Rapides Regional Medical Center Remote jobs - 23 jobs

Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday GENERAL DUTIES Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information. Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. Performs other duties as assigned by leadership. Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. The Must-Haves Minimum: EXPERIENCE QUALIFICATIONS 5 years of current complex outpatient and inpatient coding EDUCATION QUALIFICATIONS Associate Degree in health information management or related field or an equivalent combination of years of education and experience LICENSES AND CERTIFICATIONS Certified Coding Specialist (CCS) American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) Certification Name: Certified Inpatient Coder (CIC) American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) Certified Professional Coder (CPC) American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. SKILLS AND ABILITIES * Extensive comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping. * Experience utilizing encoding/grouping software. * Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation. * High ethical standards. * Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines. * Experience in ICD-10-CM/PCS coding and reimbursement training. * Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters. * Extensive knowledge of hospital and professional coding including provider-based billing. * Knowledge of documentation regulations of Joint Commission and CMS. * Experience with concurrent coding reviews. * Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices. * Experience in assisting and identifying learning needs as well as providing training to coding staff. * Strong analytical abilities and problem-solving skills. * Excellent oral, written and interpersonal communication skills. * Ability to organize and set priorities to ensure objectives are met in a timely manner. * Ability to adapt to change and handle challenges proactively and with pose. * Ability to effectively collaborate with physicians and managerial staff at all levels. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Your job is more than a job This position contributes to LCMC Health's financial strength, compliance and overall performance by serving in a manager capacity for Coding and Coding Compliance functions. The Manager of System Coding is a Coding Professional with a high level of clinical proficiency necessary for the oversight of the coding department and is responsible for the overall supervision, management and daily operations and delivery of coding services. This individual must have proven leadership and management skills to promote effective, efficient, and compliant assignment of charge capture, diagnosis and procedure codes which support the patient's level of care and appropriate assignment of DRG. This individual is responsible for development of action plans for improvement and must have knowledge and job experience of management and supervision of personnel. Your Everyday GENERAL DUTIES * Responsible for the day to day department administrative operations. Includes planning, directing and controlling employee workload and schedules. * Oversight of coding functions associated with billing and coding. * Provides ongoing instruction and information for coding staff and others as appropriate on ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRGs, APR-DRGs and E/M assignment. * Manages and works edits and denial work queues. * Monitor and manage coding workflow, work queues for DNFB and charge capture to ensure accounts are coded and processed in a timely manner. * Implements and monitors adherence to standardized workflows, productivity and quality standards for LCMC coding. * Plan and implements new procedures, maintains appropriate staffing levels, makes budgetary recommendations, and leads coding related projects. * Provides analysis to monitor correct coding by the coding staff, and monitor coding related denials to identify trends and maximize facility reimbursement. * Responds to external and internal audits for government and private payers. * Accountable for attainment of goals and revenue cycle key performance indicators. * Maintains communication with Director and AVP on backlogs and keeps abreast of necessary situations and circumstances that arise in the department as it relates to employees, patients, physicians and any other customer * Maintains working knowledge of IC-10-CM, ICD-10PCS, CPT/HCPS, MS-DRs and APR DRG coding principles, governmental regulations, protocols and third-party payor requirements pertaining to billing and documentation. * Reviews and approves personnel matters pertaining to interviews, hires, evaluations, counseling, training and makes recommendations for termination for staff as appropriate. Review provisions for staff development, training, and orientations as prescribed by LCMC and departmental standards. * Collaborates with other system leaders (Revenue Integrity, Case Management, Central Business Office, Patient Access, Medical Staff etc.) to establish accountability and coordination between Coding and LCMC Health's other clinical and administrative departments. * Other duties as assigned. The Must-Haves Minimum: EXPERIENCE QUALIFICATIONS 5 years of hands-on experience in coding with a HS Diploma, which must include 2 years of acute care or physician coding leadership experience (Including, supervisor, coordinator, team lead, etc. role). 2 years of acute care or physician coding leadership experience (Including, supervisor, coordinator, team lead, etc. role) with an Associate's degree. EDUCATION QUALIFICATIONS Required: HS Diploma Preferred: Bachelor's or Associate's degree in health information management, medical records administration, health services administration or health sciences, or other related field. LICENSES AND CERTIFICATIONS RHIT, RHIA or CCS or Internal staff who are not certified must obtain medical coding certification. SKILLS AND ABILITIES * Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future. * High ethical standards. * Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPS, MS-DRG, APR-DRG and APC coding guidelines. * Extensive knowledge of hospital and professional coding including provider based billing. * Experience with concurrent coding reviews. * Knowledge of medical terminology, classifications systems and vocabularies * Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices. * Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization. * Strong analytical abilities and problem-solving skills. * Excellent oral, written and interpersonal communication skills. * Ability to organize and set priorities to ensure objectives are met in a timely manner. * Ability to adapt to change and handle challenges proactively and with pose. * Ability to effectively collaborate with physicians and managerial staff at all levels. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job serves as the primary resource for day-to-day operations and employee relations of the digital medicine patient engagement team. Supervises the patient engagement team to ensure performance aligns with departmental standards; reports, resolves, and escalates problems as needed; and coordinates and facilitates the delivery of digital medicine intake and concierge services for patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - Bachelor's degree. Preferred - Bachelor's degree in healthcare, hospitality, communications, public health or related field. Work Experience Required - 3 years of experience in a customer service related-role. Preferred - 5 years of experience in a customer service related-role in a health care setting. Knowledge Skills and Abilities (KSAs) Ability to maintain the confidentiality of patient and personnel-related information and exhibit a high degree of professional excellence characterized by sound independent judgment, reliability, initiative, flexibility and a high standard of ethics. Proficiency in using computers, software, and web-based applications, as well as the ability to provide efficient communication through digital platforms. Effective verbal and written communication skills and ability to present information clearly and professionally. Analytical skills and ability to be self-directed and work independently. Good organizational and time management skills and ability to work in a fast pace environment and prioritize competing tasks and demands. Superior interpersonal, conflict resolution, and customer service skills and ability to quickly and effectively build rapport with patients over the phone. Excellent leadership and team building skills and ability to coach, mentor, cross-train and assist team members. Job Duties Assists with interviewing potential candidates and precepting new hires. Leads department projects including (but not limited to) performance improvement initiatives, development (and delivery) of presentations, training, and preparing of education material. Represents the department at company and community events. Serves as primary resource for day-to-day operations and employee relations for Patient Engagement team. Serves as timekeeper for the department & maintain schedules. Leads employee evaluations including annual review and/or any ongoing metric assessments. Oversees, implements, and performs concierge services to link digital medicine patients to appropriate resources. Oversees, implements, and performs digital medicine intake process (includes supporting patients throughout all steps of the process from general inquiry to scheduling to welcome call & care team assignments). Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

