Munson Healthcare Remote jobs - 23 jobs

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life The role of an Identity Access Management (IAM) Analyst is to provide expertise to the organization in the realm of IT system user access administration, including participation in the development of capabilities of the IAM platform which manages the full user access lifecycle (provisioning, periodic auditing, to de-provisioning). An individual in this role is establishing a track record of success working within the user access lifecycle, including workflow design, system onboarding, continuous improvement, and auditing. The individual also has the skill and the aptitude to work as part of a team scripting automation activities. IAM Analysts are knowledgeable and contributors both in a proactive sense - as a resource for crafting policy, standards, process, controls, and consulting on IT system design, as well as the reactive sense - as part of the incident response team. Qualifications What's Required Must have one of the following: required Associate's degree with minimum 2 years relevant experience (preferably cyber defense/IT/business or healthcare emphasis) Bachelor's degree (preferably cyber defense/IT/business or healthcare emphasis) 4 years or more in a position managing data, or identity access management experience in an enterprise level setting (preferably healthcare) Experience in cybersecurity or risk management beneficial Experience in information technology (IT) beneficial Experience in healthcare beneficial Certifications Data security related certification, including but not limited to Security+, CeH, or other IT related certification relevant to security operations beneficial ITIL V3 Foundation beneficial Other professional certification beneficial Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family. Here#s what we offer: Monday-Friday work week Supportive team environment Competitive starting rates based on experience Annual salary increases Opportunities for professional growth # stability within a fast-growing Medical Practice Longevity and consistency of management Tuition reimbursement program Affiliation with Crouse Hospital Other benefits include: Generous Health/Dental/Vision # Life insurance, Flexible spending account or Health savings account # available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match. Position Overview: Responsible for all day-to-day operations and activities of two offices # a Primary Care office with 9 providers and an Endocrinology office with 7 providers.#Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care.# Ensures efficient utilization of all resources.# Provides leadership, supervision and motivation of all staff.# Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community. Responsibilities: Greet, receive and handle patients in a courteous, professional manner. Promote favorable patient relations while maintaining patient confidence at all times. Develop and conduct programs for enhancing patient relations. Coordinate office and hospital activities Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary. Coordinate activities of clinical, front office support, surgical scheduling and ancillary services. Assures proper inventory levels of medical and office supplies. Invoice submission and tracking for pro allocation of budget. Ensure accuracy of patient information collected at time of registration. Ensure all revenue and charges are captured and forwarded to billing company. In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. Work closely with the hospital to ensure proper functions are taking place. Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing. Create and maintain the call and consult schedule to be typed up and emailed accordingly. Track appointment data to determine no show rate, distance for scheduling out, etc. Provide for adequate office staff Prepare and manage position descriptions for each position in cooperation with Human Resources. Assist in recruiting, interviewing, hiring, retaining and terminating staff. Maintain and manage master schedule of staff across the office. Analyze and forecast staffing needs.# Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity. Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources. Conduct annual performance evaluations and monitor quality of work of staff. Train new staff to an adequate level that allows them to keep up with the demands of their position. Take steps in resolving conflicts when they arise. Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources. Track physician paid time off. Track provider continuing medical education. Track SNF hours for required provider and submit to Finance on a monthly basis. Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity. Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts.# Maintain workers compensation portals to ensure all providers stay active. Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support. Retaining quality of work Implementing a level of understanding with staff training, education, policy and procedure information. Tracking of productivity/work flow of both in-practice and work from home staff. Setting up monthly meetings with staff, physicians and APPs. Implement new workflow to provide the best care. Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed. Cover areas within the department when needed. Track phone system to ensure we are answering in a timely manner. Maintain the quality of patient care Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care. Help resolve patient billing issues. Discharge patients professionally when needed. Manage and resolve patient complaints. Determines and updates operating procedures for office procedure manual. Promote participation from staff on operational and quality issues. Assures adherence to OSHA requirements at all times. Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to:#Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM). Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach. Perform other group-related projects and duties, as necessary Participate with senior management in strategic, operational, fiscal and long term planning. Assist in development of annual budget and manages the practice within the established budget.# Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director. Manage good faith estimate (GFE) costs per procedure are completed. Delinquent dictation point of contact for the hospital Completes open superbill list. Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities.# Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities.# Discloses PHI as necessary according to company policy. Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies.# Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required. Patient Care Environment:#Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather. This individual is expected to assist in meeting the goals set forth by the Executive Director.# This will include other duties as assigned by members of the management staff. Qualifications: To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment.# The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required Qualifications: Associates Degree in Health Care Science, Business Administration or equivalent. Current Basic Life Support Certification. Minimum of 5 years# experience in ambulatory/clinic setting. Minimum of 5 years# supervisory experience. Demonstrated experience with systems, process and work flow. Proven excellent interpersonal and communication skills. Desirable Qualifications: Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse. Bachelor#s degree in Nursing, Health Care Science, Business Administrator or equivalent. Demonstrated competence interpersonal and intra professional relations. Demonstrated competence in acute care patient management/organization. Demonstrated commitment to collaboration with physician to individualize and enhance patient care. Experience in a physician office. Salary Range: $83,000 - $115,000 Why Crouse Medical Practice? At Crouse Medical Practice, our focus is on improving the lives of our patients. This focus is what drives us to recruit the best employees to support our patients. Our practice fosters an inclusive environment that prioritizes work-life balance, welcoming individuals from all backgrounds to join our close-knit work family. Here's what we offer: * Monday-Friday work week * Supportive team environment * Competitive starting rates based on experience * Annual salary increases * Opportunities for professional growth & stability within a fast-growing Medical Practice * Longevity and consistency of management * Tuition reimbursement program * Affiliation with Crouse Hospital Other benefits include: Generous Health/Dental/Vision & Life insurance, Flexible spending account or Health savings account - available first of the month following your date of hire, Employee assistance program, 25 days of paid time-off within first year of employment, 7 paid holidays annually, and a 401k with 4% employer match. Position Overview: Responsible for all day-to-day operations and activities of two offices - a Primary Care office with 9 providers and an Endocrinology