years old, and entering or returning to undergraduate studies at an accredited school in the fall
Experience Qualifications
* None required
Required Knowledge, Skills and Abilities
* Strong oral and written communication skills
* Demonstrated ability to solve problems by uncovering the root cause of an issue
* Demonstrated ability to work independently and as part of team
* Able to set individual goals and schedule based on overall project goals
* Accepts constructive feedback and takes action
Licenses and Certifications
* None
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
* Know Me: Anticipate my needs and status to deliver effective care
* Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
* Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $26.12 - $26.12 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$26.1-26.1 hourly Auto-Apply 7d ago
Clinical Documentation Integrity Lead - Service Line (Remote)
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
The Clinical Documentation Integrity (CDI) Service Line Outcomes Lead is responsible for partnering with service line & physician leadership to optimize documentation tools, improve processes, and develop strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. This leader will serve as a direct partner to service line leaders with the aim to improve query turnaround, identify & facilitate targeted education opportunities, and strengthen overall buy-in and engagement.
Locations
Stanford Health Care
What you will do
Responsibility for management and optimization of the positive relationships between CDI and the service lines assigned, meeting regularly with SL Physician Champion and Chair/Chief.
Drive increased workflow efficiency through monitoring and escalating queries as appropriate.
Performance of CDI targeted audits and analysis of the findings, related to documentation and coding, to build physician education, identify areas of individual and service line opportunity, and facilitate short and long-term resolutions.
Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation opportunities within the service lines assigned.
Assists in monitoring and evaluating CDI and coding quality in relationship to best practices, while completing project-related reviews and providing relevant feedback to peers, coding, CDI leadership and quality partners, as necessary.
Coordinates data collection and analysis, in collaboration with quality teams, related to patient care activities, documentation opportunities, coding opportunities and clinical outcome performance gaps.
Coordinates the development of working sessions of multi-disciplinary teams in goal setting and problem solving.
Optimizes service line clinical documentation integrity programs, including related provider and multidisciplinary education content creation, delivery and evaluation of effectiveness.
Leads multidisciplinary and multi-departmental CDI projects to achieve strategic goals and objectives.
Partners with other CDI leads, IT and other technology partners to create and optimize documentation tools, process and strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation.
Education Qualifications
Bachelor's degree in Nursing, Medicine, Health Information Management or similarly related field of study.
At least two currently active:
- COC, CPC, or CCS certification
- Certified Data Management Professional (CDMP) certification, Certified Analytics Professional (CAP) certification, or similar
- CRCR or other revenue cycle certification
- Health Care Quality (HACP, CPHQ, HCQM) certification
- Case Management Certification (CCM) or clinical certification
- Physician Educator Certificate Program (PECP) certification, or other education certification
Experience Qualifications
Five (5) years of progressively responsible and directly related inpatient clinical experience. At least 5 years of CDI, or provider education related work experience. Outcomes data reporting and analysis experience.
ICU/ED and Academic Medical Center experience preferred.
Case management, utilization review and/or direct provider interaction experience, preferred.
Experience in public speaking, as well as educational content creation and delivery of formal multidisciplinary education, preferred.
Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred.
Required Knowledge, Skills and Abilities
Expertise in coding and CDI practices., maintaining expertise in Medicare/Medicaid rules and regulations, as well as current trends and developments.
Knowledge of, but not limited to, current CMS coding guidelines and methodologies, MS-DRGs, APR-DRGs, HCCs; current version of CM/PCS and AMA CPT coding guidelines and conventions, staying abreast of CMS rules and regulations and incorporating those changes into daily practice.
Extensive knowledge and experience in computer systems, reporting software and electronic medical record systems used in functional area.
Demonstrated leadership ability, organizational savviness, and critical thinking skills.
Ability to develop and maintain strong, collaborative and supportive working relationships with peers, physicians and other clinical professionals.
Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities.
Knowledge of project management processes and systems with the ability to lead teams and manage high-profile projects to produce results within schedule and budget.
Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation.
Ability to work independently, creatively, and innovation-focused in high-volume, fast- paced, and highly political work environments.
Ability to work independently in performing duties with minimal supervision with a high degree of self-motivation.
Expertise in developing and delivering training and education to clinical, CDI and coding professionals regarding CDI practices, coding, and documentation requirements, as well as knowledge distribution to multidisciplinary teams.
Licenses and Certifications
At least 1 currently active: .
CCDS - Cert Clinical Document Spec .
CCDS-O or CDIP .
Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred .
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $70.52 - $93.43 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$28k-38k yearly est. Auto-Apply 11d ago
Privacy Assurance Specialist I (Remote - CA)
Stanford Health Care 4.6
Remote or Palo Alto, CA job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.**
**A Brief Overview**
The Privacy Assurance Specialist I efficiently manages a portfolio of privacy-related inquiries, complaints, and concerns to ensure they are handled appropriately and in a timely manner. Develops and implements action plans for privacy investigations and provides written communications and reports to enterprise-wide department managers and Human Resources. Conducts interviews with clinical and non-clinical staff and gathers facts to develop the case file using methodologies appropriate to the case to include, but not limited to, patient or staff interviews, medical record reviews, system audit log reviews, internet searches, regulation searches, policy and procedure reviews, and liaising with Information Security staff, the Security Office, and clinical and non-clinical department management as needed. May assist with the development of new policies, procedures, and guidance. Assists patients in exercising their patient privacy rights; assists the Privacy Office with its proactive education program, to include but not limited to, developing training and education materials and presenting training and education sessions to clinical and non-clinical staff whenever necessary. Assists the Privacy Office with its electronic medical record monitoring program, to include but not limited to on-site audits, the evaluation of clinical association patterns and investigations of potential inappropriate access to patient information, investigatory interviews of staff, faculty, and others, and development of investigation reports. Works collaboratively with hospital departments and builds strong working relationships. Assists the Privacy Office with its obligations under the Visiting Observer (V.O.) Program, to include evaluating observation requests and ensuring all visiting observer training and paperwork is completed. Assists the Privacy Office with activities related to ongoing regulatory audit-readiness, privacy risk assessment, and response to regulatory inquiries.
**Locations**
Stanford Health Care
**What you will do**
+ Contributes to the achievement of Compliance Department goals and objectives and adheres to departmental policies, procedures and standards; complies with governmental and accreditation regulations.
+ Effectively maintains collaborative working relationships with faculty, physician leadership, hospital and School of Medicine management and staff to achieve increased satisfaction with and participation in the Compliance Program.
+ Analyzes complaints against available facts; makes case determination in consultation with Privacy Assurance leadership. Documents case findings in a clear, logical, and meaningful fashion; writes case reports to involved parties to include, but not limited to, department managers and Human Resources representatives; prepares written summaries of high-risk cases for Privacy Assurance leadership.
+ Assists patients in exercising their patient privacy rights, including amending their medical records, receiving an accounting of the disclosures of their medical records, requesting restrictions on access to their medical records and other civil rights related to patient privacy; communicates and/or meets directly with patients to assist with patient privacy rights or concerns; prepares formal correspondence to patients in compliance with applicable privacy rights requirements.
+ Assists the Privacy Office with its electronic medical record monitoring program, to include, but not limited to, on-site audits, the evaluation of clinical association patterns and investigations of potential inappropriate access to patient information, interviews staff, faculty, and others, and develops of investigative reports.
+ Assists the Privacy Office with its proactive education program, to include but not limited to developing education materials and presenting training and educational sessions to clinical and non-clinical staff whenever necessary.
+ Conducts effective interviews with clinical and non-clinical staff; asks appropriate questions relevant to the issue, follows up appropriately on responses provided by the interviewee; identifies opportunities during the interview to obtain additional details and clarify the accuracy of the information presented; asks questions in a non-accusatory manner but with sufficient probing to complete the fact-finding mission.
+ Conducts thorough investigations related to patient privacy matters and moves quickly to conduct on-site response to reports of potential privacy risks.
+ Investigates, resolves, and documents privacy complaints from patients, staff, faculty, and others including hotline complaints related to patient privacy; communicates and corresponds with patients regarding privacy complaints by sending timely acknowledgment and closing response letters.
+ Identifies and documents the specific privacy allegation(s) to be addressed, develops and executes an action plan for investigative proceedings; determines the information that needs to be gathered and the methodology for obtaining needed information which might include, but not be limited to, patient or staff interviews, medical record reviews, system audit log reviews, Internet searches, regulation searches, policy and procedure reviews, and working with Information Security staff, the Security Office, and clinical and non-clinical department management as needed.
+ Participates in the development of the Privacy Office's long-term and short-term goals, objectives, plans, policies and procedures. Works with the Privacy Assurance leadership to identify and manage changing priorities.
