Credentialing Admin Support - FlexStaff
Northwell Health job in North New Hyde Park, NY or remote
Nuvance - Credentialing Specialist
Flexstaff is hiring remote credentialing specialists for our Danbury, CT location on a remote basis. The training will be on-site for two weeks.
Schedule: 7a-4:40p or 7:30-4p
Training is in-person at the Summit (Danbury, CT) for 2 weeks
After training, the position is fully remote
Pay rate: $35-$40/hour
Requirements: Strong attention to detail. Knowledge of Excel; spreadsheets are already set up but must be able to navigate through them without making errors. Prior credentialing experience & 1-3 years of relevant experience required. High School Diploma or equivalent required.
Job Responsibilities:
Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met.
Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner.
Manage confidential information of internal staff (Physician, Nurse practitioners)
Ensure demographic updates are reviewed and verified for processing.
Ensure database is kept accurate and updated.
Maintain necessary logs, lists, records and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.
Prepare documents for Credentialing Committee review.
Provide productivity and issues reports for Management.
Remain current on policies affecting provider credentials and reenrollment processes.
Perform other responsibilities as assigned.
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).
Auto-ApplyClinical Denials & Appeals Specialist
Northwell Health job in Dix Hills, NY or remote
Reviews and responds to Corporate Compliance Audits and serves as a resource for the Health System. Reviews denial trends and identifies coding issues and knowledge gaps.
Job Responsibility
Serves as liaison between the patient and facility/physician and the third party payer.
Prepares and defends level of care and medical necessity for assigned case.
Collaborates with physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status and ensures compliance with the Utilization Review standard and regulations.
Performs concurrent and retrospective utilization management using evidenced-based medical necessity criteria; conducts clinical reviews and formulates appeal letters to support appropriateness of admission and continued length of stay.
Ensures compliance with current state, federal, and third-party payer regulations. Ensures clinical reviews and appeals are up to date and accurately reflect patient's severity of illness and intensity of services provided.
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.
Bachelor's Degree in Nursing, preferred.
Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date.
Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed.
Inpatient clinical experience; 4+ years preferred.
Prior Acute Case Management and/or Utilization Review experience, preferred.
Must have experience with Milliman Care Guidelines and/or InterQual.
Hours/Shift
Fully remote role
Days: Sunday - Thursday
Hours: 8:00am - 4:00pm
*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).
Auto-ApplySocial Worker - WTC Program (Monitoring)
Remote or New York, NY job
Job Title: Social Worker - WTC Program (Monitoring)
Social Work Services at the Mount Sinai Hospital
The Mount Sinai Hospital is a 1,134-bed facility with an extensive outpatient and specialty care network and is the largest hospital in the Mount Sinai Health Care System. It offers comprehensive social work services and programming to meet the myriad needs of the diverse populations we serve. We believe that total patient care must emphasize the physical, emotional, and social needs of each patient and their care partners. Social Workers collaborate within interprofessional teams to serve patients and the larger community from both a micro and macro level including both direct care and prevention. Founded in 1907, the Department of Social Work Services at the Mount Sinai Hospital is one of the oldest hospital social work departments in the nation with over 450 licensed social workers employed across more than 65 different program/service areas. Employment in our department provides a pathway to LCSW licensure as well as access to a broad range of continuing education, professional development and extra-curricular opportunities.
This position is in the World Trade Center Health Program (WTCHP), which provides medical and mental health monitoring and treatment to rescue, recovery, and clean-up workers who responded to Ground Zero following 9/11. Many of these workers are diagnosed with World Trade Center (WTC)-related physical and mental health conditions. Monitoring Social Workers in the WTCHP are responsible for providing clinical services to responders seen at the WTCHP for monitoring.
NYS LMSW or LCSW.
Excellent engagement and assessment skills.
Excellent collaborative skills, with ability to work flexibly in a high-volume, fast-paced setting.
Knowledge of public benefits programs and interest in learning about issues specific to population, including e.g., occupational safety and health issues, unions, workers' compensation, employees' rights
preferred.
Experience conducting risk assessments, mental health assessments and/or mental health treatment experience, especially with PTSD, preferred.
Excellent documentation and organizational skills.
Experience with unions or worker organizations desirable.
Bilingual (English/Spanish or English/Polish) preferred.
Compensation Statement
The Mount Sinai Health System (MSHS) provides salary ranges that comply with the New York City Law on Salary Transparency in Job Advertisements. The salary range for the role is $85,280.00 - $97,760.36 Annually. Actual salaries depend on a variety of factors, including experience, education, and operational need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits.
Non-Bargaining Unit, 191 - SOCIAL WORK WTC - MSH, Mount Sinai Hospital
The responsibilities of the social worker in this position include, but are not limited to:
Conducting mental health interviews with responders during their annual monitoring visits.
Identifying patient need for referrals for WTCHP mental health intake.
Providing crisis intervention to patients.
Identifying patient need for social services and referring to social work case management as needed.
Offering information and immediate case management referral for patients with urgent resource-related needs (e.g., food insecurity).
Providing information about WTC-related benefits, including registration deadlines and Victim's Compensation Fund.
Actively collaborating with interdisciplinary team members around patient care needs and issues.
Maintaining timely and clear documentation of patient contacts and visits in multiple systems.
Participating in general staff meetings.
.
This position will require the ability to work primarily onsite at the MSH campus and offers the option to work remotely one day a week with access to basic technological equipment (e.g., computer with webcam, high-speed internet, and reliable cellphone service in space established for work) and a private area in which confidential work can be done. The ability to work full time at the MSH campus and evening/weekend hours may be required.
Auto-ApplyService Line Marketing Manager
Remote job
At Connecticut Children's we are 100% kids, 100% of the time. We're looking to add a service line marketing manager to our marketing department. In this hybrid role, the new team member will develop and manage the marketing strategy, plans, and programs in conjunction with clinical department/division leadership to enable volume growth in our key market areas. The team member will define the development of marketing materials and programs required to support direct-to-consumer and direct-to-physician needs. This team member will lead all efforts for service lines based upon a strong understanding of the local market, data & insights and industry best practice. This team member will lead service line marketing reporting and will work closely with the other members of the team to report on service line intelligence and optimizations.
Education and/or Experience Required:
Education: Bachelor's Degree in Marketing, Business, or healthcare administration
Experience: Minimum 8 years of experience in marketing, preferably driving engagement and growth in healthcare services and service lines.
Education and/or Experience Preferred:
Education: Masters in Business Administration
License and/or Certification Required:
N/A
Knowledge, Skills and Abilities:
Knowledge:
A deep understanding of the healthcare space and marketing strategies
Skills:
Excellent writing, communication and presentation skills.
Ability to build relationships and work with various levels of leadership.
Strong research and data analysis skills - able to both compile reports but also tell insightful, actionable stories as a result.
Strategic thinker able to generate high-level and actionable insights via analysis.