office with 7 providers. Plans, develops, organizes, monitors and manages all protocols and activities to improve patient access and care. Ensures efficient utilization of all resources. Provides leadership, supervision and motivation of all staff. Works collaboratively with all staff to assist the patient and facilitate a successful interaction within the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community. Responsibilities: * Greet, receive and handle patients in a courteous, professional manner. * Promote favorable patient relations while maintaining patient confidence at all times. * Develop and conduct programs for enhancing patient relations. * Coordinate office and hospital activities * Analyze and prioritizes daily work duties, evaluating effectiveness and modifying activities as necessary. * Coordinate activities of clinical, front office support, surgical scheduling and ancillary services. * Assures proper inventory levels of medical and office supplies. * Invoice submission and tracking for pro allocation of budget. * Ensure accuracy of patient information collected at time of registration. * Ensure all revenue and charges are captured and forwarded to billing company. * In cooperation with IT department, manages installation and implementation of new technology for physician practice and ensures appropriate use of systems. * Work closely with the hospital to ensure proper functions are taking place. * Complete reappointment applications, health assessments and credentialing documents as needed. Obtain signatures and submit to hospital and CMP credentialing. * Create and maintain the call and consult schedule to be typed up and emailed accordingly. * Track appointment data to determine no show rate, distance for scheduling out, etc. * Provide for adequate office staff * Prepare and manage position descriptions for each position in cooperation with Human Resources. * Assist in recruiting, interviewing, hiring, retaining and terminating staff. * Maintain and manage master schedule of staff across the office. * Analyze and forecast staffing needs. Recommend changes to staff levels as required to maintain, enhance and improve patient flow and provider productivity. * Coordinate oversight of new staff orientation, training, and proficiency program(s) in cooperation with Human Resources. * Conduct annual performance evaluations and monitor quality of work of staff. * Train new staff to an adequate level that allows them to keep up with the demands of their position. * Take steps in resolving conflicts when they arise. * Track time and attendance of staff; to include timecard approvals; PTO approvals and processing of FMLA/PFL time as communication by Human Resources. * Track physician paid time off. * Track provider continuing medical education. * Track SNF hours for required provider and submit to Finance on a monthly basis. * Monitor relative value units (RVUs) to ensure the budget is being used to its fullest capacity. * Review WRVUs with physicians and Executive Director to determine provider bonus eligibility as outlined in the physician employment contracts. * Maintain workers compensation portals to ensure all providers stay active. * Provider liaison, to include, executive duties, meeting scheduling, conflict resolution, and IT support. * Retaining quality of work * Implementing a level of understanding with staff training, education, policy and procedure information. * Tracking of productivity/work flow of both in-practice and work from home staff. * Setting up monthly meetings with staff, physicians and APPs. * Implement new workflow to provide the best care. * Manage provider templates and provider master schedule; to include, creating templates when providers onboard, extend schedules and/or make changes to templates when needed. * Cover areas within the department when needed. * Track phone system to ensure we are answering in a timely manner. * Maintain the quality of patient care * Coordinate patient flow and scheduling, minimizing patient waiting time and ensuring efficient flow of patients in order to maximize provider productivity and effective patient care. * Help resolve patient billing issues. * Discharge patients professionally when needed. * Manage and resolve patient complaints. * Determines and updates operating procedures for office procedure manual. * Promote participation from staff on operational and quality issues. * Assures adherence to OSHA requirements at all times. * Works with the Director of Clinical Operations and Executive Director to ensure proper implementation and successful attestation of several incentive programs to include but not limited to: Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Transition of Care Management (TCM). * Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach. * Perform other group-related projects and duties, as necessary * Participate with senior management in strategic, operational, fiscal and long term planning. * Assist in development of annual budget and manages the practice within the established budget. * Assist in development and implementation of business plans as approved by the Crouse Medical Practice Advisory Committee and its Executive Director. * Manage good faith estimate (GFE) costs per procedure are completed. * Delinquent dictation point of contact for the hospital * Completes open superbill list. * Supports customer satisfaction and business activities of company by performing full spectrum of billing and collection related activities. Uses full spectrum of Protected Health Information (PHI) as necessary to accomplish billing and collection activities. Discloses PHI as necessary according to company policy. * Ensures compliance with all regulatory agencies governing healthcare delivery and the rules of accrediting bodies. Attends company sponsored training sessions on Compliance, HIPAA, and OSHA as required. * Patient Care Environment: Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather. * This individual is expected to assist in meeting the goals set forth by the Executive Director. This will include other duties as assigned by members of the management staff. Qualifications: To perform this job successfully, this individual must understand and work well in a production-driven environment, meeting established benchmarks. This individual must understand and work well in a fast-paced and often times stressful environment. The Practice Administrator must demonstrate concern and empathy, providing personal patient care while acknowledging physiological and psychological needs. To be successful, a Practice Administrator must have the ability to work well with others in a team environment and display sound judgment while taking appropriate actions regarding questionable findings or concerns. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Required Qualifications: * Associates Degree in Health Care Science, Business Administration or equivalent. * Current Basic Life Support Certification. * Minimum of 5 years' experience in ambulatory/clinic setting. * Minimum of 5 years' supervisory experience. * Demonstrated experience with systems, process and work flow. * Proven excellent interpersonal and communication skills. * Desirable Qualifications: * Current NYS Licensure as a Registered Nurse or Licensed Practical Nurse. * Bachelor's degree in Nursing, Health Care Science, Business Administrator or equivalent. * Demonstrated competence interpersonal and intra professional relations. * Demonstrated competence in acute care patient management/organization. * Demonstrated commitment to collaboration with physician to individualize and enhance patient care. * Experience in a physician office. Salary Range: $83,000 - $115,000

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. Essential Job Functions * Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. * Correctly abstract required data per facility specifications. * Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. * Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. * Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. * Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. * Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. * Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. * This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation Required Licensure: RHIA, RHIT, CCS, CIC, or CCA As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