+ Prepares the case file for closure ensuring that the file is presented in a methodical manner; the file is easily understood by a third-party reviewer and pertinent case documents can be easily found; when necessary for ease of reading, prepares a timeline of events relevant to the issue and the steps taken for resolution.
+ Receives and logs privacy complaints and concerns from patients, staff, faculty, and others, including hotline complaints related to patient privacy.
+ Works collaboratively with hospital departments to provide corrective action plan requirements; receives and reviews completed corrective action plans from hospital departments to determine if compliance requirements are adequately met; follows-up with hospital departments as needed to ensure completion of corrective action plan and recommendations; prepares mandatory state reporting documentation regarding violations of state privacy laws and regulations at the direction of Privacy Assurance leadership.
+ Assists Privacy Assurance management with federal, state and other special investigations and audits. Prepares responses to regulatory inquiries. Develops and maintains government audit readiness plans.
+ Annually identifies specific needs for self-development and implements a plan to achieve professional growth.
+ Maintains privacy of patient information and confidentiality of compliance information and activities; consistently demonstrates a high level of professionalism by exercising behaviors consistent with the Compliance Department's Guiding Principles, including but not limited to Integrity and Openness, Respect and Loyalty, Responsibility and Accountability, Balance and Control, Participation and Enthusiasm, and Humor and Fun.
**Education Qualifications**
+ Education: Bachelor's degree in a work-related field/discipline from an accredited college or university
**Experience Qualifications**
+ A minimum of four (4) years related work experience. Knowledge of electronic medical records, privacy regulations, and ability to evaluate compliance with applicable rules, regulations, processes, policies and procedures.
**Required Knowledge, Skills and Abilities**
+ Ability to communicate effectively, demonstrating excellent verbal and written communication skills
+ Ability to maintain confidentiality of sensitive and private information in accordance with applicable laws, policies and rules
+ Ability to plan, organize, and prioritize multiple tasks and work independently to meet deadlines and exercise sound professional judgment
+ Ability to work effectively with individuals at all levels and with varying backgrounds both within and outside the organization
+ Knowledge and understanding of federal and state compliance program requirements and ability to plan and implement the elements of an effective compliance program in relation to hospital and healthcare
+ Knowledge and understanding of general state and federal requirements pertaining to patient privacy and confidentiality
+ Knowledge of and ability to use a personal computer and standard business software applications for word processing, spreadsheets, databases, presentations and e-mail
+ Knowledge of and ability to use department-specific and enterprise computerized information systems to support compliance functions
+ Knowledge of and demonstrated ability to use logical, analytical, and problem-solving based methodologies to investigate complaints and concerns from patients, staff, faculty, and others, preferably experience in investigating privacy-related complaints and concerns
**These principles apply to ALL employees:**
**SHC Commitment to Providing an Exceptional Patient & Family Experience**
_Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._
_You will do this by executing against our three experience pillars, from the patient and family's perspective:_
+ Know Me: Anticipate my needs and status to deliver effective care
+ Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
+ Coordinate for Me: Own the complexity of my care through coordination
**Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.**
Base Pay Scale: Generally starting at $48.26 - $62.73 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.
As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.
Learn about our awards (**************************************************** and significant events (********************************************************* .
$48.3-62.7 hourly 12d ago
Single Path Coding Specialist II (Remote)
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
The Single Path Coding (SPC) Specialist-Level 2 is an advanced coder position responsible for reviewing clinical documentation to extract data and assign appropriate International Classification of Diseases 10th Edition Clinical Modification (ICD-10-CM) diagnostic codes, Current Procedural Terminology (CPT) procedure codes and modifiers, group Ambulatory Payment Classifications (APCs) for billing, and process National Correct Coding Initiative (NCCI) and payer specific edits related to hospital and professional coding. The Single Path Coder processes codes for surgical encounters and follows the ICD-10-CM Official Guidelines for Coding and Reporting, the American Health Information Management Association (AHIMA) Code of Ethics and Standards of Ethical Coding, as well as all American Hospital Association (AHA) Coding Clinics for HCPCS and the American Medical Association (AMA) CPT Assistant.
The SPC Coding Specialist II serves as a subject matter expert in hospital and professional coding, and interacts with other teams and departments across the organization such as Patient Financial Services, the Patient Billing Office, the Revenue Integrity (Charge Description Master) Team, provider teams and/or Compliance on a routine basis. Additionally, this position interacts with physicians, DFA's, clinical mangers and many other clinical roles throughout the enterprise. The SPC Coding Specialist follows Stanford Health Care policies and procedures and maintains required quality and productivity standards while remaining compliant with third party, State and Federal regulations. In addition to traditional coding related activities, responsibilities also include reviewing and resolving medical necessity edits that may apply for any outpatient surgical encounters, applying hospital and professional modifiers to CPT codes, processing any errors associated with the revenue cycle process, and collaborates on summarizing findings for provider documentation optimization opportunities. When necessary, the SPC Coding Specialist may assist in the design and implementation of workflow changes to reduce coding and billing errors.
The SPC Coding Specialist II is distinguished from SPC Coding Specialist I by mastering more than one specialty and/or possessing coding certification in two specialties.
Locations
Stanford Health Care
What you will do
Reviews medical record documentation and accurately assigns appropriate ICD-10-CM diagnoses, CPT codes and modifiers as applicable for both the hospital and professional claim
Validate and process any medical necessity edits (local or national coverage determinations) that may apply for hospital and professional coding
Process coding-related payer specific edits for the hospital and professional claim
Communicates effectively with provider teams across the organization; serve as an advocate for documentation improvement
Follow established coding conventions and guidelines as set forth by State and Federal regulations
Responsible for monitoring Discharged Not Billed accounts, and as a team, ensure timely, compliant processing of outpatient and inpatient encounters through the hospital and professional revenue cycle
Responsible for maintaining established quality and productivity standards
Demonstrates a high degree of independence in performance of responsibilities, working effectively without direct supervision
Exhibits strong time management, problem solving and communication skills
Critical thinking, good judgment and decision making skills
Excellent written and oral communication skills
Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, NCCI edits, National Coverage Determinations (NCDs), Local Coverage Determinations (LCDs), payer specific edit processing required to ensure clean claim submission for both the hospital and professional
Follows all established Stanford Health Care policies and procedures
Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth
Employees must abide by all Joint Commission requirements including, but not limited to, sensitivity to cultural diversity, patient care, patients' rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings
Employees must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions
Education Qualifications
Associate Degree in work -related discipline/field or equivalent combination of education and work experience
Experience Qualifications
Five years; must be proficient in coding surgical encounter specialties
Currently holds role-related certifications RHIA, RHIT, CCS, CCS-P, CPC, or COC or other coding certification in specialized area OR CIRCC for advanced knowledge of Interventional Radiology and Interventional Cardiology coding
Required Knowledge, Skills and Abilities
Successful completion of the Coder Proficiency Exam (pre-hire)
Ability to consistently meet department's quality and productivity standards
Ability to develop and maintain supportive, collaborative relationship with Physicians and other clinical professionals
Ability to adapt to and deal with change and ambiguity
Ability to plan, organize, prioritize, work independently and meet deadlines
Ability to comply with the American Health Information Management Association's Code of Ethics and Standards
Ability to establish and maintain effective working relationships
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities
Ability to solve technical and non-technical problems
Ability to utilize the ICD-10-CM/PCS and CPT-4 coding conventions to code medical record entries; abstract information from medical records; read medical record documentation
Ability to work effectively through and with others
Knowledge of APC grouping methodology
Knowledge of health information systems for medical records (Epic and 3M 360e Computer Assisted Coding)
Ability to foster effective working relationships and build consensus
Ability to work effectively with individuals at all levels of the organization
Knowledge of NCCI and other CMS compliance issues
Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and disease processes
Licenses and Certifications
RHIA - Registered Health Information Administrator or
RHIT - Registered Health Information Technician or
CCS - Certified Coding Specialist or
CPC and/or CCSP - Certified Professional Coder or
COC
Physical Demands and Work Conditions
Blood Borne Pathogens
Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $60.15 - $67.75 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$60.2-67.8 hourly Auto-Apply 60d+ ago
Revenue Integrity Charge Auditor (Remote)
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
The Charge Auditor performs auditing activities, including complex cases that require extensive research, interpretation and application of laws and regulations. Charge Auditor evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or facility and documentation, charging, coding and billing, including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards.
