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Job Summary: This job is responsible for reviewing encounters in the practice management system (e.g. Epic) and making corrections as needed in accordance with applicable guidelines. Work also includes inputting encounters and other source documents received from clinics in an accurate, compliant and timely manner. An incumbent engages in various charge capture tasks/initiatives to ensure charges are entered, edited and billed in a timely and efficient manner in order to maximize revenues and serves as a resource to other staff and RBO departments for complex charge review/entry issues. Work requires considerable understanding of CPT and diagnosis codes, ICD-9/10 coding, anatomy and physiology as it relates to the medical field. Effective troubleshooting skills are required to facilitate consultation with multiple team members to address and resolve issues having a potential impact on revenues. Essential Duties: - Reviews encounters that are in charge review work queues and makes corrections or code additions as appropriate in accordance with applicable guidelines. - Inputs encounter data and other clinic-generated source documents into the practice management system in accordance with applicable guidelines and quality/production standards. - Anticipates potential areas of concern within the charge capture function; notifies lead/manager of ongoing process issues or concerns beyond designated scope of authority to rectify independently; assists with unusual, unprecedented and/or escalated issues as necessary.
Job ID
2020-135420
Department
Physician Coding
Facility
CHI Franciscan Medical Group
Shift
Day
Employment Type
Full Time
Location
WA-TACOMA
The Clinical Informaticist is responsible for providing leadership, clinical understanding, and support to the planning, coordination, implementation and sustainment of clinical health information technology (HIT).  Works collaboratively with, but not limited to,  clinicians, physicians, national informatics,  Medical Informaticist Lead and IT to ensure that the needs of the patient care areas are met and project timelines, milestones, and deliverables are on target with the overall clinical IT strategy.  Provides input regarding the IT system and the impact on existing clinical standards, processes and forms in such a way as to gain support and buy-in from staff to successfully implement and sustain clinical HIT.  Position requires an understanding of clinical processes and HIT needs of the clinical disciplines.   Will provide guidance of ongoing strategy based on new models of care and optimization of systems, system integration, workflow analysis, analytics, research, outcomes and metric tracking and quality reporting.    Demonstrates organizational and communication skills in dealing with patients, families, physicians, & other health care workers.   Key Responsibilites - Serves as a liaison between Information Technology IT, the physician community, the clinical community for the design, build, testing, training, implementation, and ongoing optimization of clinically led IT strategies - Coordinates clinical activities for the clinically led IT strategies, including but not limited to OneCare, applying knowledge and understanding of clinical process, documentation,  nomenclatures/languages. - Provides ongoing support for HIT optimization, including, but not limited to, assisting with deployment of additional system features; coordinating and/or participating in the systems analysis, planning, developing and testing activities as required. - Participates in regional team activities, including knowledge sharing among peers. Supports other markets as determined by clinical leadership. - Participates in National/Regional Informatics workgroups as assigned. - Meaningful Use / MIPS (CMS program(s)) – produce needed reports or data; including data validation where applicable - Provides reports to Provider supervisors for Quality Incentive programs - Provides subject matter expertise and other support to all users of the HIT systems. Through the regional change request process, escalates change requests. - Actively advocates for ongoing system optimization. - Collaborates with IT to ensure effective communication of upgrades and system downtime for each market. - Primary point of contact for physicians and other providers related to HIT clinical issues. - Understands current patient safety goals, and other regulatory requirements, including, but not limited to, meaningful use, ICD 10, evidence based practice, SafetyFirst, and ensures that these factors are considered and integrated into HIT design, implementation, and optimization at a market level. - Maintains current knowledge of clinical informatics through regular review of the literature, participation in professional organizations, etc; identifies trends, best practices and regulatory requirements impacting matters within assigned scope of responsibility; researches nature/scope of impact on existing activities and takes appropriate action. - Where applicable, will collaborate with the physician liaison role. - Establishes and maintains organizational clinical standard content within the electronic medical record systems.  This may include, but may not be limited to, incorporation of EBP standards within EHR platforms for practice, order entry standards for both clinician and provider use, and clinical documentation for clinicians and providers.  - Liaison for North Dakota Health Information Network - Provide support for any hospital or clinic surveys -including but not limited to – at the elbow support for state surveyor staff - Provide support and/or intermediator with coding and providers - User Acceptance Testing point person for EMR’s - Provide guidance and support during planned or unplanned downtime with EMR’s  
Job ID
2020-130206
Department
Clinical Informatics
Facility
CHI National Offices
Shift
Day
Employment Type
Full Time
Location
CO-ENGLEWOOD
Under direct supervision, Coder is responsible for abstracts and codes patient records in compliance with coding, billing and data collection guidelines of the organization. This role is typically responsible for less complex coding.   - Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines. - Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification). - Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment. - Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request.