The HRIS Analyst is responsible for the administration, optimization, and support of Human Resources Information Systems to ensure data integrity, system effectiveness, and an exceptional employee and manager experience. This role partners closely with HR, IT, Payroll, Benefits, Onboarding and other stakeholders to translate business needs into scalable system solutions, leveraging automation, integrations, reporting, and process improvements. Assist the HRIS team in development and upgrades of new or existing modules, programs and applications. Configure, maintain, and support HR Systems (e.g., HCM Core, Talent, Profile, Absence, Journeys, Self-Service, ServiceNow HRSD) Manage effective-dated changes, system validations and ongoing maintenance. Troubleshoot system issues, analyze root causes, and coordinate resolution with vendors and IT partners. Partner with HR Stakeholders to understand HR processes to reduce manual effort and improve accuracy. Utilizes software to manage upload and download processes, to include MS Add-is when appropriate when appropriate for mass data entry Consults with system users to identify data needs. Develops and maintains reports and queries to provide data to management and human resources staff as needed. Determines how best to address request through enhancing existing software functionality, reporting, system configuration, or data export. Ensures all data distribution is on a need-to-know basis and authorized by HR Management. Maintain system documentation, job aids, and process flows. Liaise with system vendors and third-party providers to resolve issues and implement enhancements. Support integrations between HR systems and downstream or upstream applications. Schedule: Full-time | 80 hours every two weeks Day shift | Monday - Friday | 8:00 a.m. - 5:00 p.m. This role will work remotely Pay and Benefits: Pay begins at $68,939.12 annually, exact pay determined by years of experience Pay Range: $68,939.12 - $103,441.54 annually Full-time benefits: medical, dental, PTO, retirement, employee discounts and more! Qualifications: Bachelor's degree in Human Resources, Computer Science, Management Information Systems, or a related field 3+ years of analyst experience supporting HRIS platforms in a medium to large organization Experience with workflow automation, Journeys or other case management tools Reporting experience and SQL knowledge preferred Experience supporting system implementations or major upgrades preferred Advanced Excel and/or BI reporting skills preferred Oracle, UKG, ServiceNow or other application certifications preferred CentraCare has made a commitment to diversity in its workforce. All individuals including, but not limited to, individuals with disabilities, are encouraged to apply. CentraCare is an EEO/AA employer.

The Central Scheduling Specialist coordinates the verification, scheduling, pre-registration, and authorization for medical services. Responsibilities include the accurate collection and entry of required financial and demographic patient information, scheduling management to maximize the efficiency of the visit, communicating preparatory instructions, and collection of payment. This role requires a high level of independent judgment in order to successfully coordinate and obtain authorization requests for governmental and complex managed care patients in a timely and efficient manner. Utilizing telecommunications and computer information systems, this individual will be responsible for handling inbound and outbound calls with a focus on exceptional service to patients, employees, and providers. In order to ensure an extraordinary patient experience, multitasking between different patient care areas will be required. The Central Scheduling Specialist is best defined as a highly independent and flexible resource that functions in alignment with the patient experience initiative. Performs all job duties and responsibilities in a courteous manner according to the Hurley Family Standards of Behavior.Works under the supervision of the department director or designee who assigns and reviews conformance with established procedures and standards. High school graduate and/or GED equivalent. Associate's degree in Business Administration or equivalent degree. -OR- Two (2) years of experience working in a call center or experience performing scheduling, registration, billing or front-desk responsibilities in a medical (hospital or physician office/clinic) setting Knowledge of a call center environment and capable of handling a high call volume while maintaining high performance. Knowledge of registration, scheduling, authorization, and referral policies and procedures relative to an outpatient clinic and surgical setting. Demonstrates extensive knowledge of insurance plan pre-certification/referral requirements and processes. Working knowledge of medical terminology, procedure and diagnosis coding, and billing procedures. Proficient in business office information systems & software such as Google Suite & Microsoft Office containing spreadsheet and database applications. Manage multiple, changing priorities in an effective and organized manner, under stressful demand while maintaining exceptional service. Maintain composure when dealing with difficult situations and responding professionally. Independently recognize a high priority situation, taking appropriate and immediate action. Make decisions in accordance with established policies and procedures. Knowledge of hospital operations and / or Ambulatory Clinic operations. Excellent verbal and written communications skills and a pleasant and professional phone demeanor. Ability to develop effective relationships with colleagues, physicians, providers, leaders, and other across the organization. Demonstrates a genuine interest in helping our patients, providers, and other employees by using excellent communication skills, being polite, friendly, patient and calm under pressure. PREFERRED QUALIFICATIONS: Working knowledge of Epic Revenue Cycle applications: Resolute Hospital Billing, Resolute Professional Billing, Single Business Office, Cadence, or Grand Central. Schedules, cancels, reschedules appointments / services for designated departments. Manages scheduling to maximize the efficiency of the visit / provider. Monitors appointment schedules daily for cancellations, rescheduling, and no shows as well as other stats or changes; communicates timely with all departments impacted. Generates daily-weekly-monthly reports in order to manage schedules and distributes information as needed. Performs pre-registration functions within designated time frame in advance of the patient appointment (including, but not limited to) obtaining and / or verifying demographic, clinical, financial, insurance information, and eligibility for scheduled service / procedure. Confirms Primary Care Provider making necessary updates as appropriate. Identifies insurance companies requiring prior authorization and / or referrals for services and obtains authorization / referral for all services. Coordinates incoming / outgoing authorizations for procedures and testing requested by providers for all government and third-party payers, including emergent authorizations due to walk-in patients. Informs the patient of their visit-specific preparatory instructions and ensures notification about their upcoming appointments. Schedules pre-admission testing when needed and assists in arranging necessary lab orders. Obtains all necessary information required by third-party payors for treatment authorization requests. Courteously accepts and places telephone calls, and interacts with physicians and associates while providing services. Resolves or tactfully directs complaints, problems; obtains information and responds to inquiries within 24-48 hours. Frequently communicates with patients/family members/guarantors, physicians/office staff, medical center, and payors via telephone, email, enterprise EMR or other electronic services. Escalates issues that cannot be resolved in accordance with departmental guidelines. Performs price estimates upon patient request in order to assist the patient in identifying their expected full patient liability and / or residual financial responsibility. Educates the patient relative to their insurance policy / benefits. Collects patient / guarantor liabilities and refers patients who are uninsured / underinsured to Insurance Services Specialists for financial assistance or governmental program screening and application processes. Refers patients to the Financial Customer Service Specialist to resolve outstanding self-pay balances. Maintains a log / guide with up-to-date information related to services in need of pre-certification or require referrals per insurance carrier. This includes compliance with regulatory requirements and ensuring all changes are incorporated into daily job functions. Works with the coding department to validate the accuracy of the authorized service in comparison to the procedure performed. Discrepancies are addressed immediately within timelines set forth by the specific payer's guidelines for correction. Reports procedural updates to leadership. Triages misrouted telephone and patient portal inquiries promoting an exceptional patient and provider experience. Makes follow-up calls to provider offices and / or testing sites to ensure receipt of all necessary information for the patient's visit. Recommends modifications to existing policies or workflows that support the values of Hurley Medical Center and will increase efficiency and promote data integrity. Maintains thorough knowledge of policies, procedures, and standard work within the department in order to successfully perform duties on a day-to-day basis. Able to work in a fast-paced call center environment while maintaining efficiency and accuracy. Performs other related duties as required. Utilizes new improvements and/or technology that relate to job assignment. Involvement in special projects as needed.