Locations
Stanford Health Care
What you will do
Conducts defensive charge audits, self-pay/patient requests, or other special audit projects, as requested, comparing itemized bills to corresponding medical records and identifying documented services unbilled and charges for services not documented that need to need to be removed from an account
Conducts audits for Medicare/Medicaid Cost Outlier accounts prior to billing, ensuring itemized bill is accurate.
Conducts retrospective audits as requested.
Collaborates with RI CDM to optimize the integrity of the Chargemaster
Applies consistent and standardized compliance monitoring methodology for sample selection, scoring and benchmarking, development and reporting of findings.
Prepares written reports of review findings and recommendations and presents to management and maintains monitoring records.
Researches, abstracts and communicates federal, state, and payor documentation, and billing rules and regulations; stays current with Medicare, Medi-Cal and other third party rules and regulations including ICD-10 and CPT code updates.
Performs defense auditing of targeted medical records in conjunction with the itemized bills for charging error, substandard documentation and inaccurate procedural billing.
Performs concurrent review of hospital bills to document non-billed, underbilled, and overbilled items/services.
Utilizes charge documents as required by Health System to reconcile charges to items/services documented in the medical record.
Prepare reports by management regarding audit results, process improvement recommendations and systemic billing errors.
Make monthly observations and recommendations to prevent future reimbursement losses.
Education Qualifications
Bachelor's degree in a work-related discipline/field required. Required
Experience Qualifications
Three (3) years of progressively responsible and directly related work experience Required
Required Knowledge, Skills and Abilities
Ability to analyze and develop solutions to complex problems
Ability to communicate effectively in written and verbal formats including summarizing data, presenting results
Ability to comply with the American Health Information Management Associate's Code of Ethic and Standards and applicable Uniform Hospital Discharge Data Set (UHDDS) standards
Ability to establish and maintain effective working relationships
Ability to judgment and make informed decisions
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities
Ability to use computer to accomplish data input, manipulation and output
Ability to work effectively both as a team player and leader
Knowledge of Epic EMR and billing
Knowledge of charge capture workflows and CDM
Knowledge of DRG/APC reimbursement
Knowledge of health information systems for computer application to medical records
Knowledge of ICD-10-CM & CPT coding conventions to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups
Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases
Knowledge of governmental payment practices for Medicare and MediCal
Working knowledge of commercial payer reimbursement models
Knowledge of Medicare billing practices.
Proficient EXCEL, WORD, PowerPoint skills
Licenses and Certifications
RN - Registered Nurse - State Licensure And/Or Compact State Licensure required . or
CCS - Certified Coding Specialist required . or
CPC and/or CCSP - Certified Professional Coder required . or
Certified Outpatient Coder - COC required . and
CPC required . or
RHIT - Registered Health Information Technician required . or
RHIA - Registered Health Information Administrator required .
Physical Demands and Work Conditions
Blood Borne Pathogens
Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $52.69 - $69.82 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$52.7-69.8 hourly Auto-Apply 41d ago
Frontline Ambulatory Clinic Supervisor - Ortho Sports Med (Waltham)
Children's Hospital Boston 4.6
Remote or Waltham, MA job
Opening / closing shift as needed. Hours between 6:30 am - 3:00 pm and 8:30 am - 5:00 pm. Hybrid role, working remote 1 - 2 times per month Supervises and leads daily administrative operations of a clinical service.
Key Responsibilities:
* Supervises support staff and oversees clinical administrative operations. Plans, prioritizes, and delegates work; monitors performance and provides feedback. Implements and maintains office systems, policies, and procedures. Trains new staff and communicates updates to hospital and departmental policies.
* Monitors clinic activity to support a positive patient experience. Assists staff with customer service and scheduling issues. Addresses patient concerns and escalated service needs.
* Manages electronic and paper records, including sensitive administrative, financial, and employee data. Oversees data entry, ensures accuracy, and generates reports. Recommends and implements system improvements. Serves as clinical floor Super User and participates in Joint Commission/Environment of Care rounds.
* Collects and analyzes data; prepares spreadsheets, charts, and summaries for supervisor review. Performs related administrative tasks as needed.
* Oversees daily department operations, including payroll and compliance reporting. Tracks personnel actions and initiates required forms and documentation. Routes and monitors administrative forms, including purchase orders and payments.
* Manages supply inventory and computer equipment. Purchases standard items and coordinates repairs within budget. Recommends non-routine purchases and liaises with support departments to ensure service needs are met.
Minimum Qualifications
Education:
* Associate's degree or equivalent experience required.
* Bachelor's degree preferred.
Experience:
* Two years of related work experience required.
* Additional years of related work experience may substitute for education requirement.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$66k-93k yearly est. 11d ago
PRN - Physical Therapy Assistant
Good Samaritan 4.6
Remote job
(These statements are intended to describe the essential functions and related requirements of persons assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities and requirements.)
Under the supervision of the Physical Therapist, provides treatment within the established plan of care to accomplish the established goals.
Exercises the skills, safeguards and professional conduct of a Physical Therapist Assistant.
Completes documentation of patient accurate FIM scores, treatment, progress and response to treatment as well as thorough weekly progress notes and discharge summaries within the designated time frames
Reports patient progress and changes in patient condition to the Physical Therapist in a timely manner to ensure high quality and safe outcomes.
Assists in discharge planning with other staff team members on the rehabilitation unit.
Maintains effective and timely communication with team staff members and physician on the rehabilitation unit ensuring high quality and safe outcomes.
Contributes to a high performance work environment by seeking educational resources that enhance and maintain current knowledge and skills.
Participate and completes other duties and special projects/ committees as assigned.
Secondary Job Duties That May be Reassigned:
Assist in orienting staff members.
Supervise PTA clinical students, teen volunteers and shadow students.
Assist with departmental Performance Improvement Program and designated committees.
Maintain adequate supplies, assist in keeping department clean and ready for patient treatment.
Attend appropriate patient care conferences or meetings.
Assist in transportation of patients and preparation for treatment.
Provide staff inservices as requested.
Job Specifications:
Education: Graduate from an accredited physical therapy assistant program. State licensure.
Experience: Clinical experience from physical therapist assistant program.
At Boston Children's Hospital, the quality of our care and our inclusive hospital working environment lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us and discover how your unique contribution can change lives. Yours included.
Position Summary / Department Summary
The Senior Patient Experience Representative in the Department of Dentistry plays a critical role in ensuring timely access to care and an exceptional patient and family experience. This position manages incoming referrals, supports accurate specialty triage, and oversees hygiene scheduling to optimize clinic flow and access.
Key Responsibilities
Patient Experience, Access, and Scheduling
* Deliver positive, effective customer service to patients, families, visitors, and staff in alignment with hospital and departmental standards
* Monitor daily clinic activity and patient flow to optimize access
* Schedule patient encounters and procedures across providers and specialties
* Conduct appointment confirmation calls and text reminders two days prior to scheduled visits
Hygiene Management and Scheduling
* Manage and oversee hygiene schedules and templates
* Monitor hygiene schedules daily to identify and address appointment availability
* Manage the hygiene scheduling distribution list
* Work assigned orders and scheduling tasks in Epic work queues
Referral Management and Specialty Triage
* Manage and monitor the Dentistry referral inbox
* Triage referrals to appropriate dental specialties
* Schedule referred patients within 48 hours of referral receipt, prioritizing urgent cases
* Communicate with referring offices to obtain missing documentation, clarification, or follow-up as needed
* Collaborate with external partners including Tufts, Cambridge Health Alliance (CHA), and Franciscan Children's Hospital (FCH) to facilitate smooth patient transitions
Clinical Support and Administrative Operations
* Process and distribute incoming faxes on designated days
* Communicate real-time scheduling challenges, high-priority items, and clinic changes to clinical leadership
* Manage the Dental Clinical Support Pool in Epic, including triage, responses, and scheduling
* Provide support to Call Center or Frontline operations as needed
* Answer, screen, and triage incoming calls; respond to routine inquiries and initiate emergency services when appropriate
* Utilize office and clinical technology including Epic, phone systems, Microsoft Office, scheduling, billing, and patient portal tools
Training and Process Improvement
* Participate in training, onboarding, and cross-training of clinic staff on systems
* Serve as a resource for staff regarding departmental processes, payer requirements, and operational procedures
* Actively participate in departmental and organizational initiatives
Minimum Qualifications
Education
* Required: High School Diploma or GED
* Preferred: None specified
Experience
* Required: Minimum of one (1) year experience as a Patient Experience Representative or in a related healthcare role
* Preferred: Experience in an ambulatory or dental clinical setting with referral management and complex scheduling responsibilities
Schedule & Location
* Shift: Full-time, 8:00 AM - 4:30 PM
* Work Model: Hybrid after training
* Location: 2 Brookline Place
Boston Children's Hospital offers competitive compensation and unmatched benefits including flexible schedules, affordable health, vision, and dental insurance, child care and student loan subsidies, generous levels of time off, a 403(b) Retirement Savings Plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts, and discounted rates on T-passes. Experience the benefits of passion and teamwork.
