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US-MS-OXFORD
1 week ago
Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe quality care that preserves patient autonomy, dignity and rights. Performs other duties as assigned.
Position Code
23501044
Status
Regular Full-Time
Department
NM EMERGENCY ROOM
US-MS-OXFORD
1 week ago
Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe quality care that preserves patient autonomy, dignity and rights. Performs other duties as assigned.
Position Code
23501044
Status
Regular Full-Time
Department
NM EMERGENCY ROOM
US-TN-MEMPHIS
1 week ago

Assist with 340B Program HRSA audit preparation.  Perform monthly audits of mix area and contract pharmacy claims.

 

Assist with implementation of new 340B sites. Participates in 340B education, compliance webinars, and conference calls etc. Helps prepare educational materials for 340B compliance and training.  Reviews  cross-walks within split software system.  Serves as resources for other 340B technicians.   Other duties as assigned.

50599007

Pharmacy 

Technician III

 

Position Code
50599007
Status
Regular Full-Time
Department
HS System Pharmacy
US-TN-MEMPHIS
2 weeks ago
  • Identify contractual variances between actual and expected reimbursement from contracted payors.
  • Support the execution of strategic initiatives, process re-design, root cause analysis, metric/report development and special projects as it relates to denials management.
  • Proactively formulate a thorough analysis and provide recommendations to Management to obtain appropriate reimbursement according to contract.
  • Regularly monitor contract terms and payer payment patterns to ensure optimal reimbursement.
  • Proactively analyzes payment patterns to get ahead of variances.
  • Communicate with payers to establish methodologies for payments for unlisted or newer procedures.
  • Reviews accounts, takes appropriate action, and documents per departmental standards.
  • Determine if the insurance company paid claims correctly, posting an adjustment if paid correctly and follow up with the appropriate payer to determine the correct payment amount in order to complete appropriate actions to resolve the claim.
  • Work with management and payer to streamline process flow for accurate reimbursement.
  • Follow and understand revenue cycle fundamentals.

 

Perform other duties as assigned.

 

RBO

Analyst

Revenue

Recovery

Jackson MS

Jackson

50089008

 

 

Position Code
50089008
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.
·          Review patient medical records for charge capture and resolution of charge department billing edits. Verify billing data for accuracy and completeness, following applicable regulatory requirements and payer specific guidelines. Apply charges for nursing department procedures upon verification of documentation in patient medical record.
·          Perform charge audits by verifying billing data as compared to documentation and making corrections in Epic for correct billing of services identified by Management as areas of possible revenue leakage.
·          Identify charging, coding, or clinical documentation issues and work with appropriate leadership and clinical departments to resolve issues.
·          Serve as a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance.
·          Stay abreast of third party regulatory, coding, and billing compliance directives by monitoring disseminated updates, external educational sessions, and/or research obtained.

·          Perform other duties as assigned.

 

Jackson MS

 

 

Jackson

Analyst

Revenue

Integrity

20649001

RBO

Position Code
20649001
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Meet and exceed all performance standards established by Management.
·          Work all work queues and/or assignments daily.
·          Review patient medical records for charge capture and resolution of charge department billing edits. Verify billing data for accuracy and completeness, following applicable regulatory requirements and payer specific guidelines. Apply charges for nursing department procedures upon verification of documentation in patient medical record.
·          Perform charge audits by verifying billing data as compared to documentation and making corrections in Epic for correct billing of services identified by Management as areas of possible revenue leakage.
·          Identify charging, coding, or clinical documentation issues and work with appropriate leadership and clinical departments to resolve issues.
·          Serve as a resource and liaison for clinical charging and financial areas as related to appropriate coding and charge capture compliance.
·          Stay abreast of third party regulatory, coding, and billing compliance directives by monitoring disseminated updates, external educational sessions, and/or research obtained.

·          Perform other duties as assigned.

 

Jackson MS

 

 

Jackson

Analyst

Revenue

Integrity

20649001

RBO

Position Code
20649001
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
2 weeks ago
Primary Responsibilities
·          Identify, document and communicate best practices to simplify and standardize the cash and clearing reconciliation process. 
·          Serve as point of contact for complex and escalated issues.
·          Provide training to staff on cash and clearing account reconciliations.
·          Complete additional special projects and reports as needed.
·         Participate in regular calls with facility/finance staff.