**We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!** This job resides within Research Financial Operations, which manages research and federal grant applications across the Ochsner Health system. This project management position focuses on grant administration, the "project" being the accurate, consistent, and professional provision of comprehensive pre-award services to a range of Principal Investigators/Project Directors (PI/PDs) across biomedical disciplines and Ochsner sites. These services include the thorough review of budget justifications in terms of Ochsner policy and sponsor requirements; budget preparation; application coordination; and the timely, error-free submission of applications to a variety of portals. The incumbent's duties will include maintaining meticulous records; preparing timely activity, Just in Time, and progress reports; and providing PI/PDs with consulting and problem solving services. The Project Manager will also act as the primary point of contact for the PI/PD, relevant Ochsner units, research support teams, and sponsors to ensure coordination among stakeholders and contributors, all the while upholding high standards and exemplifying best practices. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. **Education** Required - Bachelor's degree. **Work Experience** Required - 5 years of relevant experience including 3 years of supervisory or project management experience. **Knowledge Skills and Abilities (KSAs)** + Effective verbal and written communication skills and the ability to present information clearly and professionally. + Proficiency in various office software packages, including but not limited to Excel, Word, Access, and PowerPoint. + Excellent judgment, decision-making, delegating and leadership skills. + Analytical skills and ability to demonstrate a logical through process in order to formulate practical solutions to problems. + Positive interpersonal skills and ability to effectively and professionally work with people from all backgrounds. + Ability to travel throughout and between facilities and work variable schedule, such as nights, evenings, weekends, holidays, extended shifts, etc. **Job Duties** + Manages all facets of assigned project(s). + Ensures the project supports organizational and departmental goals. + Gathers and analyzes information to prepare status reports. + Maintains and enhances professional competency. + Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur. The incumbent may work around or with patients who have known or suspected communicable diseases and may enter isolation rooms. The incumbent may have an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. **Are you ready to make a difference? Apply Today!** **_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._** **_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._** Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Your job is more than a job REMOTE REQUIREMENT Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia General: * Demonstrates ability to represent Information Technology in a respectful and professional manner. * Completes assigned tasks per defined project scope, timelines, and budgets. * Demonstrates a driven, creative, self-motivated personality with a strong desire to succeed. * Understands interconnectivity and integration with EMR and third-party applications. Works with internal IT teams on technical troubleshooting, integration, reporting, and training. * Demonstrates creativity and passion to continuously learn. * Follows department standards and procedures. * Communicates effectively with technical team at all levels and with users at a non-technical and clinical level. * Alerts leadership/senior staff members of any outages, problems, or delays. * Maintains knowledge of health care, technology, and industry trends. * Maintains appropriate certifications. * Provides mentoring and assistance to other team members as able, especially Business Intelligence Developers. * Guides the team in analysis, design, and development. * Develops and sets standards and best practices for the team. Data Product Development: * Collects data regarding current IT environment and documents workflows and system access. * Develops data products (tables, DataMart's, stored procedures, imports/extracts, etc.) to support the development of reports, dashboards, and other outputs according to required specifications and objectives. * Works in conjunction with other users and departments to assist them in their decision-making process by developing worthwhile, meaningful, and informative reports. * Provides knowledge on use of basic functionality for dashboards and reporting tools that the team produces or manages. * Applies analytical skills to define the information requirements necessary to design, build, and install upgrades and/or new implementations. * Makes recommendations for reporting products based on system capabilities versus customer needs. * Develops and/or evaluates previously refined data and programs and selects from a range of alternatives to determine the appropriate action to be taken. Data Warehouse Owner: * Consolidates and optimizes available data warehouse infrastructure. * Conceives analytics and business intelligence platform architecture for clients, including internal and third-party clients. * Designs and implements ETL procedures for intake of data from both internal and outside sources as well as ensures data is verified and quality is checked. * Designs and implements ETL processes and data architecture to ensure proper functioning of analytics lad, as well as client's or third-party's reporting environments and dashboard. * Collaborates with business and technology stakeholders in ensuring data warehouse architecture development and utilization. * Carries out monitoring, tuning, and database performance analysis. * Performs the design and extension of data marts, meta data, and data models. * Ensures all data warehouse architecture codes are maintained in a version control system. Project Management: * Assists in the development of work plans, task sequencing. * Utilizes change management process. Performs as required: * Completes required documentation. * Serves as member of various employee committees to discuss reporting needs. * Coordinates activities with other departments and work groups as needed. * Serves as a backup to related positions as needed. * Participates in on call rotation. * Helps Desk support as needed. * Performs related duties as assigned. EXPERIENCE QUALIFICATIONS * 9 years of experience in IT with a High School Diploma * 7 years of experience in IT with an Associate's Degree * 5 years of experience required with a Bachelor's degree EDUCATION QUALIFICATIONS * Required: High School Diploma/GED or equivalent. * Preferred: Bachelor's Degree. LICENSES AND CERTIFICATIONS * Certification Name: Epic Clarity Certification * Required * Issuer: * Licensure Speciality: * Entity: KNOWLEDGE, SKILLS, AND ABILITIES * Ability to conceptualize and analyze complex requests and create meaningful data architecture. * Ability to work independently and manage time well. * Ability to create dashboards and reports and deliver them to clinical and business colleagues. * Ability to maintain assigned reports, programs and systems. * Ability to communicate effectively orally and in writing. * Ability to understand functionality and relationships between supported applications. * Excellence in customer service and superior teamwork skills. * Expertise in data architecture, data loading and transformation, warehousing, automation processes, and associated security measures. * Preferred: Knowledge of healthcare and clinical systems. * Preferred: Knowledge of SQL/SSRS/SSIS/Tableau/Crystal Reports/Epic. REPORTING RELATIONSHIPS * Does this position formally supervise employees? No FUNCTIONAL DEMANDS * Sedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. PHYSICAL DEMANDS * Sitting - Continuous (67-100% of day) * Standing - Occasional (0-35% of day) * Wrist position deviation - Frequent (36-66% of day) * Pinching/fine motor activities - Frequent (36-66% of day) * Keyboard use/repetitive motion - Continuous (67-100% of day) * Talk or hear - Continuous (67-100% of day) SENSORY REQUIREMENTS * Near Vision - Accurate 20/40 * Far Vision - Accurate 20/40 * Hearing - Moderate OCCUPATIONAL EXPOSURE RISK POTENTIAL * Bloodborne pathogens - Not Anticipated * Chemical - Not Anticipated * Airborne communicable diseases - Not Anticipated * Extreme temperatures - Not Anticipated * Radiation - Not Anticipated * Uneven surfaces or elevations - Not Anticipated * Extreme noise levels - Not Anticipated * Dust/particular matter - Not Anticipated * Other (List) - Not Anticipated POPULATION SERVED * Neonate/Infant up to 1 year: No * Youth (1yr to 15 yrs): No * Adult (16 and up): No WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

**We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!