The posted pay range is Boston Children's reasonable and good-faith expectation for this pay at the time of posting.
Any base pay offer provided depends on skills, experience, education, certifications, and a variety of other job-related factors. Base pay is one part of a comprehensive benefits package that includes flexible schedules, affordable health, vision and dental insurance, child care and student loan subsidies, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition and certain License and Certification Reimbursement, cell phone plan discounts and discounted rates on T-passes. Experience the benefits of passion and teamwork.
$43k-51k yearly est. 5d ago
Ultrasound Technologist, Reg - Day Shift
Good Samaritan 4.6
Remote job
Acts as a positive interface with all customers and in a manner consistent with world class service.
Demonstrates the ability to competently perform those duties within the scope of practice for Sonographers as outlined by the American Society of Radiologic Technologists.
Adheres to and practices in accordance with the American Society of Radiologic Technologists Clinical, Quality, and Professional Performance Standards for Sonographers related to assessment, analysis/determination, patient education, performance, evaluation, implementation, outcomes measurement, documentation, quality self-assessment, education, collaboration/collegiality, and ethics.
Ensures services are delivered with the highest possible quality, safety and outcomes within a model plan of care consistent with world class care.
Secondary Job Duties That May be Reassigned:
May assume responsibility as Charge Technologist according to assigned work shift requirements, or as needed/delegated.
Rotate regular work schedule to accommodate vacations, illnesses, and weather conditions.
Transport patients and assist others with patient transportation relative to patient acuity level.
Provide fixed and mobile ultrasound services at outlying centers, facilities, and/or physician offices.
Perform various tasks to assist Department in maintaining cohesive, efficient operation.
Perform other responsibilities and duties as assigned.
Job Specifications:
Education: Satisfactory completion of a Program in Diagnostic Medical Sonography Accredited by one of the following: Joint Review Committee on Education in Diagnostic Medical Sonography; Commission on Accreditation of Allied Health Education Programs; Council for Higher Education Accreditation; or United States Department of Education.
Licensure:
Current Registry and Certification by the American Registry of Radiologic Technologists (ARRT) in Sonography (S) or the American Registry of Diagnostic Medical Sonography (RDMS).
Current Certification in Basic Life Support for Healthcare Providers.
Experience: Previous experience as a Ultrasound Technologist preferred but not required.
$96k-174k yearly est. Auto-Apply 34d ago
Director - Reimbursement (Remote)
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for overseeing the organization's compliance reporting and non-patient services reimbursement activities. This role ensures the timely and accurate preparation and submission of financial and regulatory reports to government agencies, including but not limited to:
•Medicare and Medi-Cal cost reports
•Financial disclosures to the Department of Health Care Access and Information (HCAI)
In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries, ensuring full compliance and clear communication with regulatory agencies. The role also ensures the accuracy of invoicing for non-patient related services provided to external customers. The Director of Reimbursement plays a critical role in shaping the financial integrity of the organization. As a senior member of the team, this individual actively contributes to process improvement initiatives, drives innovation in financial systems, and fosters a culture of change, accountability, and continuous improvement.
Locations
Stanford Health Care
What you will do
Government Payor Reporting & Reimbursement
Ensure timely and accurate filing of annual government cost reports, including Medicare, Medi-Cal, and HCAI submissions.
Maintain comprehensive knowledge of federal and state reimbursement laws and regulations to maximize reimbursement.
Develop, implement, and maintain internal policies and procedures to ensure complete and accurate capture of all legitimate reimbursement opportunities.
Oversee Medicare and Medi-Cal audit processes, addressing inquiries and pursuing appeals or litigation when necessary (e.g., CMS disputes).
Review third-party contractual allowances, settlements, and variances (actual vs. budget) to support accurate financial reporting.
Participate in the annual budget development process by providing detailed analysis and projections related to government payor net income.
Prepare and respond to year-end financial audits, specifically related to third-party liabilities and balance sheet reserves.
Serve as the subject matter expert on regulatory compliance reporting, including Medicare and Medi-Cal cost reports
Lead alignment of compliance reporting processes across SHC-related entities and partner organizations.
Continuously assess and improve reimbursement and reporting processes to increase efficiency, accuracy, and scalability.
Non-Patient Care Services Receivable
Oversee invoicing, contract compliance, and financial administration for non-patient care service agreements, such as:
Graduate Medical Education (GME) affiliation agreements
Physician outreach and other academic/clinical support contracts
Coordinate with internal department, affiliated entities, and external partners to ensure contract terms are accurately maintained and executed.
Ensure obligations are properly managed and tracked within the Workday customer management model.
Serve as the subject matter expert for the Workday customer management model, assisting in the development and enhancement of business process workflows.
Participate in system testing and user acceptance activities related to workflow improvements and updates within Workday.
Leadership, Collaboration & Strategic Support
Promote a culture of learning, continuous, improvement, and compliance across the reimbursement function.
Mentor and develop staff to deepen their knowledge of reimbursement regulations, reporting, and methodologies.
Support talent development and succession planning by identifying growth opportunities and preparing high-potential staff for future leadership roles.
Work cross-functionally with leaders and staff from various departments and backgrounds to address complex reimbursement and compliance matters.
Communicate complex, variable reimbursement and regulatory issues in clear, concise narratives to support strategic decision-making.
Provide analytical and subject matter support to broader strategic and financial initiatives as needed.
Education Qualifications
Bachelor's Degree in business, finance, health or public administration or a related field.
Master's Degree in business, health or public administration, management, or related field strongly preferred.
Experience Qualifications
Minimum ten (10) years of progressively responsible and directly related work experience required.
10+ years of performing duties similar to those described in essential functions of the description. Preferred experience as an auditor working with CMS or a CMS Medicare Auditor Contractor and strong familiarity with Medicare and Medicaid regulations.
Required Knowledge, Skills and Abilities
Advanced knowledge of CMS and state Medicaid reimbursement principles and practices.
Multi-year skill and experience managing business processes for organizations using a major ERP system.
Ability to communicate complex concepts in simple form to non-finance users to understand the appropriate use and limits of the information provided.
Ability to communicate and present complex issue with government agencies to resolve audit issues.
Ability to manage, organize, prioritize, multi-task and adapt to changing priorities.
Ability to foster effective working relationships and build consensus.
Ability to partner in the development and achievement of goals, vision, and overall direction of the Controller's Office at Stanford Health Care.
Ability to provide clear and concise information/presentations to Senior Executive Team.
Ability to develop strong team culture and working relationship with colleagues across the health system.
Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis.
Ability to effectively manage deliverables and timelines.
Preferred Knowledge, Skills and Abilities
Ability to develop strong team culture and working relationship with colleagues across the health system
Ability to drive a culture of proactive, integrated, responsive, high quality financial analysis
Ability to effectively manage deliverables and timelines
Licenses and Certifications
CPA - Certified Public Accountant preferred
HFMA - Certified Rev Cycle Rep (CRCR) preferred
Physical Demands and Work Conditions
Blood Borne Pathogens
Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $89.01 - $117.94 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$89-117.9 hourly Auto-Apply 60d+ ago
Senior Clinical Systems Analyst - Epic Billing Systems
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America) At Stanford Health Care, you'll have the opportunity to work at a leading academic medical center that champions patient safety, innovation, and research excellence. Join a multidisciplinary team where your expertise ensures rigorous protocol implementation and high-quality patient care.
As a Sr. Clinical Systems Analyst, you'll be supported by an organization that truly invests in your growth. You'll have access to internal mobility opportunities, annual education funds, and professional development programs that help you continue to advance in your career.
We offer a strong benefits package, including paid time off, parental leave, 403(b) matching, tuition reimbursement, health and dental coverage, paid holidays, disability benefits, and even pet insurance.
What You'll Do:
• Supports core functions of Stanford Health Care's Billing applications to enable cost-effective and efficient revenue cycle functions.
• Implement, administer, and support the Epic Resolute billing module along with other assigned systems under the minimal guidance of senior members of the team.
• Independently address issues and design decisions of moderate to high complexity with little or no supervision
• Deliver clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization.
What We're Looking For
• Previous Epic Resolute Certification (or willingness to obtain)
• Prior experience in supporting of Epic modules, ancillary systems, and health system operations.
This is a Stanford Health Care job.