Strong organizational and project management skills with the ability to manage multiple priorities and meet deadlines.
Abilities:
Ability to work collaboratively with cross-functional teams and senior executives.
Proven track record of successfully developing and executing consumer-focused marketing strategies and campaigns.
Understanding of healthcare trends, regulations, and best practices.
Strategic thinking and problem-solving abilities and to apply learning across disciplines and connect dots across marketing functions.
Serves as subject matter lead on service lines marketing, fostering highly effective collaborative relationships with associated clinical and cross-departmental team members. 20%
Works closely with our strategy and planning team to evaluate market trends, market share, margin. Analyzes conversion results for our paid programs and oversees ROI measured campaigns. Works closely with marketing, communications to ensure smooth execution of marketing plan. 20%
Analyzes market data, competitive analysis and produces in-depth strategy to support market positioning, differentiation and messaging. 10%
Plans and develops service line marketing strategies, which build local, regional market share. Manages portfolio of service lines, including channel/network go-to-market strategies for both consumers and physician audiences. Responsible for marketing budget allocation and prioritization for service lines, where applicable. 30%
Provides service line-specific content to support SEM, SEO, AIOs, website. Provides direction to marketing communications team members and other external resources on related project initiatives. Works with clinical teams to obtain detailed content information to support content development and optimization. 10%
Leads all reporting to clinical teams and is actively involved in aggregating all data and results for the service line into a compelling story and optimizes ROI across all service lines. 10%
Auto-ApplyBusiness Process Consultant - Collections and Customer Service (Remote Position)
Remote or Durham, NC job
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
Duke University Health System - Patient Revenue Management Office (PRMO) seeks to hire a Business Process Consultant who will embrace our mission of Advancing Health Together.
The Business Process Consultant supports revenue cycle processes that span multiple departments, multiple workflows and systems or supports analytic efforts of the revenue cycle through report development, data quality assurance, and analysis. The position also supports business process improvement efforts including projects to enhance automation, quality, and efficiency through report writing, analysis, business case development and data validation
Work Performed
Revenue Process Support, Workflows and Systems
* Develop and maintain written documentation for processes that exist between departments, systems, external vendors and payers.
* Act as a high level business process consultant between operations, performance improvement and IT for needs that cross boundaries.
* Implement processes and practices that can adapt quickly to changing organization, business, and payer demands. The position does not replace normal relationships between various departments but rather acts as a compliment to existing relationships to enhance and expedite performance improvement activities.
* Reviews business process, system or other changes that might impact existing workflows and recommends methods to optimize to desired state and improve efficiency.
* Review system or process architecture in scope of assigned projects.
* Perform business impact reviews of test plans that span across departments, workflows or systems or to assess impact, efficiency and effectiveness.
* Create, optimize and support implementation of processes which link closely to system work flows. Determine how these work flows will impact existing staffing, how to continuously refresh and monitor these flows and recommend optimal change management processes.
* Communicate information clearly and create an environment where people can engage in open dialogue and reach effective solutions together to optimize workflow or process.
* Direct cross-functional teams to resolve complex issues related to automated workflows or other complex processes or lead discussions with the business and operational leaders to analyze reporting needs, configure and model data and develop reports using specialized knowledge of reporting applications and software applications.
Data Reporting and Analysis
* Responsible for creating and managing the financial and operational reports generated on regular and an ad hoc basis using software applications for report writing and data warehousing; provides consultation and assistance to ensure end users and operational reporting needs are met through report development and design.
* Primary liaison to various internal and external user groups within PRMO and Duke in terms of revenue cycle data reporting and analysis.
* Assist PRMO or DHIP Senior leadership, management and staff in analyzing, interpreting, and presenting data and information to various parties both internal and external to DUHS
* Develop and build reporting solutions that monitor and benchmark cost, utilization and other quality and performance indicators; Act as primary support to senior leadership in accessing relevant data necessary to develop strategic and operational business plans, and process improvements.
* Develop business case analysis to support process optimization and change.
* Perform troubleshooting, problem solving activities related to business intelligence reporting as necessary. Analyze data and reports to understand business impact, correlations/discrepancies, and to propose changes/alternate solutions. Work closely with the Information Technology teams to resolve issues, and perform analysis in a timely manner.
Minimum Qualifications
Education
Bachelor's degree required. Master's degree preferred
Experience
Extensive knowledge of work flow and/or system design is required. Minimum of 7 years of experience with system design, process work flow design or business/systems consulting. Revenue cycle experience preferred. Extensive knowledge of analytical tools, business intelligence tools and statistical packages.
Degrees, Licensures, Certifications
Lean or Six Sigma certification a plus but not required.
Knowledge, Skills and Abilities
Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus.
Level Characteristics
Strong analytical and communication skills. Strong computer skills to include database analysis. Statistical software experiences a plus.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Epic Willow Ambulatory Applications Analyst III-Digital and Technology Partner - Remote
Remote or New York, NY job
The Applications Analyst III supervises and provides technical guidance to the staff in the development of specifications for new or revised systems.
Education:
Bachelor degree in Computer Science or a related discipline or an equivalent combination of education and work experience. Advanced degree preferred.
Experience:
Five years of solid, diverse work experience in IT
Epic Willow Ambulatory and/or Willow Inpatient Certification and experience required.
Willow Ambulatory experience highly preferred.
Non-Bargaining Unit, 291 - DTP Clinical Applications And Training - MSH, Mount Sinai Hospital
1. Has full technical knowledge of applications analysis and has supervisory duties of instructing, assigning, directing and checking the work of the other Applications Analysts.
2. Assists in planning, organizing and controlling the activities of the section.
3. May work with client management to identify and specify the complex business requirements and processes, and in the application design, testing and implementation process (e.g., diverse development platforms, software, hardware, technologies and tools, etc.).
4. Coordinates the activities of the section with other IT sections (e.g., database, telecommunications, operations, technical support, etc.).
5. Acts as expert technical resource to development staff in all phases of the development and implementation process.
6. Assists in all levels of supervision and may perform management function in the absence of the Manager.
7. May act as a project leader.
8. Performs related duties as assigned or requested.
Auto-ApplyRCS-Team Lead
Remote or Indianapolis, IN job
M-F 8-5, This is a fully remote position. However, candidate needs to be available to train new hires in person at Shadeland office when need arises. (out-of-state is not preferred)
This position is responsible for leadership of the Pediatric Specialty Billing follow-up team within IU Health Revenue Cycle Services. Ensures high quality standardized work processes that result in consistent outcomes that compare favorably with relevant national benchmarks. Serves as the first-tier escalation for team members on task-oriented problems or issues and supports management in promotion of staff development and the allocation and coordination of daily work.
