Inpatient Medical Records Coder *Sign-on Bonus $6,000
Remote
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way
you
want to be treated.
Position Summary: Codes accurately and productively with abstraction to assigned inpatient medical records to meet the reimbursement, indexing and statistical requirements of the hospital. Consistently maintaining production and accuracy standards at all times.
Essential Duties and Responsibilities:
Accurately codes and sequences all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles and appropriate reimbursement standards
Utilizes Computer Assisted Coding software program following assigned workflows
Accurately abstracts required data entering into Computer Assisted Coding system
Works with Clinical Documentation Improvement Specialists to assure clear, concise and specific documentation from physicians when clarification is needed
Issues accurate coding queries following AHIMA compliant coding query guidelines and assisting medical staff member documentation clarification
Ability to meet and sustain Silver Cross Hospital production and quality standards for IP coding, post training.
Assists with special projects and reports as requested
Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits
Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers and the hospital by abiding by the Standards of Conduct
Required Qualifications:
Education and Training:
Registered Health Information Technologist (RHIT); or Registered Health Information Administrator (RHIA); or Certified Coding Specialist (CCS) required
MS-DRG knowledge required, APR-DRG knowledge a plus
2 - 3 years of Acute Care Hospital Coding experience required
3M Encoder experience preferred, Cerner, Meditech, Optum System experience preferred
Work Shift Details:
Days, Full-time Remote; Flexible schedule
Department:
MEDICAL RECORDSBenefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
· Medical, Dental and Vision plans
· Life Insurance
· Flexible Spending Account
· Other voluntary benefit plans
· PTO and Sick time
· 401(k) plan with a match
· Wellness program
· Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$25.84 - $32.30
Auto-ApplySCMG Call Center Triage Nurse (Remote)
Lemont, IL jobs
Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us! It's the way you want to be treated.
Position Summary: Provides professional nursing care for clinic patients following established standards and practices. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide care appropriate to the age of the patients served. Ability to establish and maintain effective working relationships with patients, employees and the public.
Essential Duties and Responsibilities:
* Triage patients: walk-ins and phone-ins and follows up with physicians and patients.
* Reviews answering service messages and voice mail messages.
* Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards, including IV therapy, nebulizer therapy.
* Prepares equipment and aids physician during treatment, examination, and testing of patients, including casting and cast removal.
* Observes, records, and reports patient's condition and reaction to drugs and treatments to physicians. Dispenses medication as directed. Provides patient education in relation to new baby care, dressing change, etc.
* Assists in coordination of appointment bookings to ensure preferences are given to patients in emergency situations. Maintains timely flow of patients.
* Greets patients and prepares them for physician examination. Screens patients for appropriate information. Instructs patients and family in collection of samples and tests.
* Collects specimens, including blood, urine, etc. Performs catheterization. Processes paperwork for appropriate specimen collections.
* Contacts patients regarding missed appointments.
* Performs in-office testing and treatment such as EKG, audiometry, nebulizer and oxygen.
* Arranges for patient testing and admission which may include patient education.
* Maintains exam rooms for necessary supplies and materials. Ensures safety and cleanliness. Prepares list of medical supplies needed and maintains equipment to ensure a clean and safe environment.
* Prepares contaminated instruments and other related materials for transport to hospital for sterilization.
* Maintains patient confidentiality.
* Completes appropriate forms for managed care referrals and gets authorization when necessary.
* Calls in prescriptions to pharmacy. Calls lab results and test results to patient or automated test system.
* Checks encounter form for missed charges. Has Medicare waivers signed prior to service.
* Acts as patient advocate in attempting to locate agencies appropriate to patient needs, i.e. Meals-on-Wheels, Department Services for Crippled Children, etc.
Required Qualifications:
* Graduate of an accredited school of nursing.
* One year of professional nursing experience in a clinic setting preferred.
* Possession of a State Registered Nurse License.
* CPR Certification.
* Proof of current malpractice insurance.
Work Shift Details:
Days, Days (Monday-Friday) & possible alternating Saturday's; no holidays.
Department:
PSMG MGMT SERVICES
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
* Medical, Dental and Vision plans
* Life Insurance
* Flexible Spending Account
* Other voluntary benefit plans
* PTO and Sick time
* 401(k) plan with a match
* Wellness program
* Tuition Reimbursement
Registry employees who meet eligibility may participate in one of our 401(k) Savings plan with a potential match. However, registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$28.17 - $35.21
Auto-ApplyRevenue Cycle Sr Project Manager
Remote
Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.
Location
680 Lake Shore Drive
Job Description
The Senior Revenue Cycle Project Manager is responsible and accountable for the collaborative leadership of multiple assigned projects involving interdisciplinary teams. They oversee the entire project life cycle from original concept through final implementation and benefit realization. They facilitate the work of the project team, ensuring on-time, on-budget, completion of the work effort within the approved scope. The position will interact with all stakeholders affected by the project, including executive leadership, revenue cycle and other operational stakeholders, vendors, information management, and front-line staff. Projects in the revenue cycle portfolio contain many different interrelated elements. The senior project manager is responsible for ensuring the team works collaboratively to accomplish and sustain project outcomes. The nature of this work is time bound, results driven and requires superior communication, organization, interpersonal and analytical skills. Additionally, the senior project manager mentors project managers and the revenue cycle leadership team in the principles of project management, ensuring rigor and process consistency.
* This position is fully remote. Rare travel on-site may be required based on project needs. *
Essential Job Functions:
* Responsible for overall management of assigned projects and initiatives, from initiation through closure and transition to standard operating procedures to ensure sustained outcomes as directed by Revenue Cycle PM leadership.
* Implement post project auditing at regular intervals to ensure alignment with defined benefits.
* Work effectively with all staff, including providers, senior executives, operational leadership and front-line staff.
* Facilitate and manage multi-disciplinary project teams; collaborates with operational owners to draft the charter, set goals and priorities for project.
* Collaborate closely with information management and operational owners to develop and refine project plans that achieve the desired outcomes within budget.
* Maintain accurate project plans to ensure timely completion of activities, modifying as appropriate in collaboration with project leadership timelines and expectations.
* Develop, execute and manage project scoping, work plans, schedules, estimated resource requirements and status reports. Manage activities of the project team and acts as central coordinator of project communication.
* Demonstrate effective issue escalation, resolution and conflict management skills reinforcing a team-focused culture and ensuring the project continues to move forward.
* Communicate project status, including issues and risks, to the project team, stakeholders and leadership.
* Present solution options for issues and risks to project leadership, document decision, next steps and assess for impact to project scope, timeline and budget.
* Define roles and responsibilities for each member of the team including escalation protocol and decision- making authority.
* Follow established revenue cycle processes and protocols for effective project oversight.
* Foster teamwork and camaraderie within revenue cycle and with departments across the organization.
