The physical therapist will manage a caseload of patients in their homes, evaluating and treating functional deficits related to medical, orthopedic, or neurologic conditions. They are responsible for teaching patients and caregivers self-management techniques to improve independence and optimal functioning.
The manager provides leadership for revenue integrity functions, including managing the Charge Description Master, denial prevention, and root cause analysis. They are responsible for optimizing revenue performance through process redesign, staff development, and interdisciplinary collaboration.
The specialist is responsible for ensuring accurate CPT/HCPCS documentation and charge capture to support revenue integrity. They analyze data, educate clinical staff on documentation requirements, and perform coding functions to ensure compliance with billing guidelines.
The manager provides leadership and operational direction for revenue integrity functions, focusing on preventing revenue leakage and maximizing performance. They manage charge description masters, denial coordination, and interdisciplinary team education to ensure compliance and revenue optimization.
The Coder/Abstractor II performs advanced medical coding and data abstraction to ensure accurate billing and regulatory compliance. This role also serves as a mentor and resource for junior coding staff to guide them through complex documentation and coding challenges.
The representative handles self-pay and insurance billing inquiries while ensuring excellent customer satisfaction through timely resolution of complaints. They are responsible for documenting interactions, setting up payment plans, and reporting trends to the supervisor.
The Reconciliation Analyst manages the enrollment and reconciliation process to ensure accurate Medicare Managed Care membership data and financial reimbursement. They are responsible for conducting transactions with CMS and maintaining accurate billing, eligibility, and demographic records.
The Provider Service Specialist responds to provider inquiries regarding plan benefits, services, and payment determinations via phone, in person, and in writing. They are responsible for investigating claims status, documenting inquiries accurately, and coordinating with other departments to ensure prompt resolution.
The Education Coordinator develops and implements regional nursing educational programs while facilitating staff competency and professional development. They act as a change agent and leader, ensuring that educational initiatives align with contemporary healthcare trends and quality improvement goals.
The Scheduling Specialist II performs administrative and complex scheduling tasks for multiple hospital areas, including high-dollar testing and diagnostic procedures. They are responsible for pre-registration, insurance verification, and initiating the patient billing process.
The Member Service Specialist responds to consumer inquiries regarding Medicare Advantage plan benefits, services, and complaints while ensuring compliance with federal and state regulations. They also implement retention strategies and conduct outreach to members and providers to close gaps in care.
The consultant serves as a liaison to implement HR system strategies and optimize Workday modules including Help and Journeys. They are responsible for managing technical projects, troubleshooting system issues, and developing automation solutions using UiPath and Power Automate.
The supervisor oversees revenue integrity operations, including charge description master maintenance, denial coordination, and operational write-off prevention. They provide leadership to a team, perform data analysis to identify root causes of denials, and implement corrective action plans.
Provides administrative support and HR navigation services to colleagues via phone and case management systems. Ensures accurate documentation, resolves HR inquiries, and contributes to process improvements within the HR Shared Services team.
The Executive Director provides strategic and operational oversight for the Clinical Integrated Network, focusing on population health and value-based care performance. They are responsible for driving physician engagement, managing network governance, and ensuring the successful execution of alternative payment model contracts.
The Regional Director develops and executes managed care and commercial payer strategies while negotiating contracts to ensure alignment with regional goals. They also manage payer relationships, monitor financial performance, and provide leadership to contracting staff.
The consultant is responsible for leading the design, configuration, and integration of UKG product capabilities in collaboration with internal engineering and management teams. They will act as a subject matter expert to define technical requirements, create architectural documentation, and ensure solutions meet business needs.
Manages daily cash balancing, reconciliation, and internal controls for patient revenue across multiple entities. Oversees the cash posting team, refund processes, and ensures compliance with financial regulations and accounting policies.
The consultant manages complex, multi-functional program initiatives and process improvement projects across the organization. They are responsible for defining project scope, maintaining risk logs, and ensuring alignment with business goals through effective stakeholder communication and data-driven decision-making.
Develops, manages, and improves medium to large projects and process improvement initiatives across multiple operating units. Provides oversight of project lifecycles, risk management, and strategic alignment while facilitating communication between stakeholders and leadership.
The consultant manages labor relations, contract negotiations, and grievance processes across multiple organizational units. They provide strategic guidance to leadership to foster positive colleague relations and ensure compliance with labor laws and regulations.
The UR Coordinator collaborates with a multidisciplinary team to ensure patients receive appropriate, cost-effective care by conducting clinical reviews using medical necessity criteria. This role acts as a liaison between the hospital and payers to manage authorizations, resolve denials, and ensure accurate documentation within the EMR.
The manager oversees the center of expertise for leave of absence administration, including team leadership, project management, and process improvement. They act as a subject matter expert to ensure compliance with federal and state laws while maintaining collaborative relationships with internal and external stakeholders.
The specialist ensures clinical documentation is complete and accurate by collaborating with providers and coding staff to support appropriate service levels. They also conduct quality reviews of ambulatory records to validate HCC diagnosis assignment and resolve documentation discrepancies.