Context and Purpose of role
• Staff training, coordination of daily work, first tier escalation and Complete training of recent new hires
Key Responsibilities of role
•Staff training, monitoring staff workload and performance, communicating policy/procedural issues to management and works closely with departmental leadership
Must Haves
•Knowledge of physician billing, excellent written and verbal communication skills
Other Requirements
•2 years of experience with Indiana University Health Revenue Cycle Services strongly preferred.
• Requires expert knowledge of revenue cycle requirements and regulations.
• Requires a high level of interpersonal, problem solving, and analytic skills.
• Requires effective written and verbal communication skills in both individual and group settings.
• Requires the ability to promote teamwork and develop team members.
• Requires the ability to take initiative and meet objectives.
Auto-ApplyStrategic Services Associate - Revenue and Document Integrity - Remote
Remote or Durham, NC job
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
Duke Nursing Highlights:
* Duke University Health System is designated as a Magnet organization
* Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
* Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
* Duke University Health System has 6000 + registered nurses
* Quality of Life: Living in the Triangle!
* Relocation Assistance (based on eligibility)
REMOTE POSITION: Monday - Friday (First Shift)
General Description of the Job Class
Reporting to the Director of Revenue and Documentation Integrity (RDI), the Strategic Services Associate holds primary responsibility for overseeing all projects and process improvement initiatives, and reporting needs within the RDI division and those intersecting with the RDI division from other revenue cycle or clinical service areas.
The RDI division includes projects and initiatives in which the director is directly involved and/or those with the various RDI teams - Clinical Trials, Charge Integrity/Revenue Management, Charging Systems, ChargeMaster, Revenue Integrity - and the Price Transparency regulatory requirement.
Duties and Responsibilities of this Level:
Serve as principal project manager for RDI division initiatives and projects to include meetings, documentation, minutes, and development of project plan. Organize and lead committee meetings across DUHS, PRMO, DHIP, DPC, as they relate to RDI division interests and projects. (35%)
Serve as an expert resource on performance improvement and compliance as it relates to organizational role. Plan activities aimed at improving the hospital's performance in operations or clinical quality. Identify opportunities for improved performance. Analyze data to identify adverse trends and/or undesirable performance. Utilize performance improvement techniques and methodologies. Assist director in establishing and measuring performance targets. Design and implement strategies for enhancing performance. (30%)
Utilize Epic reporting tools to identify opportunities for improved performance and revenue capture such as slicer dicer and business objects to research and investigate problems, and ability to download, analyze and synthesize information, creating professional reporting excel, power BI or power point outputs. (30%)
Perform other duties, responsibilities, and activities as assigned at any time to meet DUHS demands (5%)
Required Qualifications at this Level
Education: Bachelor's degree in business or health-related field is required. Master's degree and Epic certification/proficiency is highly desired.
Experience: Minimum of 5 years work experience, including 3 years of experience with significant responsibility for performance/ process improvement. Experience leading work teams required. Experience can be supplemented with Master's degree with a Masters being equivalent to two years of experience.
Degrees, Licensure, and/or Certification: Coding Certification a plus. Epic revenue cycle certification/proficiency not required but desired. PMP certification a plus.
Knowledge, Skills, and Abilities:
Knowledge of revenue cycle and revenue integrity.
Ability and desire to maintain a strong business professional presence both virtually and in-person.
Possesses and applies knowledge of healthcare clinical and administrative systems and processes to achieve organizational priorities.
Possesses intermediate to expert knowledge and proficiency with Microsoft Office applications including Word, Excel, Projects, Teams, PowerPoint, and Outlook.
Ability to analyze healthcare data is required.
Knowledge of Power Automate and Power BI is a plus.
Experience with Epic reporting systems; business objects, slicer dicer, Power BI preferred. Must be able to create excel reporting charts, graphs, perform VLookUps and write other excel functions to achieve desired reporting.
Ability to use creativity to create power point presentations to display information pertinent and meaningful to the planned audience.
Knowledge of hospital/technical and/or professional services reimbursement systems (IPPS, OPPS, Pass-Through, 340B, DRGs, Case Rate/Groupers, APCs, wRVUs and pricing methodologies) desired.
Ability to problem solve; compile, synthesize, analyze and evaluate complex data and reports to influence solutions.
Ability to manage numerous, diverse projects simultaneously through effective priority setting, organization, and time management.
Excellent written and verbal communication skills.
Distinguishing Characteristics of this Level
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Hospital Coder
Remote or Albany, NY job
Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.
Essential Duties and Responsibilities
* Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
* Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
* Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
* Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
* Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
* Attends coding meetings and roundtable sessions.
* Participates in daily huddles and LEAN problem-solving activities.
* Focused with no distractions while working and participating in meetings.
* Ensures camera on while attending Teams calls.
* Assists with organizing the shared drive for the medical coding department.
* Other duties as assigned by manager.
Qualifications
* High School Diploma/G.E.D. - required
* Prior experience in hospital medical coding - preferred
* Prior experience with 3M 360 and EPIC system - preferred
* Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
* Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
* Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
* Excellent written and verbal communication skills. (High proficiency)
* Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
* Detail-oriented and efficient while maintaining productivity.
* Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Rarely
* Pulling - Rarely
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Rarely
* Talking - Frequently
* Hearing - Frequently
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Frequently
Working Conditions
* Extreme cold - Rarely
* Extreme heat - Rarely
* Humidity - Rarely
* Wet - Rarely
* Noise - Occasionally
* Hazards - Rarely
* Temperature Change - Rarely
* Atmospheric Conditions - Rarely
* Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyProfessional Coding Auditor - Remote
Remote or Albany, NY job
Department/Unit: Health Information Management Work Shift: Day (United States of America) Salary Range: $60,367.47 - $90,551.20 has remote opportunity Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed.
CPC certificate upon Hire - Required
Two years or more prior experience in professional fee coding - required
Essential Duties and Responsibilities
* Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring established productivity and quality standards are met. Complex coding skill set required to act as service line expert.
* Assist Supervisor in the daily operations of coding team(s) in a Team Lead position, ensuring staff are meeting established coding/charge processing productivity and quality standards.
* Assume supervisory tasks for the assigned coding staff in absence of Supervisor.
* Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.
* Define and submit coding/edit rules for consideration to streamline coding accuracy and efficiency within multiple interfaced systems.
* Participate as a workflow expert in all levels of application testing to include test script building, script processing through varying test systems, charge import into applicable systems and detailed review of accuracy for each process.
* Assist with the implementation, testing, troubleshooting and maintenance of third-party vendor applications software.
* Assist in preparing, overseeing, and approving staff schedule to meet the needs of the department.
* Orient and train, provide feedback, and evaluate the staff as needed.
* Assist in establishing department goals and assure goals are achieved utilizing LEAN management skills.
* Participate in the recruitment and interview process to fill personnel vacancies.
* Perform System Manager tasks for specified applications in his/her absence to include: compile and create daily reports, Import charges into applicable systems. Research/correct coding validation errors during charge import.
* Assist in creating and updating policies and procedures to include system development and maintenance documentation.
