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MedNorth Health Center jobs - 347 jobs

  • Automation Director - Hybrid (AI & RPA) Lead

    Hospital for Special Surgery 4.2company rating

    Remote or New York, NY job

    A leading healthcare institution in New York, NY is seeking an Automation Director to lead the identification and implementation of automation solutions. This hybrid role requires expertise in RPA technologies, programming languages, and strong collaboration skills. The ideal candidate will have over 5 years' experience in automation across various environments. This role offers a competitive salary ranging from $128,500 to $196,375, along with additional benefits. Join a top-ranked hospital committed to excellence in healthcare. #J-18808-Ljbffr
    $128.5k-196.4k yearly 5d ago
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  • Manager Change & Employee Experience (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Remote or Dallas, TX job

    The Manager of Change and Employee Experience is responsible for supporting change management strategies and designing and implementing processes, metrics, and programs that enhance the end-to-end employee experience. The Manager of Change and Experience will assist in the planning, development, and implementation of organizational change and culture programs for Baylor Scott & White Health (BSWH) and will build a deep understanding of the end-to-end employee experience, the strategic drivers, current pain points, and future needs by gathering and analyzing data from multiple sources. The individual will ensure consistent leading practices are applied across change management programs and the employee experience with minimal disruption to BSWH operations. ESSENTIAL FUNCTIONS OF THE ROLE Supports the development and implementation of the change management methodology and enterprise standardization, and supports evolution of BSWH change management plans and strategies to drive new ways of working, behaviors, and cultural shifts for the organization. Assists in the development, delivery, and tailoring of change plans to address the ongoing needs and business objectives. Ensures consistent leading practices across journeys, solutions and experience initiatives. Assists in the identification of CX and EX interdependencies and contribute to resolution. Leverages customer and employee insights to help make data-driven, customer-centric decisions that support employee and customer satisfaction. Responsible for development and execution of measurable, results-based strategies and related deliverables that support experience programs. Leads BSWH's end-to-end employee experience design efforts - from framing the problem and ideation through implementation. Utilizes human-centered design practices to tackle complex problems and enhance employee experiences. Works closely with cross-functional stakeholders to look at the full organizational ecosystem and ensure experiences resonate as intended. Shares insights and data through strong narrative writing and storytelling and clear, thorough recommendations based on the analysis. KEY SUCCESS FACTORS Highly organized, energetic, and creative thinker. Previous consulting experience preferred. Strong analytical skills with the ability to translate analysis into recommendations. Track record of working across multiple teams to build, operationalize, improve, and scale programs. Strong oral and written communication skills. Experience designing and leading business transformation projects. Ability to succeed in team-based or independent environments. Well-organized with the ability to handle several projects/clients simultaneously. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience
    $50k-90k yearly est. 24d ago
  • HR Service Center Associate 1

    Baylor Scott & White Health 4.5company rating

    Remote job

    The Human Resources (HR) Service Center Associate 1 serves as the first point of contact for the Shared Service Center (SSC) within an area of specialty or assignment. This position is responsible for receiving, routing, resolving and properly closing all HR inquiries by understanding the organization's processes, policies and procedures to investigate, resolve and facilitate the resolution of issues and questions. SALARY The pay range for this position is $18.10 (entry-level qualifications) - $27.15 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Serves as the first point of contact when employees and managers contact the SSC. Receives, routes, resolves and properly closes a multitude of inquiries, routing specialty questions to Tier 2 Specialists, HR Business Partners (HRBPs) or Centers of Expertise (COEs). Collaborates with appropriate SSC leadership, staff, COEs, HRBPs, HRIS or third parties to resolve complex inquiries or transactions as needed. Assists employees and managers in navigating the HR portal, PeopleSoft or Oracle Cloud applications (i.e. Compensation, Learning, Performance Management, Recruitment Succession Planning and Talent Management). Guides employees and managers to general HR policies and procedural manual. Provides data entry support when employees are unable to complete activities through the self-service portal (i.e. deposit enrollment, life events, general deductions, new hire benefits enrollment and personal data changes). Fulfills employment verification requests. Performs daily review of open case cues to ensure inquiries and requests are being resolved and closed properly and in a timely manner. Partners with SSC Managers to regularly review performance outcomes against Service Level Agreements (SLAs) and Key Performance Indicators (KPIs); identifies trends requiring COE policy and procedure review or consideration. Seeks opportunities to improve the quality, efficiency and effectiveness of individual and team work. Seeks feedback, continuously learns, and takes advantage of opportunities to improve knowledge, skill, and experience. Maintains working knowledge of all HR and Payroll Operations, trends and developments within healthcare, HR and the organization. Work to enhance the capability of self. Participates in the delivery of training for staff, SSC staff, other HR partners, SSC customers and third party vendor resources, where appropriate. KEY SUCCESS FACTORS Prior call center experience a plus. Prior CRM experience (i.e. operating a phone tree, routing calls, fielding inquiries through chat and phone) a plus. Strong customer service skills. Ability to use and navigate through multiple computer applications and databases to enter job data and personal data changes as well as to research and log customer inquiries (i.e. PeopleSoft, Oracle Cloud, ServiceNow). Prior PeopleSoft, Oracle Cloud and Service Now applications experience highly desirable. Familiarity with Microsoft O365 applications. Excellent interpersonal, listening, verbal and written communication skills. Ability to build strong cross functional relationships and interact effectively with all levels of staff and management. Must be detail oriented, a self-starter and work well independently with limited direct supervision. Ability to work in a fast paced environment while maintaining accuracy and production requirements. Ability to set and achieve goals on time. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - Less than 1 Year of Experience * This is a 100% phone position; a candidate with contact center experience is preferred
    $18.1 hourly 3d ago
  • Clinical Genomic Scientist- Clinical Indication