Thank you for considering a career at Bon Secours Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) SYSTEM DIRECTOR, PRIVACY | Work From Home/Remote WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred) *We operate in the Eastern Time Zone* Reports to: Vice President of Privacy and Compliance # of Direct Reports: 3 Primary Function/General Purpose of Position Under the strategic direction of compliance leadership this position contributes to the Bon Secours Mercy Health mission and vision by assisting in the development and implementation of the Ministry-wide compliance program. This position provides support and guidance for compliance related activities to Bon Secours Mercy Health operational and clinical leaders. Essential Job Functions Implements the BSMH Compliance program within their assigned functional areas, including application of innovative, leading practice approaches to support the Compliance team in identification, assessment, and mitigation of risks, auditing and monitoring, education of leaders on compliance regulations, establishing functional compliance committees, and implementing compliance policies. Implements system wide compliance strategy and deployment of functional area compliance priorities and initiatives. Provides advice/consultation to BSMH Leadership regarding compliance and regulatory initiatives impacting the organization and assists in mitigating system-wide risks to the organization. This will include presentations and education sessions on emerging risk areas. Meet monthly with system and market leadership on compliance concerns and initiatives. Assists in the development and evaluation of system-wide operational policies and procedures. Leads advanced investigations across the ministry relative to their functional area. Works collaboratively with Advice and Counsel, Medical Group, Patient Experience, Legal, and other BSMH Partners to conduct interviews, document investigatory steps, and make recommendations for corrective actions. Serves as compliance leader with responsibility for communication to system and market leadership. Coordinates functional issues that arise with the appropriate functional Director, Compliance. Leads and develops functional compliance directors, conduct system training, ensure consistent application of investigative protocols, compliance tracking system integrity, awareness of BSMH strategic initiatives, and standardization of established processes across the compliance program. Develops and implements compliance monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and/or other enforcement agencies as part of the overarching BSMH compliance program. Evaluates and utilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third-party vendors to detect and trend potential compliance issues, makes recommendations for compliance program changes and develops education in response to identified trends. Supports and coordinates data for the internal compliance leadership meetings, system and market leaders, and the BSMH Executive Compliance Committee. Identifies the need and develops education content and trending of non-compliant activities to enhance proficiency and competency, understanding of standards and the consequences of non-compliance. Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities. Licensing/Certification Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (required) Education Masters - Healthcare, Business Administration or related field. (required) Bachelors - Healthcare, Business Administration or related field. (required) Work Experience Eight to ten years of in-depth experience within healthcare operations or compliance-related activities. Demonstrated working knowledge of the Department of Health and Human Services Skills: Hard Skills Translates enterprise compliance strategy into coordinated programs and workflows across multiple functional areas. Interprets complex regulations and operationalizes compliant practices across diverse service lines. Utilizes compliance data, dashboards, and AI-enabled insights to identify emerging risk patterns and inform mitigation. Oversees system-level auditing and monitoring processes, ensuring alignment with risk assessment priorities. Leads consistent execution of enterprise compliance policies and ensures harmonization across markets and departments. Manages complex compliance investigations with consistency, through documentation and cross-functional collaborations. Oversee the designs and delivery of targeted compliance education and training aligned with system priorities and risk trends. Measures effectiveness of compliance initiatives using qualitative and quantitative metrics, recommending improvements based on results. Works closely with Legal, Audit, I&T, HR and Operations to embed compliance within business processes. Ensures appropriate use of compliance systems, tools, and vendor solutions supporting program management and monitoring. Soft Skills Translates high-level compliance strategy into actionable, measurable results across teams and regions. Build strong partnerships with operational leaders, physicians, and functional stakeholders to align compliance outcomes with organizational goals. Approaches compliance challenges with balanced analytical rigor and pragmatic problem-solving. Drives adoption of new compliance processes and behaviors through communication, coaching, and relationship-building. Serves as a visible role model for ethical conduct and accountability consistent with the system's mission and values. Tailor communication to executive, operational, and frontline audiences with clarity and diplomacy. Mentors Compliance Directors and emerging leaders to build depth and consistency within the compliance function. Adjust priorities quickly in response to evolving regulatory demands and emerging risk areas. Navigates sensitive investigations and organizational challenges with composure, empathy, and fairness. Thinks system-first, balancing local needs with ministry-wide objectives and ensuring alignment with enterprise values and mission. Bon Secours Mercy Health is an equal opportunity employer. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Enterprise Risk - Corp Responsibility It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life An Enterprise Architect at Munson Healthcare works under limited direction from the IS Director. The Enterprise Architect (EA) will contribute leadership to complex projects and ensure the success of enterprise-level application rollouts. The EA determines and develops architectural approaches, conducts business reviews, documents current systems, and develops recommendations of how to proceed with the applications. The EA coordinates project design and implementation activities across solutions and venues of care, including, but not limited to, developing and maintaining a domain strategy, organizing and delivering testing events, assisting with change management, and coordinating the delivery and installation of Cerner Millennium code and solutions. The EA is engaged throughout the software development and project management lifecycle, working in collaboration with Project Management Office and multiple IT and informatics teams in delivering solutions that leverage technologies to solve business problems. This level is staffed by individuals with either the experience or the educational background to qualify them to perform tasks independently and carry out the general direction of the department's goals set forth by IT leadership. May contribute in the planning of overall organizational IT strategy and tactical implementation. Qualifications What's Required Bachelors degree (preferably IS/Business or healthcare emphasis) with 10+ years relevant experience (healthcare IS) OR Associates degree (preferably IS/Business or healthcare emphasis) with 12+ years relevant experience (healthcare IS) OR High school diploma or GED and 15+ years relevant experience (healthcare IS) Healthcare experience required Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life A Sr Systems Analyst at Munson Healthcare works under general direction having an overall broad depth of hospital and information systems technology. A person in this