* Perform timely medical record chart reviews (which could include prospective, concurrent & retrospective auditing) to ensure documentation and selection of HCC diagnosis codes meet the requirements set forth by CMS and the Official ICD-10-CM Guideline for Coding and Reporting. Code chronic disease that meets HCC and Risk Adjustment criteria. Validate missed coding opportunities.
* Conducts professional fee billing integrity reviews/audits for AMHS, including reviewing medical record documentation and coding to assess compliance with related rules and regulatory requirements, and to identify clinical documentation improvement opportunities.
* Identify trends based on audit/review findings and formulate recommendations for follow-up education and corrective actions. Effectively communicate and educate relevant parties with the results of review/audit activity; and help with development of related action plans.
* Assist with Denials Management to determine root causes and provide feedback and training to providers/staff to reduce denials.
* Acts as a liaison for external audits and organizes the process. Implements necessary changes/education based on findings.
* Attend and contribute in all PCO staff meetings, department meetings and all other meetings assigned.
* Fulfills department requirements in terms of providing work coverage and administration notification during periods of personnel illness, vacation, or education.
* Assume responsibility for professional development by participating in webinars, workshops and conferences when appropriate.
* Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
* All other duties as assigned.
Qualifications
* High School Diploma/G.E.D. - required
* Two years or more prior experience in professional fee coding - required
* Knowledge of multiple coding specialties. - preferred
* Working knowledge and experience with provider professional fee coding and charge processing. Complex coding skill set required. Computer experience, windows environment with proficiency in Microsoft Word and Excel is required. Excellent verbal and written communication skills. (High proficiency)
* CPC, CCA, CCS, COC, RHIT, or RHIA - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplyPulmonary Critical Care - Kernodle Clinic / Duke Health, Burlington NC
Remote or Burlington, NC job
Kernodle Clinic, part of the Duke Health network in Burlington NC is seeking a BC/BE Pulmonary and Critical Care physician to join their clinical practice. Candidates must be BC/BE, have fellowship training in pulmonary critical care and their critical care certification. Sleep medicine certification is preferred. Experience or training in IP or robotic bronchoscopy is a plus.
The selected individuals will be actively involved in both inpatient and outpatient duties:
Monthly shifts of 7 days in the ICU at Cone Health/Alamance Regional Medical Center located across from the clinic
4.5 days of outpatient clinic per week averaging 20-25 patients per day.Off Friday afternoons for protected administrative time
Inpatient consults / 10 days assigned to KC for unassigned call / split between the two physicians
Outpatient clinic also includes CT Lonos lung cancer screening & post COPD discharge to decrease readmissions
Sleep medicine certification preferred to help maintain sleep lab
Clinic has a PFT lab overseen by a respiratory therapist
Present practice is staffed by 2 MDs and one NP
Fixed base salary with additional incentives for wRVUs and quality improvement. Additional income for supervising Advanced Practice Provider
Kernodle Clinic is a 55-physician, 40-APP multi-specialty clinical affiliate of Duke Health. It is Duke Healths largest community-based practice with 15 specialties across three locations. The main clinic in Burlington enjoys a growing community 30 miles from Chapel Hill, Durham, and Greensboro. Home to Elon University, three hours from the coast and two hours from the mountains, Burlington is ideally located for work, home, and play.
To learn more about 75-year-strong Kernodle Clinic visit: *************************
To learn more about Burlington and the Alamance County region visit: ****************************
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideasan exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
RequiredPreferredJob Industries
Other
Program Coordinator 1-Medical Education
Remote or Hartford, CT job
Connecticut Children's is the only health system in Connecticut that is 100% dedicated to children. Established on a legacy that spans more than 100 years, Connecticut Children's offers personalized medical care in more than 30 pediatric specialties across Connecticut and in two other states. Our transformational growth establishes us as a destination for specialized medicine and enables us to reach more children in locations that are closer to home. Our breakthrough research, superior education and training, innovative community partnerships, and commitment to diversity, equity and inclusion provide a welcoming and inspiring environment for our patients, families and team members.
At Connecticut Children's, treating children isn't just our job - it's our passion. As a leading children's health system experiencing steady growth, we're excited to expand our team with exceptional team members who share our vision of transforming children's health and well-being as one team.
With limited supervision, the Program Coordinator 1 manages and coordinates program operations and processes and provides administrative and operational support to one or more designated educational training programs. This position identifies and resolves issues of limited scope within own work area using guidelines and standards. Works collaboratively with the senior program coordinator to assure compliance with all objectives and regulatory requirements for all programs. The program coordinator's primary duty is providing administrative oversight directly related to academic instruction or training in an educational establishment or department or subdivision of that establishment. The program coordinator will act for and makes decisions on behalf of the Program Director as such authority is delegated and as is consistent with accrediting body guidelines.
Education Required: Bachelor's degree in a related field.
Experience Required: Four (4) years relevant administrative experience.
An equivalent combination of education and experience may be substituted for the degree and years requirement.
Position Specific Job Education and/or Experience
Prior coordination experience in academic or hospital setting with a medical education or training program preferred
LICENSE and/or CERTIFICATION REQUIRED
Position Specific Job License and/or Certification Required
None
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
KNOWLEDGE OF:
Knowledge of applicable program rules and regulations
Institution and University procedures for coordinating program activities
Considerable knowledge of proper grammar, punctuation and spelling;
Budgeting and financial planning
Medical/technical terminology
Microsoft Office and related software applications
SKILLS:
Planning and organization
Developing and maintaining effective and appropriate working relationships
Critical thinking, problem solving and analysis
Providing general program support
Interpersonal and diplomatic communication with constituents
data management skills
ABILITY TO:
Communicate effectively through both oral and written means
Perform and coordinate administrative functions
Respect diversity and work collaboratively with individuals of diverse cultural, social and educational backgrounds
Maintain the confidentiality of information and professional boundaries
Perform multi-step processing, troubleshooting, and data reconciliation
Work independently to analyze available information and present such information effectively to management
Work Environment:
The Program Coordinator 1 will work in a combination clinical and non-clinical work environment. This position may require travel between the main hospital campus, 10 Columbus campus and various Connecticut Children's satellite offices within Greater Hartford County. Annual travel to regional and/or national conferences for professional development may be required. Remote work may be required.
Maintains necessary paperwork, records, and files required to support the program. May share scheduling responsibilities with Chief Residents (as applicable per program).
Advises learners regarding program requirements. Explains program policies, procedures, and requirements.
Directs the workflow and supervises the necessary administrative paperwork, records, complex filing systems to support a program, including fiscal, personnel and learner records.
Plans, coordinates, and executes outreach programs, conferences, meetings, seminars and events to include space, food, publicity, travel, and other technical and administrative logistics
Delivers educational program content through regular presentations, outreach activities, and educational material.
Reviews records and data for accuracy and resolves administrative and logistical problems and transactions collaborating with other team members, state/federal/international agencies and institutions, as appropriate, to identify errors and make corrections.