A Brief Overview
The Clinical Senior Systems Analyst I supports core functions of the health system's applications to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support assigned systems under the minimal guidance of senior members of the team. The position will have a thorough understanding of Epic modules, ancillary systems, and health system operations. This position independently addresses issues and design decisions of moderate to high complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization.
Locations
Stanford Health Care
What you will do
Provide tier-2 support of application incidents reported through the help desk; including 24/7 on call coverage as required
Provide analytical assistance to junior team members to resolve application incidents, maintenance items, and enhancement requests
Coordinate application support with other information technology teams including Infrastructure, Integration, Reporting, and the help desk
Implement changes using documented procedures that are compliant with department's policies and procedures
Work with and mentor junior staff members to document workflows
Act as a technology subject matter expert and clearly communicate technical concepts in business terms between and across the different groups while influencing outcomes
Perform a major role in complex software upgrade initiatives
Lead small to medium complexity new software installations and enhancement requests
Maintain up-to-date project documents for all initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables
Continually identity opportunities for functional and stability improvement in applications
Identify system optimization and enhancements and collaborate with vendors and other ITS analysts in order to design and implement effective solutions
Anticipate and resolve system problems
Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex and/or controversial matters, including pros, cons, risks, benefits, costs, and unintended consequences
Participate in and frequently facilitate/organize team and cross-team meetings and maintain appropriate meeting records
Education Qualifications
Bachelor's Degree Bachelor's degree in Information Technology, Computer Science, Business Administration, Management Systems, Electronics Technology, Computer Engineering, Health Information Management or a directly-related field from an accredited college or university. Must obtain Epic certification in relevant module(s) within 3 months of employment date Required
Experience Qualifications
5 or more years of progressively responsible and directly related work experience Required
Prefer experience with 2 major Epic upgrades or implementations Preferred
Required Knowledge, Skills and Abilities
Mid-level Microsoft Office skills
Excellent written, oral, instructional, presentation and interpersonal skills focused on motivation and positive attitude. Highly self-motivated, directed and change oriented. Very strong customer orientation
Ability to analyze highly complex systems and workflows
Ability to conceptualize, plan, organize, coordinate, and manage the work of a major program or function within the department
Ability to engage actively in complex discussions, often on challenging and/or controversial subjects
Ability to negotiate on behalf of others to achieve best outcomes for the department and the organization as a whole
Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness, and manages/resolves disputes appropriately
Ability to communicate concepts in elegant, concise, eloquent form to management and to cross-functional departments or teams verbally, in writing, and through pictures or diagrams when appropriate
Ability to establish a set of tasks and activities associated with an intended outcome and timeline
Ability to take action consistent with available facts, constraints, and anticipated consequences
Ability to use appropriate interpersonal skills to give information to and receive information from coworkers and clients in a tactfully and professional manner
Ability to use effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions
Ability to develop new skills and teach others
Ability to collaborate and build consensus with stakeholders
Ability to understand and adhere to operational standards, policies, and procedures
Ability to identify risks and issues
Ability to develop solutions for new and unfamiliar challenges
Ability to analyze data, draw conclusions and interpret results
Knowledge of current issues and trends in health care and clinical operations in a health care system
Healthcare knowledge base that promotes a high level of credibility with organization end users and executives
Knowledge of Epic Software as well as other information systems, clinical software, and computer applications used in a health care setting
Understanding of Software Development Life Cycle (SDLC)
Knowledge of a variety of server operating systems, storage systems, databases, scripting languages, monitoring and job scheduling tools
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $59.21 - $78.43 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$59.2-78.4 hourly Auto-Apply 5d ago
Claims Manager - Workers Compensation
Stanford Health Care 4.6
Remote job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.
Day - 08 Hour (United States of America)
This is a Stanford Health Care job.
A Brief Overview
Under the direction of the Director, Claims & Litigation Strategy, the Claims Manager oversees the workers' compensation claims program for Stanford Health Care, Stanford Health Care Tri-Valley, and Stanford Children's Health. The Claims Manager acts as the primary liaison with the third-party administrator (TPA) to ensure proper claims handling and with internal partners to evaluate and reduce work-related injuries.
Locations
Stanford Health Care
What you will do
Responsible for oversight of all TPA activities to ensure efficient and cost-effective claims handling in accordance with hospital policies and procedures and the applicable service agreement. Review reserves, settlement activity, and claims costs. Participate in periodic claim reviews and provide substantive input regarding claim strategy.
Participate in negotiation of TPA contracts.
Serve as liaison with external departments, including Human Resources, Workforce Health and Wellness, and Environmental Health & Safety to coordinate issues impacting claim resolution and injury/illness prevention. Participate in periodic committee meetings as warranted. Provide training related to claims workflow and processes.
Responsible for collection and analysis of claims data. Create reports and disseminate claims data to stakeholders. Evaluate trends to support loss prevention.
Ensure timely and accurate processing of all claim invoices.
Education Qualifications
Bachelor's degree in a work-related field/discipline from an accredited college or university.
Experience Qualifications
Minimum five (5) years of progressively responsible and directly-related work experience.
Claims Practitioner in Workers' Compensation (CPWC) certification preferred.
Required Knowledge, Skills and Abilities
Ability to analyze and develop solutions to complex problems.
Ability to apply judgment and informed decisions.
Ability to communicate effectively in written and verbal formats including summarizing data and presenting results.
Ability to establish and maintain effective working relationships.
Ability to work effectively both as a team player and leader.
Knowledge of computer systems and software used in functional area.
Knowledge of local, state and federal regulatory requirement related to the functional area.
Knowledge of medical terms, concepts and practice.
Licenses and Certifications
None
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
Know Me: Anticipate my needs and status to deliver effective care
Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $66.52 - $88.14 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$66.5-88.1 hourly Auto-Apply 55d ago
Revenue Integrity Program Manager (Remote)
Stanford Health Care 4.6
Remote or Palo Alto, CA job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.**
**A Brief Overview**
The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical departments leaders, Clinical Department Chairs, and School of Medicine Directors of Finance & Administration (DFA).
Through a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, and work closely with physician leadership and partnering with Compliance to provide education and training. This position will also provide ongoing communication through reports & regular presentations as well as handling intake of requests and potential improvement opportunities. Prepares and leads the monthly Revenue Integrity and the School of Medicine DFA meetings for professional revenue cycle.
**Locations**
Stanford Health Care
**What you will do**
+ Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings, provides education to both Providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue Cycle TDS IT teams. Reports potential compliance issues for further analysis and follow-up to the Compliance Department.
+ CDM Optimization: Works to ensure a compliant and consistent system CDM. Works with existing tools to evaluate CDM requests with a focus on regulatory coding, compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard naming conventions and pricing integrity.
+ Department Education: In collaboration with the Compliance Department, provides education to clinical department staff regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliance use.
+ Project Management: Leads projects to improve revenue capture, increase efficiencies in the charge capture process, and reduce provider burden with the charging process.
+ Financial Analysis: Performs basic financial analyses to report the impact of charge capture practice changes and corrections to current practices. Communicates findings fully with clinical departments and executive team.
+ Issue Resolution: Through the combination of EPIC WQs, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions.
+ Performance Review: Provides ongoing reporting of revenue performance to a variety of audiences including Chairs, Faculty, DFA's, Division and Clinic Chiefs, Executive Director, Mid-Revenue Cycle, the Director of Revenue Integrity and others as appropriate. Responsible to present confidently to a wide range of individuals across the organization.
**Education Qualifications**
+ Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience)
**Experience Qualifications**
+ Five (5) years of progressively responsible directly related work experience
**Required Knowledge, Skills and Abilities**
+ Proficient in hospital and professional revenue cycle operations.
+ Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. Ability to analyze revenue data and identify trends and opportunities and the ability to present such data to a variety of audiences
+ Strong Interpersonal skills facilitating seamless communication with clinical staff, and faculty. hat allow ease of communication with Clinical staff and faculty
+ Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of coding conventions
+ Current knowledge of third party payer rules and regulations
+ Knowledge of computer systems, specifically, Epic Care and related interfaces
+ Knowledge of management and supervision and the ability to organize staff's work
+ Strong written and verbal communication skills to articulate analyses and finding to Chairs, DFAs and Clinical Operations leadership. Ability to write, and speak to the analyses performed
+ Proven Ability to provide leadership skills in problem identification and issue resolution
+ Ability to influence decision-making through persuasive data-supported arguments. Ability to change the course of events through convincing arguments supported by data
+ Ability to apply critical thinking skills to complex issues and situations
+ Competence in mediating and solving intricate work problems. Ability to mediate and solve complex work problems and issues
+ Ability to effectively facilitate work groups towards to successful outcomes
+ Ability to facilitate stakeholder meetings, including agenda development, discussion, documentation, action item follow-up and presentation development.