Senior Project Manager Responsibilities:
o Mentor the revenue cycle team on the principles of project management to ensure results are delivered on time, on budget and with the stated benefit.
o Design and maintain the revenue cycle project health dashboards, area specific drill downs, and leader summaries.
o Design, implement and maintain the share point document repository.
o Lead failure analyses, focusing on continuous improvement and developing systems that obviate future errors.
* This position is Revenue Cycle Specific:
o Participate in prioritization and coordination of revenue cycle initiatives and projects.
o Participate in development, documentation and improvement of revenue cycle project management processes.
o Document and store project artifacts, including, but not limited to outcome, process and balancing measures, success criteria, standard operating procedures, testing plans, validation plans, etc.
o Serve as liaison and facilitator between project team, vendors and operational departments.
o Work closely with the information management team to prioritize, resource, track and implement initiatives.
o Manage integration of vendor tasks; tracks and reviews project-related vendor deliverables.
* Other job functions as assigned.
Knowledge, Skills, and Abilities:
* Bachelor's degree required. Master's degree preferred.
* Project Management certification with 3+ years of experience required. Experience with Epic revenue cycle applications required.
* Experience managing complex, enterprise-wide healthcare IT projects preferred; certification in an Epic revenue cycle application preferred.
* Excellent project management, change management and prioritization. Able to organize and manage a project from initiation through closure and transition to standard operating procedures.
* Effective communication, conflict resolution and problem resolution skills, including facilitation of groups, presenting to groups at all levels, assisting others to present effectively.
* Effective listening skills to understand various perspectives and ability to synthesize findings to achieve results.
* Excellent analytical and process/systems thinking skills; excellent problem-solving skills.
* Demonstrated skills in the use of Excel, Visio, PowerPoint, and other Microsoft Office products.
* Demonstrated skills in the use of Jira for project management and product discovery.
* Excellent written and verbal skills.
* Excellent interpersonal skills, including ability to understand and articulate the needs of the customer and assist them in making the necessary decisions to accomplish their objectives.
* Demonstrated ability in earning creditability with leaders across the healthcare organization including clinicians.
* Ability to challenge team members to perform against designated timelines in a team-oriented manner.
* Experience in an Academic Medical Center is preferred.
Education
Bachelor's Degree (Required)
Pay Range
$93,600.00-$154,440.00 Salary
At Lurie Children's, we are committed to competitive and fair compensation aligned with market rates and internal equity, reflecting individual contributions, experience, and expertise. The pay range for this job indicates minimum and maximum targets for the position. Ranges are regularly reviewed to stay aligned with market conditions. In addition to base salary, Lurie Children's offer a comprehensive rewards package that may include differentials for some hourly employees, leadership incentives for select roles, health and retirement benefits, and wellbeing programs. For more details on other compensation, consult your recruiter or click the following link to learn more about our benefits.
Benefit Statement
For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:
Medical, dental and vision insurance
Employer paid group term life and disability
Employer contribution toward Health Savings Account
Flexible Spending Accounts
Paid Time Off (PTO), Paid Holidays and Paid Parental Leave
403(b) with a 5% employer match
Various voluntary benefits:
* Supplemental Life, AD&D and Disability
* Critical Illness, Accident and Hospital Indemnity coverage
* Tuition assistance
* Student loan servicing and support
* Adoption benefits
* Backup Childcare and Eldercare
* Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members
* Discount on services at Lurie Children's facilities
* Discount purchasing program
There's a Place for You with Us
At Lurie Children's, we embrace and celebrate building a team with a variety of backgrounds, skills, and viewpoints - recognizing that different life experiences strengthen our workplace and the care we provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.
Lurie Children's and its affiliates are equal employment opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.
Support email: ***********************************
Auto-ApplyQuality Coordinator RN Remote
Key West, FL jobs
Join us as a **Registered Nurse (RN) - Quality Coordinator RN position** at Lower Keys Medical Center Unit: Quality Coordinator RN (2+ years of quality experience preferred) Shift: Remote or onsite Mon-Fri 8AM-4:00 PM Monthly Housing Stipend Student Loan Contribution: Up to $20k
Other incentives include: Medical, Vision, Dental, 401k match & more available for Full and Part-Time roles
**Job Summary**
The Quality Coordinator - RN plans, coordinates, and implements quality management programs to ensure compliance with regulatory standards and the delivery of high-quality patient care. This role involves collecting, analyzing, and reporting performance data, collaborating with medical staff, and facilitating process improvements to achieve optimal patient outcomes. The Quality Coordinator supports accreditation efforts and continuous quality improvement initiatives.
**Essential Functions**
+ Develops and implements quality management strategies, including data collection, analysis, and performance monitoring, to ensure compliance with regulatory and accreditation standards.
+ Conducts medical record reviews to evaluate patient care and identify opportunities for improvement, maintaining accuracy and timeliness.
+ Collaborates with healthcare teams to coordinate quality improvement initiatives, providing guidance and education on best practices and standards of care.
+ Abstracts core measure data and enters it accurately into hospital, corporate, and state databases, ensuring timely submission of quality reports.
+ Communicates effectively with peers, healthcare staff, and leadership, providing regular updates on quality measures, compliance, and performance metrics.
+ Supports the development and maintenance of quality-related policies and procedures, ensuring they align with regulatory requirements and reflect current clinical standards.
+ Assists in preparing data for presentations and reports, correlating information to support decision-making and strategic planning.
+ Participates in the development and implementation of process improvements, contributing to a culture of continuous quality enhancement and patient safety.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
**Qualifications**
+ 2-4 years of experience in quality management, performance improvement, or a similar role in a healthcare setting preferred
**Knowledge, Skills and Abilities**
+ Strong understanding of healthcare quality measures, regulatory standards, and accreditation requirements.
+ Excellent analytical skills for data collection, interpretation, and reporting to support quality initiatives.
+ Effective communication skills for interacting with healthcare teams, leadership, and external stakeholders.
+ Ability to adapt to change, implement process improvements, and foster a culture of quality and safety.
+ Proficiency in using electronic medical records (EMR) systems and quality reporting tools.
**Licenses and Certifications**
+ RN - Registered Nurse - State Licensure and/or Compact State Licensure required
+ CPHQ - Certified Professional in Healthcare Quality preferred
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Support & Process Improvement Imaging Analyst
Remote
CHSPSC, LLC seeks an IT Imaging Support & Process Analyst to assist with leading escalated support activities and provide process improvement initiatives. The role will be involved with the facilitation of application services management processes pertaining to analyzing value, evaluating risk, prioritizing projects and onboarding new technology requests to ensure alignment with organizational strategies for the imaging service line.
Key responsibilities include:
Alignment with the imaging team to address escalated support issues
Review transition materials from the Project Management Office for application product ownership
Develop and maintain application support plans
Document current state and contribute to the direction of the application lifecycle management (LCM) roadmap to reduce costs, mitigate risks, and drive growth and revenue
Participate in imaging related efforts such as Disaster Recovery exercises, Cyber Table Top exercises, etc.