    Baylor Genetics 4.5company rating

    Remote job

    Baylor Genetics, one of the world leaders in clinical molecular genetics, is excited to announce an opening in the Clinical Genomics Interpretation (CGI) division. This role requires a comprehensive understanding of clinical genetics, familiarity with reviewing clinical notes, and ability to interpret a pedigree. As part of the WGS Clinical Indication Team, the “Clinical Genomic Scientist” reviews clinical notes and converts patient phenotypes into Human Phenotype Ontology (HPO) terminology, records prior genetic testing history, interprets family history from pedigrees, and confirms consent answers from test requisition forms. The Clinical Genomic Scientist position is a remote work opportunity, with daily huddles, clear objectives, and flexible scheduling. Come join our team from the comfort of your home office! Duties and Responsibilities on the WGS Clinical Indication Team: 80 to 100%: Reviewing test requisition forms and clinical notes, extracting clinical information into structured data, such as HPO terms Up to 20%: As needed, opportunities for cross-training in WGS variant curations or WGS report writing may become available Qualifications Degree: Master's in Genetic Counseling, MD/PhD with a background in clinical genetics Preferred: Master's in Genetic Counseling Experience: Expertise in concepts of clinical medicine, genetics, genomics, and molecular biology. Experience in communicating genetic details effectively. Excellence in reading/writing medical language. Proficiency in Microsoft Office (Excel, Word, PowerPoint, Outlook). Desired: Experience in genetic counseling, familiarity reviewing clinical notes and medical writing. Desired: Familiarity with American College of Medical Genetics (ACMG) variant curation guidelines. Desired: Knowledge of genomic variation and its correlation with human disease. Rank: Clinical Genomic Scientist - Clinical Indication I Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 0-1 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication II Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 2-4 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Rank: Clinical Genomic Scientist - Clinical Indication III Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality and leading projects toward goals Rank: Clinical Genomic Scientist - Clinical Indication - Senior Degree: Masters in Genetic Counseling, MD, or PhD in clinical medicine, genetics, molecular biology, or equivalent. 4-6 years of experience with Human Phenotype Ontology (HPO)-related work and/or clinical experience. Thorough understanding of American College of Medical Genetics (ACMG) variant curation guidelines. Track record of high quality, leading projects toward goals, training coworkers, demonstration of workflow process improvement Competencies: Quality Assurance, Analytical and Problem-Solving Skills, Technical Skills, Interpersonal Skills, Oral and Written Communication, Teamwork, Organizational Support, Safety and Security, Dependability, Innovation, Adaptability. Physical Demands and Work Environment: At your Home Office: Frequently required to sit, using screen, keyboard, and mouse. Punctuality attending virtual meetings Occasional weekend rotation may be needed (for example, once a month)
    $118k-155k yearly est. 39d ago
  • Sports Safety Educator

    Hospital for Special Surgery 4.2company rating

    Remote or West Palm Beach, FL job

    How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status Per Diem Part time Work Shift What you will be doing Job Qualifications EDUCATION - Required Bachelor's degree in Athletic Training, Exercise Science, Physical Education, Physical Therapy, Public Health, or a related field EDUCATION - Preferred Master's degree in Athletic Training, Exercise Science, Physical Education, Physical Therapy, Public Health, or a related field In lieu of higher education 10 years experience working with children (Grade schools and or HS). CERTIFICATION - Preferred CPR/AED certification and at least one of the following: Performance Enhancement Specialist (NASM), Corrective Exercise Specialist (NASM), Certified Strength and Conditioning Coach (NSCA), Health/Physical Education Endorsement, Certified Health Education Specialist (CHES) EXPERIENCE - Required 3 - 5 years professional experience with youth, high school, collegiate, or professional sports and/or physical education. SKILLS - Required Excellent verbal and written communication skills. Strong customer service orientation. Outstanding communication, human interaction, and customer service skills Ability to meet productivity standards in a remote work environment Proficient with Microsoft Office, Google Workspace, and various videoconference platforms PHYSICAL WORKING CONDITIONS Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs). ENVIRONMENTAL WORKING CONDITIONS Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians. HAZARDS OSHA Category 1 Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials. POSITION & UNIT ACCOUNTABILITIES - AKA Competencies * Presents program educational material at workshops and sports camps and clinics under the direction of the HSS Athlete Health Management Team. * Contributes to the development, implementation, and improvement of educational materials and program curricula under the direction of the HSS Athlete Health leadership. * Conducts live (on-site and virtual) health screenings and injury prevention workshops for students/athletes and their coaches, parents, teachers, and administrators. * Contributes to the development, implementation, and evaluation of new screening/education programs. * Contributes to the execution of clinical research studies, by assisting with data collection activities. Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.
    $35k-50k yearly est. Auto-Apply 39d ago
  • Process Owner- Laboratory (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Remote or Dallas, TX job