+ Strong organizational skills and attention to detail, with the ability to manage multiple priorities effectively.
**Licenses and Certifications**
+ Non Clinical COC - Certified Outpatient Coder preferred . or
+ CPC-H preferred . or
+ CCS - Certified Coding Specialist preferred . or
+ CPC and/or CCSP - Certified Professional Coder preferred . or
+ RHIT - Registered Health Information Technician preferred . or
+ RHIA - Registered Health Information Administrator preferred .
**These principles apply to ALL employees:**
**SHC Commitment to Providing an Exceptional Patient & Family Experience**
_Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._
_You will do this by executing against our three experience pillars, from the patient and family's perspective:_
+ Know Me: Anticipate my needs and status to deliver effective care
+ Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
+ Coordinate for Me: Own the complexity of my care through coordination
**Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.**
Base Pay Scale: Generally starting at $66.52 - $88.14 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.
As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.
Learn about our awards (**************************************************** and significant events (********************************************************* .
$66.5-88.1 hourly 13d ago
Clinical Pharmacist - Transition of Care (Full-Time/Hybrid, 8-Hour Rotating Shifts)
Stanford Health Care 4.6
Remote or Palo Alto, CA job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Rotating - 08 Hour (United States of America) This is a Stanford Health Care job.
A Brief Overview
Provides the full range of distributive, clinical, consultative, research, investigational, and/or administrative pharmaceutical services. Incumbents select, compound, manufacture, purchase, dispense, and/or preserve drugs, medicines, and other therapeutic agents; serve as a member and consultant on treatment or diagnostic teams; disseminates drug information to members of the hospital staff and interested community groups; may participate in hospital research projects or perform pharmaceutical research.
Locations
Stanford Health Care
What you will do
* Clinical Pharmacy:
* Applies knowledge of solubility behavior of substances, stability of drugs, usages of drugs, and limitations on modes of administering drugs, and similarly applies knowledge of incompatibilities in evaluating dosages and permissible concentrations of drugs, and in anticipating, preventing, and treating undesirable chemical reactions.
* Applies knowledge of the physical and chemical properties and characteristics of computing dosages, weighing and measuring drugs, and mixing and compounding drugs and chemicals.
* Has legal responsibility for proper interpretation of prescriptions and the dispensing of prescribed products, and call to physician's attention any synergistic, antagonistic, and cumulative effects, as well as questionable overdoses or incompatibilities.
* Identifies fine differences between drugs as they relate to therapeutic efficacy of the products.
* Maintains continuous awareness f new developments in the fast-moving drug field and be aware of emerging patterns, systems, and techniques in pharmacy practice.
* Maintains records, documents patient data, prepares written reports, and provides oral reports concerning patient care.
* May contribute to the accredited teaching programs, indoctrination and refresher training courses.
* Specifies proper storage, protection, and preservation of therapeutic agents, in accordance with the standards of the United States Pharmacopoeia (U.S.P.) and the National Formulary (N.F.)
* Investigational Drug Service:
* Provides assistance in the coordination and maintenance of pharmacy services relating to research at SHC.
* Participates in sponsor site qualification and initiation visits.
* Supports practices relating to pharmacy dispensing based on IRB approved clinical trials.
* Provides guidance to investigational drug service pharmacy technicians.
* Upon request, attends various meetings to provide pharmacy input on drug protocols.
* Serves as the liaison between the study team, protocol sponsor, and nursing to coordinate drug therapy.
* Participates in audits from the sponsors, FDA, DEA, NIH and other regulatory agencies as needed.
Education Qualifications
* Bachelor's in Pharmacy from an accredited college or university.
Experience Qualifications
* Two (2) years of progressively responsible and directly related work experience.
* One (1) year if completed a PGY1 residency.
Required Knowledge, Skills and Abilities
* Ability to apply judgment and make informed decisions.
* Ability to communicate effectively, both orally and in writing.
* Ability to foster effective working relationships and build consensus.
* Ability to plan, organize, prioritize, work independently and meet deadlines.
* Knowledge of influence of patient's age, sex, concomitant disease states, concurrent drug therapy, foods and diagnostic procedures on drug activity and disposition.
* Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility.
* Knowledge of Medical terminology and abbreviations; pharmacology and pharmacological nomenclature; medical therapeutics, pharmacokinetics, and disease states.
* Knowledge of methods and procedures involved in proper handling and storing of pharmaceutical supplies.
* Knowledge of physiology, anatomy, pathology, chemistry and mathematics as they relate to pharmacy practice.
* Knowledge of prescription and non-prescription drugs and drug products and their indications, efficacy, dosage, mechanisms of action; fate and disposition (if known), major contraindications and potential side effects.
Licenses and Certifications
* CA Board of Pharmacy License - Registered Pharmacist required . and
* BLS - Basic Life Support required within 30 Days or
* ACLS - Advanced Cardiac Life Support required within 30 Days
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family's perspective:
* Know Me: Anticipate my needs and status to deliver effective care
* Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
* Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
Base Pay Scale: Generally starting at $116.33 - $116.33 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
$116.3-116.3 hourly Auto-Apply 5d ago
Sr. Manager - Professional Billing Organization (PBO) (Remote)
Stanford Health Care 4.6
Remote or Palo Alto, CA job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.**
**A Brief Overview**
Under the general direction of Revenue Cycle leadership, provides organization direction for Professional Billing to ensure timely billing, collection and cash posting of all physician charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational strategies to drive optimal performance of the Professional Revenue Cycle. The PBO Senior Manager acts as a liaison between clinic operations leadership and other departments in the organization. This position provides assistance to the Director to ensure that the organization is performing and delivering against the agreed upon service levels in the organization. The Senior Manager is responsible for the department's overall cash, accounts receivables and write-offs performance.
The Senior Manager must have a clear understanding of the overall organization and the "clients" that the PBO Revenue Cycle serves. To effectively lead the department, the senior manager must have a strong working knowledge of the operational details, process issues, barriers and opportunities and must possess the creativity motivation to drive change, realizing maximized reimbursement and minimized financial risk to Stanford Health Care. Successful oversight will result in increased net revenue and lower cost to collect. Interactions will primarily be conducted with both clinics and payors and results of efforts will drive actions to secure payment for all claims sent to payors. The Senior Manager serves as a resource to faculty, managers, department and clinic staff in all professional revenue cycle related issues.
**Locations**
Stanford Health Care
**What you will do**
+ Provide leadership, direction and guidance; Set departmental goals and priorities and assign management oversight for the daily office operations.
+ Monitor daily operating activity of department; conduct daily huddles with staff to review department performance and goals and make necessary adjustments in work assignments
+ Manage the performance and work products/services of staff.
+ Direct managers in developing and implementing short- and long-term work assignments and objectives for staff. Develop guidelines for prioritizing work activities, evaluating effectiveness, and modifying activities as necessary.
+ Review and drive improvements in Revenue Cycle ensuring financial obligations are met in accordance with SHC policies and procedures.
+ Utilize feedback and needs assessment tools to understand internal customer expectations.
+ Strive to provide service that exceed expectations and work to eliminate barriers to good service. Maintain relationships with all internal applicable parties, third party payers, and other agencies, as appropriate.
+ Serve as a liaison to key department and clinic contacts to ensure that the PBO is meeting service levels and to address issues that may cause challenges to meet service levels and KPIs.
+ Work collaboratively with clinic operations and other departments to drive organizational efficiencies and alignment and to ensure processes and systems are standardized and optimized for efficient and effective flow of accounts within the department and the organization.
+ Maintain a complete record of current policies and procedures followed by staff in department; Responsible for maintaining complete knowledge of the revenue cycle and patient flow including steps taken by staff to complete these procedures; assists supervisors in understanding/implementing and adhering to department and organization policies and procedures
+ Identify areas of opportunity to apply process changes and/or technology implementation/updates to optimize PBO performance.
+ Manage implementation of standards and systems to enhance quality, consistency, efficiency, and timeliness of responsibilities for the enterprise; designing, develop, and monitor performance improvement processes (e.g. quality, accuracy, productivity and timeliness); identify continuous improvement opportunities and manage productivity metrics and efficiencies
+ Represent the department on various committees and attend administrative meetings committees as requested.
+ Participate in professional development activities and maintain professional affiliations.
+ Identify revenue cycle issues and provide leadership for root cause analysis and problem resolution.
+ Maintain detailed understanding of all systems including electronic health record, physician billing systems and other business systems including system functionality, workflows, and reporting; proactively identify areas for improvement and engage with Information Technology and Revenue Cycle leadership to make necessary changes.