·         Perform other duties as assigned.

 

 

RBO

50080171

 

Jackson

Analyst

Reconciliation

Payment

Position Code
50080171
Status
Regular Full-Time
Department
RBO-Jackson
US-TN-MEMPHIS
6 hours ago

Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess in-depth clinical and application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work with cross-functional team and end users to achieve application integration to meet clinical and/or business needs. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to overtime, callback, and on-call as required. Perform other duties as assigned.

Position Code
21480033
Status
Regular Full-Time
Department
HS Bapt Onecare
US
4 weeks ago

Responsible for directing coding quality processes for Baptist to ensure compliance with coding guidelines and regulations. Evaluates coding practices and determining baselines; planning, designing and implementing coding monitoring activities. Provides continuing education and training to revenue cycle staff, including coding, billing, office and HIM staff. Works collaboratively with BOC team to ensure appropriate use and build of system.

Directly manages quality audit and education staff involved in medical records coding /abstracting, provides direction for all physician and hospital coding activities, reviews, education, and productivity standards required to reach unbilled targets at all offices.   Thorough knowledge of clinical coding & reimbursement topics and experience with electronic medical records required. Project management and advance software skills a must. Performs duties as necessary to support quality improvement process in the coding/revenue charge capture department, as well as that of the physician groups, as well as any hospital side coding that may fall under the departments’ jurisdiction. Must have strong written and speaking skills as well as good verbal presentation ability.  Position supports hospital and professional coding, education and revenue cycle.

 

Principle Duties and Responsibilities:

  1. Manages a support coding staff to ensure coding accuracy, completeness and timeliness is accomplished in all Baptist entities.

 

  1. Develops and manages an internal program for maintaining compliance with coding guidelines and regulations.
  2.  
  1. Provides training, continuing education, resources and updates to all Baptist medical and coding staff in coding, documentation requirements, and reimbursement issues.
  2.  
  1. Performs internal coding and documentation audits and prepares and presents related reports.
  2.  
  1. Works collaboratively with HIM Department Directors, physician offices, and others in developing/enhancing uniform coding policies and procedures in accordance with coding guidelines and regulations.
  2.  
  1. Identifies training opportunities, with design, development, scheduling, and implementation of those activities as needs are identified.
  2.  
  1. Provides consultation and leadership throughout Baptist relative to coding inquiries and/or problem resolution.
  2.  
  1. Assists Director, Coding to eliminate all holds on all accounts utilizing appropriate software.
  2.  
  1. Develops and implements policies, procedures, and guidelines to assure clear and consistent operation of coding areas while encompassing departmental and organizational needs, in close collaboration with BMG leadership, physicians and Director, Coding.
  2.  
  1. Participates in internal and external compliance audits, including insurance and RACs.
  2.  
  1. Performs all management functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports.
  2.  
  1. Demonstrates competency in the use of Epic software, as well as all computer applications in area of responsibility.
  2.  
  1. Assigns and schedules the work of direct reports and manages to insure a smooth and efficient workflow. Identifies opportunities for efficiencies, reviews, and implements as approved.
  2.  
  1. Participates in the development and implementation of market goals, policies, procedures and budget.
  2.  
  1. Remains abreast of all developments in the coding field, especially as they apply to coding, reimbursement, and clinical database developments/changes.
  2.  
  1. Maintains all assurance and improvement activities for managed functions.
  2.  
  1. Establishes, maintains and updates job descriptions, job standards, and procedures for supervised areas.
  2.  
  1. Presents appropriate coding and documentation issues for both professional and hospital coding to the correct committee, as appropriate.
  2.  
  1. Acts as a system liaison for both hospital and professional coding.
  2.  
  1. Works with compliance for review and oversight of documentation issues, as needed.
  2.  
  1. Oversight, planning, and development of coding audit team.
  2.  
  1. Participates in reviews of offices from a coding and HIM perspective in the due diligence process of acquisitions.
  2.  
  1. Additional Responsibilities/Performs other related duties as assigned.
  2.  
Position Code
296
Status
Regular Full-Time
Department
MG CBO Coding
US-TN-MEMPHIS
1 month ago

Ensures collection of patient balances, deductibles and co-pays in an accurate and timely manner. Serves as a resource

to patients, families, and employees to discuss financial arrangements and properly explain patient financial obligation.