** This job is responsible for the daily supervision and operational direction of the Outpatient and Home Infusion Billing and Collections teams. The Supervisor oversees all revenue cycle functions, including accurate and timely billing, claims submission, collections, and accounts receivable management for Medicare, Medicaid, commercial, and other third-party payers. In addition, this role provides enterprise-level system oversight and workflow configuration for pharmacy revenue processes, ensuring standardized workflows, system integrity, and alignment with organizational governance standards. The position ensures compliance with payer regulation and organizational policies while supporting optimal reimbursement, operational efficiency, and patient satisfaction. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. **Education** Required - High School Diploma or GED. Preferred - Associate's or Bachelor's degree in Healthcare Administration, Business, Accounting, or related field. **Work Experience** Required - 4+ years of medical billing, accounts receivable, or revenue cycle experience, including 1+ years of leadership, supervisory, or team lead experience. Preferred - 5+ years of healthcare billing and collections experience, including home infusion or specialty pharmacy **Certifications** Preferred: Certified Pharmacy Technician (CPhT), Certified Revenue Cycle Representative (CRCR), or Certified Coding Specialist (CCS) **Knowledge Skills and Abilities (KSAs)** + Proficiency in using computers, software, and web-based applications. + Strong understanding of healthcare billing, collections, and reimbursement methodologies across government and commercial payers. + Working knowledge of Epic or other revenue cycle systems, payer portals, and billing platforms. + Demonstrated knowledge of enterprise or system-level revenue cycle applications, including workflow configuration and optimization. + Understanding of system governance, change management, and standardized workflow controls in a healthcare revenue environment. + Effective verbal and written communication and leadership skills. + Ability to manage multiple priorities and deadlines in a fast-paced environment. + Strong analytical, problem-solving, and organizational abilities. + Demonstrated ability to coach, develop, and mentor staff in high-volume environments. + Understanding of CMS and accreditation standards relevant to home infusion billing. **Job Duties** + Supervises daily billing and collections activities for outpatient and home infusion pharmacy services, ensuring timely, accurate, and compliant claim submission. + Provides leadership, scheduling, coaching, and performance management for direct reports; conducts regular feedback sessions, evaluations, and staff development activities. + Ensures claims are submitted accurately and in accordance with payer contracts, regulatory requirements, and organizational revenue integrity standards. + Reviews and resolves complex billing, payment, and denial issues, including appeals, underpayments, and payer escalations. + Monitors work queues, unbilled report, aging reports, and key revenue cycle metrics to maintain low accounts receivable days and minimize backlogs. + Collaborates with pharmacy operations, intake, billing and collections teams to ensure documentation completeness and claim readiness. + Provides enterprise-level oversight of pharmacy revenue cycle systems, including Caretend, supporting standardized billing workflows and consistent system usage across outpatient and home infusion services. + Configures, maintains, and optimizes revenue cycle workflows within enterprise systems (e.g., Caretend, EPIC), in partnership with Revenue System and IT, to support accurate billing, regulatory compliance, and operational efficiency. + Trains, develops, and mentors staff to enhance understanding of payer policies, workflows, and regulatory requirements. + Maintains updated knowledge of Medicare, Medicaid, and commercial payer billing rules, including infusion-specific modifiers, kit codes, and ABN processes. + Leads or participates in departmental and enterprise-level projects and process improvement initiatives to support revenue capture, system standardization, and operational efficiency. + Generates and analyzes KPIs to evaluate staff productivity and identify trends. + Communicates effectively with internal departments and external partners to resolve issues and ensure compliance. + Maintains compliance with HIPAA, CMS, and organizational policies and standards. + Promotes a positive attitude, solutions-oriented work environment and encourages team learning and development. + Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. **Are you ready to make a difference? Apply Today!** **_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._** **_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._** Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

**We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!** This job assists providers by ensuring patients' compliance with medications, lab monitoring, adherence to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates with patients, families, caregivers, healthcare providers/practitioners, and pharmacy personnel to maintain accurate and complete medication history information while documenting the encounters within the electronic health record (EHR). Forwards any problems to a pharmacist, provider, or clinic staff to assist with resolution. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. **Education** Required - High School Diploma or equivalent. **Work Experience** Required - 2 years of experience as a pharmacy technician, medical intake, or healthcare employee working with medications. Preferred - Experience working with insurance to process medication authorizations, working with outpatient clinics and processing medication refill request, or experience with taking patient medication history. **Certifications** Required - Medication Therapy Management Certification obtained through the Pharmacy Technician Certification Board (PTCB) OR Medication History Certificate from the American Society of Health-System Pharmacists (ASHP) must be obtained within 6 months. **Knowledge Skills and Abilities (KSAs)** + Proficiency in using computers, software, and web-based applications. + Knowledge of pharmaceutical mathematics. + Effective verbal and written communication skills and ability to present information clearly and professionally. + Ability to operate standard pharmacy and office equipment. **Job Duties** + Processes patient on-boarding. + Coordinates with providers and patients to assess eligibility for financial support. + Navigates the medication authorization process. + Obtains and clarifies patients' home/chronic medication. + Uses the EHR to input patients' home/chronic medication lists. + Communicates discrepancies identified via the medication history process with the pharmacist and makes clarifications with the patient and prescribers as needed. + Collects patients' prescription benefit information. + Communicate and direct all questions or inquiries from patient or families that are outside the scope of taking the medication history to the appropriate caregivers or staff. + Provides high quality customer service to patients, family members, and care team members. + Documents all appropriate findings into the EHR for ease of collaboration amongst providers, support staff, and other refill clinic staff. + Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. + Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. **Are you ready to make a difference? Apply Today!** **_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._** **_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._** Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This role is part of the Corporate Revenue Integrity (CRI) team and plays a key role in supporting strategic pricing initiatives across a large, multi-entity health system. The scope includes acute care hospitals, long-term acute care facilities, rural health clinics, critical access hospitals, and provider-based clinics, with responsibility for both technical and professional fee pricing. The Internal Consultant works independently within approved pricing methodologies and regulatory frameworks to analyze pricing requests, evaluate facility pricing structures, and audit fee schedules for accuracy and consistency. The role requires the ability to confidently make and support recommendations based on data-driven analysis. Candidates must be comfortable working in a fast-paced environment with tight deadlines, and navigating the complexities of a large, integrated health system Education Required - High school diploma or equivalent. Preferred - Bachelor's degree in a related field or an advanced degree in finance, accounting, business/health administration. Work Experience Required - 10 years of related professional experience; OR 5 years related professional experience with a bachelor's degree. Certifications Preferred - Related professional certification (e.g. CIA, CPA, CISA, CPC; CCS, etc.). Knowledge Skills and Abilities (KSAs) Mastery-level Excel skills (advanced formulas, modeling, pivot tables, etc.) Strong communication skills to engage effectively with stakeholders at all levels. Deep understanding of reimbursement models across various facility types. Proficiency in Epic charging workflows and CDM management. Exceptional attention to detail and organizational skills. Ability to confidently present and support pricing recommendations. Commitment to staying informed on regulatory changes impacting pricing and CDM practice. Ability to work in a fast-paced environment with tight deadlines, and navigating the complexities of a large, integrated health system. Proficiency in using computers, software, and web-based applications. Strong interpersonal and leadership skills. Organizational, time management, and project management skills. Ability to travel throughout and between facilities and work a flexible schedule (e.g. 24/7, weekend, holiday, on call availability). Job Duties Apply approved pricing methodologies to daily pricing requests across diverse facility types. Conduct ongoing audits of fee schedules to identify inconsistencies and opportunities to strengthen pricing integrity. Collaborate with clinical, financial, and operational teams to ensure pricing decisions are informed, executable, and aligned with organizational standards. Facilitates processes/operations required for new services/location, service location changes, and new technology/equipment to ensure accurate and complete set-up and implementation. Support Epic CDM workflows and maintain pricing accuracy across systems. Contribute to high-visibility projects with zero-error tolerance. Stay current with federal and state regulatory requirements related to pricing transparency, reimbursement, and charge structure compliance. Participates in research, training, and education that supports the project. Escalates issues that may not put the project at risk; recommends solutions. Ensures data integrity and quality control. Ensures projects remain within budget. Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job evaluates, initiates, and maintains all activities related to the conduct of clinical trials. Communicates with external funding agencies and sponsors, other departments, departmental staff, and patients to ensure the understanding of the requirements of conducting and participating in clinical trials. Independently organizes and manages all patient care requirements of the company. Serves as an escalation point for junior level departmental staff for problem resolution and support, and coordinates trials that are the most complex and/or the greatest number of trials. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - High school diploma or equivalent. Work Experience Required - 5 years of relevant research experience in a clinical setting, OR 4 years of relevant research experience in a clinical setting with Association of Clinical Research Professionals (ACRP) or Society of Clinical Research Associates (SOCRA) certification. Certifications Current Basic Life Support (BLS) certification from the American Heart Association within 60 days of hire. Exceptions will be granted for those in fully remote status. Knowledge Skills and Abilities (KSAs) Knowledge of medical and clinical research terminology and processes. Expert understanding of ICH guidelines for ethical conduct of research. Familiarity with and understanding of lean management principles. Ability to follow and provide critical feedback on the investigational plan. Ability to develop study related budgets, contracts, and patient consent documents. Ability to mentor junior staff members on the requirements and regulations associated with the conduct of clinical trials and other related research activity. Expertise in using computers and web-based applications including working knowledge of Epic (Super-Users). Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Strong interpersonal and leadership skills and ability to coach others, as well as effectively work independently. Strong organizational and time management skills and ability to multi-task, pay close attention to detail, and develop new techniques. Ability to travel throughout and between facilities and work a flexible work schedule, including on-call, weekend, and night shifts. Job Duties Evaluates competing strategies for recruiting study participants and screening study participants for eligibility on the telephone, in the clinic, and other settings and coordinates and oversees patient (study participant) activity as it relates to the conduct of research and clinical trials, serving as a liaison for both patient and Principal Investigator (PI). Serves as primary point of contact for patient to report and triage adverse events and serves as a mentor to staff on obtaining informed consent. Arranges necessary tests and procedures in accordance with protocol requirements and reports results to the investigator. Performs clinical laboratory activities as required per protocol and maintains study supplies and equipment. Maintains close communication with study sponsor representatives including but not limited to site initiation, maintenance, and close out of studies. Develops and maintains all required documentation as it relates to the conduct of assigned clinical trials and associated patient care. Completes data entry into sponsor-specific data entry systems and/or supports data coordinator, including query resolution and transcribes information across various internal and external electronic data systems. Conducts daily work and clinical trial activity in accordance with Good Clinical Practice Guidelines. Provides mentorship, professional development, and support to less senior team members and interns; assesses quality assurance of study visits and data; periodically reviews and provides constructive feedback on standard operating procedures; and coordinates special projects related to workflow optimization. Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. Performs other related duties as assigned. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state, and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations, and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Duties performed routinely require exposure to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain communicable diseases. The incumbent has an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Your job is more than a job REMOTE REQUIREMENT Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia The Instructional Design Analyst works under supervision of the IT Applications Manager for Training & Optimization as a part of the Information Technology Team to support software implementations, new functionality rollouts, and employee and provider training. Primary responsibility is to analyze user requirements, develop training plans for EPIC and any other clinical/ancillary application needed, complete environment build/prep, support go live processes, and support help desk as needed. Ensures that end-users have the required tools, knowledge, and skills to perform their jobs and provide the highest quality patient care. Prepares and presents training plans, materials, and conducts classes on patient-care systems and selected enterprise-wide applications. Excellence in customer service and superior teamwork skills are essential. Serves to assist in developing the tools the providers and staff need to give the highest quality health care to the patients while ensuring security and efficiency. Your Everyday General Functions: * Demonstrates ability to represent Information Technology in a respectful and professional manner. * Completes assigned tasks per defined project scope, timelines, and budgets. * Understands interconnectivity and integration with EMR and third-party applications. Works with internal IT teams on technical troubleshooting, integration, reporting, and training. * Demonstrates creativity and passion to continuously learn. * Follows department standards and procedures. * Communicates effectively with technical team at all levels and with users at a non-technical and clinical level. * Alerts senior staff members of any outages, problems, or delays. * Maintains knowledge of health care, technology, and industry trends. * Maintains appropriate certifications; obtains proficiencies in other applications/systems as warranted. * Verbal and written communications are clear, concise and accurate. * Promotes and advances a learning culture within the organization. Analysis: * Collects data regarding current environment and document workflow and system access. * Analyzes workflow based on system capabilities and translates it into meaningful curricula and master training environment build/maintenance. Works with the MST Applications Lead to ensure a fully operational and up-to-date training environment, including timely completion of additional build for annual events such as Skills Fairs and large-scale student/provider training. * Understands functionality and relationships between supported applications. * Works with application teams to determine training needs for staff and providers including new functionality. * Prepares all training tools to include documentation. * Works with analysts to review workflows and makes recommendations