    The Product Manager - Laboratory is responsible for leading product management and application strategy for technology supporting the Laboratory service line across Baylor Scott & White Health. This role serves as the primary relationship manager between clinical, operational, and technical stakeholders, ensuring technology solutions align with clinical workflows, service line priorities, and enterprise standards. This position provides leadership across laboratory service line by managing product delivery, standardizing product and intake processes, and partnering closely with Laboratory Information Services (LIS) leadership, Product Owners and Architects to ensure work is properly scoped, prioritized, and prepared for execution within an agile delivery framework. Updated Essential Functions of the Role 1. Relationship & Stakeholder Management * Serve as the primary point of accountability for technology supporting the Laboratory service line, including Epic Beaker, lab instruments, 3rd party lab applications and integrations (including Data Innovations, SoftBank, RALS, etc.), and related clinical systems. * Build and maintain strong relationships with internal stakeholders including informatics, LIS team, clinical and operational leaders, laboratory staff, pathologists, physicians, and hospital and clinic leadership. * Partner with IS leadership, LIS leadership, architects, and technical teams to align laboratory technology initiatives with enterprise strategy and standards. * Act as a liaison between clinical stakeholders and technical teams to translate operational needs into clear, actionable technology requirements. 2. Project Planning, Intake, and Scoping * Lead intake and planning for Laboratory-related technology requests, ensuring requests are clearly defined, documented, and aligned with strategic priorities. * Document scope, objectives, deliverables, assumptions, and dependencies for initiatives in collaboration with requestors, vendors, architects, technical leads, and analysts. * Coordinate with vendors and internal teams to understand level of effort, risks, and resource needs. * Identify when additional governance forums, committees, or approval bodies are required and ensure appropriate engagement. 3. Product Management * Establish and reinforce best practices for backlog readiness, intake documentation, prioritization, and cross-team coordination. * Ensure technical work is appropriately planned, sequenced, and ready to be pulled into sprint execution. * Provide guidance and oversight to ensure alignment between service line priorities and enterprise delivery capacity. * Manage budgetary components within the IS laboratory service line 4. Agile Delivery & Continuous Improvement * Partner closely with Product Owners and Architects to continuously improve product and delivery processes within an agile framework. * Ensure stories and features meet Definition of Ready standards prior to sprint execution. * Identify opportunities to streamline workflows, reduce rework, and improve throughput across procedural service line initiatives. * Promote continuous improvement through retrospectives, lessons learned, and process refinement. Key Success Factors (Updated Emphasis) * Strong leadership and relationship-building skills across clinical, operational, and technical audiences. * Ability to manage complexity across multiple technologies, vendors, and stakeholder groups. * Demonstrated experience in product management, intake governance, and agile delivery environments. * Excellent communication skills with the ability to translate clinical and operational needs into technical plans. * Ability to balance strategic priorities with execution-focused delivery. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience * Hybrid expectation- ideally located in DFW but if not, willing to travel up to monthly onsite. Preferences: * Epic Beaker and/or Orders certification * Experience with 3rd party lab applications and their integrations (including Data Innovations, SoftBank, RALS, etc.) * Project management experience - ideal, not required * Agile methodology - ideal, not required
    $106k-189k yearly est. 11d ago
  • Senior Corporate Compliance Consultant- Healthcare Billing

    Baylor Scott & White Health 4.5company rating

    Columbus, OH job

    **Description - External** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. **SALARY** The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience **ESSENTIAL FUNCTIONS OF THE ROLE** This position will be supporting Hospital and Professional areas of billing compliance: · Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. · Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. · Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. · Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. **KEY SUCCESS FACTORS** · Continually demonstrates initiative by learning business processes and applicable auditing techniques. · Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. · Excellent written and oral communication skills based on level of expertise. · Proficient in Microsoft Word and Excel. · Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. **BENEFITS** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: · Immediate eligibility for health and welfare benefits · 401(k) savings plan with dollar-for-dollar match up to 5% · Tuition Reimbursement · PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level **Belonging Statement** We believe that all people should feel welcomed, valued, and supported. **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $31.7 hourly 29d ago
  • Advisor, Revenue Cycle Quality & Performance Management (Hybrid)