Job ID
2020-112909
Department
General Medical Clinic
Facility
CHI Health St. Mary's
Shift
Day
Employment Type
Full Time
Location
NE-NEBRASKA CITY
Pay Scale: $18.05 - $23.99   Shift: Full Time, 8am - 5pm   Job Summary:   Under direct supervision, Coder is responsible for abstracts and codes patient records in compliance with coding, billing and data collection guidelines of the organization. This role is typically responsible for less complex coding.   Essential Duties: - Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines. - Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification). - Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment. - Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request. - Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided. - Compare charges on accounts with the procedures coded and identifies any discrepancies. Notifies Coding Manager of any discrepancies’ and collaborates as needed to rectify the account. - Participate in special projects and/or completes other duties as assigned.
Job ID
2020-136938
Department
Physician Coding
Facility
CHI Mercy Health of Roseburg
Shift
Day
Employment Type
Full Time
Location
OR-ROSEBURG
The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty.  The Coder II is able to work independently with limited oversight and may require directions from supervisor or more senior co-workers on complex cases. Essential Key Job Responsibilities - Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines. - Communicates professionally with providers, practice management, and other stake holders either verbally or in writing. - Responsible for working encounters in the coding work queue or task lists in a timely manner. - Meets or exceeds organizational coding production and quality standards. - Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits. - Reviews and resolves coding denials. - Participates in special projects and completes other duties as assigned.                                                      
Job ID
2020-136452
Department
Compliance Coding Team
Facility
Mountain Management Services
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
Job Summary:   Coding all of the hospital and office charges, cardiac procedures, imaging procedures and all other services performed by the clinical staff.  Review and implementation of processes both new and established.   Essential Responsibilities: - Physician and staff education as approved by the Director of Business Operations. - Read and stay current on all CMS and compliance related issues (Advising Director of any changes or issues that affect the Practice). - Review documentation and code all missing care-slips to ensure capture of all charges. - Review procedure logs (from hospitals) obtained from staff to research procedures marked to ensure capture of all charges. - Review missing charges (obtained from business office staff) to ensure capture of all charges. - Accurately code hospital, office, imaging and all other clinical charges in a timely manner. - Obtain working knoweldge of payment posting function, demographics, charge entry and overall business office functions. - Work with management to increase efficiency and proper use of resources for business office function. - Maintain CEU and certification requirements. - Attend various meetings wihtin the Business Office and practice to gain understanding of overall functions to ensure compliance for billing.
Job ID
2020-119088
Department
Cardiology Clinic
Facility
CHI Memorial Chattanooga
Shift
Day
Employment Type
Full Time
Location
TN-CHATTANOOGA
JOB SUMMARY / PURPOSE Processing credentialing and recredentialing applications accurately and in a timely manner; review files for application completion in compliance with The Joint Commission standards, NCQA standards and Medicare/Medicaid standards.   ESSENTIAL KEY JOB RESPONSIBILITIES - Process primary verification data during the credentialing and recredentialing of providers. - Prepare verification letters. - Maintain database for provider credentialing and recredentialing. - Contact medical office staffs, licensing agencies and insurance carriers to complete credentialing and recredentialing applications. - Handle confidential information in an appropriate manner. - Support OPPE and FPPE processes. - Performs other duties as assigned to meet the organization`s needs.