Prepares analyses and recommendations for administrative decision-making.
Represents the program director to other hospital and/or university offices, the public or outside agencies in matters of administrative consequence.
Compiles data and prepares reports used to monitor or assess program activities and requirements or project future needs.
Prepares budget summaries and long-range budget projections; arranges for international fiscal transactions as required
Maintains records and prepares necessary reports.
Stays abreast of changes to Institutional and University policies and procedures and provides education and outreach in regards to policies.
Performs related work as required.
Auto-ApplyMedical Assistant
Northwell Health job in Tuckahoe, VA
Performs patient care under the physician's/nurse's direct supervision. Duties include preparing patient for physician, administering, obtaining and recording diagnostic laboratory test results. Assists in coordinating organization of care to meet patient needs including preparing, organizing and filing reports into the medical record.
Job Responsibility
1.Collaborates with members of the health care team in coordinating and implementing plans for patient care; may record reason for visit and related patient information for practitioner review.
2.Performs vital signs, height, weight, and screening procedures which may include head circumference, audiometry, and vision testing; documents findings in the medical record.
3.Collects and assists providers in collection of specimens, as required, using appropriate protocols such as infection control; completes requisitions, labels and routes specimens according to standard procedure.
4.Performs and documents daily controls and calibration of laboratory equipment when needed; informs the supervisor of when inaccurate controls are noted.
5.Performs electrocardiograms and phlebotomy in accordance with provider orders; adheres to infection control standards including, but not limited to, hand hygiene, use of PPE, isolation of patient with known infectious disease, and equipment disinfection/sterilization.
6.Assists physicians and nurses with special procedures and examinations including, but not limited to lumbar puncture, pelvic exam, etc. following appropriate protocols such as infection control, universal protocol, and patient identification; secures supplies, ensures patient is properly undressed and draped, provides instruments to physicians, holds patient, as required and assists patient after procedure/examination.7.Maintains orderliness and cleanliness of examination rooms; stocks assigned rooms and cupboards and ensures par levels of supplies are maintained; checks and completes required logs and equipment including refrigerator logs, eyewash logs, sample medications, AED, suction and other required checks.8.May participate in pre-visit chart preparation by ensuring required lab results and documentation are available in the medical record for practitioner review (for practices using paper medical records).9.Performs variety of other clerical functions such as filing of paper medical records, processing insurance forms, preparing financial records, photocopying, answering phones, and assuring efficient flow of patients through the suite, etc. Performs related duties as required.10.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
•High school diploma or equivalent, required
•Completion of a Medical Assistant training program with certificate OR 1- 3 years experience as a medical assistant, emergency medical technician or certified nursing attendant ( with valid certificate) OR Successful completion of the Northwell Health Medical Assistant training program
*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).
Auto-ApplyFinancial Services Representative (remote)
Northwell Health job in Dix Hills, NY or remote
Advises and counsels admitted patients of financial responsibility and self-payments. Processes payments, issues patient receipts, and maintains collection log.
Job Responsibility
Interviews patients to obtain necessary financial and insurance information.
Verifies patients insurance and collects additional insurance such as No Fault and Workers Compensation.
Performs financial assessment of patients; refers potential Medicaid cases to Medicaid Investigator.
Gathers documentation and assists in the completion of the Financial Assistance Program (FAU) application process.
Assists patients and/or families in resolving hospital bills; advises and counsels patients of their payment responsibility due to the hospital.
Establishes patients' pro-rated financial obligations and sets-up payment arrangements/contracts.
Follows up on scheduled payments via mail and telephone.
Processes applications for Section 1011, where applicable.
Maintains daily work log of payments collected.
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
High School Diploma or equivalent required.
1-3 years of relevant experience, required.
Preferred Skills/Experience:
Financial Counseling
Medicaid knowledge
CAC Certification
Point of Service collections
Customer service skills
Microsoft Office
*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).
Auto-ApplyBusiness and Operations Specialist, OCCH
Remote job
The Business and Operations Specialist provides operational, and financial support for the North Hartford Ascend initiative within the Office for Community Child Health at Connecticut Children's. This grant-funded position manages financial tracking, budget support, and grant compliance activities to ensure accurate and timely use of funds. The Specialist coordinates partner communication, prepares program documents, manages meeting and event logistics, and supports general program operations to advance the initiative's objectives in the North Hartford Promise Zone.
Education and/or Experience Required:
Education: High School Diploma or GED.
Experience: Minimum 3 years' experience directly related to the duties and responsibilities specified.
Education and/or Experience Preferred:
Education: Bachelor's Degree.
License and/or Certification Required:
N/A
Knowledge, Skills and Abilities:
Knowledge:
Administrative operations and procedures in healthcare and/or nonprofit organizations.
General accounting principles and budget tracking processes.
Project coordination practices, particularly in grant-funded or multi-partner initiatives.
Electronic systems used for calendar scheduling, document management, and communications (e.g., Microsoft Outlook, SharePoint).
Skills:
Proficiency in Microsoft Office applications:
Word (document creation and formatting),
Excel (data tracking, budget management, intermediate to advanced functions),
PowerPoint (presentation support).
Familiarity with platforms such as WordPress, MailChimp, SurveyMonkey, and CVENT (or similar tools for websites, surveys, email distribution, and event registration).
Strong written communication skills for drafting and editing a variety of materials.
Effective interpersonal and organizational skills, with the ability to work collaboratively with internal teams and external partners.
Abilities:
Exercise sound judgment, discretion, and confidentiality in handling sensitive information.
Interpret and apply organizational and departmental policies to resolve routine to complex issues.
Organize, prioritize, and manage multiple tasks and deadlines in a fast-paced, evolving environment.
Analyze information and prepare accurate, comprehensive reports with attention to detail.
Communicate effectively with diverse stakeholders, demonstrating cultural sensitivity and responsiveness.
Adapt to changing priorities and work both independently and as part of a team.
FINANCIAL OVERSIGHT AND GRANTS SUPPORT-40%
Reviews and processes invoice submissions and required documentation, ensuring accuracy and alignment with contract and grant requirements.
Assists with budget planning, projections, and development, including documentation in support of new funding opportunities.
Audits documentation and ensures timely reporting of grant expenditures in compliance with funding guidelines.
Identifies potential risks and issues and escalates appropriately.
Collaborates with internal departments (e.g., Accounting, Office of Sponsored Programs, and Purchasing) to ensure accurate processing of financial and procurement documents.
PROGRAMMATIC ACTIVITIES-20%
Manages and coordinates program activities in support of the North Hartford Ascend initiative, including meeting and event scheduling, and preparation of agendas and materials.
Prepares and disseminates newsletters, announcements, and electronic surveys.
Organizes and maintains comprehensive project documentation, plans and reports. Updates program records, templates, and distribution lists.