Present to executive leadership on support-related issues
Understand current processes and propose more efficient methods
Strategic analysis of the enterprise application portfolio including lifecycle management, application rationalization, consolidation and standardization to achieve the department objectives of the organization including reducing variation of redundant or unused applications
Understand the definition, implementation and support of portfolio management standards, policies and processes
Understand the data driven decisions pertaining to IT project investments
Participate in the structure, attributes, taxonomies and nomenclature of service line elements and categories within the repository toolset (ServiceNow) to ensure completeness and accuracy of the list of enterprise IT business applications
Collaborate with business partners, technology leaders and department directors to identify and promote adoption of enterprise standards and rationalization of application systems to achieve economic and patient experience improvement goals
Provide expertise on decisions and priorities regarding the overall enterprise application portfolio
Track application and vendor trends and maintain knowledge of new technologies to support the organization's current and future needs
Maintain an awareness of industry standard best practices and apply relevant methodologies for process improvement
Participate in application rationalization feasibility analysis and proposals for management and business partners which support the organization's clinical and economic objectives
Review and support applications' advantages, risks, costs, benefits and impact on the enterprise business process and goals
Develop and maintain productive relationships of trust both within and outside CHS and embrace the authoritative role in respect to maintaining enterprise standards and align others to the strategic direction
Collaborate with Audit teams to respond to and mitigate audit findings and manage audit controls related to application systems and LCM
Educate peers and business partners on department methodologies and drive adoption of standard process
Support and evaluate portfolio risks and recommend mitigation plans
Support business impact analysis and application criticality assessments
Partner with key business and delivery stakeholders to conduct application and service line reviews including scope, metrics, expenses and net promoter scores to determine the disposition of existing and proposed solutions
Communicate timely and accurate status to appropriate levels and stakeholders including the development and delivery of status reports and presentations
Required:
Results oriented mentality to drive accurate deliverables with appropriate time to market while taking responsibility for the outcomes
Customer focused to align services with customer needs
Creativity in developing and executing innovative strategies to meet unique customer needs
Excellent verbal and written communication, presentation and customer service skills
Ability to handle pressure to meet business requirement demands and deadlines
Expertise in analyzing and presenting large volumes of data to senior leadership
Critical thinking in developing proposals with sound analysis and achievable outcomes
Ability to prioritize tasks and quickly adjust in a rapidly changing environment
Exceptional analytic problem solving skills
Ability to work independently and in a team environment
Organizational awareness and the ability to understand relationships to get things accomplished more effectively
Preferred:
Experience with APM, CMDB and CSDM components within the ServiceNow platform
Application product ownership experience
Strong relationship management experience
Project management experience/certification
4 or more years in an application portfolio/services management role
Lean / Six Sigma Green Belt
ITIL certifications
Qualifications and Education Requirements:
Bachelor's degree in Clinical Informatics, Health Science, Information Systems, Computer Science or a related discipline, or 2 years of relevant experience
Auto-ApplySupervisor, Data Center Infrastructure
Remote
The Supervisor of Data Center Network Engineering is responsible for leading a team of network engineers in the design, implementation, operation, and optimization of Data Center and WAN (Wide Area Network) infrastructure across a large-scale, distributed healthcare system. The role ensures secure, high-performing, and highly available data center services for 60+ hospitals and 300+ clinical locations.
This position requires hands-on technical leadership, operational excellence, and the ability to manage complex networking projects in a mission-critical, regulated healthcare environment. The role also involves managing and integrating a multivendor network environment, requiring deep expertise in coordinating technologies from Cisco, Juniper, Palo Alto, and other enterprise vendors to ensure interoperability, security, and performance across all healthcare sites.
Key Responsibilities: Team Leadership & Management
Supervise a team of LAN/WAN engineers and technicians, including hiring, training, mentoring, and performance evaluation.
Provide technical direction and prioritize team activities to meet organizational goals and SLAs.
Act as an escalation point for critical network issues.
Data Center Design, Implementation, and Operations
Oversee the design, deployment, and lifecycle management of enterprise data center infrastructure.
Ensure high availability, redundancy, and optimal performance across all facilities.
Integrate solutions from multiple vendors to maintain a consistent and reliable network architecture.
Coordinate with facilities and IT teams to support expansions, renovations, and new data center builds or migrations.
Collaborate with architecture, application, storage, and virtualization teams to implement business ready, scalable solutions.
Project & Change Management
Lead data center-related initiatives, including network refreshes and mergers/acquisitions.
Collaborate with stakeholders across departments to define technical requirements and deliver scalable solutions.
Maintain documentation and manage change control in accordance with policy.
Security & Compliance
Ensure secure Data Center Network and WAN configurations, enforcing access controls and segmentation.
Support compliance with HIPAA, HITECH, and internal cybersecurity frameworks.
Work closely with the Security team on incident response, audits, and risk management.
Monitoring & Troubleshooting
Oversee use of monitoring systems to detect and resolve performance issues.
Lead root cause analysis for major incidents and implement corrective actions.
Continuously improve network health and uptime metrics.
Qualifications:
Required:
Bachelor's degree or equivalent experience in IT, Computer Science, or related field.
5+ years of experience in enterprise network engineering, including 2+ in a leadership role.
Demonstrated experience with large-scale data center environments.
Proficiency in routing/switching protocols (e.g., BGP, OSPF, EIGRP).
Experience with Cisco and at least one other major vendor (e.g., Juniper, Palo Alto).
Strong troubleshooting skills and operational focus.
Experience communicating and working with vendor partners to evaluate capabilities.
Preferred:
Professional certifications (e.g., CCNP, CCDP, PCNSE, JNCIP).
Experience supporting cloud network environments (GCP, Azure, AWS)
Experience supporting multivendor network environments (e.g., Cisco, Juniper, Palo Alto).
Experience in healthcare or other regulated environments.
Familiarity with EHR networking (e.g., Epic, Cerner).
Experience with automation/orchestration tools (e.g., Ansible, Cisco DNA Center).
ITIL and experience with service platforms (e.g., ServiceNow
Work Environment:
Occasional travel to sites (10-20%) required.
Participation in a 24/7 on-call rotation.
Hybrid or on-site role depending on operational needs.
Why Join Us:
Join a healthcare system where your work directly supports lifesaving technology and patient care. You'll lead critical infrastructure in a complex, multivendor enterprise environment-and help shape the future of care delivery through secure, reliable network systems.
Auto-ApplyOracle Finance Functional Analyst - Remote
Franklin, TN jobs
The Oracle Finance Functional Analyst serves as a key resource in implementing, supporting, and enhancing complex enterprise applications, which may include Oracle Cloud Infrastructure (OCI) development and support. This role collaborates with cross-functional teams to understand business needs, configure and develop systems, and resolve incidents while contributing to long-term system strategy and optimization. The Senior Analyst ensures operational readiness, drives product vision in partnership with stakeholders, and mentors junior team members.