position can conduct a business requirement reviews, includes business and user needs, documents requirements, formulates business requirements, generates systems scope and objectives for complex information systems, makes suggestions for workflow and process improvements, modifies, tests and implements 3rd party software or creates programmatic/scripted solutions, leads small to mid-size teams on mid-size to large projects (80 - 120 hrs) involving more-complex systems with moderate integration. Fully documents requirements, testing, code/script, processes and workflow. A Senior Systems Analyst in this position is expected to guide and advise less experienced analysts. Qualifications What's Required Must have one of the following: Associate's degree and 4 years of healthcare or IS/Business experience Bachelor's degree and 2 years of healthcare or IS/Business experience 6 years healthcare or IS/Business experience Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. ESSENTIAL FUNCTIONS * Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. * ·Correctly abstract required data per facility specifications. * ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. * Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. * Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. * Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. * Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy * Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. * 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. * Training/Mentoring - SMART Responsibilities where applicable Required Minimum Education: * Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification * Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification * LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): * Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire * Preferred: RHIA or RHIT or CCS or COC or CCA or CPC MINIMUM QUALIFICATIONS * Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. * Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. * Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. * Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. * Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. * Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life You're someone who understands how healthcare systems really work, not just in theory, but in practice. Whether your path came through hands-on experience, an associate degree, or a bachelor's program, you've built a solid foundation in IS, business, or healthcare operations and you know how to apply it in complex, real-world environments. This role is ideal for someone who enjoys being a trusted subject-matter expert , the person others rely on to solve complex problems, improve workflows, and keep critical systems running smoothly. You won't just maintain systems here; you'll help shape how they evolve. You'll thrive in this role if you have: Progressive, relevant experience (through a combination of education and hands-on work) supporting healthcare or enterprise systems Senior-level Cerner/Oracle Charge Services build experience , with a deep understanding of how charging workflows impact revenue, compliance, and patient care End-to-end project implementation experience , from planning and build through go-live and optimization, you've seen the full lifecycle and know what it takes to make it successful Confidence owning day-to-day system maintenance and issue resolution , balancing stability with continuous improvement Tiering logic and mapping expertise , ensuring accurate charge capture, clean data flow, and alignment across systems Qualifications What's Required 6 years relevant experience (IS/Business or healthcare) OR 2 year/Associate Degree and 4 years relevant experience (IS/Business or healthcare) OR 4 year/Bachelors Degree and 2 years relevant experience (IS/Business or healthcare) Additional Information Are you Munson Material? Apply today! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

Thank you for considering a career at Bon Secours Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days (United States of America) SYSTEM DIRECTOR, BEHAVIORAL HEALTH | Work From Home/Remote WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred) *We operate in the Eastern Time Zone* Reports to: Vice President, Hospital Services # of Direct Reports: 1 Primary Function/General Purpose of Position The System Director of Behavioral Health Services provides strategic leadership, clinical oversight, and operational direction for behavioral health programs across the health system. Serving as the organization's primary subject matter expert in behavioral health, this individual ensures the delivery of high-quality, evidence-based care that meets the mental health and substance use needs of patients and the community. The Director will collaborate with executive leadership, physicians, nursing, and community partners to develop and implement integrated behavioral health strategies that align with the health system's mission, regulatory requirements, and best practices. Essential Job Functions: Strategic Leadership & Program Development Serve as the system's subject matter expert for all behavioral health services, policies, and initiatives. Identify opportunities to expand access to care, improve clinical outcomes, and enhance patient experience. Monitor emerging trends, regulatory changes, and innovations in behavioral health to inform system strategy. Clinical & Operational Oversight Provide clinical leadership and direction to behavioral health programs, ensuring alignment with best practice models, clinical guidelines, and accreditation standards and system standardization. Collaborate with key stakeholders including to ensure coordination and integration of behavioral health services throughout the continuum of care. Lead quality improvement initiatives focused on patient safety, outcomes, and experience. Regulatory & Compliance Management Ensure all behavioral health programs comply with applicable federal, state, and local regulations, as well as Joint Commission standards. Partner with compliance and quality teams to develop policies, procedures, and documentation that support regulatory readiness. Interdisciplinary & Community Collaboration Promote effective partnerships with community mental health agencies, social service organizations, and local/state behavioral health authorities. Support education, training, and professional development initiatives for staff across the health system related to behavioral health. Promote a culture of compassion, inclusion, and stigma reduction within the organization. Licensing/Certification Current, active licensure LISW, LPCC, RN in good standing state(s) of operation required. Education Master's degree Social Work, Counseling, Nursing, Healthcare Administration, or related field preferred Work Experience Minimum 7 years of progressive experience in behavioral health, including 3-5 years in a leadership role Skills Hard/Technical Skills: Strong understanding of behavioral health regulations, evidence-based care models, and integrated behavioral health practices Soft/Interpersonal Skills: Experience in training employees, excellent communication skills, and ability to navigate change Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding. Ability to lead through influence. Ability to ensure a high level of customer service for all customers including patients, physicians and other medical professionals, and external stakeholders Exceptional leadership, communication, and collaboration skills Proven ability to drive clinical and operational excellence across multiple sites Strong data-driven decision-making, problem-solving, and change management abilities Commitment to patient-centered, trauma-informed, and recovery-oriented care Bon Secours Mercy Health is an equal opportunity employer. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life insurances, mental health resources and discounts Paid time off, parental and FMLA leave, shot- and long-term disability, backup care for children and elders Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Clinical Operations - Care Delivery It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.