Facilitates communication with internal departments and external partners to ensure smooth implementation of project activities and timely completion of deliverables.
Serves as a point of contact for internal and external inquiries, providing responsive and professional support to visitors, callers, and partner agencies.
Demonstrates cultural sensitivity in all interactions.
MEETING, EVENT, AND ENGAGEMENT COORDINATION-20%
Plans and organizes meetings, webinars, trainings, and community events in support of the initiative. Responsibilities include scheduling, registration, materials preparation, and technology setup.
Supports partner engagement, including coordination of speaker engagements, exhibitor/sponsor contracts, and travel arrangements.
Ensures proper documentation of meetings and events, including minutes and follow-up task tracking.
COMMUNICATIONS AND DOCUMENT MANAGEMENT- 15%
Drafts, formats, and distributes written materials such as correspondence, reports, presentations, and meeting documentation.
Ensures clarity, consistency, and professionalism across all communications.
Develops and maintains templates and forms to support efficient workflows.
Manages SharePoint resources and contributes to updates for relevant websites as applicable.
TRAINING AND PROFESSIONAL DEVELOPMENT- 5%
Provides instruction or training to others on job functions, processes, and associated responsibilities as requested.
Maintains and expands professional competencies through participation in training sessions, educational programs, and other development opportunities, as directed.
May require travel between departments or off-site locations to support program activities.
Performs Other Duties as Assigned
Auto-ApplyInternational Enrollment Officer, Duke Kunshan University (DKU) remote
Remote or Durham, NC job
Duke University: Duke University was created in 1924 through an indenture of trust by James Buchanan Duke. Today, Duke is regarded as one of America's leading research universities. Located in Durham, North Carolina, Duke is positioned in the heart of the Research Triangle, which is ranked annually as one of the best places in the country to work and live. Duke has more than 15,000 students who study and conduct research in its 10 undergraduate, graduate and professional schools. With about 40,000 employees, Duke is the third largest private employer in North Carolina, and it now has international programs in more than 150 countries.
Be You. Be Bold. Choose Duke.
Be You.
At Duke, we celebrate individuality and the unique perspectives that each member of our community brings. As the International Enrollment Officer, you'll be a vital part of a collaborative, interdisciplinary team that supports students from diverse backgrounds as they pursue global academic opportunities through Duke Kunshan University (DKU).
You'll work closely with international students-including U.S. citizens-who are applying to DKU's innovative undergraduate degree program in Kunshan, China. If you're passionate about international education and thrive in student-centered environments, this is your chance to make a meaningful impact.
Be Bold.
The International Enrollment Officer plays a key role in Duke's International Enrollment Management (IEM) team, driving recruitment, admissions, and financial aid efforts for DKU. Reporting to the Director of International Enrollment for DKU, you'll lead strategic outreach and engagement across U.S. and select international markets.
What You'll Do:
* Recruitment Strategy (50%): Develop and execute annual recruitment plans, build relationships with influencers and institutions, travel for high school visits and fairs, and host events on Duke's campus.
* Application Review (20%): Evaluate student applications, verify academic credentials, calculate GPAs, and conduct applicant interviews.
* Yield Efforts (15%): Lead initiatives to engage admitted students, including managing Discord groups, coordinating social media monitoring, and organizing on-campus yield events.
* Budget Management (5%): Maintain accurate budgets and manage expenses in compliance with Duke and DKU policies.
* Professional Development (5%): Participate in training and development events, including international travel.
* Additional Duties (5%): Support other tasks as assigned.
What You Bring:
* Bachelor's degree from an accredited institution and at least 2 years of experience in international higher education and/or student recruitment, master's degree in related field a plus.
* Experience in undergraduate recruitment, event planning, and virtual/in-person presentations.
* Application review and foreign credential evaluation experience.
* Strong relationship-building skills with students, counselors, and stakeholders.
* Ability to work a flexible schedule and to travel, sometimes extensively, during two recruitment seasons (September 1 - November 15, January 15 - May 15), with peak travel during the fall period.
* High intercultural competence and preferably international experience.
* Strong analytical, project management, and organizational skills.
* Excellent communication skills in English; additional languages a plus.
* Tech-savvy with comfort in database systems and social media platforms.
* Experience reading and reviewing applications for admission. Foreign credential evaluation experience a plus.
Anticipated Pay Range:
Duke University provides an annual base salary range for this position as USD $59,829.00 to USD $88,740.00. Duke University considers factors such as (but not limited to) scope and responsibilities of the position; candidate's work experience, education/training, and key skills; internal peer equity; as well as market and organizational considerations when extending an offer.
Choose Duke.
Join a university that values bold ideas, global perspectives, and transformative education. At Duke, your work will help shape the future of international enrollment and support the growth of a pioneering academic institution.
Ready to Make a Difference?
Apply now and help us build a stronger, smarter, and more connected future.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Nurse Practitioner - Academic Home Based Primary Care Program
Remote or Albany, NY job
Department/Unit: PCI - Internal Medicine Work Shift: Day (United States of America) Salary Range: $0.00 - $0.00 We are seeking a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, serving approximately 200 homebound older adults across an 11-county region in the Greater New York Capital Region. This position will work in close collaboration with a full-time board-certified geriatrician to provide comprehensive, longitudinal care to medically complex, homebound patients.
The NP will manage a personal panel of approximately 40 patients and provide cross-coverage for an additional 160 patients in the practice. The role includes home visits, telehealth support, and the management of chronic and acute medical conditions, with a strong emphasis on geriatric syndromes, care coordination, and diagnostic oversight.
Essential Duties and Responsibilities
Clinical Care:
* Provide primary care services to a panel of ~40 homebound patients through in-person home visits and virtual encounters as appropriate.
* Collaborate closely with the geriatrician to co-manage patient care across the full practice panel (~200 patients).
* Cross-cover the remaining 160 patients, including addressing urgent clinical needs, medication adjustments, and patient/caregiver inquiries.
* Conduct comprehensive assessments and develop individualized care plans that reflect patients' goals, preferences, and functional status.
* Manage acute and chronic conditions, focusing on geriatric syndromes (e.g., falls, dementia, polypharmacy, frailty).
* Coordinate with caregivers, visiting nurses, specialists, and other home-based service providers.
* Provide palliative and end-of-life care consistent with best practices and patient wishes.
Diagnostic & Lab Oversight:
* Order and interpret laboratory tests, imaging, and other diagnostic studies.
* Track and review results for the entire patient population in collaboration with the geriatrician.
* Ensure timely communication of clinically significant findings and follow-up planning.
Team Collaboration & Communication:
* Participate in regular team meetings and interdisciplinary case conferences.
* Maintain thorough, accurate documentation in the electronic medical record (EMR).
* Educate patients and caregivers regarding health conditions, medications, and treatment options.
* Contribute to quality improvement and academic initiatives within the practice.