Assists patients with any applicable financial assistance programs. Performs a treatment initiation approval process by

review of ordered/prescribed services relating to insurance coverage policies and pre-certification/authorization

requirements, while securing amicable payment arrangements. Performs other duties as assigned.

Position Code
50080152
Status
Regular Full-Time
Department
MG BMG CBO-ONCOLOGY
US-TN-Memphis
1 month ago

This position focuses on patient access as the beginning of the revenue cycle for the BMG clinics including all aspects of registration with the goal of eliminating errors, implementing consistent processes and improving front desk productivity.  This person will interact directly with clinic and CBO staff, the BMG management team, the Epic BOC team and other staff at various levels within the organization.

Position Code
20080009
Status
Regular Full-Time
Department
MG CBO Registration
US-TN-MEMPHIS
1 month ago

Responsible for the daily completion of both claims edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion.  Understands both paper and electronic claims as well as client invoice billing. Performs other duties as assigned.

Position Code
50080094
Status
Regular Full-Time
Department
MG CBO-BILLING
US
2 months ago

 

Summary: Reporting to the Director, Physician Revenue Cycle. Ensures accurate and timely coding of physician records according to BMG and its Foundations Policies and Procedures. Directly manages all employees involved in medical records coding /abstracting, provides direction for all physician coding activities, reviews, education, and productivity standards required to reach unbilled targets at all offices. Thorough knowledge of clinical coding & reimbursement topics and experience with electronic medical records required. Project management and advance software skills a must. Performs duties as necessary to support quality improvement process in the coding/revenue charge capture department, as well as that of the physician groups. Must also have strong written and speaking skills as well as good verbal presentation ability.

Principle Duties and Responsibilities:

1. Manages a 4 day or less lag time from provider closure of charts.

2. Identifies training needs for staff; designs, develops, schedules, and implements training activities as needs are identified.

3. Provides leadership throughout BMG and Foundations in regards to coding inquiries.

4. Works with CBO to eliminate all holds on all accounts utilizing appropriate software.

5. Responsible for the development and monitoring of the education program for providers and staff throughout BMG and Foundations, in conjunction with the Director, HIM.

6. Creates, reviews, and submits all monthly production goals for coding staff.

7. Develops and implements policies and procedures to assure clear and consistent operation of coding areas while encompassing departmental and organizational needs.

8. Works with operational directors throughout the BMG and Foundations to identify and address any missed opportunities regarding revenue and corrections to daily charges.

9. Provides monthly coding education to all coding staff.

10. Assists with coordination of internal and external compliance audits, including insurance and RACs.

14. Performs all management functions, including interviewing, hiring, training, evaluating, and disciplining for all direct reports.

15. Demonstrates competency in the use of Epic software, as well as all computer applications in area of responsibility.

16. Assigns and schedules the work of direct reports and manages to insure a smooth and efficient workflow. Identifies opportunities for efficiencies, reviews, and implements as approved.

18. Participates in the development and implementation of market goals, policies, procedures and budget.

19. Remains abreast of all developments in the coding field, especially as they apply to coding, reimbursement, and clinical database developments/changes.

20. Maintains all assurance and improvement activities for managed functions

21. Establishes, maintains and updates job descriptions, job standards, and procedures for supervised areas.

 

Additional Responsibilities

Performs other related duties as assigned.

Special Skills and Abilities Required

1. The analytical abilities necessary to formulate policies and procedures, prepare various reports and records, assists in the development of department budgets.

2. The interpersonal skills necessary to interact with all levels of department personnel, other departments, physicians and individuals from outside BMG and its Foundations.

Position Code
10010647
Status
Regular Full-Time
Department
MG BUS OFF-BMG CORPORATE
US-TN-MEMPHIS
1 month ago

Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess in-depth clinical and application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work with cross-functional team and end users to achieve application integration to meet clinical and/or business needs. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to overtime, callback, and on-call as required. Perform other duties as assigned.

Position Code
21480185
Status
Regular Full-Time
Department
HS BAPTIST ONECARE
US-TN-MEMPHIS
1 month ago

Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess in-depth clinical and application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work with cross-functional team and end users to achieve application integration to meet clinical and/or business needs. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to overtime, callback, and on-call as required. Perform other duties as assigned.

