The CDI Education Specialist is responsible for developing and maintaining CDI training content, policies, and reference materials. They lead training sessions, assess staff comprehension, and serve as a subject matter expert on medical terminology and revenue cycle compliance.
Franciscan Health
17 Remote Job Openings at Franciscan Health
The Referral Management Coordinator processes internal and external referrals for ambulatory services, including obtaining prior authorizations and scheduling patients. They also manage inbound and outbound calls while engaging in patient financial discussions regarding copayments and balances.
The Ambulatory Care Manager assesses, facilitates, and advocates for patient health needs while coordinating cost-effective healthcare services. They act as a liaison between patients and medical teams to ensure smooth transitions between levels of care.
The AI Enablement Manager leads the coordination, execution, and oversight of the organization's AI initiatives to ensure safe, compliant, and value-driven adoption. This role manages the AI governance framework, facilitates cross-functional collaboration, and monitors AI performance and risk across the enterprise.
The Utilization Review Coordinator performs admission screenings to determine medical necessity and appropriateness of care settings. They also communicate with healthcare teams and payors to optimize clinical and financial outcomes while managing denials and appeals.
IT Governance Risk Compliance Analyst Lead
Franciscan Health
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Full Time
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14 days ago
Franciscan Health
The Lead GRC Analyst is responsible for creating audit plans, conducting risk assessments, and tracking the resolution of negative findings. They also manage the ServiceNow IRM platform and mentor other GRC analysts while maintaining security frameworks.
Digital Solutions Architect - Data, Automation, & AI
Franciscan Health
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Full Time
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24 days ago
Franciscan Health
Lead the architectural vision and strategy for data, AI, and automation domains to solve complex business challenges. Act as Product Owner for digital initiatives while ensuring technical standards align with enterprise goals and digital transformation.
Analyze ICD-10 codes and medical records to ensure alignment with official guidelines and determine accurate Diagnosis Related Groups (DRG). Abstract key data elements for billing and participate in performance improvement projects and system testing.
Coder Specialist Hospital Outpatient Emergency Room Ancillary
Franciscan Health
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Full Time
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a month ago
Franciscan Health
The Coder I Specialist reviews electronic medical record documentation and applies ICD and CPT codes according to official coding guidelines. This position also abstracts key data elements necessary for billing and data analysis.
The Data System Engineer will design, automate, and scale the deployment and operation of enterprise data and analytics platforms. Responsibilities include establishing CI/CD pipelines, managing source control practices, and collaborating with various teams to improve platform reliability.
The Analytics Manager oversees the Business Intelligence team's strategy and implementation to enhance healthcare data quality. This role involves leading a team to create data visualizations and insights for organization-wide use and managing data collection and analysis.
Coder Specialist Hospital Outpatient Emergency Room Ancillary
Franciscan Health
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Full Time
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a month ago
Franciscan Health
Review electronic medical records to accurately assign ICD and CPT codes for hospital emergency room and ancillary services. Abstract key data elements for billing and participate in performance improvement projects and system testing.
The Physician Office Coding Educator develops training content and conducts coding training for physician office staff. They ensure standardized training practices and provide input on policies and procedures.
Perform internal audits of CDI processes to ensure query appropriateness and compliance with industry standards. Identify knowledge gaps and collaborate with the education team to develop action plans for staff growth.
Develops and maintains corporate coding education materials, policies, and procedures for hospital outpatient staff. Leads training sessions, analyzes disease classifications, and oversees software system workflows and testing.
Lead and mentor a data engineering team to build scalable data pipelines and models using a medallion architecture. Ensure seamless data integration across cloud and legacy systems to support enterprise reporting and analytics.
The Manager Cost Reporting reviews and prepares third-party cost reports and calculates monthly and annual reserves for all system facilities. This role involves monitoring DRG reimbursement changes and providing financial modeling and recommendations to leadership.