Qualifications
Required:
* Master's or Doctorate degree from an accredited Nurse Practitioner program
* Current NY State NP license and board certification (Adult-Gerontology Primary Care or Family NP)
* DEA license and BLS certification
* Minimum of 2 years of experience in primary care, geriatrics, or home-based care
* Valid driver's license and reliable transportation for home visits
Preferred:
* Experience with home visits and medically complex, frail older adults
* Prior experience in academic or teaching settings
* Familiarity with value-based care models and interdisciplinary care approaches
Skills & Competencies
* Strong clinical judgment and autonomous decision-making capability
* Excellent interpersonal and communication skills with patients, families, and care teams
* Ability to manage a large panel and track results for a broad patient population
* Comfortable with mobile technology, EMRs, and virtual communication tools
* Compassionate, patient-centered, and team-oriented
Working Conditions
* Home visits required across urban, suburban, and rural areas in an 11-county region (travel reimbursed)
* Flexible schedule with support for remote administrative work
* Participation in a collaborative academic environment with opportunities for teaching and quality improvement
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Auto-ApplySr. IT Analyst
Remote or Durham, NC job
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health Technology Solutions
Pursue your passion for caring and innovation with Duke Heath Technology Solutions, which is dedicated to the transformation, development, and management of enterprise information technology solutions across Duke Health. By harnessing the power of innovative technologies like cloud computing and artificial intelligence - and pairing them with a forward-thinking approach - Duke Health Technology Solutions is revolutionizing the future of health care at Duke Health and beyond.
Sr. IT Analyst .NET - Center of Excellence
General Description
This position will support front end and back-end coding for our cardiovascular .NET based applications and mentor other members of the team. Ideal candidate will significant senior level recent hands-on (not supervisory) experience with VB.Net, C#, ASP.NET and WCF as well as SQL Server in Healthcare. This position will help maintain current system while we migrate to Azure.
Duties and Responsibilities of this Level
Responsibilities and duties include:
This is 100% remote position
* Builds, test, and deploys code for our .NET based applications including front and backend code to include use of C# and VB using Visual Studio IDE.
* Must be experienced with Git.
* Some use of Python and Javascript for ancillary applications.
* Help desk rotation including after hours and weekends including a 5-6 week rotation on-call Monday-Monday morning.
* Code deployment after hours and weekends
Qualifications at this Level
Education: Minimum Bachelor's degree in a related or clinical or technical field.
Experience: Minimum five years of related recent experience is required. Strong front end forms building. 5 years recent hands on coding not supervisory, 10 year developer with recent developer with .net being more recent. Front end focus with forms and C# .Net Frameworks
Healthcare exposure/experience
Exposure to Azure
Degree, Licensure, and/or Certification: Certification in an area of application support of a technical or support nature.
Knowledge Skills, and Abilities:
* Adept and experienced coder
* Ability to understand design specifications for information systems
* Experience with implementation of information systems and maintenance of information systems
* Advanced technical consultation and support
* Ability to design complex information systems
* Implementation of complex information systems
Preferred Skills/Experience:
* TDD (Test driven development)
* Experience with Health Care Applications Ideally Python, .Net, Gitlab or equivalent
* Basic understanding of Networking topologies, Firewall rules, Certificate Management
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Child Life Specialist
Remote job
will be supporting our Norwalk ED- it may be between a 24-32 hour position.
ASSESSMENT & PLANNING: Assess the coping responses and needs of assigned patients/families to their healthcare experience; plan and coordinate appropriate developmental, therapeutic and educational opportunities for the patient and family during the hospital stay, taking into consideration the individuality of each child's family, culture and stage of development; develop and implement activities, resources and programs to meet patient/family needs.
THERAPEUTIC INTERVENTIONS: Minimize stress and anxiety for patient by providing developmentally appropriate opportunities (in activity rooms and at bedside) that encourage expression of feelings and promote a sense of mastery and understanding of health care experiences. Maintain appropriate supply of therapeutic materials. Prepare children and families for and provide support during tests, surgeries or other medical procedures through education, tours, rehearsal and coping skills development. Promote and support parental role.
ESSENTIAL LIFE EXPERIENCES: Provide essential life experiences for children to foster continued growth and development during their hospital stay; organize play activities, materials and other experiences at bedside and/or in activity rooms; coordinate special events in recognition of significant and familiar experiences (e.g. birthdays, holidays, and other family observances); participate in development and implementation of activities with individuals/community groups involved in interacting with children and their families.
HEALTH CARE TEAM: Effectively communicate observations, assessments and recommendations for care to other members of healthcare team (through verbal and written channels); accurately documents care and services provided following established policies and procedures. Advocate for patient and family needs; and activate appropriate services/referrals. Assists in the maintenance of a safe and therapeutic patient care environment. As assigned, participates in quality improvement activities. Actively participates on inter-disciplinary teams and committees.
EDUCATION/COLLABORATION WITH COMMUNITY: Develop and maintain own knowledge and understanding of the medical conditions and healthcare experiences of specific patient populations. Develop resources and provide education for medical center staff; may develop and provide education and resources for community providers regarding developmental needs of children. Orient, supervise and provide input into the evaluation of Child Life students, interns and hospital volunteers. Participate in continual professional development.
BEREAVEMENT SUPPORT: Provide age-appropriate emotional support and education, in collaboration with the health care team, for parents and families surrounding issues of end-of-life care, grief and loss; facilitate memory-making activities relative to family's cultural and traditional practices.
SIBLING SUPPORT: Assess the support needs of siblings, both indirectly, through parent report, and directly, through observation and therapeutic interactions. Provide teaching and support regarding surgery and/or procedures, orientation to the hospital environment (i.e. visits to the PICU, NICU), bereavement support and ongoing assessment / support for siblings of chronic and critically ill patients. Offer support/education to parents and other caregivers regarding both normal behaviors of siblings and those that might indicate a need for further interventions. Offer age appropriate opportunities for siblings to participate in certain aspects of the hospitalization, such as decorating the patient's room, or working on a special project with their hospitalized sibling.
Demonstrates knowledge of the age-related differences and needs of patients in appropriate, specific populations from neonate through adolescence and applies them to practice. Demonstrates cultural sensitivity in all interactions with patients/families.
Demonstrates support for the mission, values and goals of the organization through behaviors that are consistent with the CONNECTICUT CHILDREN'S STANDARDS.
Bachelor's degree in Child Life, Child Development or directly related field in behavioral sciences or human development required.
Master's degree preferred.
600-hour Child Life Internship required.
Position Specific Job Education and/or Experience
LICENSE and/or CERTIFICATION REQUIRED
Certified Child Life Specialist, issued through Association of Child Life Professionals (ACLP), within one year of hire.
Nonviolent Crisis Intervention training certification required within one year of hire and maintained thereafter.