based on system capabilities. * Reviews and tests changes in newly released software to ensure integrity. * Ensures that all updates and changes to applications are incorporated into training. Duties: * Reviews and tests changes in newly released software to ensure integrity. * Resolves post installation technical problems in a timely manner, escalating issues as necessary to the appropriate organizational or vendor level. * Carries out routine duties independently and discusses or seeks approval on complex matters. * Researches and identifies proposed solutions to special client requests or requirements and thoroughly documents all identified solutions and standard operating procedures for build approval. Leads demonstrations and discussions with key stakeholders to better optimize the training experience. * Performs system build. Assists in building master files as assigned. Monitors release notes for pertinent build and testing for the system. * Keeps documents and change logs updated, especially changes to MST. Creates communications and training materials for adoption and implementation by the department: * Ultimately responsible for accuracy and quality of all training materials created for instruction and communication. * Maintains curriculum appropriately to match the maturation of the EMR and associated subject matter. * Creates and maintains a robust curriculum portfolio. * Executes the training program for the Electronic Health Record (EHR) and other clinical applications across the LCMC system. * Maintains and updates training documentation as required. * Incorporates a variety of instructional methods including but not limited to lecture, audio/visual, workbook formats, virtual, demonstrations, and computer-guided training. Collaboration and education: * Works one on one with providers, clinicians, and other customers as requested to improve efficiency of using the EMR. * Provides specialized training to end users when outside of the normal scheduled training and off hours as required. * Supports optimization efforts of staff and departments. Supports user departments during go live and for a period following go live. * Assigned to Optimization Project Teams to actively contribute and participate in planning, development, and implementation/rollout phases. * Attends Health IT conferences as requested/assigned. Other duties: * Collaborates with IT Training Manager on delegation of assignments to Learning and Development Specialists. * Participates as needed in various employee committees to discuss workflow, system needs and changes. * Serves as a backup to related positions as needed. * Participates in on call rotation for application support. * Supports Help Desk as needed. * Performs related duties as assigned. The Must-Haves Minimum: EDUCATION QUALIFICATIONS * Required: High School Diploma (5 years of relevant experience in Lieu of Bachelors) * Required: Associate degree (3 years of relevant experience in Lieu of Bachelors) * Preferred: Bachelor's Degree * Preferred: Master's Degree LICENSES AND CERTIFICATIONS * Certification Name: Certification in at least one EPIC application. * Issuer: * Licensure Specialty: * Entity: SKILLS AND ABILITIES * Minimum required: working knowledge of healthcare and systems. * Ability to conceptualize and analyze issues. * Ability to manage time well. * Ability to maintain assigned programs and systems. * Ability to communicate effectively orally and in writing. * Required to complete certification as assigned within 6 weeks of last training class. * Preferred: curriculum development, MST environment build and maintenance a plus. WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Your job is more than a job REMOTE QUALIFICATIONS: Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia Daily processing of third party and patient refunds: * Daily processing of third party and patient refunds to bring resolution to accounts in assigned inventory. Required to research patient accounts in the Epic EMR system with an understanding of payment and write-off transactions: * Required to accurately analyze and research patient accounts and submit the necessary adjustments to bring resolution to the account. Be able to interpret EOB's and R/A's and comprehend coordination of benefits: * Must be able to read and interpret explanation of benefits (EOB's) in order to take the necessary steps to bring resolution to the account. MINIMUM QUALIFICATIONS * Required: High School Diploma/GED or equivalent OR 2 years of work experience in a hospital or physician setting. * Preferred: Previous experience with analyzing explanation of benefits (EOBs) from various insurance companies/payors. * Preferred: Associate's Degree or higher with a focus on Accounting. KNOWLEDGE, SKILLS, AND ABILITIES * Excellent critical thinking and problem-solving skills. * Knowledge of regulatory requirements concerning credit balances for patient and third-party payers. REPORTING RELATIONSHIPS * Does this position formally supervise employees? No FUNCTIONAL DEMANDS * Sedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. PHYSICAL DEMANDS * Sitting - Continuous (67-100% of day) * Standing - Frequent (36-66% of day) * Walking - Frequent (36-66% of day) * Climbing (e.g., stairs or ladders) - Occasional (0-35% of day) * Lifting Floor to waist level: 0-10lbs - Occasional (0-35% of day) * Lifting Floor to waist level: 10-20lbs - Occasional (0-35% of day) * Lifting Floor to waist level: 20-50lbs - Occasional (0-35% of day) * Lifting Floor to waist level: 50-100lbs - Occasional (0-35% of day) * Lifting Floor to waist level: 100+lbs - Occasional (0-35% of day) * Lifting Waist level and above: 0-10lbs - Occasional (0-35% of day) * Lifting Waist level and above: 10-20lbs - Occasional (0-35% of day) * Lifting Waist level and above: 20-50lbs - Occasional (0-35% of day) * Lifting Waist level and above: 50-100lbs - Occasional (0-35% of day) * Lifting Waist level and above: 100+lbs - Occasional (0-35% of day) * Carrying objects - Occasional (0-35% of day) * Push/pull - Occasional (0-35% of day) * Twisting - Occasional (0-35% of day) * Bending - Occasional (0-35% of day) * Reaching forward - Occasional (0-35% of day) * Reaching overhead - Occasional (0-35% of day) * Wrist position deviation - Occasional (0-35% of day) * Pinching/fine motor activities - Occasional (0-35% of day) * Keyboard use/repetitive motion - Continuous (67-100% of day) * Talk or hear - Continuous (67-100% of day) SENSORY REQUIREMENTS * Near Vision - Accurate 20/40 * Far Vision - Accurate 20/40 * Color Discrimination - Yes * Depth Perception - Minimal * Hearing - Minimal OCCUPATIONAL EXPOSURE RISK POTENTIAL * Bloodborne pathogens - Not Anticipated * Chemical - Not Anticipated * Airborne communicable diseases - Not Anticipated * Extreme temperatures - Not Anticipated * Radiation - Not Anticipated * Uneven surfaces or elevations - Not Anticipated * Extreme noise levels - Not Anticipated * Dust/particular matter - Not Anticipated * Other (List) - Not Anticipated POPULATION SERVED * Neonate/Infant up to 1 year: No * Youth (1yr to 15 yrs): No * Adult (16 and up): No WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job handles multi-disciplinary communications and facilitations of care throughout a patient's hospitalization, which includes a review of the appropriate utilization of resources, balanced with the patient's right to self-determination. Reviews patient hospitalizations, recommends a level of care that meets medically necessary hospital care criteria, and confirms a clear, specific level of care order and other appropriate documentation in the medical record. May discuss alternative care options with the Emergency Department (ED) physician or attending physician. Works as a liaison and communicates with the patient, caregiver, multi-disciplinary team members as well as post-acute and third-party payers. Collaborates with the care team to develop and implement discharge plans based on patient's individualized needs. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - Registered nurse diploma or equivalent. Preferred - Bachelors degree in nursing. Work Experience Required - None. Preferred - 3 years of hospital-based experience in discharge planning, case management or utilization review. Certifications Required - Current registered nurse license in state of practice. Basic Life Support (BLS) from the American Heart Association. Preferred - Certification in Case Management (CCM) or Accredited Case Manager (ACM). Knowledge Skills and Abilities (KSAs) Proficiency in using computers, software, and web-based applications. Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Strong interpersonal skills. Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on call availability). Job Duties Performs pre-admission, admission, and continued stay reviews as directed per CMS guidelines, commercial payer guidelines, and/or hospital policy. Supports the values of service excellence, teamwork and integrity and maintains minimum standards for licensure and strives for personal/professional development. Maintains knowledge of the conditions of participation as it relates to utilization review and discharge planning. Maintains open communication with all appropriate parties while functioning as a liaison between ED physicians, hospitalists, attending physicians, and physician advisors. Leads the oversight and management of the functional and financial outcomes, including coordination and implementation of the discharge plan, during the acute-care hospitalization. Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style. Performs other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Duties performed routinely require exposure to blood, body fluid and tissue. The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases. There may be an occupational risk for exposure to all communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Your job is more than a job REMOTE QUALIFICATIONS Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia * Reconciliation of EPIC Cash Posting Clearing Accounts, and lockboxes * EPIC/Finthrive/JPMC mapping of files, and logic within those software applications * Maintenance of all payor W9 and payor webportal access/administrative updates * Researching and resolving unapplied cash in EPIC, the Cash Control Sheets, and in JPMC * Reconciles Epic posting for multiple clinics to bank statements. * Works closely with the leadership team on unreconciled and/or unbalanced items. * Reconciles insurance payments, self-pay payments, credit cards, vendor payments and other transactions posted in the patient accounting systems to Epic. * Prepares supporting documentation necessary (reconciliation, spreadsheets, journal entries and reporting) for accounting, revenue cycle, and payors assuring accuracy of financial statements. * Participate in internal and/or external audit reviews. * Identifies and works with leadership team, and other parties to resolve payments unclaimed/not associated with patient care or clinic activity. * Works with leadership team to develop and document cash posting workflows and educational tools used to facilitate cross training and internal controls. EDUCATION * Minimum: High School Diploma EXPERIENCE Required: * Bachelor's degree and 6 months of experience with Cash Posting and any combination of analytics, reconciliation, or bookkeeping in Health Care. * Associate's degree and 3 years of experience with Cash Posting and any combination of analytics, reconciliation, or bookkeeping in Health Care. * High school Diploma and 7 years of experience with Cash Posting and any combination of analytics, reconciliation, or bookkeeping in Health Care. KNOWLEDGE, SKILLS, AND ABILITIES Understanding of hospital revenue cycle and patient accounting systems. REPORTING RELATIONSHIPS Does this position formally supervise employees? No FUNCTIONAL DEMANDS Sedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. PHYSICAL DEMANDS Sitting - Continuous (67-100% of day) Standing - Frequent (36-66% of day) Walking - Frequent (36-66% of day) Climbing (e.g., stairs or ladders) - Occasional (0-35% of day) Lifting Floor to waist level: 0-10lbs - Occasional (0-35% of day) Lifting Floor to waist level: 10-20lbs - Occasional (0-35% of day) Lifting Floor to waist level: 20-50lbs - Occasional (0-35% of day) Lifting Floor to waist level: 50-100lbs - Occasional (0-35% of day) Lifting Floor to waist level: 100+lbs - Occasional (0-35% of day) Lifting Waist level and above: 0-10lbs - Occasional (0-35% of day) Lifting Waist level and above: 10-20lbs - Occasional (0-35% of day) Lifting Waist level and above: 20-50lbs - Occasional (0-35% of day) Lifting Waist level and above: 50-100lbs - Occasional (0-35% of day) Lifting Waist level and above: 100+lbs - Occasional (0-35% of day) Carrying objects - Occasional (0-35% of day) Push/pull - Occasional (0-35% of day) Twisting - Occasional (0-35% of day) Bending - Occasional (0-35% of day) Reaching forward - Occasional (0-35% of day) Reaching overhead - Occasional (0-35% of day) Wrist position deviation - Occasional (0-35% of day) Pinching/fine motor activities - Occasional (0-35% of day) Keyboard use/repetitive motion - Continuous (67-100% of day) Talk or hear - Continuous (67-100% of day) SENSORY REQUIREMENTS Near Vision - Accurate 20/40 Far Vision - Accurate 20/40 Color Discrimination - Yes Depth Perception - Minimal Hearing - Minimal OCCUPATIONAL EXPOSURE RISK POTENTIAL Bloodborne pathogens - Not Anticipated Chemical - Not Anticipated Airborne communicable diseases - Not Anticipated Extreme temperatures - Not Anticipated Radiation - Not Anticipated Uneven surfaces or elevations - Not Anticipated Extreme noise levels - Not Anticipated Dust/particular matter - Not Anticipated Other (List) - Not Anticipated POPULATION SERVED Neonate/Infant up to 1 year: No Youth (1yr to 15 yrs): No Adult (16 and up): No Required Certifications WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Your job is more than a job REMOTE QUALIFICATIONS Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia Manages all reporting functions related to gross revenue, revenue deductions, bad debt, patient accounts receivable and settlement receivables for consolidated financials and subsidiaries, and the preparation of all the schedules related to the above-mentioned transactions. Supervises staff and ensures the filing of all the cost reports per timelines, the GME reimbursement applications, the outlier bills and other supplemental funding related reporting. Verifies monthly financial statements and schedules related to revenue, revenue deductions, patient accounts receivable and settlement receivable for accuracy and reasonableness before submission to the leaders. Consults, advises and answers questions raised by the leadership.. Maintains a clear understanding of general ledger and patient accounting systems. Leverages analytical and interpretative skills in analyzing financial statements and reports. Produce revenue budgets and financial projections. Assists with annual 990 filings. Coordinates the completion of audit schedules for revenue, revenue deductions, patient accounts receivable and settlement receivables requested by the audit firm. EXPERIENCE QUALIFICATIONS 5 years in healthcare cost report preparation (Medicare and Medicaid) Experience in healthcare accounting EDUCATION QUALIFICATIONS Bachelor's Degree in Accounting SKILLS AND ABILITIES CMS cost report. Extensive knowledge of health care reimbursement practices and regulatory requirements. Strong analytical, advanced spreadsheet, and database skills. Working knowledge of EPIC, Lawson, Workday systems a plus. Excellent written and verbal communication skills and ability to interact professionally with management and leadership throughout the system. REPORTING RELATIONSHIPS * Does this position formally supervise employees? Yes FUNCTIONAL DEMANDS * Light: Light physical requirements- Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. PHYSICAL DEMANDS * Sitting - Frequent (36-66% of day) * Standing - Frequent (36-66% of day) * Walking - Frequent (36-66% of day) * Climbing (e.g., stairs or ladders) - Occasional (0-35% of day) * Carrying objects - Occasional (0-35% of day) * Push/pull - Occasional (0-35% of day) * Twisting - Occasional (0-35% of day) * Bending - Occasional (0-35% of day) * Reaching forward - Occasional (0-35% of day) * Reaching overhead - Occasional (0-35% of day) * Wrist position deviation - Frequent (36-66% of day) * Pinching/fine motor activities - Occasional (0-35% of day) * Keyboard use/repetitive motion - Frequent (36-66% of day) * Talk or hear - Frequent (36-66% of day) OCCUPATIONAL EXPOSURE RISK POTENTIAL * Bloodborne pathogens - Not Anticipated * Chemical - Not Anticipated * Airborne communicable diseases - Not Anticipated * Extreme temperatures - Not Anticipated * Radiation - Not Anticipated * Uneven surfaces or elevations - Not Anticipated * Extreme noise levels - Not Anticipated * Dust/particular matter - Not Anticipated * Other (List) - Not Anticipated POPULATION SERVED * Neonate/Infant up to 1 year: No * Youth (1yr to 15 yrs): No * Adult (16 and up): No WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Your job is more than a job Reporting to the Audit and Appeals Supervisor, the Audit and Appeals Nurse plays an important role in a high-profile group tasked with audits and appeals for all government and commercial payers due to Audit request and denials. The focus is to improve revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to the final bill generation. Due to its service focus and project management emphasis, this position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, and the ability to meet deadlines while influencing, but not directly managing the work of others. Your Everyday GENERAL DUTIES * Manage payer denials by conducting retrospective comprehensive analytical review of clinical documentation to determine if an appeal is warranted in a timely manner * Exercise discretion and independent judgement when completing medical record quality audits of clinical validation documentation and work prepare appeal arguments in conjunction with the appropriate department as it relates to payer policy/procedure, contract agreement and regulatory requirements. * Research and analyze the RRL (review result letters) for government and third-party payer denials related to DRG Assignment, Medical Necessity, Level of Care, and Clinical Authorizations to send to the appropriate department; provides supporting documentation for audit and appeal in order