More Than Just Care, It's Community Imagine doing meaningful work in a place where people vacation. That's life at Munson Healthcare - northern Michigan's largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about - with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country. Invested in You Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance. Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling. Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges. Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings Job Description A Day in the Life The Data Quality (DQ) Senior Coder performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems. The DQ Senior Coder also completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams. In all responsibilities, adheres to the Official Guidelines for Coding and Reporting, AHIMA Code of Ethics “Standards of Ethical Coding”, AHA Coding Clinic and technical rules outlined by hospital guidelines. Supports the mission statement of Munson Medical Center (MMC): Munson Medical Center is the core of a regional health system. In partnership with physicians, we provide quality, compassionate, comprehensive and cost-effective services for improvement of the health of our patients and the communities we serve. Embraces and support the Continuous Quality Improvement (CQI) philosophy of Munson Medical Center: We are committed to the name “Munson” meaning excellence. We will provide services that meet our customers' requirements every time. Reviews and abstracts information from auditor denials to communication sheets. Forwards relevant documentation to nurses for appeal consideration or analysts for further review or action for coding errors. Processes appeals sent in the C360 system in an accurate and timely manner. Files appeals and maintains organized records for tracking and compliance. Writes E/M appeals to support accurate reimbursement. Logs and processes lost/won appeals to ensure proper follow-up and resolution. Reviews and responds to coding denial QUICs for both inpatient and outpatient teams. Escalates as needed to analysts for additional review/code correction. Collaborates intra and interdepartmentally to resolve discrepancies and ensure proper coding. Assists with outpatient coding reviews as needed to ensure accuracy and compliance with guidelines. Works closely with nurses, analysts, and DQ team members to process denials and appeals and resolves issues. Ability to accurately code and abstract medical records using ICD-10-CM diagnosis, ICD-10-PCS, and CPT-4 procedure codes. Meets productivity standards as defined by the department. Participates in ongoing education and training to maintain coding certifications and stays current with industry changes. Assists with special projects, audits, and other tasks assigned by leadership. Qualifications What's Required Associate's or Bachelor's degree in Health Information, or CCS certification with a minimum of 2 years coding experience will be considered. Certification as a Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) with two years' coding experience is required. The ideal candidate will possess both inpatient and outpatient medical record coding experience. Additional Information Are you Munson Material? Apply today! Fully remote! Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella. MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.

In conjunction with other Information Technology staff, documents, configures, and tests new and existing computer systems. Participates on system design teams. Provides technical input to a number of small project teams, coordinating work plans and activities, data collection and issue identification and/or resolution. Scope of responsibility may include multiple individual departments, projects of minimal complexity that require coordination across a few functional areas and sub-tasks within more complex projects. Primary, but not exclusive area of concentration is on the Enterprise EMR (Epic) system. Participates in all quality assessment and continuous quality improvement activities. Complies with all appropriate safety and infection control standards. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Job assignments may be appropriate for remote work.Works under the supervision of an IT Director or designee. Responsibilities Provides input into preparation of project plans and schedules for approval of project manager. Participates on design teams to ensure appropriate consideration of clinical, financial, and technical perspectives in system development activities. Performs data collection, workflow analysis, systems analysis and design. Works closely with other analysts to ensure effective integration of design, testing, and implementation of new and existing systems. Participates in development, modification, and entry of tables, master files, matrices, and report formats, in conformance with design objectives and departmental policies. Participates in overall development and implementation of system testing plans and procedures. Participates in planning, developing, and administering policies and procedures relevant to training employees in the use of new and existing computer systems. This includes training materials and classroom instruction when required. Identifies, troubleshoots, and resolves Epic workflows and/or functionality related issues. Develops plans of action to prevent future reoccurrences of such issues. Provides reports to supervisors on project progress and status. Identifies, communicates, and escalates issues requiring management attention. Participates in rotation to cover a continuous operation on-call process supporting computer systems and Information Technology department operations Performs other related duties as required. Utilizes new technologies and/or improvements that relate to job assignment. Complies with Remote Work policy as appropriate. Qualifications Individuals assigned to this classification must possess one (1) of the following: Twelve (12) months of experience in one (or a combination thereof) of the following areas: o Facility billing or coding for third party carriers in a hospital setting. o Professional billing or coding in a hospital or physician practice setting. o Patient registration, appointment scheduling, clinical nursing, utilization review, or medical records technology. o Maintaining/supporting any information technology systems- including an Electronic Medical Records (EMR), practice management, or any related system. Completion of two (2) years of college with courses in a healthcare, IT or business related field. Currently certified, licensed, or registered professional in a healthcare related field. In addition to the above, individuals assigned to this classification must also possess all of the following: A satisfactory result (TLA Composite Greater than or Equal to 13 and PSI Greater than or Equal to 45) in the Epic screening examination, Epic Proficiency, or certification from a major enterprise EMR vendor not limited to, but including Epic, Allscripts, Cerner (with limited build experience and/or no go live support.) Ability to demonstrate basic knowledge of Windows, Microsoft Office (Word, Excel, PowerPoint), and other common applications Ability to identify and solve problems Ability to communicate effectively both orally and in writing Ability to conform to departmental performance standards Ability to establish and maintain effective working relationships with superiors, co-workers, other Medical Center employees, physicians, patients, and public. CERTIFICATION REQUIREMENTS: Obtain EPIC Certification in the assigned area of the EPIC system within six (6) months. Failure to obtain EPIC Certification within six (6) months shall result in the employee's termination. SPECIAL NOTE: Employees will progress from Application Analyst I to Application Analyst II when the following are met At least 1 year (2080 hours) on the team as an Epic Certified Analyst Participation in Epic upgrade build, go-live, post live support cycle Most recent evaluation score of 2.5 or higher

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. **Essential Job Functions** + Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. + Correctly abstract required data per facility specifications. + Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. + Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. + Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. + Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. + Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. + This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation **Required Licensure:** RHIA, RHIT, CCS, CIC, or CCA As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. SYSTEM DIRECTOR, BEHAVIORAL HEALTH | Work From Home/Remote WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred) * We operate in the Eastern Time Zone* Reports to: Vice President, Hospital Services # of Direct Reports: 1 Primary Function/General Purpose of Position The System Director of Behavioral Health Services provides strategic leadership, clinical oversight, and operational direction for behavioral health programs across the health system. Serving as the organization's primary subject matter expert in behavioral health, this individual ensures the delivery of high-quality, evidence-based care that meets the mental health and substance use needs of patients and the community. The Director will collaborate with executive leadership, physicians, nursing, and community partners to develop and implement integrated behavioral health strategies that align with the health system's mission, regulatory requirements, and best practices. Essential Job Functions: Strategic Leadership & Program Development * Serve as the system's subject matter expert for all behavioral health services, policies, and initiatives. * Identify opportunities to expand access to care, improve clinical outcomes, and enhance patient experience. * Monitor emerging trends, regulatory changes, and innovations in behavioral health to inform system strategy. Clinical & Operational Oversight * Provide clinical leadership and direction to behavioral health programs, ensuring alignment with best practice models, clinical guidelines, and accreditation standards and system standardization. * Collaborate with key stakeholders including to ensure coordination and integration of behavioral health services throughout the continuum of care. * Lead quality improvement initiatives focused on patient safety, outcomes, and experience. Regulatory & Compliance Management * Ensure all behavioral health programs comply with applicable federal, state, and local regulations, as well as Joint Commission standards. * Partner with compliance and quality teams to develop policies, procedures, and documentation that support regulatory readiness. Interdisciplinary & Community Collaboration * Promote effective partnerships with community mental health agencies, social service organizations, and local/state behavioral health authorities. * Support education, training, and professional development initiatives for staff across the health system related to behavioral health. * Promote a culture of compassion, inclusion, and stigma reduction within the organization. Licensing/Certification Current, active licensure LISW, LPCC, RN in good standing state(s) of operation required. Education Master's degree Social Work, Counseling, Nursing, Healthcare Administration, or related field preferred Work Experience Minimum 7 years of progressive experience in behavioral health, including 3-5 years in a leadership role Skills Hard/Technical Skills: * Strong understanding of behavioral health regulations, evidence-based care models, and integrated behavioral health practices Soft/Interpersonal Skills: * Experience in training employees, excellent communication skills, and ability to navigate change * Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding. Ability to lead through influence. * Ability to ensure a high level of customer service for all customers including patients, physicians and other medical professionals, and external stakeholders * Exceptional leadership, communication, and collaboration skills * Proven ability to drive clinical and operational excellence across multiple sites * Strong data-driven decision-making, problem-solving, and change management abilities * Commitment to patient-centered, trauma-informed, and recovery-oriented care As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer * Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) * Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts * Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders * Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. **ESSENTIAL FUNCTIONS** + Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. + ·Correctly abstract required data per facility specifications. + ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. + Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. + Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. + Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy + Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. + 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. + Training/Mentoring - SMART Responsibilities where applicable **Required Minimum Education:** + Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification + Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification + LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): + Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire + Preferred: RHIA or RHIT or CCS or COC or CCA or CPC **MINIMUM QUALIFICATIONS** + Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. + Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. + Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. + Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. + Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. + Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **SYSTEM DIRECTOR, BEHAVIORAL HEALTH** **| Work From Home/Remote** **WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred)** ***We operate in the Eastern Time Zone*** **Reports to: Vice President, Hospital Services** **\# of Direct Reports: 1** **Primary Function/General Purpose of Position** The System Director of Behavioral Health Services provides strategic leadership, clinical oversight, and operational direction for behavioral health programs across the health system. Serving as the organization's primary subject matter expert in behavioral health, this individual ensures the delivery of high-quality, evidence-based care that meets the mental health and substance use needs of patients and the community. The Director will collaborate with executive leadership, physicians, nursing, and community partners to develop and implement integrated behavioral health strategies that align with the health system's mission, regulatory requirements, and best practices. **Essential Job Functions:** **Strategic Leadership & Program Development** + Serve as the system's subject matter expert for all behavioral health services, policies, and initiatives. + Identify opportunities to expand access to care, improve clinical outcomes, and enhance patient experience. + Monitor emerging trends, regulatory changes, and innovations in behavioral health to inform system strategy. **Clinical & Operational Oversight** + Provide clinical leadership and direction to behavioral health programs, ensuring alignment with best practice models, clinical guidelines, and accreditation standards and system standardization. + Collaborate with key stakeholders including to ensure coordination and integration of behavioral health services throughout the continuum of care. + Lead quality improvement initiatives focused on patient safety, outcomes, and experience. **Regulatory & Compliance Management** + Ensure all behavioral health programs comply with applicable federal, state, and local regulations, as well as Joint Commission standards. + Partner with compliance and quality teams to develop policies, procedures, and documentation that support regulatory readiness. **Interdisciplinary & Community Collaboration** + Promote effective partnerships with community mental health agencies, social service organizations, and local/state behavioral health authorities. + Support education, training, and professional development initiatives for staff across the health system related to behavioral health. + Promote a culture of compassion, inclusion, and stigma reduction within the organization. **Licensing/Certification** Current, active licensure LISW, LPCC, RN in good standing state(s) of operation required. **Education** Master's degree Social