    Northwell Health 4.5company rating

    Remote or Lake Success, NY job

    Coordinates the daily activities of staff and information systems activities of organization departments. Assesses and monitors staff productivity through standards and metrics to optimize performance and increase efficiency. Collaborates with Information Services and Finance departments to ensure optimal system-wide best practices. Plans, manages and organizes service delivery initiatives involving networking, integration, systems, security, data center, and related vendors in support of various organization daily operations, projects and initiatives; manages various related information systems and facilitates synchronization with other systems in the organization. Job Responsibility Provides strategic advice and guidance to the Revenue Cycle Quality and Performance Management function. Identifies, and reports statistics, trends, and analysis to management; analyses data, prepares and presents project reports for management, clients or others. Performs ad-hoc analyses on an as need basis; identifies, recommends, and implements approved process improvements. Defines and develops business plan and determines time-frame, funding limitations, procedures, staffing requirements and allotment of resources to various phases of the business; manages activities of business staff to ensure project progress is on schedule and within budget. Establishes work plan and staffing for each business phase and arranges for recruitment or assignment of business staff; reviews status reports and modifies schedules and/or plans as required. Confers with staff to outline work plan and assign duties, responsibilities and scope of authority; provides business staff with technical advice and problem resolution; implements solutions in response to issues, customer complaints, regulatory changes, and insurance related updates in order to promote timely and efficient revenue cycle operations. Ensures the integrity of various related information systems and facilitates synchronization with the other systems throughout the organization; works with Information Services, vendor and customers to develop business proposal outlining deliverables, requirements, risks, assumptions, key stakeholders, roles and responsibilities and budget. Manages business activities with organizations or agencies outside the organization; monitors vendor performance on deliverables and takes corrective action as necessary. Tracks actual performance against planned business performance, analyze variances and participates in problem solving to ensure all customer needs are met while maintaining control of the project. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Job Qualification Bachelor's Degree required, or equivalent combination of education and related experience. 10+ years of relevant experience and 2+ years of leadership / management experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
    $61k-109k yearly est. Auto-Apply 10d ago
  • Coder II - OP Physician Coding (Ortho Surgery)

    Baylor Scott & White Health 4.5company rating

    Remote or Phoenix, AZ job

    ** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 60d+ ago
  • Financial Clearance Representative - Remote

    McLaren Health Care 4.7company rating

    Remote or Michigan City, ND job

    Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure. Essential Functions and Responsibilities: * Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools. * Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines. * Starts the overall patient's experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information. * Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations. * Estimates and collects copays, deductibles, and other patient financial obligations. * Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements. * Applies recurring visit processing according to protocol. * Performs duties otherwise assigned by management. Qualifications: Required: * High school diploma or equivalent required * One year experience in patient access, registration, billing or physician office Preferred: * One-year experience in insurance verification and authorization using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification Equal Opportunity Employer of Minorities/Females/Disabled/Veterans Additional Information * Schedule: Full-time * Requisition ID: 25005267 * Daily Work Times: Standard Business Hours * Hours Per Pay Period: 80 * On Call: No * Weekends: No
    $33k-42k yearly est. 53d ago
  • IS Applications Manager 1- Ambulatory & Specialty (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Remote or Dallas, TX job

    The Manager of Information Systems Applications provides people leadership and application delivery oversight for the Ambulatory & Specialty Product Squad, supporting Epic and third-party applications across Ambulatory, Oncology, Transplant, Value-Based Care, and Research. Reporting to the Product Owner, this role manages an internal Epic project-focused team and serves as the primary IS partner responsible for vendor oversight and support delivery through outsourced managed services provider (MSP). This position is accountable for ensuring that all assigned applications - Epic and non-Epic - are well supported, issues are appropriately escalated, and managed services partners deliver consistent, high-quality outcomes. While not a technical build role, the manager must be able to engage effectively with vendors and stakeholders across Ambulatory & Specialty application domains. ESSENTIAL FUNCTIONS OF THE ROLE People Leadership & Internal Team Management * Provides direct people management for the internal Epic project team, including coaching, performance management, development, and engagement. * Ensures internal Epic resources are aligned to product priorities and delivery expectations as defined by Product Managers. * Supports a collaborative working model between internal Epic resources, Product Managers, and MSP teams. Application Support & Delivery Oversight * Is accountable for the overall health, stability, and support of Ambulatory & Specialty applications within the ambulatory and specialty portfolio. * Serves as the IS escalation point for application support issues impacting clinical and operational workflows. * Ensures incidents, service requests, and defects are triaged, prioritized, and resolved appropriately by MSP. * Monitors trends in incidents and recurring issues and works with vendors and product partners to drive resolution and improvement. Vendor & Managed Services Governance * Acts as the primary IS management partner to MSP for ambulatory and specialty applications. * Provides oversight of MSP-delivered Epic application support and all other Ambulatory & Specialty application support and project work. * Holds MSP accountable to SLAs, quality standards, and support expectations. * Leads issue escalation, risk management, and problem resolution in partnership with MSP leadership. * Participates in vendor performance reviews and continuous improvement discussions. Epic & Third-Party Application Engagement * Maintains a working knowledge of Epic applications (including Ambulatory, MyChart, Beacon, Phoenix, Healthy Planet, and Hospice) and key third-party applications (ARIA, WellSky BioTherapies, VersaCare, BreezeSuite & SentrySuite, Nexus 360, Iris) supporting ambulatory and specialty care. * Develops sufficient familiarity with third-party applications (e.g., ARIA) to effectively engage in support discussions, escalations, and prioritization conversations. * Partners with Product Managers and stakeholders to ensure support considerations are incorporated into product decisions. Operational & Continuous Improvement Responsibilities * Ensures adherence to IS standards, support processes, and change management practices. * Identifies opportunities to improve application support delivery, vendor effectiveness, and stakeholder satisfaction. KEY SUCCESS FACTORS * Strong people leadership skills with experience managing application teams. * Demonstrated success operating in a vendor-reliant, managed-services support model. * Ability to effectively partner with vendors and escalate issues to drive resolution. * Comfort engaging across Epic and third-party application ecosystems; not limited to Epic-only roles. * Strong stakeholder management and communication skills in a clinical environment. * Willingness and ability to quickly learn unfamiliar third-party applications. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 5 Years of Experience * Hybrid expectation- on-site 1 day a week
    $111k-142k yearly est. 16d ago
  • Clinical Documentation Specialist - Hybrid (CDIP/CCDS Certified)

    Northwell Health 4.5company rating

    Remote or New York, NY job

    Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). 1-3 years of relevant CDI experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
    $67k-111k yearly est. Auto-Apply 44d ago
  • Collector 2

    Baylor Scott & White Health 4.5company rating

    Columbus, OH job

    The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. **ESSENTIAL FUNCTIONS OF THE ROLE** Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. **SALARY** The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - H.S. Diploma/GED Equivalent - EXPERIENCE - 2 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $16.1 hourly 43d ago
  • Net Revenue Analyst Senior - Hybrid Position

    McLaren Health Care 4.7company rating

    Remote or Michigan City, ND job

    Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process. Responsible for the integrity of net revenue. Essential Functions and Responsibilities: 1. Prepares and or reviews the schedules required to support the submission of Medicare, Medicaid and Blue Cross cost report, complying with regulations. Analyzes third party cost report changes from prior years, investigating differences. 2. Prepares monthly contractual model and provides thorough analysis of the monthly contractual allowances for assigned subsidiaries. Investigates and makes recommendations for updates to assumptions and/or methodology. 3. Maintains adequate reserve position by complete monthly reserve analysis identifying and reporting any increase or decrease from previously stated reserve position. 4. Provides complex projections and analytical support during the fiscal year budgeted net revenue preparation. 5. Researches and keeps abreast of third party regulations and changes, providing analytical support through financial impact summarization. Estimates the financial impact any changes in payment assumptions and/or budget assumptions may have on the subsidiary and communicates as directed. 6. Coordinates the collection of data and/or preparation of schedules for third party financial audits, settlements, and cash reconciliations. Qualifications: Required: * Bachelor degree in finance, accounting or related field. * Three years experience in a progressively more responsible reimbursement or finance role with Healthcare Net Revenue/Reimbursement responsibilities. Preferred: * CPA or MBA preferred. Additional Information * Schedule: Full-time * Requisition ID: 25007033 * Daily Work Times: Standard Business Hours * Hours Per Pay Period: 80 * On Call: No * Weekends: No
    $46k-54k yearly est. 43d ago
  • Sports Safety Educator

    Hospital for Special Surgery 4.2company rating

    Remote or West Palm Beach, FL job

    How you move is why we're here. Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let's talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status Per Diem Part time Work Shift What you will be doing Job Qualifications EDUCATION - Bachelor's degree in Athletic Training, Exercise Science, Physical Education, Physical Therapy, Public Health, or a related field EDUCATION - Preferred Master's degree in Athletic Training, Exercise Science, Physical Education, Physical Therapy, Public Health, or a related field In lieu of higher education 10 years experience working with children (Grade schools and or HS). CERTIFICATION - Preferred CPR/AED certification and at least one of the following: Performance Enhancement Specialist (NASM), Corrective Exercise Specialist (NASM), Certified Strength and Conditioning Coach (NSCA), Health/Physical Education Endorsement, Certified Health Education Specialist (CHES) EXPERIENCE - Required 3 - 5 years professional experience with youth, high school, collegiate, or professional sports and/or physical education. SKILLS - Excellent verbal and written communication skills. Strong customer service orientation. Outstanding communication, human interaction, and customer service skills Ability to meet productivity standards in a remote work environment Proficient with Microsoft Office, Google Workspace, and various videoconference platforms PHYSICAL WORKING CONDITIONS Continuously stand/walk or lift/handle/carry material or equipment of moderate weight (20 to 50 lbs). ENVIRONMENTAL WORKING CONDITIONS Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians. HAZARDS OSHA Category 1 Tasks that involve exposure to blood, body fluids, tissues, and other potentially infectious materials. POSITION & UNIT ACCOUNTABILITIES - AKA Competencies Presents program educational material at workshops and sports camps and clinics under the direction of the HSS Athlete Health Management Team. Contributes to the development, implementation, and improvement of educational materials and program curricula under the direction of the HSS Athlete Health leadership. Conducts live (on-site and virtual) health screenings and injury prevention workshops for students/athletes and their coaches, parents, teachers, and administrators. Contributes to the development, implementation, and evaluation of new screening/education programs. Contributes to the execution of clinical research studies, by assisting with data collection activities. Non-Discrimination Policy Hospital for Special Surgery is committed to providing high quality care and skilled, compassionate, reliable service to our community in a safe and healing environment. Consistent with this commitment, Hospital for Special Surgery provides care, admits, and treats patients and provides all services without regard to age, race, color, creed, ethnicity, religion, national origin, culture, language, physical or mental disability, socioeconomic status, veteran or military status, marital status, sex, sexual orientation, gender identity or expression, or any other basis prohibited by federal, state, or local law or by accreditation standards.
    $35k-50k yearly est. Auto-Apply 38d ago
  • Process Owner- Laboratory (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Remote or Dallas, TX job

    The Product Manager - Laboratory is responsible for leading product management and application strategy for technology supporting the Laboratory service line across Baylor Scott & White Health. This role serves as the primary relationship manager between clinical, operational, and technical stakeholders, ensuring technology solutions align with clinical workflows, service line priorities, and enterprise standards. This position provides leadership across laboratory service line by managing product delivery, standardizing product and intake processes, and partnering closely with Laboratory Information Services (LIS) leadership, Product Owners and Architects to ensure work is properly scoped, prioritized, and prepared for execution within an agile delivery framework. **Updated Essential Functions of the Role** **1. Relationship & Stakeholder Management** + Serve as the primary point of accountability for technology supporting the Laboratory service line, including Epic Beaker, lab instruments, 3 rd party lab applications and integrations (including Data Innovations, SoftBank, RALS, etc.), and related clinical systems. + Build and maintain strong relationships with internal stakeholders including informatics, LIS team, clinical and operational leaders, laboratory staff, pathologists, physicians, and hospital and clinic leadership. + Partner with IS leadership, LIS leadership, architects, and technical teams to align laboratory technology initiatives with enterprise strategy and standards. + Act as a liaison between clinical stakeholders and technical teams to translate operational needs into clear, actionable technology requirements. **2. Project Planning, Intake, and Scoping** + Lead intake and planning for Laboratory-related technology requests, ensuring requests are clearly defined, documented, and aligned with strategic priorities. + Document scope, objectives, deliverables, assumptions, and dependencies for initiatives in collaboration with requestors, vendors, architects, technical leads, and analysts. + Coordinate with vendors and internal teams to understand level of effort, risks, and resource needs. + Identify when additional governance forums, committees, or approval bodies are required and ensure appropriate engagement. **3. Product Management** + Establish and reinforce best practices for backlog readiness, intake documentation, prioritization, and cross-team coordination. + Ensure technical work is appropriately planned, sequenced, and ready to be pulled into sprint execution. + Provide guidance and oversight to ensure alignment between service line priorities and enterprise delivery capacity. + Manage budgetary components within the IS laboratory service line **4. Agile Delivery & Continuous Improvement** + Partner closely with Product Owners and Architects to continuously improve product and delivery processes within an agile framework. + Ensure stories and features meet Definition of Ready standards prior to sprint execution. + Identify opportunities to streamline workflows, reduce rework, and improve throughput across procedural service line initiatives. + Promote continuous improvement through retrospectives, lessons learned, and process refinement. **Key Success Factors (Updated Emphasis)** + Strong leadership and relationship-building skills across clinical, operational, and technical audiences. + Ability to manage complexity across multiple technologies, vendors, and stakeholder groups. + Demonstrated experience in product management, intake governance, and agile delivery environments. + Excellent communication skills with the ability to translate clinical and operational needs into technical plans. + Ability to balance strategic priorities with execution-focused delivery. **BENEFITS** Our competitive benefits package includes the following- Immediate eligibility for health and welfare benefits- 401(k) savings plan with dollar-for-dollar match up to 5%- Tuition Reimbursement- PTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 5 Years of Experience - Hybrid expectation- ideally located in DFW but if not, willing to travel up to monthly onsite. Preferences: + Epic Beaker and/or Orders certification + Experience with 3rd party lab applications and their integrations (including Data Innovations, SoftBank, RALS, etc.) + Project management experience - ideal, not required + Agile methodology - ideal, not required As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $106k-189k yearly est. 9d ago
  • Clinical Documentation Specialist - Hybrid (CDIP/CCDS Certified)