Job ID
2020-130286
Department
Medical Staff Services
Facility
CHI St. Joseph Health Regional Hospital
Shift
Varied
Employment Type
Part Time
Location
TX-BRYAN
POSITION SUMMARY   Provides technical assistance, support and guidance to users on usage of the electronic health record (EHR) system in accordance with established internal protocols and guidelines.   Work focuses primarily on ensuring that assigned work sites (e.g. hospitals, clinics etc.), existing and newly-acquired, have the knowledge and understanding necessary to fully utilize system functionality to meet patient care standards and operational needs.  Work includes:  1) providing direct support for providers and clinicians across the continuum of care and assisting with optimization adoption; 2) soliciting feedback, providing additional support/training and explaining/monitoring related workflow changes as necessary; 3) troubleshooting user issues and escalating more complex problems to higher-level authority in accordance with established protocols; and 4) following up regularly with department management to ensure identified issues have been resolved.  Work also includes identifying areas/issues (e.g. safety/quality of care) with potential to impact organizational conformity with community standards of care for referral to the Informatics team.  Incumbents have daily contact with providers/employees with varying levels of computer sophistication.  In responding to the need for support, an incumbent must listen carefully to the user, ask pertinent questions to diagnose the nature of the problem, and determine the best approach to resolve the problem.  Considerable tact is required for interacting with contacts who may be experiencing frustration with use of the system. Incumbents are responsible for maintaining current knowledge of the overall functionality of, and current workflow processes/procedures relating to EHR systems and related operations sufficient to explain significant aspects and available capabilities to users, assist user in navigating the system and to articulate common challenges and lessons learned on practical ways to overcome them.   Work requires strong customer service, communication, problem-solving and troubleshooting skills, as well as the ability to keep abreast of new system technologies/applications and changing organizational needs, objectives and priorities. Work requires regular travel to assigned work sites and an incumbent will be required to take call on a rotating basis.   POSITION RESPONSIBILITIES   1. Rounds regularly on assigned work sites to answer questions, provide additional training, identify issues/concerns and facilitate continued integration of automated systems; resolve issues within defined scope of responsibility and in accordance with established procedures. 2. Serves as initial point of contact for end users when issues arise; troubleshoots workflow/process issues and common equipment issues and triages technical issues in accordance with established procedures.  3. Gathers specific information on workflows and assists with workflow development and modification; identifies issues that will need to be reviewed by the Informatics team in order to facility conformity with community standards of care. 4. Provides on-site supplemental training to providers and staff as necessary; identifies issues for referral to the Informatics and/or Training team.   5. Participates in the development and implementation of targeted support plans for struggling providers and staff; may shadow user(s) to gain a better understanding of the challenges from the user perspective.  6. Provides support to sustain and promote implementation of organizational change management (OCM) adoption tools and methodologies; provides support for acquisitions and new hires. 7. Maintains a physical presence in the unit/clinic during periods of go-live/stabilization to support staff on workflow and new processes; assists with optimization adoption efforts. 8. Works closely with the Enterprise Adoption Team, participating in the review and assessment of adoption risks/successes and in the deployment of mitigation efforts in sync with national efforts. 9. Masters all competencies and models all service standards for EHR training modules; maintains ongoing relationships with credentialed trainers to keep abreast of current on training tools, changes, alerts and tips.    10. Works closely with operations to participate in on-boarding planning for individuals and acquisitions; attends related planning meetings. 11. Brings concerns to clinic/inpatient managers or appropriate informatics department management, serving as a resource for interventions related to emergent/ongoing issues and supports an environment of proactive service recovery. 12. Collects feedback on issues/problems related to the clinic/hospital charting/documenting, ordering and or referral process. 13. Follows up regularly to ensure identified issues have been resolved. 14. Attends routine meetings/forums convened to provide additional information, discuss issues/concerns and develop address related issues and create a forum to update and interact with broad groups of managers 15. Assists with policy/procedure manual updates and revisions in MS Word, training materials using PowerPoint, process flow documents using Visio, and tracking sheets in MS Excel. 16. Participates in regularly scheduled meetings to represent assigned work unit(s) and to gather/provide feedback relating to Epic, discuss user needs and future optimization, determine priorities, address changes to workflow or current functionality and other topics of similar significance.  17. Attends meetings to discuss user needs and how best to meet them within current Epic functionality or to explore whether future optimization is warranted. 18. Provides ”Go Live” support, responsible for planning, developing and running all clinical workflow dress rehearsal’s (WDR’s) for new or acquired clinic go-live. 19. Participates in Go-Lives, community connect and EPIC Care Link support; maintains constant contact with application teams to assure up-to-date knowledge required for readiness to provide effective support as needed, including capturing patient data/documentation, routing orders/referrals/messages, closing-out patient encounters and related actions.  20. Documents and interprets common themes of end users’ EPIC support needs during support assignments to be used to address/solve common concerns, determine additional support and confirm the support given is appropriate to facilitate the adoption of the workflow to provide effective patient care. 21. Assists with issues/questions at defined support assignments and identifies correct path of escalation when needed; identifies break-fix issues versus issues to bring to analyst(s). 22. Provides guidance to providers/managers in understanding reports/metrics and KPIs (Key Performance Indicators). 23. Describes the metrics, KPIs, and MUs being monitored to clarify how they relate to workflow and can be used to uncover the reasons/causes for problematic results. 24. Assists providers/managers to customize reports/dashboards as needed. 25. Performs related duties as required.
