Oversee daily operations of specialty and ambulatory coders to ensure quality in physician services coding. Collaborate with management to resolve coding errors, missing charges, and documentation issues while monitoring productivity.
BHS
32 Remote Job Openings at BHS
Lead system-wide contracting for supplies, equipment, and services to drive cost savings and avoidance. Focus on continuous process improvement, vendor relationship building, and negotiating GPO and hospital-specific contracts.
The nurse provides telephonic triage, assesses patient needs, and facilitates bed placement and transfers within the health system. They are responsible for implementing care advice according to protocols and maintaining detailed documentation of all calls.
The specialist evaluates physician documentation to ensure patient severity of illness and diagnoses are accurately portrayed in medical records. They provide guidance to providers and nursing staff on clinical documentation best practices.
Coordinate and negotiate the acquisition of capital investments and related services for the health system. Manage asset acquisition from vendor identification through project costing and lead equipment standardization programs.
The nurse provides telephonic triage, assesses patient needs, and facilitates bed placement and transfers within the health system. They are responsible for implementing care advice according to protocols and maintaining detailed HIPAA-compliant documentation.
Support hospital-based service lines by leveraging data and insights to drive operational excellence and strategic initiatives. Gather end-user requirements to develop insightful data visualizations and reports that enhance patient care delivery.
The role involves coding diagnoses and procedures for outpatient physician charges, including Evaluation and Management levels and surgical services. It requires thorough review of medical records to ensure accurate collection of patient care information.
Develop and provide education, training, and competency activities for pharmacy personnel to ensure quality outcomes and regulatory compliance. Serve as a subject matter expert for pharmacy technician education, managing EHR training and performance improvement initiatives.
Research denials and audits from commercial and governmental payors to ensure maximum reimbursement and prevent revenue loss. Perform compliance reviews to determine medical necessity and obtain necessary authorizations for services.
The role involves coding diagnoses and procedures for outpatient physician charges at the clinic level. This includes reviewing medical records to facilitate the collection of patient care information for office and surgical services.
The Medicare Specialist is responsible for processing daily claims, including billing, follow-ups, and payment auditing. They also handle refunds, adjustments, and professional correspondence via telephone and written communication.
Responsible for the functional configuration of the ERP system and contract management software, including data exchange between clinical systems. Manages ERP data, inventory control, PAR management, and coordinates system training for employees.
The role involves coding diagnoses and procedures for outpatient physician charges, including Evaluation and Management levels and surgical services. The coder must thoroughly review medical records to ensure accurate collection of patient care information.
The AI Manager leads the operational execution of the organization's applied AI strategy across clinical and administrative domains. This includes managing the full AI algorithm lifecycle from intake and evaluation to deployment and optimization.
Coordinates and implements clinical quality improvement initiatives to ensure high-quality, cost-effective patient care. Analyzes clinical data and collaborates with multidisciplinary teams to meet regulatory and organizational compliance goals.
The role involves coding diagnoses and procedures for outpatient physician charges, including E&M levels and surgical services. The coder must thoroughly review medical records to ensure accurate collection of patient care information.
Oversees the organization's information security workforce and security solutions operations. Establishes the enterprise security stance through policy, architecture, risk management, and compliance processes.
Responsible for CBO duties including billing, claim edits, and following up on unpaid claims to ensure timely submission. Handles account reconciliations, payer underpayment resolution, and patient customer service inquiries.
Coordinates and analyzes the NSQIP surgical database to report outcomes and drive performance improvement. Collaborates with surgeon champions and leadership to implement best practices and quality improvement activities.
Lead large, complex strategic system-wide initiatives to align Value-Based Care with organizational goals and CMS mandates. Develop project management capabilities and implement processes to monitor the portfolio of strategic work.
Responsible for optimizing revenue capture for pharmacy services by monitoring charge capture, coding, and claims processing. The role involves managing denials, auditing payments, and developing payment models for managed care negotiations.
The specialist evaluates clinical documentation to ensure coding accuracy, specificity, and medical necessity, specifically focusing on HCC diagnosis codes. They also provide guidance and education to providers and staff on clinical documentation best practices.
Ensure the overall quality and accuracy of inpatient coding for measuring and reporting physician and hospital outcomes. Maintain up-to-date knowledge of clinical coding guidelines in accordance with Coding Clinic and AHA standards.
Ensure the overall quality and accuracy of inpatient coding for measuring physician and hospital outcomes. Maintain up-to-date knowledge of clinical coding guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines.
The Accounts Payable Supervisor manages the accounts payable team, including customer service, supplier content, and disbursements. They are responsible for training staff, delegating workloads, and assisting with IRS Form 1099 compliance.
The Oncology Data Specialist performs case finding, abstracting, and follow-up activities for patients with a cancer diagnosis. They are responsible for identifying reportable cases and ensuring data is collected accurately from primary sources.
The Informatics Pharmacist Specialist manages pharmacy automation and technology systems, ensuring integration and standardization. They provide consultative oversight for pharmacy software systems and lead informatics initiatives to enhance medication use processes.
The Oncology Data Specialist is responsible for performing case finding, abstracting, and follow-up activities for cancer patients diagnosed or treated at Baptist Health System, adhering to established standards and regulations. Essential duties include identifying reportable cases, accurately abstracting data, obtaining additional treatment information from primary sources, and conducting necessary patient follow-up.
The 340B Pharmacy Program Coordinator is responsible for overseeing the 340B program, ensuring compliance with federal regulations, and managing pharmacy billing issues. This role also involves conducting self-audits, coordinating audits, and collaborating with leadership to improve service offerings.
The Oncology Data Specialist performs case finding, abstracting, and follow-up activities for patients diagnosed and/or treated at Baptist Health System with a cancer diagnosis. They identify reportable cases, abstract them accurately, obtain additional treatment data, and conduct patient follow-up activities.
The Contract Manager is responsible for leading system-wide contracting of supplies, equipment, and services, focusing on driving savings through procurement. This role includes negotiating contracts and monitoring vendor performance to ensure high-quality service delivery.