In addition, the Oracle Finance Functional Analyst specializes in Oracle Fusion Financials and PPM modules (GL, Cash Management, Fixed Assets, Project Costing, Subledger Accounting, BI, and Payroll). The role is responsible for implementing, configuring, and supporting Oracle Finance modules, bridging the gap between business needs and technical teams, and driving efficiency and effectiveness in financial operations.
As an Oracle Finance Functional Analyst at Community Health Systems (CHS) - Shared Business Operations, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including health insurance, flexible scheduling, 401k and student loan repayment programs.
**Essential Functions**
+ Evaluates and corrects system incidents, ensuring configurations and customizations align with business needs and corporate standards.
+ Serves as a subject matter expert and escalation point for application upgrades, issue resolution, OCI development, and/or high-impact projects.
+ Designs, develops, tests, and deploys OCI-related solutions, integrations, reports, and system enhancements.
+ Collaborates with product management, technical teams, and business stakeholders to define requirements, develop solutions, and measure success through key performance metrics.
+ Supports the development and refinement of strategic application roadmaps and process improvements, including OCI and other enterprise applications.
+ Ensures operational readiness for new features and technology implementations, including documentation, user training, and knowledge transfer.
+ Mentors junior analysts and contributes to knowledge-sharing across the team.
+ Participates in planning and execution of complex initiatives requiring coordination across multiple teams.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
+ This is a fully remote opportunity
**Position-Specific Responsibilities**
+ Conducts requirements gathering workshops and stakeholder interviews to document business processes, BRDs, FDDs, and Visio diagrams for Oracle Fusion Finance and PPM modules.
+ Configures Oracle Fusion Financials and Subledger Accounting across FIN, PPM, SCM, and Payroll to meet business requirements.
+ Leads or participates in functional, system integration, and user acceptance testing to ensure solutions meet business needs.
+ Develops training materials and delivers training for Oracle Fusion Finance and PPM end-users.
+ Provides production support, troubleshooting, and resolution of service requests for Oracle Fusion FIN and PPM modules.
+ Designs and develops OTBI reports and dashboards, customizing them to meet business requirements.
+ Supports personalization and customization efforts using Page Composer, VBS/VBCS, and other Oracle tools to adapt solutions to client needs.
+ Stays current on industry best practices and Oracle Fusion updates, recommending enhancements to optimize financial processes.
**Qualifications**
+ Bachelor's Degree in Information Systems, Computer Science, or a related field required.
+ 5-7 years of experience in application systems analysis, development, or enterprise system support required.
+ Experience with enterprise-level application implementations, enhancements, or OCI development required.
**Position-Specific Qualifications**
+ Minimum of 5 years of proven experience as a Techno-Functional Analyst or similar role, with direct responsibility for Oracle Fusion Financials and PPM modules.
+ Strong ability to analyze complex business problems, develop effective solutions, and configure Oracle Fusion Financials and SLA across FIN, PPM, SCM, and Payroll.
+ Experience in requirements gathering, solution design, configuration, testing, and documentation for Oracle Fusion Financials.
+ Proficiency in Oracle reporting tools, including OTBI and BIP, and familiarity with SQL and Oracle Fusion tables.
**Knowledge, Skills and Abilities**
+ Advanced understanding of system development lifecycle, OCI services, integrations, and application support models.
+ Strong analytical and troubleshooting skills with attention to detail.
+ Proficiency with development tools, OCI architecture, and enterprise application platforms.
+ Excellent interpersonal and communication skills, with the ability to translate complex technical concepts to non-technical users.
+ Ability to manage multiple priorities in a fast-paced environment.
+ Proven ability to work both independently and collaboratively in cross-functional teams.
**Licenses and Certifications**
+ Certified Scrum Product Owner (CSPO) or Professional Scrum Product Owner (PSPO) preferred
+ Certified in Oracle Cloud Infrastructure preferred
+ Oracle Fusion Financials Module Certification preferred
_This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer._
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Program Director, Clinical Pharmacy Programs
Remote
About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.
The successful candidate:
Under the supervision and leadership of the Executive Director of Pharmacy, the Program Director of Clinical Pharmacy Programs is responsible for programmatic and strategic oversight and coordination of all aspects of the Pharmacy Clinical Programs across CAP pharmacy, in conjunction with the counterpart incumbent, to enhance patient outcomes and safety in the most efficient and optimal fashion. The Program Director of Clinical Pharmacy Programs collaborates closely with the Executive Director and other pharmacy leaders to establish the vision for the clinical services provided at City of Hope CAP.
Responsibilities include but are not limited to planning and executing new clinical programs, partnering to standardize and optimize medication utilization across the System, leading the regional Formulary/Pharmacy and Therapeutics/other related committees, and developing and implementing policies, guidelines and best practices related to medication therapy. Position is also responsible for management of the CAP pharmacoeconomic program to ensure cost effectiveness of treatments provided. Additionally, the Program Director is responsible for developing strategies to mitigate drug shortage impact to patients treated at all CAP sites.
Collaboration is imperative to the success of this position, so routine communication with providers, nurses, pharmacists, and other clinical leaders is essential. This resource will work very closely with clinical pharmacists and pharmacy leadership at each CAP site, helping to guide and lead the development of consistent clinical programs across the System.
Essential Functions:
Clinical Program Oversight and Compliance:
Strategically plan and provide leadership for all aspects of Enterprise Clinical Pharmacy Program across all CAP sites.
Developing new programs based on patient needs and optimizing existing programs and practices.
Standardizing clinical practices, medication management policies/guidelines, and treatment plans across all CAP sites.
Leading the Formulary, Pharmacy and Therapeutics (P&T), and other related committees.
Providing drug formulary oversight.
Developing and coordinating implementation plans for the use of new products in compliance with institutional policies and regulatory guidelines (e.g. FDA, The Joint Commission)
Developing metrics to measure staff productivity and program effectiveness.
Liaising between internal affiliated departments and external stakeholders to ensure program integrity.
Pharmacoeconomics Program:
Leading pharmacoeconomic initiatives to enhance patient care and optimize cost effectiveness of treatments provided.
Monitoring the pharmaceutical marketplace for cost saving opportunities.
Implementing and tracking therapeutic conversions.
Other Responsibilities:
Clinical development of pharmacy staff to promote practice at top of their license.
Supporting research, publication, and presentation opportunities for the staff at local and national level.
Collaborating with schools of pharmacy to oversee pharmacy student training during City of Hope rotations.
Representing City of Hope-CAP Pharmacy Department at professional and community organizations at the local, state, and national level.
Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
Performs other related duties as assigned or requested.
The following Pillars in Action are the behaviors that accelerate our impact as we deliver on our Vision and Strategic Priorities:
Position Qualifications:
Minimum Education: Doctor of Pharmacy Degree (Pharm.D.)