+ Manage multiple projects in a timely and efficient manner.
+ Conduct special projects and studies as directed; perform other related and incidental duties as needed or assigned.
+ Staffing and Development
+ Ensure that functional areas of responsibility are staffed appropriately, assist in organizational changes and planning as necessary
+ Interview, select, hire and maintain competent and performing staff
+ Assure that management is adequately supported, trained and consistently meets competency requirements and levels Supervise, train, orient, coach, develop and evaluate performance over assigned personnel; initiate corrective actions to improve performance deliverables and/or resolve issues as they arise, recommend promotions or implement corrective/disciplinary actions as necessary.
+ Foster a success-oriented, accountable environment
+ Participate in regular huddles throughout the PBO
+ Conduct regular unit staff meetings;
+ Conduct and report on monthly productivity/quality assurance audits.
+ Encourage ongoing staff development and growth. Develop individual staff goals and training plans.
+ Ensure that personnel management is handled timely including evaluations, issue resolution, employee labor relations involvement and disciplinary action. Serve as escalation contact as appropriate.
+ Regulatory
+ Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements.
+ Keeps up-to-date on all regulatory and accrediting agency requirements, including Federal and State regulations and Joint Commission standards as they relate to billing, follow-up, remit posting and payment variance. Ensures compliance with policies and directives issued by Medicare, Medicaid, Third Party Payers, and others as needed.
+ Maintains knowledge of and complies with established policies and procedures including government, insurance and third-party payor regulations.
+ Assures compliance with the medical staff bylaws, rules and regulations, and hospital and departmental policies and procedures.
+ Ensure adherence to all aspects of state, local, and federal Billing Compliance policies
+ Maintain and enforce patient / client / employee confidentiality
+ Operational
+ Provide overall direction and supervision to the billing, follow-up, collection, and resolution of all payor accounts; direct the day-to-day activities of insurance claim editing and billing, insurance follow-up, denial and appeals
+ Serve as a contact/resource to other departments and clinics for information on payor guidelines, policies and procedures; updates staff and outside departments on government (Medi-Cal/Medicaid/Medicare/VA) regulations and non-government payor medical and billing policies.
+ Serve as escalation point to external stakeholders related to billing, follow-up, cash posting, payment variance and/or provider enrollment;
+ Ensure that workflows are operating optimally to meet organizational KPIs and ensure timely reimbursement with minimal revenue leakage; monitor backlogs, identify root cause and implement corrective measures as necessary.
+ Review current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
+ Set goals and implement measurement and tracking to ensure goals are met for delinquent AR, cash collections, denials and controllable write-offs
+ Solve difficult payment and associated payor problems (e.g. denials). Audit problem accounts.
+ Monitor charge or payor patterns or trends in payment variance and communicate to external stakeholders as necessary
+ Provide regular updates to external stakeholders and Revenue Cycle leadership on payor variance and net revenue performance
+ Ensure that cash posting processes meet treasury and accounting practices and policies; support audit activities as necessary
+ Maintain working knowledge of the Epic payment posting system and perform ongoing training to staff as needed.
+ Understand enrollment functions that support appropriate payer contracting and claims adjudication
+ Support physicians and clinics to ensure that all professional revenue can be billed and paid by payors
+ Work closely with Providers, Clinic Operations and Revenue Cycle leadership to address issues and problems related to provider enrollment (e.g. enrollment constraints); Proactively communicate Provider Enrollment issues to providers and impacted clinics.
**Education Qualifications**
+ Bachelor's degree from an accredited college or university.
**Experience Qualifications**
+ Five (5) years of progressively responsible and directly related work experience.
**Required Knowledge, Skills and Abilities**
+ Excellent verbal and written communication skills, including effective reporting of operations, issues and performance
+ Excellent people skills, with an ability to partner with a dynamic leadership team and navigate enterprise politics and matrixed relationships
+ Demonstrated experience as a team leader; leading teams to generate a vision, establish direction and motivate members to achieve established goals
+ Skill in planning, organizing, delegating, and supervising.
+ Skill in evaluating the effectiveness of existing methods and procedures.
+ Skill in problem solving.
+ Ability to manage in complex environment
+ Ability to develop long-range business plans and strategies
+ Ability to foster effective working relationships and build consensus
+ Ability to mediate and resolve complex problems and issues
+ Ability to provide leadership and influence others
+ Ability to recognize and analyze the impact of regulatory changes on the financial performance of professional revenue
+ Ability to read, interpret, and apply policies and procedures.
+ Ability to set priorities among multiple requests.
+ Ability to interact with patients, medical and administrative staff, and the public effectively. Knowledge of accounts receivables and reimbursement management
+ Knowledge of CPT, ICD10 coding and medical terminology
+ Knowledge of government program regulations and compliance requirements as they relate accounts receivable management
+ Knowledge of information system and software relating to accounts receivables management and billing; Knowledge with EMR and practice management systems. Epic Certification a plus
+ Knowledge of local, state and federal regulatory requirement related to the functional area
+ Knowledge of principles and practices of organization, administration, fiscal and personnel management
**Licenses and Certifications**
+ None
**These principles apply to ALL employees:**
**SHC Commitment to Providing an Exceptional Patient & Family Experience**
_Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._
_You will do this by executing against our three experience pillars, from the patient and family's perspective:_
+ Know Me: Anticipate my needs and status to deliver effective care
+ Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
+ Coordinate for Me: Own the complexity of my care through coordination
**Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.**
Base Pay Scale: Generally starting at $66.52 - $88.14 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.
As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.
Learn about our awards (**************************************************** and significant events (********************************************************* .
$66.5-88.1 hourly 5d ago
Registered Dietician
Oswego 4.8
Remote or Oswego, IL job
Benefits:
Access to Health Insurance
Bonus based on performance
Flexible schedule
Paid time off
Wellness resources
Job Summary High energy, passionate, and enthusiastic person to join our Nutrition team. This position involves taking incoming calls from prospective clients, performing baseline interviews and goal setting, developing a prudent nutrition program, consistently meeting with clients (virtually), and submitting reports on progress and the next recommended steps to ensure client results.
Company Overview
D1 is an athletic-based group training facility for adults and youth athletes ages 7 and up with a mission of providing the best fitness philosophy and facility to its athletes, empowering them to improve themselves by efficiently and consistently reaching their fitness goals.At D1, our promise to our athletes is: “You pick the goal, we help you get there” and D1 Coaches are the catalysts for our fulfillment of that promise. D1 Coaches implement and instill the D1 training philosophy into every workout. They exhibit the ability to adapt and customize programs in the workouts, in order to tailor them to each athlete. They take a personal stake in the lives of our athletes, maintaining regular contact and monitoring their individual progress toward their goals. D1 Coaches are a part of the best training environment in the industry and are integral to the success of D1 as it continues its rapid growth. This position is for our Oswego location, but working remotely the majority of the time with some potential to work within our facility.
Benefits/Perks
Bonus based on performance
Access to health insurance
Continuing education through company-sanctioned events
Paid Time Off (When salaried)
Free membership in a state-of-the-art facility.
Responsibilities
Client onboarding, we provide the prospects.
Client goal setting
Create an individualized nutrition program for each client
Host virtual or in-person appointments
Follow up and follow through with a client based on their needs
Qualifications
Must be a Registered Dietician or bachelor's Degree in Nutrition
Licensed and in good standing
Must have the ability to work remotely (in-facility is also an option)
Must be a high-energy and motivated individual
This is a remote position.
Compensation: $35.00 - $50.00 per hour
D1 Training is an emerging fitness franchise, that is growing rapidly. D1 Training has over 80 facilities open and 180+ in development. At D1 Training, we inspire and motivate athletes to reach their goals. At D1, we believe in training the entire body as a unit to produce optimal human performance. No gimmicks, no fads; we utilize trusted and proven training techniques used to build the world's best athletes and deliver the, in age-appropriate programs led by our expert coaches. Nothing at D1 is random. Every workout, every day follows a strategic 8-week training cycle that is meticulously planned and backed by sports science. What began as training solely for the aspiring youth athlete, matured into fitness training for adults as well. With all who participate in the D1 training process moving aggressively towards their goals.
$35-50 hourly Auto-Apply 60d+ ago
Project Manager - Cancer Center
Stanford Health Care 4.6
Remote or Redwood City, CA job
If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.**
Are you ready to make a significant impact in the healthcare and research sector?