to pursue resolution through all appeal levels, according to relevant government and third-party payer guidelines; monitor pre-billing and post billing to assist in ensuring accurate reimbursement by identifying opportunities prior to bill submission and correcting problems once the medical record has been completed. * Follow up communication with physicians and other provider personnel to ensure documentation available supports submitted charges. Work with the Audit and Appeals coordinator to complete the appeals process. * Collaborate with Compliance, Case Management, Coding, Patient Access, Managed Care Contracting, Central Business Office, Health Information Management, Finance, and Clinical departments to resolve Audit and Appeal trends and or other issues as identified. This includes projects related to revenue cycle initiatives. The Must-Haves Minimum: EXPERIENCE QUALIFICATIONS * 5 to 8 years of experience Healthcare finance, revenue cycle management, patient accounting and physician billing, coding and documentation (LCMC) EDUCATION QUALIFICATIONS * Required: Bachelor's Degree Healthcare (LCMC) LICENSES AND CERTIFICATIONS Required: Certification Name: Registered Nursing License * Issuer: Louisiana State Board of Nursing * Licensure Speciality: Licensure * Entity: LCMC * Certification Name: Certified Professional Coder-Hospital * Required * Issuer: American Academy of Professional Coders * Licensure Speciality: Specialty Certification * Entity: LCMC Preferred: * Certification Name: Certified Professional Coder * Required * Issuer: American Academy of Professional Coders (AAPC) * Licensure Speciality: Specialty Certification * Entity: LCMC * Certification Name: Certified Coding Specialist * Required * Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM) * Licensure Speciality: Certification * Entity: LCMC * Certification Name: Certified Coding Specialist - Physician-based * Required * Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM) * Licensure Speciality: Certification * Entity: LCMC SKILLS AND ABILITIES * Minimum Required: Knowledge of accurate sources for updating all applicable code sets (CPT/HCPCS, ICD-10, etc.) inclusive of associated edits such as NCCI. Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications. Understanding of multiple reimbursement systems including IPPS, OPPS, and Managed Care. Demonstrated knowledge of computer technology and preferred knowledge of MS Office including Word, Excel, and PowerPoint. Excellent oral, written and interpersonal communication skills. Well-developed research skills and detail oriented with the ability to organize and set priorities to ensure objective are met in a timely manner. Ability to interpret and implement regulatory standards. * Preferred: Working knowledge regarding insurance guidelines (MA, MC, Commercial, MCO, HMO). Experience with case manager or utilization review nurse * Electronic Health Systems Experience WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday * Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. * Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers. * Validates charges by comparing charges with health record documentation as necessary. * Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record. * Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. * Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. * Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. * Consistently meets or exceeds coding quality and productivity standards established by coding department. * Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information. * Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. * Performs other duties as assigned by leadership. * Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. The Must-Haves EXPERIENCE QUALIFICATIONS * Minimum three (3) years Of current complex outpatient and inpatient coding (required) EDUCATION QUALIFICATIONS * Required: Completion of an American Health Information Management Association (AHIMA) approved coding program or an American Academy of Professional Coders (AAPC) approved coding program * Required: Associate degree In health information management or related field or an equivalent combination of years of education and experience LICENSES AND CERTIFICATIONS * Certification Name: Certified Coding Specialist (CCS) * Required * Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) * Licensure Speciality: * Entity: * Certification Name: Certified Inpatient Coder (CIC) * Required * Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) * Licensure Speciality: * Entity: * Certification Name: Certified Professional Coder (CPC) * Required * Issuer: American Health Information Management Associations (AHIMA) or American Academy of Professional Coders (AAPC) * Licensure Speciality: * Entity: * Certification Name: RHIA/ RHIT certification * Issuer: * Licensure Speciality: * Entity: * Certification Name: Internal staff who are not certified must obtain medical coding certification within twelve months through an approved LCMC coding program. * Required * Issuer: * Licensure Speciality: * Entity: SKILLS AND ABILITIES * Extensive comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping. * Experience utilizing encoding/grouping software. * Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation. * High ethical standards. * Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines. * Experience in ICD-10-CM/PCS coding and reimbursement training. * Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters. * Extensive knowledge of hospital and professional coding including provider based billing. * Knowledge of documentation regulations of Joint Commission and CMS. * Experience with concurrent coding reviews. * Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices. * Experience in assisting and identifying learning needs as well as providing training to coding staff. * Strong analytical abilities and problem-solving skills. * Excellent oral, written and interpersonal communication skills. * Ability to organize and set priorities to ensure objectives are met in a timely manner. * Ability to adapt to change and handle challenges proactively and with pose. * Ability to effectively collaborate with physicians and managerial staff at all levels. WORK SHIFT: Variable Hours (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras * Deliver healthcare with heart. * Give people a reason to smile. * Put a little love in your work. * Be honest and real, but with compassion. * Bring some lagniappe into everything you do. * Forget one-size-fits-all, think one-of-a-kind care. * See opportunities, not problems - it's all about perspective. * Cheerlead ideas, differences, and each other. * Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

**We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!** This job, under moderate supervision, provides analysis to the particular area of the business they support. Analyzes and reports on monthly financial statements and maintains databases and other sources of information. Supports strategic projects leveraging financial and analytic capabilities. Assists in the budget process. Responds to Ad Hoc Reporting requests and answers questions from users of the financial reports. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. **Education** Required - Bachelor's degree in Accounting, Finance, Math, Business Administration, or Computer Science or related area Preferred - Master's degree in Business Administration (MBA) or other advanced degree in Accounting, Finance, or related field **Work Experience** Preferred - Experience in financial analysis, forecasting and reporting Preferred- Experience in the healthcare industry **Certifications** Preferred - Certified Public Accountant (CPA) or actively testing for certification **Knowledge Skills and Abilities (KSAs)** + Must have computer skills and dexterity required for data entry and retrieval of information. Must be proficient with Windows-style applications, various office software packages and keyboard. + Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. + Strong analytical and problem solving skills + Excellent organizational and time management skills + Good judgment and decision-making skills **Job Duties** + Updates and maintains financial information. + Provides reporting and analytics to ensure operational profitability. + Identifies opportunities for revenue enhancement. + Participates in formation of budget. + Participates in quality assurance activities. + Participates in activities for professional development. + Participates in special projects involving financial analysis. Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Mechanical lifting devices (carts, dollies, etc.) or team lifts should be utilized. Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity. Must be able to sit for prolonged periods of time. Must be able to travel throughout and between facilities. Must be able to work a flexible work schedule (e.g., more than eight hours a day). Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. **Are you ready to make a difference? Apply Today!** **_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._** **_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._** Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.