Job ID
2020-110249
Department
Health Information Management
Facility
CHI St. Luke's Health
Shift
Day
Employment Type
Full Time
Location
TX-HOUSTON
JOB SUMMARY Works collaboratively with the Patient Navigation team and other health care professionals within the clinically integrated network (CIN) to provide patient navigation services across the health care continuum for consumers. Under general supervision, supports the administrative and patient navigation requirements within CIN Care Management to ensure safety, best practice and high quality standards of care are maintained. Interacts directly and indirectly with internal and external providers and consumers delivering excellent customer service. Is an integral member of the health care team who works to ensure consumers are able to navigate through the health care continuum while improving the coordination of care and member/family experience. In addition, the position will assist in assessing and assisting patients to overcome barriers to care, completing administrative duties, generating reports and data abstraction. Collaborates with the CIN Population Health Care Coordination team on system-wide quality improvement/performance improvement initiatives.   JOB RESPONSIBILITIES - Assists in the identification of member populations needing navigation services and care coordination including obtaining admission, Discharges and Transfers from Health System Acute facilities and generating Risk-Stratification and Predictive Modeling reports. - Effective collaboration, communication and coordination among all responsible parties of an individual members multidisciplinary health care team striving to eliminate fragmentation, duplication or gaps in health care. - Identifies potential barriers related to patient's home setting and self-care/management needs and refers patient to resources to help resolve issues. - Assist as a liaison with members and their families to physicians, clinical staff, community resources and others. - Actively participates in quality activities by communicating and coordinating with the navigation team in the development of tools for optimal consumer outcomes and report findings. - Proactively acts as a members advocate, responding to and working to resolve concerns. - Researches member eligibility and assigned Population Health Value-Based Program through chosen analytical tool. - Abstracts meaningful data from the EHR/clinic medical record of identified high-risk consumers. - Performs other duties as assigned to meet the organization`s needs.
Job ID
2020-132332
Department
Clinical Integration
Facility
CHI St. Joseph Health Regional Hospital
Shift
Day
Employment Type
Full Time
Location
TX-BRYAN
POSITION SUMMARY Responsible for advancing clinical practice and improving patient outcomes through the effective integration and utilization of Clinical Information Systems (CIS) in the practice environment. Assist in the planning, design, build, testing, implementation, stabilization, and ongoing evaluation and optimization of clinical information systems.   POSITION RESPONSIBILITIES - Utilize knowledge and skills of informatics with current evidence and clinician input to determine clinical information systems and workflows best suited for end-users. - Advocate for the clinicians and nurses in the design, build, testing, implementation, evaluation, stabilization, optimization, and upgrading of clinical information systems: a. Assist in developing end-user requirements with the guidance of the senior staff b. Assist in identifying, developing, validating and utilizing forums to solicit input and bring end-users to appropriate content, design of screens and forms, and workflow with end-users, effectively communicating findings. - Assist in efforts that promote and streamline communication and continuity of clinical and operational practices during declared inter-facility system downtime. - Assist in the development of best practices that promote the adoption of clinical information systems into clinical practice. - Participate in the development and maintenance of policies and procedures related to clinical and nursing practice supported by clinical information systems. - Assist in developing, measuring, and analyzing metrics for efficiency and quality. - Assist in developing meeting agendas, coordinating content, and disseminating meeting minutes. - Ensure CIS is designed and consistent with professional standards of clinical practice; effectively support key clinical efforts including, but not limited to quality and or regulatory measures. - Analyze issues and develop recommendations with senior staff, including escalating issues as needed, completing work order requests in a timely manner and performing follow-up with the customer to ensure satisfactory resolution. - Assist in carrying out tasks identified in the project plan for all assigned projects. - Support clinicians in the usage of Clinical Information Systems in order to promote patient safety. - Additional duties as assigned.
Job ID
2020-109985
Department
Clinical Informatics
Facility
CHI St. Luke's Health
Shift
Day
Employment Type
Full Time
Location
TX-HOUSTON
PRN, Day Shift, Saint Joseph Hospital
Job ID
2020-110489
Department
Diagnostic Imaging Center
Facility
CHI Saint Joseph Hospital
Shift
Day
Employment Type
Per Diem
Location
KY-LEXINGTON

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