Minimum Experience: 6 years of experience planning and executing pharmacy programs with 10 years of experience in a hospital setting
Req. Certification/Licensure: Current Pharmacy license
Board Certified Oncology Pharmacist (BCOP)
Preferred Education: ASHP accredited PGY-1 or PGY-1 and PGY-2 Residencies
Preferred Experience: 5 years of experience in Oncology
Skills/Abilities: Personal computer approximately 75% of time
Working/Environmental Conditions: Work is primarily performed within an office setting. Frequent meetings & walking to meeting sites as required
City of Hope is an equal opportunity employer.
To learn more about our comprehensive benefits, click here: Benefits Information
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
This position is eligible for an annual incentive bonus.
Auto-Apply
As a Medical Assistant with Northwest Allied Physicians in Tucson, AZ, you'll join a team and be a part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy a robust benefits package which may include health insurance, 401(k), licensure/certification reimbursement, tuition reimbursement, and student loan assistance for eligible roles.
Job Summary
The Medical Assistant supports patient care by performing clinical and administrative tasks under the supervision of a medical provider. This role assists with medical procedures, maintains exam rooms, facilitates patient intake, and ensures efficient clinic operations while providing excellent service to patients and staff.
Essential Functions
Assists providers with non-invasive medical procedures, such as taking vital signs and preparing patients for exams.
Prepares and cleans exam rooms before patient visits and clinical procedures.
Performs patient intake duties, including reporting test results, phone triage, and documenting medical information as directed by licensed personnel or providers.
Reviews and maintains daily logs and documentation.
Supports administrative duties, including pre-registering patients, scheduling appointments, coordinating referrals, verifying insurance eligibility, and managing clinic communications.
Maintains an organized workload while providing prompt, courteous, and efficient service to providers, patients, and visitors.
Monitors and requisitions supplies and equipment to ensure appropriate inventory levels and functionality.
Educates patients on medications, diets, and other health-related topics, addressing questions to ensure understanding.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
Completion of Medical Assistant program from an accredited school preferred
0-1 years of experience in a medical practice setting or completion of externship program required
Knowledge, Skills and Abilities
Knowledge of medical office procedures and patient care techniques.
Basic proficiency in computer applications such as Microsoft Office and medical record systems.
Strong interpersonal skills with the ability to provide exceptional service to patients and staff.
Understanding of medical terminology and infection control practices.
Effective time management, organizational, and multitasking skills.
Critical thinking abilities to analyze situations and develop appropriate solutions.
Ability to maintain confidentiality and handle sensitive information.
Licenses and Certifications
BCLS - Basic Life Support issued by American Heart Association (AHA) or American Red Cross (ARC) or American Safety and Health Institute (ASHI) required
This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for an employer.
Auto-ApplySystem Vice President Revenue Cycle Management Operational Performance
Hillsboro, MO jobs
It's more than a career, it's a calling.
MO-SSM Health Mission Hill
Worker Type:
Regular
Job Highlights:
The SSM Revenue Cycle team is on a fast track to optimization and looking for a strategic thought leader with a proven track record in transformation. This executive role has high visibility within the organization and is a position considered for long term succession planning.
Named 150 Top Places to Work in Healthcare 2024 - Becker's Healthcare
Named One of the Diversity Leaders 2024 - Modern Healthcare
Named One of America's Greatest Workplaces for Diversity 2024 - Newsweek
Named One of America's Greatest Workplaces for Women 2024 - Newsweek
Named One of America's Greatest Workplaces for Job Starters 2024 - Newsweek
SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization's 40,000 team members and more than 13,900+ providers are committed to providing exceptional health care services and revealing God's healing presence to everyone they serve.
With care delivery sites in Illinois, Missouri, Oklahoma, and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves.
This position IS remote work eligible. SSM Health currently offers remote work within limited states.
To request additional information, confidentially submit your interest, or nominate a fellow colleague, please contact:
Angela Jones
Executive Talent Partner
***************************
#LI-Remote
Job Summary:
The Vice President for Revenue Cycle Management Operational Performance is responsible for the strategic leadership, oversight and optimization of hospital and ambulatory revenue cycle operations. Provide visionary leadership while fostering strong partnerships to ensure the accuracy and integrity of revenue processes. Partners with the Chief Revenue Cycle Officer to establish and deliver on the Revenue Cycle strategic vision.
Job Responsibilities and Requirements:
Job Responsibilities and Requirements:
Develop and implement strategic initiatives to enhance revenue cycle operations while ensuring the accuracy and integrity of revenue processes.
Oversight and management of coding, coding education, Health Information Management (HIM), Revenue Integrity to include CDM, Accounts Receivable, Cash Management, and Denial Management to ensure compliance with regulatory standards and optimize reimbursement.
Develop and implement strategies for denial management to minimize revenue loss.
Foster strong partnerships with internal and external stakeholders to drive revenue cycle improvements.
Analyze and report on revenue cycle performance, identifying areas for improvement, and implementing corrective actions.
Thought partner with Net Revenue, Information Technology, Finance, Clinical Operations and other stakeholders in continuous revenue improvement.
Exhibits superior management skills that emphasize team building and strong leadership with the ability to provide clear vision and direction.
Leadership development and career pathing to ensure next level leadership readiness.
Creates a culture supportive of personnel, fostering individual motivation, teamwork and high levels of performance and accountability utilizing a participative management style to ensure staff retention
Develops and manages the operating and capital budgets for operations, analyzes variances, develops plans and takes appropriate actions for productivity and performance improvements.
EDUCATION
Master's degree in business or healthcare administration
OR
Bachelor's degree with equivalent experience
EXPERIENCE
Ten years of experience within the area of revenue management, specifically experience with billing and collections at a multi-entity healthcare organization or large complex revenue cycle services with five year's leadership experience.
Department:
8700000033 RCM Leadership
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
Auto-ApplyApplication Systems Programming Specialist (Remote)
Remote
Community Health Systems is seeking an Application Systems Programming Specialist to join its Integration Services team. This advanced technical role is responsible for leading the analysis, design, development, and support of complex system interfaces within a healthcare environment. The specialist will demonstrate expertise in industry trends, best practices, and interface programming using tools such as Mirth, Intersystems, and Rhapsody. Key responsibilities include ensuring seamless data integration, maintaining comprehensive documentation, and providing proactive solutions to optimize system performance. This role requires collaboration with internal and external stakeholders to achieve business objectives and the ability to manage complex technical projects in dynamic environments.
Essential Functions
Mirth Connect (Primary Focus)
Develop, maintain, and monitor HL7/FHIR interfaces using Mirth Connect.
Manage channels, transformations, filters, and communication protocols (TCP, SFTP, REST, etc.).
Handle Mirth upgrades, performance tuning, and participate in Disaster Recovery/High Availability (DR/HA) documentation and validation.
Collaborate with platform specialists to ensure high availability and platform integrity.
Troubleshoot production issues and lead root cause analysis across a diverse ecosystem of clinical systems and vendors.
Coordinate with offshore/onshore teams for 24x7 support coverage.
InterSystems HealthShare (Strategic Focus)
Participate in the pilot deployment of HealthShare Health Connect.
Build and configure message routes, transformations, and business processes using HealthShare components (IRIS, Ensemble).
Support platform consolidation planning across fragmented integration engines.
Assist in evaluating cloud-hosted options (e.g., Google Cloud Platform) for future-state deployment.
Interoperability & Standards
Work closely with the Technical Integration Manager and enterprise architecture team.
Implement and support workflows involving HL7 v2/v3, FHIR R4, X12, Continuity of Care Document (CCD), and Clinical Document Architecture (CDA).
Contribute to roadmap planning for advanced Health Information Exchange (HIE) participation, API adoption, and care coordination use cases.
Documentation & Communication
Develop and maintain documentation including design specifications, test cases, support runbooks, and DR plans.
Communicate effectively with hospital IT teams, vendors (Cerner, Medhost, Athena), and state agencies.
Qualifications
Bachelor's degree in Computer Science or Information Technology.
8+ years of hands-on integration engine experience in a healthcare integration environment.
5+ years of hands-on Mirth Connect experience in a healthcare integration environment.
Strong working knowledge of HL7 v2.x, FHIR, CCD/CDA, and interfacing protocols.
At least 2 years of experience with InterSystems HealthShare (Health Connect or Ensemble).
Experience supporting production interfaces in mission-critical hospital or HIE environments.
Familiarity with EMRs such as Cerner, Athena, Medhost, or Epic.
Basic scripting experience (JavaScript, XSLT, or Python preferred).
Ability to contribute to a 24x7 on-call rotation.
Preferred Qualifications:
Experience with cloud-based integration (Google Cloud Platform preferred).
Familiarity with Carequality/CommonWell networks, immunization registries, and HIE frameworks.
Understanding of HIPAA, HITECH, and healthcare compliance.
Auto-ApplyScheduler - Internal Medicine
Saint Louis, MO jobs
It's more than a career, it's a calling.
MO-SSM Health 7980 Clayton RD
Worker Type:
Regular
Job Highlights:
Sign-on Bonus Eligible (Sign-on bonuses are for external qualified candidates. Internal candidates - check with your recruiter to see what options are available for you)
This is a full-time, day-shift position working Mon-Fri from 8am-4:30pm. There is a training period of up to 4 months that you must attend onsite and then can be fully remote. Must live within 1 hour of onsite location which is 7980 Clayton Road St. Louis, MO 63117 to attend meetings and to work onsite if you are having internet/technical issues. Experience with EPIC, patient registration, insurance verification, call center or customer service preferred. Call volume is approximately 60-80 calls per day.
Job Summary:
Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services.
Job Responsibilities and Requirements:
PRIMARY RESPONSIBILITIES
Coordinates scheduling and referrals to other healthcare providers and services. Obtains approval for schedule changes or cancellations as appropriate.
Assists with maintenance and updating of provider contact information.
Ensures that all medical appointments, special instructions and patient information is entered into electronic medical system.
Follows site-specific protocols and maintains up-to-date documentation to ensure compliance.
Performs other duties as assigned.
EDUCATION
High School diploma/GED or 10 years of work experience
EXPERIENCE
No experience required
PHYSICAL REQUIREMENTS
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS
None
Department:
********** SLUCare Centralized Contact Ctr
Work Shift:
Day Shift (United States of America)
Scheduled Weekly Hours:
40
Benefits:
SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits
SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.
Auto-ApplyClinical Trial Management System Administrator
Remote
About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope's uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.
The successful candidate:
The CTMS Administrator is responsible for the quality assurance/control management of OnCore study calendar specifications and financial console data entry (parameters, protocol related, subject related, and milestones) ensuring alignment with negotiated terms and payment schedules of fully executed agreements. The CTMS Administrator should have a thorough understanding of clinical research operations, electronic study calendar building, and financial data entry. This individual will support and collaborate with various departments and must be able to interpret complex clinical trial protocols and negotiated budget and payment terms. The role is responsible for working with diverse levels of staff to maintain and improve the functionality and use of the CTMS and serves as the “communications hub” to disseminate information to the study team, data coordinators, central services teams, and senior leadership.
Required Experience:
Bachelor's degree (life sciences or IT preferred)
Minimum of three years of experience in clinical research
Experience in an oncology setting preferred
Minimum two years of experience with Clinical Trials Management Systems; strong familiarity with the OnCore CTMS preferred
Strong organizational and prioritization skills, attention to detail, excellent communication (written and verbal), problem-solving abilities, and the ability to work collaboratively
Ability to manage multiple priorities and keep track of complex timelines
Experience identifying and implementing process improvements
City of Hope is an equal opportunity employer.
To learn more about our comprehensive benefits, click here: Benefits Information
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
Auto-ApplyManager, Patient Accounts - Remote
Tennessee jobs
The Manager of Patient Accounts position manages the cash process for the CBO. They also handle the support process for the Clinics to obtain necessary information from the AR system to reconcile their cash and clearing accounts. As a Patient Accounts Manager at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
**Essential Functions**
+ Assists in continual development and deployment of a comprehensive solution to be utilized in the reconciliation of the Clinic Cash and Clearing Accounts.
+ Monitors the clinic clearing accounts through reporting and work with sites as clearing account balance issues are identified.
+ Manages a staff of professionals to audit clinic clearing account reconciliations.
+ Evaluates additional process changes to assist in simplifying the cash and clearing reconciliation process.
+ Serves as training and support for Clinics in their cash and clearing account reconciliation process.
+ Completes additional special projects and reports as needed.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ This is a fully remote position.
**Qualifications**
+ Bachelor's Degree in Accounting or Finance required
+ Master's Degree in Business Administration preferred
+ 3-5 years progressive work experience in general ledger and complex cash and clearing reconciliation preferred
+ 3-5 years Prior experience in physician practice management, hospital or health plan cash and/or clearing reconciliations, or equivalent experience preferred
+ 2-4 years of supervisory experience preferred
**Knowledge, Skills and Abilities**
+ Individual should have knowledge of Word Processing software; Spreadsheet software and Database software.
+ Athena knowledge is a plus.
+ Very high level of Excel proficiency necessary.
**Licenses and Certifications**
+ Certified Public Accountant (CPA) preferred
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The PPSI Team and Athena work alongside the Clinic Leaders and staff with the common goal of creating a clean and efficient revenue cycle.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Contract Compliance Analyst - Healthcare Revenue Cycle (REMOTE)
Franklin, TN jobs
The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and expected revenue for managed care, government contracts, and other payers. This role includes analyzing contract compliance, identifying revenue opportunities, and communicating discrepancies to relevant departments. The PCCM Analyst collaborates with financial and clinical teams to improve revenue cycle processes and optimize payer relationships.
As a PCCM Analyst at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
**Essential Functions**
+ Analyzes contract reimbursement, identifying variances, trends in underpayments/overpayments, denials, and revenue leakage to support maximization of reimbursement.
+ Manages underpayment appeals and account follow-up, working collaboratively with payers and internal teams to resolve discrepancies in a timely manner.
+ Interprets contract terms, validates compliance, and provides feedback to management and departments to ensure accurate reimbursement processes.
+ Compiles, analyzes, and presents data on payment trends, making recommendations for improvements in revenue cycle processes.
+ Reviews payer policies and updates for their impact on reimbursement, communicating changes to appropriate teams to ensure compliance.
+ Develops and maintains reports that identify payment discrepancies, revenue opportunities, and performance metrics for management review.
+ Collaborates with financial, clinical, and operational teams to address contract compliance issues and enhance payer relations.
+ Maintains knowledge of medical coding systems, reimbursement structures, and regulatory changes to support accurate account adjudication.
+ Performs other duties as assigned.
+ Maintains regular and reliable attendance.
+ Complies with all policies and standards.
+ This is a fully remote position.
**Qualifications**
+ H.S. Diploma or GED required
+ Associate Degree or higher preferred
+ 2-4 years of experience in revenue cycle management, contract compliance, or healthcare reimbursement analysis required
**Knowledge, Skills and Abilities**
+ Strong understanding of managed care, government contracts, and reimbursement processes.
+ Proficiency in data analysis, with the ability to compile and interpret complex data sets related to contract compliance and payment trends.
+ Excellent communication and interpersonal skills for working with internal teams and external payer representatives.
+ Knowledge of medical coding systems (ICD-10, CPT, HCPCS, DRG, etc.) and how they affect claim adjudication.
+ Strong organizational skills, with the ability to manage multiple projects and deadlines.
+ Proficient in Google and Microsoft Office Suite, with intermediate to advanced Excel skills.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Patient Care Technician-Full Time-Days
Remote
The Patient Care Technician (PCT) provides high-quality, patient-centered care by performing delegated tasks in alignment with the PCT's training and the department's needs. Under the direct supervision of a Registered Nurse (RN) or Licensed Practical Nurse (LPN) (LVN at Texas facilities), the PCT supports patient care by assisting with activities of daily living, maintaining a safe and organized care environment, and ensuring effective communication within the healthcare team.
Essential Functions
Assists nursing staff in delivering care, performing delegated basic patient care services, and ensuring a clean, safe, and well-organized environment.
Collects and records patient data, including vital signs, height, weight, oxygen saturation, intake/output, and calorie counts, reporting findings to the RN/LPN/LVN.
Supports patients with meals, feeding, bathing, oral care, grooming, linen changes, skin care, elimination assistance, and urinary catheter care.
Assists with patient positioning, repositioning, dangling, ambulating, and using mobility aids such as walkers, crutches, canes, and wheelchairs.
Collects urine and stool samples and performs blood glucose monitoring via finger sticks, documenting and reporting results to the RN/LPN/LVN.
Communicates patient information effectively to the care team, adapts to change, and maintains professionalism in all interactions.
Maintains a clean, neat, and safe environment for patients and staff, adhering to infection control and safety protocols, including appropriate use of personal protective equipment (PPE).
Participates in performance improvement initiatives, risk management reporting, and compliance with National Patient Safety Goals and Core Measures.
May be required to maintain continuous visual observation of the patient and remains with them at all times unless relieved by appropriate personnel.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
0-2 years of experience in an acute care setting or currently enrolled in a Nursing program preferred
Knowledge, Skills and Abilities
Basic knowledge of patient care practices and equipment.
Strong organizational skills with the ability to multitask in a fast-paced environment.
Effective communication and interpersonal skills.
Ability to follow detailed instructions and work collaboratively within a team.
Commitment to maintaining patient confidentiality and adhering to safety protocols.
Licenses and Certifications
BCLS - Basic Life Support within 90 days of hire required
CNA - Certified Nursing Assistant preferred or
Certified Patient Care Technician (CPCT) preferred
Auto-ApplyMedical Billing Specialist - NOT A REMOTE POSITION
Council Grove, KS jobs
Job DescriptionSalary: DOE
THIS IS NOT A REMOTE POSITION. Accepting applications for a Medical Billing Specialist to work in our MCH Business office. This benefits eligible position would work Monday through Friday, 8:00 am to 4:30 pm.
This position would ensure that all necessary information for proper billing is recorded in patient files. This would require communicating with patients as necessary regarding account information. THIS IS NOT A REMOTE POSITION. Duties to include:
*Prepare claims to submit to both primary and secondary insurance companies for payment on patient accounts.
*Transmits claims electronically to Medicare, Medicaid, Blue Cross and NEIC carriers daily
*Contacts insurance companies in effort to collect submitted patient claims
*Resubmits any information required by insurance companies in order to process claims
*Responsible to resubmit unpaid claims on aging reports and work to meet the department aging goals
*Processes accuracy of insurance payments
Knowledge of basic bookkeeping, general accounting, collecting, and standard office practices and procedures. Attention to detail is a must. Medical billing experience preferred. Graduation from High School or equivalent. Ability to use Internet and process claims thru the hospital system.
THIS IS NOT A REMOTE POSITION
IT Infrastructure & Cloud Architect
Springfield, IL jobs
Pay Range:
$45.84 - $68.76
A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education.
Hospital Sisters Health System (HSHS) is seeking an IT Infrastructure & Cloud Architect to join our team. The IT Infrastructure & Cloud Architect is responsible for the design and build of IT enterprise scale solutions that meet system requirements and align to organizational initiatives. This role sets technology direction and provides oversight for technical decisions within assigned areas of focus including, but not limited to, scalability, security, and efficient infrastructure solutions, ensuring seamless integration between on-premises systems and cloud (potentially multi-cloud) platforms. This position is within the IT Infrastructure team but will have organizational wide influence. The architect will work closely with IT and Operations leadership, security team, and other stakeholders to optimize performance, reliability, and security across the organization's technology stack.
Position Specifics:
o Department: IT
o Core Function: Corporate Services
o Schedule: Full Time, 40 hrs/wk
o Location: 100% remote, accepting applicants that can work remotely and live in AZ, FL, IL, IN, KY, MI, MO, NC, NE, NH, SC, TN, TX, OH, WI, or WY.
o Compensation that aligns with your experience
INTERNET SPEED REQUIREMENTS:
• Download speeds must be at least 20 Mb or higher. (100 Mb or higher is preferred.)
• Upload speeds must be at least 6 Mb or higher. (10 Mb or higher is preferred.)
• Latency/Ping must be under 100 ms. (Under 60 ms is preferred.)
Education Qualifications
Bachelor's degree in Information Technology, Computer Science, or related field is required.
High School Diploma or equivalent and five (5) years of experience in a technical role managing a combination of the following may be considered in lieu of degree: Virtual and physical server hardware, software, and application delivery mechanisms; Microsoft server operating systems and software; Programming languages; Networking, VPNs, and Routing; SAN and NAS administration; Data management; Data protection.
Experience Qualifications
5-8 years of experience in networking, IT architecture, information security, virtualization, or other related information technology field is required. (This experience level is required in addition to the experience that would be required in lieu of education if colleague does not meet the degree requirement.)
5 years of experience in healthcare IT, cloud administration (Azure and/or AWS), and/or virtualized application management is required.
2 years of experience with multi-domain and multi-site Active Directory structure and management is required.
2 years of experience with networking concepts including firewalls, VPNs, network protocols, and routing is required.
2 years of experience with security frameworks and compliance standards is required.
2 years of experience working across multi-disciplined teams and subject matter experts to ensure well-integrated sets of solutions adhering to enterprise standards is required.
2 years of experience in designing, deploying, and managing cloud infrastructure, implementing security measures, and optimizing cloud performance using tools like Terraform, Ansible, CI/CD pipelines, and cloud monitoring solutions is preferred.
Certifications, Licenses and Registrations
Microsoft Certifications (365, Endpoint Manager, SCCM, etc.) is preferred.
VMware Certified Professional - Desktop and Mobility (VCP-DTM) or VMware Horizon Cloud certification is preferred.
Certified Information Systems Security Professional (CISSP) is preferred.
ITIL Certification is preferred.
Cisco CCNA, CompTIA Network+ is preferred.
Public Cloud Administration Certification(s) is preferred.
Job Description
Scheduled Weekly Hours:
40
Throughout communities in Illinois and Wisconsin, 13 hospitals, numerous community-based health centers and clinics, our 13,000+ colleagues have built a culture based on our solid core values of respect, care, competence, and joy. These are the ideals we believe in, work by, and live each day.
Built upon more than 145 years of service to the communities we serve, we now look to the future and our place in it as a health care system that strives to continually improve processes, procedures, and outcomes with the latest and most advanced technologies and treatments.
Regardless of how far our passion for excellence carries us, our focus will always remain on the most important person in our entire organization: The patient.
Benefits: HSHS provides a benefits package designed to support the overall well-being of our colleagues including their physical, emotional, financial, spiritual, and work health. Colleagues budgeted to work at least 32 hours per pay period are eligible for HSHS benefits.
Comprehensive and affordable health coverage includes medical, prescription, dental and vision coverage for full-time and part-time colleagues.
Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
Retirement benefits including HSHS
contributions.
Education Assistance benefits include up to $4,000 of educational assistance each calendar year and tuition discounts to select colleges with no waiting period.
Adoption Assistance provides financial support up to $7,500 for colleagues growing their families through adoption to reimburse application and legal fees, transportation, and more!
Other benefits include: Wellness program with incentives, employer-paid life insurance and short-term and long-term disability coverage, flexible spending accounts, employee assistance program, ID theft coverage, colleague rewards and recognition program, discount program, and more!
Benefits
HSHS and affiliates is an Equal Opportunity Employer (EOE).
HSHS is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce.
Auto-ApplyPayment Compliance and Contracts Specialist - Remote
Tennessee jobs
The Payment Compliance & Contract Management Specialist (PCCM Specialist) serves as a subject matter expert and team lead, responsible for maximizing reimbursement through the identification of revenue opportunities and resolution of contractual variances. This role oversees quality assurance and performance management processes, providing guidance to team members and allocating workloads effectively. This role also involves analyzing reimbursement discrepancies, providing strategic insights, and collaborating with internal and external stakeholders to improve revenue cycle processes.
As a Payment Compliance & Contract Management Specialist (PCCM Specialist) at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
**Essential Functions**
+ Conducts quality monitoring to ensure team performance meets departmental metrics, and provides actionable recommendations to senior leadership when KPIs are not achieved.
+ Trains and mentors staff to ensure team efficiency and compliance with departmental standards.
+ Manages, maintains, and directs key technologies administered by the department to support payment compliance and contract management activities.
+ Analyzes workload demands through data analysis, assigning tasks to team members based on priorities and department needs.
+ Identifies opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling.
+ Performs other duties as assigned.
+ Complies with all policies and standards.
+ **This is a fully remote opportunity.**
**Qualifications**
+ Bachelor's Degree or equivalent work experience on a year-for-year basis required
+ 3-5 years of experience in healthcare reimbursement, contract management, or revenue cycle operations required
+ Demonstrated expertise in analyzing and interpreting payer contracts and reimbursement methodologies required
+ Experience working with insurance payor contracts stronly preferred.
**Knowledge, Skills and Abilities**
+ Strong analytical and data interpretation skills.
+ Advanced understanding of healthcare reimbursement systems and payer contracts.
+ Excellent leadership and team collaboration abilities.
+ Effective communication and presentation skills.
+ Proficiency in data analysis tools and healthcare billing software.
+ High attention to detail and ability to manage multiple priorities.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Equal Employment Opportunity
This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
Hospital Underpayment / Overpayment Collector - Remote
Remote
The Underpayment & Overpayment Collector - Healthcare (REMOTE) is responsible for the timely and efficient resolution of underpaid and overpaid accounts. This role involves managing account follow-up, analyzing trends, collaborating with internal departments, and ensuring accurate reconciliation of account balances. The PCCM Collector assists in optimizing revenue cycle processes and maintaining compliance with contractual agreements.
As a Payment Compliance Collector at Community Health Systems (CHS) - PCCM, you'll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. Our team members enjoy a robust benefits package including medical, dental and vision, insurance, and 401k.
Essential Functions
Manages account follow-up for underpaid and overpaid claims, escalating unresolved issues internally as needed to achieve resolution.
Reconciles account balances and adjustments to ensure accurate financial status and compliance with contractual terms.
Resolves underpayments by engaging in daily communication with payers and negotiating payment discrepancies.
Identifies and analyzes trends in underpayments, overpayments, denials, and revenue opportunities to recommend process improvements.
Evaluates and interprets contract reimbursement details, providing feedback and insights to the department to enhance revenue cycle performance.
Collaborates with financial and clinical departments to address account discrepancies and ensure effective revenue management.
Reviews contract validation, updates, and provides interpretation to support accurate claim processing and collections.
Ensures thorough and accurate validation of account analysis before distribution, maintaining compliance with policies and procedures.
Performs other duties as assigned.
Complies with all policies and standards.
This is a fully remote position
Qualifications
H.S. Diploma or GED required
Associate Degree or higher preferred
1-2 years of experience in healthcare collections, revenue cycle, or contract management required
Familiarity with payer contracts and healthcare reimbursement methodologies preferred
Experience in hospital insurance collections strongly preferred
UB-O4 experience strongly preferred
Knowledge, Skills and Abilities
Strong analytical and problem-solving skills.
Proficient in understanding and interpreting payer contracts and reimbursement terms.
Effective communication and negotiation skills.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Proficiency in healthcare billing software, Google Suite, and Microsoft Office Suite, especially Excel.
Attention to detail and high degree of accuracy in reconciliation and analysis.
We know it's not just about finding a job. It's about finding a place where you are respected, valued and where your work is purposeful and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
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