Position Code
21480024
Status
Regular Full-Time
Department
HS Bapt Onecare
US-TN-MEMPHIS
2 months ago
  • Monitor Epic’s EMR application and Caché database and respond to alerts.
  • Perform Caché database maintenance tasks according to Epic’s documented best practices and established procedures including proactively expanding datasets, Caché database upgrades, environment copies (refreshes), Epic software Special Updates (SU), shadowing configuration, fail-over and disaster recovery procedures
  • Assess the Caché database growth metrics, and plan for database growth.
  • Be actively involved in implementing/testing disaster recovery (DR) process for Caché databases.
  • Perform Epic System Updates (SUs) as required
  • Regularly test the validity of database backups by performing test recovery.
  • Ability to work effectively in a team environment.
  • Ability to work collaboratively with technical and non-technical members of the Epic team.
  • Participate in required change management process.
  • Participation in on-call rotation which includes carrying and responding to a pager 7x24 during the on-call period. 
  • Be willing to travel to Epic’s corporate headquarters for the necessary Caché database training.
  • Participate in other duties as required.
Position Code
21480002
Status
Regular Full-Time
Department
HS IS-CLIENT SOLUTIONS
US-TN-MEMPHIS
2 months ago
  • Provide system level administration/maintenance for Epic Windows servers.
  • Install, maintain, configure and upgrade relevant Windows affiliated Epic systems such BCA, Weblob, Epic Print Service.
  • Provide daily care and feed to the VMware infrastructure that hosts the Epic Windows servers.
  • Work on establishing the necessary baseline for system capacity planning and overall system performance.
  • Provide various system administrative tasks including printer queue management, and automation of various processes via scripting.
  • Perform management actions involved with deploying updates and new releases to the Epic Windows environment.
  • Perform necessary firmware, hardware, and Windows OS upgrades, and required patch management.
  • Document and create the necessary troubleshooting and update guides for various technical responsibilities
  • Work closely with respective counterparts at Epic systems – in Verona, Wisconsin.
  • Plan, configure and implement features on the Windows platform that improve availability, response time, and monitoring of key system metrics.
  • Ensure that the necessary backups are performed on the appropriate Windows systems.
  • Ability to work collaboratively/effectively with technical and non-technical members of the Epic team while embracing teamwork.
  • Participate in required change management process.
  • Evaluate and implement third party software products that are needed as ancillary systems, required for overall Epic readiness and functionality.
  • Willing to participate in knowledge sharing with other team members, and willing to mentor/train junior personnel. 
  • Participation in on-call rotation which includes carrying and responding to pages 7x24 during the on-call period. 
  • Be willing to travel to Epic’s corporate headquarters for the necessary training, if needed, and when needed.
  • Participate in technical support for our users – via various methods such as remote tools, email, phone, and sometimes a site visit.
  • Actively participate in triage and support activities using the standard help desk process and approved software tools, and to ensure that trouble tickets are handled in a timely and professional manner.
  • Participate as needed in required TDR (Technical Dress Rehearsal) activities that are conducted by the Epic technical team.
Position Code
21480120
Status
Regular Full-Time
Department
HS IS-CLIENT SOLUTIONS
US-MS-OXFORD
2 months ago
Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursing process forms the foundation of the nurse's decision making to help partner with patients/families to attain, maintain and restore health whenever possible. Blends caring, compassion, knowledge and integrity to provide safe quality care that preserves patient autonomy, dignity and rights. Performs other duties as assigned.
Position Code
23501044
Status
Regular Full-Time
Department
NM EMERGENCY ROOM
US-TN-MEMPHIS
1 month ago

Analyze, plan, design, maintain, and provide ongoing optimization and support of Baptist OneCare. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess in-depth clinical and application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work with cross-functional team and end users to achieve application integration to meet clinical and/or business needs. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to overtime, callback, and on-call as required. Perform other duties as assigned.

Position Code
21490145
Status
Regular Full-Time
Department
HS Bapt Onecare
US-TN-MEMPHIS
1 month ago

 e

 

20040112

ANALYST-EPIC (Health Information Management)

Position Code
20040112
Status
Regular Full-Time
Department
HS BAPTIST ONECARE

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