Your job is more than a job REMOTE QUALIFICATIONS: Must be a resident of Texas, Louisiana, Mississippi, Alabama, Florida or Georgia Daily processing of third party and patient refunds: Daily processing of third party and patient refunds to bring resolution to accounts in assigned inventory. Required to research patient accounts in the Epic EMR system with an understanding of payment and write-off transactions: Required to accurately analyze and research patient accounts and submit the necessary adjustments to bring resolution to the account. Be able to interpret EOB's and R/A's and comprehend coordination of benefits: Must be able to read and interpret explanation of benefits (EOB's) in order to take the necessary steps to bring resolution to the account. MINIMUM QUALIFICATIONS Required: High School Diploma/GED or equivalent OR 2 years of work experience in a hospital or physician setting. Preferred: Previous experience with analyzing explanation of benefits (EOBs) from various insurance companies/payors. Preferred: Associate's Degree or higher with a focus on Accounting. KNOWLEDGE, SKILLS, AND ABILITIES Excellent critical thinking and problem-solving skills. Knowledge of regulatory requirements concerning credit balances for patient and third-party payers. REPORTING RELATIONSHIPS Does this position formally supervise employees? No FUNCTIONAL DEMANDS Sedentary: Very light physical requirements- Sedentary Work- Exerting up to 10 pounds of force occasionally (occasionally means activity or conditions exist up to 1/3 of the work day), and/or, a negligible amount of force frequently (frequently means activity or condition exists from 1/3 to 2/3 of the work day) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. PHYSICAL DEMANDS Sitting - Continuous (67-100% of day) Standing - Frequent (36-66% of day) Walking - Frequent (36-66% of day) Climbing (e.g., stairs or ladders) - Occasional (0-35% of day) Lifting Floor to waist level: 0-10lbs - Occasional (0-35% of day) Lifting Floor to waist level: 10-20lbs - Occasional (0-35% of day) Lifting Floor to waist level: 20-50lbs - Occasional (0-35% of day) Lifting Floor to waist level: 50-100lbs - Occasional (0-35% of day) Lifting Floor to waist level: 100+lbs - Occasional (0-35% of day) Lifting Waist level and above: 0-10lbs - Occasional (0-35% of day) Lifting Waist level and above: 10-20lbs - Occasional (0-35% of day) Lifting Waist level and above: 20-50lbs - Occasional (0-35% of day) Lifting Waist level and above: 50-100lbs - Occasional (0-35% of day) Lifting Waist level and above: 100+lbs - Occasional (0-35% of day) Carrying objects - Occasional (0-35% of day) Push/pull - Occasional (0-35% of day) Twisting - Occasional (0-35% of day) Bending - Occasional (0-35% of day) Reaching forward - Occasional (0-35% of day) Reaching overhead - Occasional (0-35% of day) Wrist position deviation - Occasional (0-35% of day) Pinching/fine motor activities - Occasional (0-35% of day) Keyboard use/repetitive motion - Continuous (67-100% of day) Talk or hear - Continuous (67-100% of day) SENSORY REQUIREMENTS Near Vision - Accurate 20/40 Far Vision - Accurate 20/40 Color Discrimination - Yes Depth Perception - Minimal Hearing - Minimal OCCUPATIONAL EXPOSURE RISK POTENTIAL Bloodborne pathogens - Not Anticipated Chemical - Not Anticipated Airborne communicable diseases - Not Anticipated Extreme temperatures - Not Anticipated Radiation - Not Anticipated Uneven surfaces or elevations - Not Anticipated Extreme noise levels - Not Anticipated Dust/particular matter - Not Anticipated Other (List) - Not Anticipated POPULATION SERVED Neonate/Infant up to 1 year: No Youth (1yr to 15 yrs): No Adult (16 and up): No WORK SHIFT: Days (United States of America) LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health's culture of everyday extraordinary Your extras Deliver healthcare with heart. Give people a reason to smile. Put a little love in your work. Be honest and real, but with compassion. Bring some lagniappe into everything you do. Forget one-size-fits-all, think one-of-a-kind care. See opportunities, not problems - it's all about perspective. Cheerlead ideas, differences, and each other. Love what makes you, you - because we do You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things make the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job evaluates initiates and maintains all activities related to the conduct of clinical trials in assigned area(s) of responsibility. Communicates effectively with external funding agencies and sponsors, other departments, departmental staff and patients to assure the understanding of the requirements of conducting and participating in clinical trials. Organizes and manages all documentation and regulatory submissions as required by the sponsor of the trial, regulatory agencies, Research division/OHS policy and patient care requirements of Ochsner. Functions as project manager for clinical trials in assigned area(s) of responsibility. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion. Education Required - High School diploma or equivalent Work Experience Required - 3 years of relevant research experience in a clinical setting, OR 2 years of relevant research experience in a clinical setting with ACRP or SOCRA certification. Certifications Current Basic Life Support (BLS) certification from the American Heart Association within 60 days of hire. Exceptions will be granted for those in fully remote status. Knowledge Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of patient information. Must be proficient with Windows-style applications and keyboard. Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Must have computer skills and dexterity required for data entry and retrieval of information Must be proficient with Windows-style applications, various software packages specific to role and keyboard Job Duties • Coordinates and oversees the regulatory processes as they relate to the evaluation, initiation, maintenance, closure and internal and external audit of clinical trials and other research activity. • Coordinates and oversees patient (study participant) activity as it relates to the conduct of research and clinical trials. • Develops and maintains all required documentation as it relates to the conduct of assigned clinical trials and associated patient care. • Conducts daily work and clinical trial activity in accordance with Good Clinical Practice Guidelines. • Maintains competency in requirements and regulations associated with the conduct of clinical trials and other related research activity. • Supports department, division, and institutional goals. Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Complies with the Ochsner Health System Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Ochsner is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Mechanical lifting devices (carts, dollies, etc.) or team lifts should be utilized. Must be able to sit for prolonged periods of time. Must be able to travel throughout and between facilities. Must be able to work a flexible work schedule. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. There is no occupational risk for exposure to communicable diseases. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.