    Northwell Health 4.5company rating

    Remote or New Hyde Park, NY job

    Facilitates and obtains appropriate clinical documentation for all clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care provided. Responsible for concurrent inpatient medical record reviews for Medicare, Medicaid and all commercial payers. Generates queries and have follow up discussions with physicians for clarification of ambiguous or conflicting documentation. Job Responsibility 1.Facilitates clarification of clinical documentation ensuring accuracy and integrity in the medical record. 2.Facilitates appropriate clinical documentation to support diagnosis coding and ensure the appropriate level of service is recorded. 3.Works with physicians on assigned patient care units to clarify clinical documentation in the patient's medical record through a concurrent review process throughout the patient's inpatient stay. 4.Requests clarification of clinical documentation from the physician(s) on a concurrent basis as needed to ensure documentation is complete and accurate prior to discharge. 5.Ensures the level of service rendered to patients, and the patient's severity of illness is accurately documented and recorded. 6.Follows up on CDI queries as needed to ensure appropriate documentation is recorded in the medical record. 7.Interacts with physicians as needed to discuss and advise on clinical documentation requirements and provides timely and accurate responses to clinical documentation and coding questions. 8.Demonstrates knowledge of ICD-10 CM and ICD-10 PCS coding, MS-DRG and APR NY and APR National grouper logic, documentation opportunities, clinical documentation requirements, and compliance to regulatory and facility policies and procedures. 9.Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient's chart. 10.Reconciles reviewed cases to update any changes in status, procedures/treatments, and confer with providers to finalize diagnoses. 11.Educates medical staff on clinical documentation opportunities that impacts the accuracy of the medical record. 12.Inputs outcome data in the CDI software to be able to track response to queries. Responsible for file maintenance including entry into database for tracking and trending audit results. Communicate findings of potential or missed diagnoses and the revenue impact that were discovered during the chart audit. 13.Regularly exercises independent judgment on matters of significance within defined procedures todetermine appropriateactions/approaches 14.Understands department,division, corporate strategy and operating objectives, including impacts 15.Normally receives general instructions on routinework, detailed instructions on new projects or assignments 16.Majority of contact is within own function, area, or department and may be customer service oriented 17.Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here but considered related are not essential functions. Job Qualification Graduate from an accredited School of Nursing required. Must obtain a Bachelor of Science in Nursing degree within 5 years of employment date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. (CCDS, CDIP, CCEDS or CCS). 1-3 years of relevant CDI experience, required. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
    $67k-111k yearly est. Auto-Apply 3d ago
  • Senior Corporate Compliance Consultant- Healthcare Billing

    Baylor Scott & White Health 4.5company rating

    Remote job

    Description - External The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to established policies and procedures in compliance with federal, state, and local laws and regulations. SALARY The pay range for this position is $31.73 (entry-level qualifications) - $54.90 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience ESSENTIAL FUNCTIONS OF THE ROLE This position will be supporting Hospital and Professional areas of billing compliance: * Conducts audits and assessments to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends to identify deficiencies and training needs. * Helps in reviewing reported compliance incidents and complaints applicable to BSWH policies and procedures or federal and state laws. May coordinate investigations through completion and appropriate reporting. Follows through to implement effective corrective actions. * Manages and develops education and training materials as appropriate; ensures that lessons are completed in a timely way. * Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH departments and entities on compliance matters. KEY SUCCESS FACTORS * Continually demonstrates initiative by learning business processes and applicable auditing techniques. * Ability to exercise good judgment, attention to detail, integrity, dependability, and objectivity. * Excellent written and oral communication skills based on level of expertise. * Proficient in Microsoft Word and Excel. * Demonstrates professional growth by obtaining continuing education and seeking certifications. Certified in Healthcare Compliance (CHC) preferred. BENEFITS Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based on position type and/or level Belonging Statement We believe that all people should feel welcomed, valued, and supported. QUALIFICATIONS * EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification * EXPERIENCE - 3 Years of Experience - Billing/Healthcare experience
    $31.7 hourly 31d ago
  • IS Applications Manager 1- Ambulatory & Specialty (Hybrid)

    Baylor Scott & White Health 4.5company rating

    Remote or Dallas, TX job

    The Manager of Information Systems Applications provides people leadership and application delivery oversight for the Ambulatory & Specialty Product Squad, supporting Epic and third-party applications across Ambulatory, Oncology, Transplant, Value-Based Care, and Research. Reporting to the Product Owner, this role manages an internal Epic project-focused team and serves as the primary IS partner responsible for vendor oversight and support delivery through outsourced managed services provider (MSP). This position is accountable for ensuring that all assigned applications - Epic and non-Epic - are well supported, issues are appropriately escalated, and managed services partners deliver consistent, high-quality outcomes. While not a technical build role, the manager must be able to engage effectively with vendors and stakeholders across Ambulatory & Specialty application domains. **ESSENTIAL FUNCTIONS OF THE ROLE** **People Leadership & Internal Team Management** · Provides direct people management for the internal Epic project team, including coaching, performance management, development, and engagement. · Ensures internal Epic resources are aligned to product priorities and delivery expectations as defined by Product Managers. · Supports a collaborative working model between internal Epic resources, Product Managers, and MSP teams. **Application Support & Delivery Oversight** · Is accountable for the overall health, stability, and support of Ambulatory & Specialty applications within the ambulatory and specialty portfolio. · Serves as the IS escalation point for application support issues impacting clinical and operational workflows. · Ensures incidents, service requests, and defects are triaged, prioritized, and resolved appropriately by MSP. · Monitors trends in incidents and recurring issues and works with vendors and product partners to drive resolution and improvement. **Vendor & Managed Services Governance** · Acts as the primary IS management partner to MSP for ambulatory and specialty applications. · Provides oversight of MSP-delivered Epic application support and all other Ambulatory & Specialty application support and project work. · Holds MSP accountable to SLAs, quality standards, and support expectations. · Leads issue escalation, risk management, and problem resolution in partnership with MSP leadership. · Participates in vendor performance reviews and continuous improvement discussions. **Epic & Third-Party Application Engagement** · Maintains a working knowledge of Epic applications (including Ambulatory, MyChart, Beacon, Phoenix, Healthy Planet, and Hospice) and key third-party applications (ARIA, WellSky BioTherapies, VersaCare, BreezeSuite & SentrySuite, Nexus 360, Iris) supporting ambulatory and specialty care. · Develops sufficient familiarity with third-party applications (e.g., ARIA) to effectively engage in support discussions, escalations, and prioritization conversations. · Partners with Product Managers and stakeholders to ensure support considerations are incorporated into product decisions. **Operational & Continuous Improvement Responsibilities** · Ensures adherence to IS standards, support processes, and change management practices. · Identifies opportunities to improve application support delivery, vendor effectiveness, and stakeholder satisfaction. **KEY SUCCESS FACTORS** · Strong people leadership skills with experience managing application teams. · Demonstrated success operating in a **vendor-reliant, managed-services support model** . · Ability to effectively partner with vendors and escalate issues to drive resolution. · Comfort engaging across **Epic and third-party application ecosystems** ; not limited to Epic-only roles. · Strong stakeholder management and communication skills in a clinical environment. · Willingness and ability to quickly learn unfamiliar third-party applications. **BENEFITS** Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **QUALIFICATIONS** - EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification - EXPERIENCE - 5 Years of Experience - Hybrid expectation- on-site 1 day a week As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $111k-142k yearly est. 17d ago
  • Collector 2

    Baylor Scott & White Health 4.5company rating

    Remote job

    The Collector II under general supervision and according to established procedures, performs collection activities for assigned accounts. Contacts insurance company representatives by telephone or through correspondence to collect inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts receivable system. ESSENTIAL FUNCTIONS OF THE ROLE Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment difficulties and penalties owed to BSWH in accordance with Managed Care contracts. Contacts insurance company representatives by telephone or through correspondence to check the status of claims, appeal or dispute payments and penalties. Has knowledge of CPT codes, Contracting, per diems, and other pertinent payment methods in the medical industry. Maintains collection files on the accounts receivable system. Enters detailed records consisting of any pertinent information needed for collection follow-up. Processes accounts for write-off and for legal. Conducts thorough research and manual calculation from Managed Care Rate Grids and Contracts to determine accurate amounts due to BSWH per each individual Insurance Contract. Enters data in Patient Accounting systems and Access database to track and monitor payments and penalties. Prepares legal documents to refer accounts to the Managed Care legal group for accounts deemed uncollectable. Through thorough review ensures that balances on accounts are true and accurate as well as correct any contractual or payment entries. Verify insurance coding to ensure accurate payments. Receives, reviews, and responds to correspondence related to accounts. Takes action as required. SALARY The pay range for this position is $16.12 (entry-level qualifications) - $24.17 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. BENEFITS Our competitive benefits package includes the following * Immediate eligibility for health and welfare benefits * 401(k) savings plan with dollar-for-dollar match up to 5% * Tuition Reimbursement * PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 2 Years of Experience
    $16.1 hourly 3d ago

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MedNorth Health Center may also be known as or be related to MedNorth Health Center and NEW HANOVER COMMUNITY HEALTH CENTER.