Work, Counseling, Nursing, Healthcare Administration, or related field preferred **Work Experience** Minimum 7 years of progressive experience in behavioral health, including 3-5 years in a leadership role **Skills** _ _ _Hard/Technical Skills:_ + Strong understanding of behavioral health regulations, evidence-based care models, and integrated behavioral health practices _Soft/Interpersonal Skills:_ + Experience in training employees, excellent communication skills, and ability to navigate change + Excellent verbal and written communication skills; communication style that is open and fosters trust, credibility and understanding. Ability to lead through influence. + Ability to ensure a high level of customer service for all customers including patients, physicians and other medical professionals, and external stakeholders + Exceptional leadership, communication, and collaboration skills + Proven ability to drive clinical and operational excellence across multiple sites + Strong data-driven decision-making, problem-solving, and change management abilities + Commitment to patient-centered, trauma-informed, and recovery-oriented care As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. ESSENTIAL FUNCTIONS Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. ·Correctly abstract required data per facility specifications. ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. 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. Training/Mentoring - SMART Responsibilities where applicable Required Minimum Education: Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire Preferred: RHIA or RHIT or CCS or COC or CCA or CPC MINIMUM QUALIFICATIONS Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Revenue Cycle - Legacy MH Acute It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **SYSTEM DIRECTOR, PRIVACY** **| Work From Home/Remote** **WFH/Remote anywhere in the US (Eastern/Central Time Zone Preferred)** ***We operate in the Eastern Time Zone*** **Reports to: Vice President of Privacy and Compliance** **\# of Direct Reports: 3** **Primary Function/General Purpose of Position** Under the strategic direction of compliance leadership this position contributes to the Bon Secours Mercy Health mission and vision by assisting in the development and implementation of the Ministry-wide compliance program. This position provides support and guidance for compliance related activities to Bon Secours Mercy Health operational and clinical leaders. **Essential Job Functions** + Implements the BSMH Compliance program within their assigned functional areas, including application of innovative, leading practice approaches to support the Compliance team in identification, assessment, and mitigation of risks, auditing and monitoring, education of leaders on compliance regulations, establishing functional compliance committees, and implementing compliance policies. + Implements system wide compliance strategy and deployment of functional area compliance priorities and initiatives. + Provides advice/consultation to BSMH Leadership regarding compliance and regulatory initiatives impacting the organization and assists in mitigating system-wide risks to the organization. This will include presentations and education sessions on emerging risk areas. Meet monthly with system and market leadership on compliance concerns and initiatives. + Assists in the development and evaluation of system-wide operational policies and procedures. + Leads advanced investigations across the ministry relative to their functional area. Works collaboratively with Advice and Counsel, Medical Group, Patient Experience, Legal, and other BSMH Partners to conduct interviews, document investigatory steps, and make recommendations for corrective actions. + Serves as compliance leader with responsibility for communication to system and market leadership. Coordinates functional issues that arise with the appropriate functional Director, Compliance. + Leads and develops functional compliance directors, conduct system training, ensure consistent application of investigative protocols, compliance tracking system integrity, awareness of BSMH strategic initiatives, and standardization of established processes across the compliance program. + Develops and implements compliance monitoring and auditing protocols specific to compliance functional risk areas highlighted by the OIG, Medicare, State Medicaid, State Insurance Fraud; Managed Care or Governmental Value-Based payment programs and/or other enforcement agencies as part of the overarching BSMH compliance program. + Evaluates and utilizes data analytics techniques, statistical analysis and modeling, and databases developed internally, or in conjunction with other third-party vendors to detect and trend potential compliance issues, makes recommendations for compliance program changes and develops education in response to identified trends. + Supports and coordinates data for the internal compliance leadership meetings, system and market leaders, and the BSMH Executive Compliance Committee. + Identifies the need and develops education content and trending of non-compliant activities to enhance proficiency and competency, understanding of standards and the consequences of non-compliance. Prepares multi-faceted oral, written and electronic communications and presentations to facilitate discussion, networking, decision-making and proactive responses to meet current and emerging challenges among affected parties and entities. **Licensing/Certification** Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (required) **Education** + Masters - Healthcare, Business Administration or related field. (required) + Bachelors - Healthcare, Business Administration or related field. (required) **Work Experience** + Eight to ten years of in-depth experience within healthcare operations or compliance-related activities. + Demonstrated working knowledge of the Department of Health and Human Services **Skills:** **Hard Skills** + Translates enterprise compliance strategy into coordinated programs and workflows across multiple functional areas. + Interprets complex regulations and operationalizes compliant practices across diverse service lines. + Utilizes compliance data, dashboards, and AI-enabled insights to identify emerging risk patterns and inform mitigation. + Oversees system-level auditing and monitoring processes, ensuring alignment with risk assessment priorities. + Leads consistent execution of enterprise compliance policies and ensures harmonization across markets and departments. + Manages complex compliance investigations with consistency, through documentation and cross-functional collaborations. + Oversee the designs and delivery of targeted compliance education and training aligned with system priorities and risk trends. + Measures effectiveness of compliance initiatives using qualitative and quantitative metrics, recommending improvements based on results. + Works closely with Legal, Audit, I&T, HR and Operations to embed compliance within business processes. + Ensures appropriate use of compliance systems, tools, and vendor solutions supporting program management and monitoring. **Soft Skills** + Translates high-level compliance strategy into actionable, measurable results across teams and regions. + Build strong partnerships with operational leaders, physicians, and functional stakeholders to align compliance outcomes with organizational goals. + Approaches compliance challenges with balanced analytical rigor and pragmatic problem-solving. + Drives adoption of new compliance processes and behaviors through communication, coaching, and relationship-building. + Serves as a visible role model for ethical conduct and accountability consistent with the system's mission and values. + Tailor communication to executive, operational, and frontline audiences with clarity and diplomacy. + Mentors Compliance Directors and emerging leaders to build depth and consistency within the compliance function. + Adjust priorities quickly in response to evolving regulatory demands and emerging risk areas. + Navigates sensitive investigations and organizational challenges with composure, empathy, and fairness. + Thinks system-first, balancing local needs with ministry-wide objectives and ensuring alignment with enterprise values and mission. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************