Position Specific Job License and/or Certification Required
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
KNOWLEDGE OF:
Basic knowledge and understanding of the medical conditions and healthcare experiences of specific patient populations
Clinical operations policies and procedures; documentation and patient record policies and standards
In-depth knowledge of child development theory and practice
Therapeutic play activities and materials; teaching techniques; identification of learning needs and provision of patient/family education
Legal and ethical issues related to patient rights
Crisis intervention techniques
SKILLS:
Strong interpersonal and communication (verbal and written) skills and the ability to work effectively with a wide range of constituencies in a diverse community
Basic proficiency in utilization of personal computers in networked Windows-based health care environment to access related software applications; locate, open, edit and print files and information utilized by the unit; and use of Internet as research tool
ABILITY TO:
Create effective relationships with individuals of different cultural beliefs and lifestyles
Observe, assess, and record symptoms, reactions and progress
Maintain emotional stability to cope with human suffering, emergencies and other stresses
Maintain confidentiality of information
Make administrative/procedural decisions and judgments
Evaluate the progress of therapeutic programs and make individual modifications
Lead and train staff and/or students in child development theory and practice
Work within a multidisciplinary team
Draw upon experience from pre-admission tours, pre-procedural teaching, pre-operational teaching, playroom programs, play and art therapy, and sibling support.
WORK ENVIRONMENT:
Clinical environment with normal noise level.
Auto-ApplyREVENUE MANAGER-Remote
Remote or Durham, NC job
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions.
The PRMO Revenue Manager serves as a liaison among PRMO, Operational Owners and Maestro Care Clinical/Billing analysts to assist in the design, development, maintenance, training and evaluation for assigned Maestro Care clinical and business systems to support the revenue cycle. This position will be primarily responsible for design/re-design of workflow, working with Maestro Care Build teams, testing, and validating of application functionality specifically related to charge capture/billing. This position will coordinate all revenue cycle issues that arise for their application area and must be very knowledgeable of DUHS/PRMO policies, procedures, and business operations.
Revenue Management
Key Accountabilities
* Manage revenue cycle-related inquiries.
* Serve as Point Person/Service Line Resource (Liaison)
* Respond, research and resolve revenue cycle-related inquiries pertaining to assigned Maestro Care applications.
* Must be able to communicate effectively, provide timely responses, identify resources to resolve inquiries.
* Monitor and manage from key performance indicators.
* Independently complete data analysis.
* Monitor and manage reimbursement changes.
* Interpret and implement items communicated through payer policies.
* Provide training on charge capture, reconciliation, and correction as needed.
* Resolve accounts in assigned Charge Router, Charge Review. Claim Edit, and Follow-Up WQs.
* Monitor and manage key performance indicators.
* Utilize standard reports and/or develop new reports to track revenue cycle performance for assigned application clinical services.
* Areas of focus will include denial rates, avoidable write-off, and full transaction write-offs, deleted charges.
* Will also perform ad hoc analyses as requested, e.g., high- dollar drug reimbursement; service/program/code specific reimbursement; actual charge to budget charge variance.
* Review key metrics, from scheduling to billing & collections, in collaboration with PRMO Managers.
* Identify issues through ongoing monitoring of departmental metrics and/or through routine meetings with key operational managers within PRMO to facilitate communication.
* Monitor & manage reimbursement changes.
* Continuously research and monitor payer regulations; provide education to operational areas.
* As applicable, coordinate with DHIP Revenue Managers to educate physicians to meet changing payer requirements/regulations.
* Other duties as assigned.
Percent of Time
30%
Revenue Cycle Leadership
Key Accountabilities
* Facilitate revenue cycle collaboration and strategic planning activities.
* Serve as Duke Revenue Cycle Management and Integration lead for assigned areas to coordinate activities (reduce redundancies) and keep senior leadership informed.
* Coordinate and chair revenue-oriented workgroup activities and meetings.
* Manage communications among PRMO, hospitals, and physician practices.
* Must be able to facilitate meeting of multi- disciplinary teams.
* Arrange revenue cycle training activities.
* Participate in routine meetings with CFOs, AVP, Reimbursement Revenue Accounting to provide updates on current revenue cycle issues/priorities.
* Provide service line specific strategic planning/priorities to PRMO leadership through Revenue Manager Councils/Operations Meetings.
* Coordinate and chair revenue- oriented workgroup activities and meetings.
* Share operational changes to and from PRMO to hospital and physician practices.
* Develop or participate in focused workgroups to address topics such as registration, billing & collections, coding and charge capture, Maestro Care applications.
* Facilitate discussions and strategies to address operational issues.
* Managing communications between PRMO and Hospital Operational Owners and Providers.
* Organize and lead workgroups to routinely meet with Operations regarding PRMO function, issues, trends, etc., affecting revenue cycle performance.
* Actively participate in service line specific strategic planning around revenue cycle prioritization and planning.
* Arrange revenue cycle training activities.
* Maintain exceptional customer service, fortifying expectation of consistent professionalism and expertise.
* Must be capable of setting priorities and working under pressure.
* Coordinated activities are expected to be carried out with minor supervision.
* Escalate issues as needed.
* Other duties as assigned.
Percent of Time
30%
Project Management
Key Accountabilities
* Manage and prioritize revenue and/or compliance requests.
* Manage projects simultaneously.
* Develop and manage action plans and maintain timelines.
* Organize and keep deadlines.
* Identify and recruit appropriate resources.
* Develop and maintain strong relationships.
* Develop creative solutions.
* Must be process oriented.
* Manage Annual CPT Updates: Coordinate, working with Health System Operations Managers in assigned applications: DUHS Revenue Management and PRMO
CDM Team, Hospital Finance, and PDC Revenue Managers; including Annual review of charges and DEPs.
* Investigate and manage revenue opportunities identified through reporting and analysis.
* Other duties as assigned.
Percent of Time
30%
Epic Systems Advisory
Key Accountabilities
* Specialize and manage revenue cycle functions and Epic Systems applications.
* Manage assigned Service Now tickets.
* Must be able to investigate charge and claim information and navigate information systems.
* Serve as EPIC System knowledge source for charge capture functions (charge capture, reconciliation, and corrections for procedures, medications, and supplies as appropriate) with specific applications.
* Other duties as assigned.
Percent of Time
10%
Minimum Qualifications
Ideal candidates will be able to balance the above tasks while maintaining flexible, friendly interaction with Operational and Hospital Leadership. The ability to work independently, proactively and adapt appropriately to changing priorities is a must.
Education
Bachelor's degree required. Master's degree preferred.
Experience
At least 6+ years of relevant Healthcare Care experience preferably in Charge Integrity is required.
Strong leadership capabilities with demonstrated ability to lead, motivate, and collaborate effectively with Hospital leadership.
Strong oral and written communication skills.
Degrees, Licensures, Certifications
Coding certification (e.g. CCS, CPC, RHIA, RHIT), HFMA CHFP (Certified Healthcare Professional), CRCR (Certified Revenue Cycle Representative) preferred.
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh