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Fri, 10 Sep 2010 20:41:03 GMT

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Documentation Specialist

Fri, 10 Sep 2010 15:23:49 GMT

The Documentation Specialist improves the overall quality and completeness of clinical documentation. You will interact with physicians, nursing staff, case management and medical record coding staff to facilitate modifications to clinical documentation that ensures accurate depiction of the level of clinical services and patient severity. On an ongoing basis you will educate all members of the patient care team, provide education programs as required and participate in select committees. You will review the quality of medical record documentation in selected diagnostic categories and identify and convey deficiencies to house staff and attending physicians. Responsibilities Include 1. Reviews clinical documentation and facilitates modifications (as needed) to ensure that documentation accurately reflects the level of service rendered and severity of illness (in compliance with government and other regulations) for all patients. Maintains a system to identify admissions with specific diagnosis / DRG classifications or other categories of admissions. Initiates chart review within 24-48 hours of admission to meet criteria. 2. Monitors, systematically, the targeted medical records (at least every 48 hours unless otherwise indicated) to determine compliance to established documentation standards. 3. Notifies attending physicians and house staff officers or other disciplines promptly of chart deficiencies requiring clarification, with a preference for face-to-face communication where practicable. 4. Conducts follow-up reviews to ensure points of clarification have been addressed/recorded in the patient chart. Maintains an ongoing record of the results of each chart review including responses to all interventions. 5. Reviews the medical record post discharge to determine coding status. 6. Compiles and provides timely statistical reports including, but not limited to: Number of charts reviewed Number of charts with documentation deficiencies per physician Final DRG assignments Other pertinent data 7. Facilitates the ongoing education of staff in chart documentation improvement techniques and practices. Provides periodic formal and informal in-service updates to medical staff and other disciplines using both one-on-one and group forums. Educates practitioners on a one on one basis. Develops and disseminates documentation improvement literature in conjunction with Medical Staff. 8. Serves as a resource to Physicians / Case Managers and other key professional staff in matters relating to published DRG information. 9. Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposes.

Clinical Practice Plan Rep(MN)

Fri, 10 Sep 2010 15:23:48 GMT

The Clinical Practice Plan Representative positively impacts the patient experience by ensuring patients understand their financial obligation to pay for medical services rendered. In his role, you will obtain all necessary information and enter it into the billing system for timely and accurate billing and collection. Responsibilities include: Registers/re-registers patients Demonstrates good judgment when reviewing registration forms for completeness and accuracy Consistently reviews registration information according to Clinical Practice Plan (CPP) policies and procedures Seeks assistance from CPP Coordinators when problems arise during the registration process Performs additional tasks required to successfully complete registration Maintains a polite attitude when assisting patients or guarantors in completing the registration forms and reviewing insurance information. Verifies insurance coverage for elective surgeries, high dollar services and patients with on-going courses of treatment. Verifies insurance coverage on a timely basis when appropriate; Arranges for adequate blocks of time to perform insurance verification; Notifies patient and arranges for alternative payment methods when insurance coverage did not cover services course of treatment. Collects point of service payments, as appropriate. Requests payments from patients and guarantors where appropriate; Demonstrates good judgment when explaining physician or department's policy for point of service payments; Assists patients or guarantors in answering their questions; Maintains good relationship among the physicians, patients, and guarantors. Prepares batches and performs data entry for charges, registration information and payment information. Arranges for adequate blocks of time to perform data entry; Uses knowledge of the IDX system when entering information concerning registration, charge entry and point of service payments; Notifies CPP Coordinators when there are problems associated with preparing batches on a daily basis and entering information before the close of the business day; Performs data entry on a daily basis. Functions as a financial counselor and arranges budget plans in accordance with CPP criteria. Conducts oneself in a professional manner and speaks to patients and guarantors in a courteous fashion; Assists patients or guarantors in answering any questions Uses good judgment when arranging budget plans in accordance with CPP criteria; Obtains approval from Business Office Account Representative Supervisor regarding expectations to standard budget plan policies. Performs point of service account follow-up for all outpatients seen in area including reviewing account balances, discussing outstanding balances and requesting payment/insurance information and entering payments, as appropriate.

Patient Accounts Manager

Fri, 10 Sep 2010 15:23:46 GMT

Manages and monitors day-to-day area operations, may include but not limited to: financial reporting, budget, accounting records, grant operations, general ledger, taxes, coding, billing, reimbursement and compliance with regulatory requirements. Evaluates and implements department processes, procedures, techniques and protocols. Investigates technical problems and initiates corrective action. Manages productivity, resolves issues, and prepares analysis to monitor and ensure quality control and performance improvement. Maintains records and reports on performance and recommends corrective action or justifies variances. Manages direct reports: hires, trains, disciplines and evaluates performance. Ensures performance appraisals are completed per policy. Recommends, implements and evaluates the approved operating budget. Manages resources including operating budget, equipment, space, staff and information. Plans and ensures adequate supplies on-hand. Evaluates equipment and recommends maintenance, repair, upgrade or replacement. Participates in the planning and utilization of space. Oversees the maintenance and integrity of conventional and computer-aided records and information. Builds and maintains productive intra-departmental work relationships to optimize operations. Performs related duties, as required

Practice Revenue Manager

Fri, 10 Sep 2010 15:23:46 GMT

The North Shore LIJ Health System is comprised of 15 hospitals (including three world-class tertiary hospitals as well as a nationally recognized children's hospital and a psychiatric facility), hospice and home care services, a major medical research institute and many other health-related facilities. As the largest employer on Long Island and one of the largest healthcare systems in the United States, the North Shore-LIJ Health System is "Setting New Standards in Healthcare" every day. Oversees billing and collecting of monies generated from physician's services. Manages revenue cycle management. Performs fee schedule analysis. Oversees managed care contracting. Manages reimbursement functions. Identifies and implements technologies to improve operations.

Sr. Coding Specialist

Fri, 10 Sep 2010 15:23:45 GMT

Functions as a liaison between the physicians' and ancillary departments regarding the instruction of regulatory guidelines. Serves as an on-site resource for CPT-4 and ICD-9-CM coding, and charging issues. Responsible for in servicing clinical staff of changes (additions/deletions) that take place in the CDM. Liaison between physicians and ancillary departments regarding theinstruction of regulatory guidelines. Encourages communication between departments to resolve coding and billing issues. Meets with hospital personnel, as needed, to review that regulatory changes are adhered to. Maintains a reasonable understanding of the billing process to ensure that hospital procedures and services are properly ordered. Is familiar with APC coding and identifies front-end process improvement initiatives. Monitors coding changes for governmental agencies and other payers; educates departments on coding and compliance issues. Responsible for CDM Validation. Validates CDM Maintenance Forms prepared by Financial Analysts in a timely manner. Ensures HCPCS codes and revenue codes are in compliance with the Federal Register and other regulatory agencies. Uses all coding resources, including researching availability of additional documentation to assign accurate HCPCS codes. Conducts CDM Educational Sessions. Conducts educational sessions with clinical staff members regarding the contents of the Charge Description Master (CDM). Ensures that Department Heads are trained in the proper CDM maintenance procedures. Keeps abreast of federal regulatory agencies and changes in coding and reimbursement. Performs related duties, as required.

DRG Validation Reviewer

Fri, 10 Sep 2010 15:23:45 GMT

As the DRG Validation Reviewer, you play an essential role in ensuring the health system is in compliance with Federal and State regulations. You will conduct DRG Validation to ascertain that the diagnostic and procedural information that led to the DRG assignment can be substantiated by the documentation in the Medical Record. Responsibilities include: Audits and reviews Medicare and non-Medicare charts to ensure that proper DRG standards are maintained in conformance with Federal and State regulations. Reviews attestation statements of all Medicare and non-Medicare charts formulated by the Medical Record Coding Analyst Identifies appropriate coding changes necessary to provide the most valid DRG in compliance with Federal and State regulations Corrects the face sheet, generating a new attestation statement and dollar value sheet for each record entered on the 3m Grouper, and inserts these forms into the Medical Record Applies ICD-9-CM coding rules and regulations to the DRG Validation review process Interacts with the attending physicians and house staff when there is a discrepancy with information written on the chart or on the attestation statement. Makes appropriate corrections, as necessary Assists attending physicians and house staff in providing appropriate documentation in the Medical Record to substantiate the DRG assignment

Senior Financial Analyst (Performance Improvement)

Fri, 10 Sep 2010 15:23:44 GMT

The Financial Performance Improvement Analyst is responsible to provide analytical assistance to system wide initiatives. The Analyst will perform complex analytical work collecting, analyzing, and interpreting large data bases from disparate sources, developing recommendations, and presenting summary findings to department leadership. The Analyst will work within corporate finance, as well as with all health system clinical and operations departments. Assist in the development of financial models and methodological approaches to cost management, resource utilization, and process improvement. Develop financial models and make recommendations to assist project management in key decision making. Perform variance analysis, create ad hoc reports, and develop presentations. Develop and improve/enhance financial reports, models, and databases. Review and validate information submitted by both internal and external sources. Support business case development and analysis. Assist in preparation concise and informative presentations to senior management to inform and educate/persuade. Participate in the development and maintenance of performance metrics, measurements, methods, and targets identifying performance improvement opportunities. Provide ongoing recommendation on the use of analysis, reports, methodologies, systems and source date and act as an information resource.

Sr Manager, Business Development Projects

Fri, 10 Sep 2010 15:23:44 GMT

The Sr Manager, Business Development Projects supports Senior Management in assessing strategic growth options, including acquisitions, partnerships and other physician alignment approaches. In this role you will collect, prepare and assess financial data pertaining to strategic ambulatory service projects. You will also assist in the execution of strategies approved by Senior Management; as required, oversee operations of various Ambulatory projects as well as vendor/consultant relationships as needed and prepare and monitor budgets, assesses various site performance metrics against business plan pro formas. Responsibilities include: Collaborates with Senior Management in assessing merger, acquisition and new business development activities. Prepares business plans and evaluates financial feasibility in support of strategic growth projects Studies business approaches and applies financial models and makes recommendations around such approaches. Prepares and analyzes economic data as required for new program or project development in support of maximizing Return on Investment/ Internal Rate of Return. Evaluates implemented projects on a periodic basis and compares actual performance to pre-establish metrics and business plans. Reviews various physician alignment options and makes recommendation for improvement to management as needed. Conducts and assists in the presentation of new business development activities as assigned. Maintains knowledge of regulatory and reimbursement changes and technology enhancements impacting ambulatory services and pending business decisions. Participates in the development of department budgets. Works closely with operating business units, Ambulatory Services operations team and vendor/consultant relationships to grow business. Assists in the oversight of operations for specific Ambulatory sites as required Performs other duties, as required.

Financial Planning Manager

Fri, 10 Sep 2010 15:23:43 GMT

Develop, manage and lead business planning process in collaboration with various stakeholders. Financial oversight and completion of Certificate of Need applications. Identify and implement opportunities for financial performance. Various financial analysis projects. Management and oversight of staff. Staff training and development.

Financial Analyst III - Foundation Services

Fri, 10 Sep 2010 11:54:37 GMT

Full-time 8:00am - 5:00pm Days The Financial Analyst III is responsible for the preparation of all financial reports for the CHLA Foundation. Responsible for the review and coordination of CHLA Foundation cash receipts accounting and reconciliation to ensure accuracy and compliance with hospital policy. Assists in the audit, reconciliation and conversion of the Donor Tracking System. Responsible for Foundation Accounting Policies and Procedures. **NOTE *** This position is located in our Glendale, CA offices ***** Qualifications: Bachelor's degree in Accounting or related field preferred. Five (5) years healthcare accounting experience and strong awareness of Fundraising policies, procedures and guidelines. Skills Required: Knowledge and experience with information systems required and strong communication skills. Childrens Hospital Los Angeles (CHLA) is a special place where children have been cared for and cured for more than 100 years. Our hospital has become one of the world's top pediatric facilities, acknowledged throughout the United States and around the world for our leadership in pediatric and adolescent health.EOE/AA

Project Analyst - UCEDD Finance

Fri, 10 Sep 2010 11:54:37 GMT

Full-time 8:30-5 Days The Project Analyst has the responsibility of managing all grant, contract, hospital cost centers and special (fund) projects assigned. This project responsibility includes: Grant submissions, progress reporting, financial management (budgets (pre-award, post-award, and annual operating/capital), financial reconciliation, financial reports / statements, forecasting / projections, expenditures (and expense tracking), project closure, policies and procedures, problem identification / resolution while communicating clearly and regularly about project status, working closely with Division Administrator, Manager of Division Budgets and multiple Principal Investigators. Qualifications: Bachelor's degree in Business Administration including courses in accounting and financial management, or an equivalent combination of related education and experience. Three years experience in project management with fiscal and budget responsibilities; non-profit, hospital, or grant project experience preferred. Knowledge Skills and Abilities Required: Analytical skills to analyze information, practices and procedures, formulate logical and objective conclusions and make recommendations for effective solutions. Skills in writing grammatically correct correspondence and reports. Strong written and verbal communication skills. Interpersonal and communication skills to work closely with faculty, staff and other campus departments to convey information concisely, accurately and tactfully. Ability to work effectively in a team environment. Skill in establishing priorities in order to complete work in a timely manner with frequent interruptions. Experience with computer spreadsheet software (e.g., Excel, Access, etc.). Skill in performing basic accounting functions. Typing and word processing skills to prepare routine business correspondence. Ability to independently respond to correspondence, telephone inquiries, and job-related situations as required. Ability to search the Web for university and agency policies and procedures. Childrens Hospital Los Angeles (CHLA) is a special place where children have been cared for and cured for more than 100 years. Our hospital has become one of the world's top pediatric facilities, acknowledged throughout the United States and around the world for our leadership in pediatric and adolescent health.EOE/AA

SR FINANCIAL ANALYST

Fri, 10 Sep 2010 11:54:01 GMT

Full-Time 8-5 Day Bachelor's of Science Conduct quantitative analyses of information affecting managed healthcare contracts. Analysis and forecasting on the impact of reimbursement terms during contract negotiation process. Preparation and reporting of monthly financial reporting. Provide system support back up for the contracting information system including daily and monthly activities, trouble shooting as well as contract loading and modeling. Required Skill sets: Candidate should possess a high degree of analytical skills. Assemble spreadsheets and draw charts and graphs used to illustrate technical reports Working knowledge of reimbursement regulations and contract analysis/negotiations is a plus. Intermediate to advanced knowledge of MS Office Suite; Excel, Access Experience with contract management system (IMACS/Medassets / Cirius) and patient accounting system (Meditech) is a plus. Utilization of database like HBO. Prefers healthcare experience

SUPERVISOR COLLECTIONS

Fri, 10 Sep 2010 11:54:00 GMT

Full-Time 8-5 Day High School Diploma or GED required. 2 years Collection experience with knowledge of collection practices, procedures, and law governing collections required. Medical Collections experience strongly preferred.

Revenue Integrity Specialist

Fri, 10 Sep 2010 11:53:57 GMT

Salaried Full-Time Days This position ensures that the Charge Description Master (CDM) is current, compliant with rules and regulations specific to each payor group on an ongoing basis. The position requires excellent knowledge of CPT/HCPCs and Revenue Codes, CMS billing regulations and healthcare reimbursement. Ensures complete and timely charging by managing regulatory changes, providing education, performing audits and maximizing the capabilities of the CDM system. Works with department managers to facilitate CDM maintenance to ensure consistency and accuracy in the CDM, claims processing and data collection. Knowledge of DRGs and APCs. Knowledge of healthcare payment systems, including principles of contracting with both governmental agencies and commercial insurance companies.Skilled in Office Windows applications (Word, Excel, etc.) Understanding of Federal, State and local rules and guidelines as it pertains to hospital billing. Strong written and oral communication skills. Able to work in a team environment and with minimum supervision. Qualifications: Bachelor's degree in Accounting, Finance, Business or Health Administration, Public Health or a related discipline. Knowledge of managed care and third-party payer benefits designs and reimbursement requirements. Experience providing charge capture-related consulting service in the healthcare industry. Solid understanding of health care reimbursement methodologies, to include CPT, ICD, and DRG Coding as well as the information systems used for healthcare finance, billing and managed care processes. Proficient in Microsoft Office applications including Excel, Outlook, Word, and PowerPoint. Strong analytical skills with attention to detail and a high degree of accuracy and organization in order to produce reports, analysis and other detail as requested. Excellent writing, presentation and communication skills required. Demonstrated ability to manage multiple tasks/projects and work under pressure in order to meet deadlines. Excellent Computer, oral and written communication skills. Hospital/healthcare background.

Senior Accountant - CDC

Fri, 10 Sep 2010 11:53:53 GMT

Part-Time Days Associate's Degree This position is part time (24 - 32 hours per week) and is responsible for preparation of monthly financial statements, reconciliation and anaylsys for mutlple entities and properties, as well as consolidation of financial statements, accounts receivable and payables. Minimum Requirements: 1) Three to Five years experience and/or an Associate Degree in Accounting 2) Financial experience with real estate entities, taxes and/or budgeting a plus. This position is NOT a Crittenton Hospital position, but is a position at Crittenton Development Corporation; so please do not complete an application, but send resume directly to Trudy Carney at tcarney@crittenton.com or fax to (248) 656-8665.

Performance Analytics Support Analyst

Fri, 10 Sep 2010 11:53:52 GMT

Full-Time Days GENERAL SUMMARY Understands and applies Crittenton Hospital Medical Center's (CHMC) mission statement by, under limited supervision, developing, analyzing and monitoring organization-wide budgets, forecasts, and strategic plans for CHMC. Recommends changes in budgets to control costs and advises Senior Leadership on alternative strategies. Conducts a variety of complex analyses and budgeted related reports MINIMUM REQUIREMENTS Bachelors Degree with a concentration in Accounting or Finance required. Five (5) or more years of progressively responsible accounting and analytical experience required. McKesson revenue cycle and business analytics experience preferred. Healthcare experience preferred. PRINCIPAL DUTIES AND RESPONSIBILITIES 1 Assists in the preparation of analysis using data mining/decision support software, including but not limited to, on- going and periodic reporting, ad hoc reporting and special projects 2 Assist with the definition and on-going support relating to performance scorecards, product line analysis, and benchmark comparisons 3 Works closely with staff to evaluate opportunities to enhance data used within the decision support model 4 Utilize analytical and technical skills necessary to understand, prepare and evaluate clinical and financial data 5 Maintain a familiarity with current third party payment methodologies utilizing such classification coding as, but not limited to, ICD-9/10, CPT, MS-DRG, and APC. 6 Will perform regular encounter data audits and augment data with clinical information cb

Director of Finance

Fri, 10 Sep 2010 11:53:44 GMT

Full Time 8a-5p Day Bachelor's Minimum of five years of physician practice management business experience; Experience in medical group management (primary care and specialty), managed care finance and hospital finance; Knowledge, experience and proficiency with word processing, spreadsheets, and database operations; Understanding of acceptable professional auditing principles and techniques. Management, communication, financial analysis, interpersonal; Ability to work in a team environment, demonstrating leadership a commitment to core values; Self motivated researcher and problem-solver; Must possess verbal and written communication skills with the ability to present complicated information to a variety of audiences in ways they will understand; Customer Service oriented attitude/behavior; Effective management practices. Bachelor's degree in business related field, Finance and Accounting, MBA and CPA preferred

Decision Support Analyst - Chargemaster Services Job

Fri, 10 Sep 2010 11:19:05 GMT

Decision Support Analyst - Chargemaster Services

Location
Texas Health Resources System Services

Job ID: 27206
Department:
Ambulatory Care Operations

Area of Interest:
Accounting/Finance

Job Type:
Full Time

Shift:
1st

Relocation Provided:
No

Travel Required:
No

Qualifications:
( ** Decision Support Analyst - Chargemaster Services ** )

MINIMUM QUALIFICATIONS

High School Diploma is required. (*Bachelor's Degree is preferable).

2+ years directly-related experience in a Corporate level multi-facility Chargemaster department is required.

Experience working in relational database queries is required.

Working knowledge of HCPCS, revenue code and ability to evaluate and manage multiple chargemaster requests is required.

Must have knowledge of coding and billing compliance and third party billing and payer requirements.

Strong oral and written communication skills are required.

Duties / RESPONSIBILITIES

Review lab requests for chargemaster additions, changes, updates, and deletions. Includes review of all components of the chargemaster charge codes (CPT, HCPCS, Revenue Code, and CDM Description) to promote billing compliance and appropriate utilization.

Assures all coding is in compliance with THR and regulatory requirements.

Serve as back-up for Chargemaster Specialist CDM Requests.

Upload facility chargemaster data files to MedAssets website. Ensure data elements are mapped correctly to support CDM Request functionality. Perform quality assurance functions to ensure data are appropriately uploaded.

Train new and existing users on CodeCorrect functionality. Serve as resource for ongoing application support.

Coordinate with entity CFOs to ensure appropriate user access privileges and approval; maintain user security in CodeCorrect. Perform periodic audits to ensure compliance with security privileges.

Identify, research, analyze and resolve chargemaster billing compliance issues to promote appropriate and consistent billing practices.

Duties
Texas Health Resources, is one of the largest faith-based, nonprofit health care delivery systems in the United States. Texas Health has 13 hospitals with 2,405 licensed hospital beds, employs more than 17,700 people and counts more than 3,200 physicians with active staff privileges at its hospitals. The system serves more than 6.2 million people living in 29 counties in north central Texas. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries.

Texas Health Resources is an equal opportunity employer that celebrates diversity at all levels of our organization. EOE/AA/M/F/D/V

Director of Accounting

Fri, 10 Sep 2010 11:19:04 GMT

Director of Accounting

Location
Texas Health Resources System Services

Job ID: 27103
Department:
ACCOUNTING

Area of Interest:
Accounting/Finance

Job Type:
Full Time

Shift:
1st

Relocation Provided:

Travel Required:
No

Qualifications:
Texas Health Resources, one of the largest faith-based nonprofit health care delivery systems in the United States, has an immediate need for a Director of Accounting. The Director will report to the VP Corporate Controller of Texas Health Resources. The position exists to provide expertise in accounting in the preparation of monthly financial statements and will oversee the accounting operations for selected entities within Texas Health Resources

Education and Experience:

Bachelors degree in Finance or Accounting

Five years in public accounting and five years in healthcare

CPA in good standing

Proficiency in MS applications

Job Duties:

Responsible for the development of a comprehensive financial program
that accurately presents the financial position of the entities assigned in accordance with generally accepted accounting principles. Incumbent shall provide financial consulting and interpret financial information to senior management and entity managers.

Maintains the appropriate internal control structure to assure the assets of the entities assigned are properly protected and operations are conducted within the limits of all local, state and federal statutory requirements.

Supervision of Accounting Managers responsible for the proper recording of assigned entities financial activity.

Direct interaction with the entity finance officers on a monthly basis to review assigned entities financial performance

Duties
Texas Health Resources, is one of the largest faith-based, nonprofit health care delivery systems in the United States. Texas Health has 13 hospitals with 2,405 licensed hospital beds, employs more than 17,700 people and counts more than 3,200 physicians with active staff privileges at its hospitals. The system serves more than 6.2 million people living in 29 counties in north central Texas. At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries.

Texas Health Resources is an equal opportunity employer that celebrates diversity at all levels of our organization. EOE/AA/M/F/D/V