Join Stanford Health Care's dynamic Cancer Center project as a Project Manager and help deliver innovative spaces that redefine cancer care. You'll oversee the programming, planning, design, construction and activation of facilities that support comprehensive, patient-centered services from symptom management to wellness and spiritual care. Collaborate with top-tier professionals and make a tangible difference in the lives of patients, caregivers, and staff. This is your chance to be part of a landmark expansion, driving excellence and compassion in every aspect of the cancer journey. This hybrid position is based in Redwood City, with up to two days working from home.
**Key Responsibilities:**
+ Manage day-to-day programming, planning, design, and construction activities for hospital and clinic projects.
+ Act as liaison between clients, consultants, contractors, and regulatory agencies, ensuring clear communication and project alignment.
+ Implement quality control measures, maintain project schedules and budgets, and ensure compliance with hospital and government standards.
+ Lead consultant teams, resolve project issues proactively, and close projects efficiently after occupancy.
+ Prepare organized, accuratedocumentation and contribute to department policy development.
The **Facilities Services** division enhances health through leadership, collaboration, and innovation. Our team offers essential non-clinical support 24/7, ensuring safe operations and planning for future needs. We represent the intersection of planning, construction, general services, and facilities operations. Learn more about Facilities Services at: Facilities Services | Stanford Health Care (***************************************************************************************************
**Cancer Center** **Redwood City** **Facilities** **Planning** **and Design** is dedicated to transforming cancer care through an ambitious vision that includes expanding clinical trials, innovating patient experience, and building facilities that support translational medicine. The future Redwood City Cancer Center will seamlessly integrate cutting-edge research with comprehensive inpatient and outpatient services, enhancing our bench-to-bedside activities and revolutionizing patient outcomes.
If you are interested in joining Stanford Health Care, please read the job description below and apply online.
**A Brief Overview**
The Design and Construction Project Manager is responsible for managing the day-to-day efforts related to programming, planning, design, construction, and activation of small projects for the Stanford Health Care (SHC) under the general supervision of the Director. Ensures completion of projects within budget, on schedule, while meeting all program objectives and appropriate governmental regulations. Also acts as a liaison between the client/users and all other project participants including consultants, contractors, vendors, and outside jurisdictional agencies.
**Locations**
Stanford Health Care
**What you will do**
+ Assesses, and documents project scope and program, describing the objectives, physical requirements, parameters, and constraints of the project, including not only the user's functional needs but also hospital and external jurisdictional criteria for heal and safety, operation, maintenance, energy efficiency, quality standards, contextual issues, and aesthetics.
+ Assists in the development of policies, guidelines, standards, and acts as department representative on committees and professional organizations.
+ Implements quality control measures to ensure project compliance with department, hospital, and university policies, government codes and regulations; also ensures conformance to the requirements of all project participants.
+ Maintains communications on a regular and timely basis, ensuring that all project participants are informed of project status, problems, and required actions.
+ Manages the process of furnishing and equipment selection, purchasing, and installation.
+ Manages the review and approval process to ensure appropriate approvals of all design work from schematic studies through final construction documents and related field changes and changes in scope; as well as approval for conceptual and detailed projects budgets.
+ Manages the selection process and contract negotiations for consultants, contractors, and vendors.
+ Prepares and maintains accurate, coherent, timely, and auditable project records/files, and cost estimates with department procedures; and ensures that space inventory reports are complete.
+ Provides leadership, and supervision to assigned consultants.
**Education Qualifications**
+ Bachelor's Degree Bachelor's degree in a work-related discipline/field from an accredited college or university
**Experience Qualifications**
+ Three (3) years of progressively responsible and directly related work experience
**Required Knowledge, Skills and Abilities**
+ Ability to budget, make financial projections and write reports
+ Ability to ensure project compliance with hospital infection control procedures
+ Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization and gain their cooperation
+ Ability to handle potentially sensitive situations by applying consultative skills in working with internal and external constituent groups
+ Ability to plan, organize, motivate, mentor, direct and evaluate the work of others
+ Ability to prioritize work by making informed judgments and to develop solutions for complex problems
+ Ability to utilize project management tools
+ Knowledge of CAD system, CAFM, estimating, cost control, scheduling, construction administration, quality control, specification writing, and space planning
+ Knowledge of local, state and federal regulatory requirements related to areas of functional responsibility
+ Knowledge of technical, professional and business in the fields of healthcare delivery, architecture, and construction, and building design process
**Licenses and Certifications**
+ PMP - Project Mgmt Professional preferred .
+ CFM certification preferred .
**These principles apply to ALL employees:**
**SHC Commitment to Providing an Exceptional Patient & Family Experience**
_Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery._
_You will do this by executing against our three experience pillars, from the patient and family's perspective:_
+ Know Me: Anticipate my needs and status to deliver effective care
+ Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
+ Coordinate for Me: Own the complexity of my care through coordination
**Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in** **all of** **its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.**
Base Pay Scale: Generally starting at $66.52 - $88.14 per hour
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.
At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow.
As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care.
Learn about our awards (**************************************************** and significant events (********************************************************* .
$66.5-88.1 hourly 55d ago
PRN - Scheduled Phy Therapist, Reg.
Good Samaritan 4.6
Remote job
(These statements are intended to describe the essential functions and related requirements of persons assigned to this job. They are not intended as an exhaustive list of all job duties, responsibilities and requirements.)
Performs patient evaluations to determine patient deficits and need for therapy.
Develops an individualized patient plan of care, physical therapy interventions and expected outcomes based on the evaluation and documents findings.
Implements or supervises the patient treatment within the established plan of care.
Evaluates or reassesses patient progress towards established goals.
Supervises Physical Therapist Assistants and Techs on rotation.
Assists in discharge planning including communication to the patient, family and other health care professionals.
Exercises the skills, safeguards and professional conduct of a Physical Therapist.
Completes other duties and special projects as assigned.
Participates and reports in weekly patient conference with current patient progress and discharge planning with team staff members.
Performs home assessments as coordinated and assigned by the therapy supervisor.
Secondary Job Duties That May be Reassigned:
Responsible for reporting breakdown of necessary support services to supervisor.
Assist in orienting staff members.
Supervise PT /PTA clinical students, teen volunteers and shadow students.
Assist with departmental Performance Improvement Program and maintain FIM certification.
Maintain adequate supplies, assist in keeping department clean and ready for patient treatment.
Job Specifications:
Education: Graduate of an accredited physical therapy program. Attend appropriate continuing education courses. State licensure.
Experience: Clinical experience from a school of physical therapy.
$65k-99k yearly est. Auto-Apply 37d ago
PRN - Reg. Radiologic Technologist I
Good Samaritan 4.6
Remote job
Works under the supervision of the Diagnostic Radiology Manager. The Radiologic Technologist acts as a positive interface with all customers while contributing to a high performance, high quality work environment. Responsible for the administration of ionizing radiation for diagnostic and/or therapeutic purposes. Performs radiographic procedures and related techniques producing high quality images for the interpretation by, or at the request of, a licensed independent practitioner. Ensures efficient operations, workflow, and patient safety through collaboration with the healthcare team.
Essential Job Duties:
Acts as a positive interface with all customers and in a manner consistent with world class service.
Demonstrates the ability to competently perform those duties within the scope of practice for radiographers as outlined by the Indiana Administrative Code and American Society of Radiologic Technologists.
Adheres to and practices in accordance with the American Society of Radiologic Technologists Clinical, Quality, and Professional Performance Standards for Radiographers related to assessment, analysis/determination, patient education, performance, evaluation, implementation, outcomes measurement, documentation, quality self-assessment, education, collaboration/collegiality, and ethics.
Ensures services are delivered with the highest possible quality, safety and outcomes within a model plan of care consistent with world class care.
Secondary Job Duties That May be Reassigned:
May assume responsibility as Charge Technologist according to assigned work shift requirements, or as needed/delegated.
Rotate regular work schedule to accommodate vacations, illnesses, and weather conditions.
Transport patients and assist others with patient transportation relative to patient acuity level.
Provide fixed and mobile radiography services at outlying centers, facilities, and/or physician offices.
Perform various tasks to assist Department in maintaining cohesive, efficient operation.
Perform other responsibilities and duties as assigned.
Job Specifications:
Education: Satisfactory completion of a Program in Radiologic Technology, which is Accredited by the Joint Review Committee on Education in Radiologic Technology.
Licensure:
Current Certification in Basic Life Support for Healthcare Providers;
Current Registry and Certification by the American Registry of Radiologic Technologists (ARRT) in Radiography (R) OR must complete Registry and Certification within 6 months of completion of a Program in Radiologic Technology.
Current Radiologic Technologist License issued by the Indiana State Department of Health OR a Student Radiologic Technologist License.
$40k-54k yearly est. Auto-Apply 59d ago
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