The analyst is responsible for capturing, analyzing, and reporting data to improve operational efficiency and patient experience. They will map business processes, identify bottlenecks, and collaborate with cross-functional teams to implement and measure improvement initiatives.
The coordinator oversees charge capture and revenue integrity workflows, ensuring accurate CPT/HCPCS documentation and billing compliance. They also provide education to clinical staff and ancillary departments to optimize revenue and maintain procedural standards.
The specialist will research, collect, and analyze clinical data to identify opportunities for operational improvement and support leadership decision-making. They are responsible for developing informatics solutions, creating analytical reports, and ensuring the effective integration of technology within clinical workflows.
The Category Manager leads strategic sourcing activities for complex initiatives to achieve cost reductions and productivity improvements while managing supplier relationships. They are responsible for developing sourcing strategies, overseeing contract negotiations, and ensuring compliance with system-wide financial and operational goals.
The physical therapist will provide home-based therapy services to patients, primarily those in post-acute or subacute recovery. They are responsible for evaluating functional deficits and creating individualized care plans to help patients achieve optimal functioning.
The role involves conducting comprehensive audits of professional coding and documentation to ensure regulatory compliance and revenue integrity. Additionally, the auditor will develop and deliver targeted education programs to providers and coders based on audit findings and industry updates.
Facilitate the referral process for patients transitioning from acute care to home health or hospice services. Coordinate care plans, gather medical information, and educate acute care staff on available agency services.
Manage a caseload of patients requiring home-based therapy to help them achieve optimal functioning. Coordinate interdisciplinary care plans with nurses, therapists, social workers, and other medical staff.
The Senior Penetration Tester leads red team threat emulation, application penetration tests, and purple team engagements to enhance the organization's security posture. This role involves defining testing strategies, executing complex assessments, and mentoring junior team members.
The Enterprise Architect provides direction and governance for enterprise-wide architecture to support corporate business strategy. They are responsible for designing solutions, managing backend hardware forecasting, and ensuring IT initiatives align with organizational goals.
The Medical Director will provide clinical leadership for the hospice and palliative care program, overseeing quality initiatives and service delivery. They will work in partnership with the leadership team to support program growth and foster interdisciplinary collaboration.
The CDI Specialist reviews medical records to ensure the accuracy, clarity, and completeness of clinical documentation for various patient encounters. They collaborate with physicians and coding teams to align documentation with clinical acuity and support accurate reimbursement and quality reporting.
Provide compassionate, remote clinical services and forensic examinations to survivors of sexual assault via telehealth. Support hospital partners through training, guidance, and full case management in an on-call capacity.
Develop and support ERP PeopleSoft solutions for Finance and Supply Chain Management within a healthcare environment. This includes creating technical design documents, performing critical data analysis, and collaborating with stakeholders to optimize business processes.
The CDI Specialist reviews clinical documentation to ensure accuracy, clarity, and completeness across various patient encounters. They collaborate with physicians and coding teams to align documentation with clinical acuity and regulatory requirements.
Provides safe, quality healthcare services and clinical knowledge application in decision-making for patient care. Performs administrative activities and nursing interventions to improve the coordination and flow of the care experience.
Provide daily operational oversight and leadership for specialty medical coding teams to ensure accurate and compliant professional services coding. Support coder performance, productivity, and education while serving as a resource for providers and billing teams.
The role focuses on data capture, analysis, and reporting to support the Strategic Sourcing division in achieving financial goals and operational efficiency. Key duties include managing competitive bidding processes, drafting contracts, and developing dashboards to identify spend trends and value creation opportunities.
The Analyst is responsible for data capture, analysis, and reporting to support the Strategic Sourcing division in achieving financial goals. Key duties include managing competitive bidding processes, drafting contracts, and developing dashboards to identify value creation opportunities.
Lead strategic sourcing activities and complex contract negotiations to achieve cost reductions and productivity improvements. Manage supplier relationships and GPO interactions while driving system-wide standardization and compliance.
Perform medical record audits to validate diagnoses and procedures while ensuring compliance with CMS guidelines. Provide education to practitioners and coders to improve documentation accuracy and charge capture.
Assign appropriate surgical, procedural, and diagnostic codes to patient health information for the Mount Carmel Medical Group. Review medical records to determine E/M levels and query physicians for documentation clarification.
The receptionist supports outpatient behavioral health operations by managing provider schedules and handling patient check-in and check-out processes. They are also responsible for collecting co-pays, managing phone calls, and ensuring efficient patient flow.
Lead and direct revenue cycle standard work and operational performance for the Medical Group within a specific service area. Collaborate with regional leaders to implement strategies, optimize system resources, and ensure financial goals are met.
The Integration Engineer designs, develops, and maintains interfaces between information systems using HL7 protocols and industry-standard engines. The role focuses on ensuring secure and accurate data exchange across clinical and administrative systems to support operational efficiency.
Supervises daily operations of the Clinical Documentation Integrity program, providing oversight to specialists and coordinators to ensure compliant documentation. Collaborates with clinicians and coding teams to optimize DRG assignment, severity of illness, and risk of mortality reporting.
The supervisor oversees daily operations of the Clinical Documentation Integrity program, managing staff performance and ensuring accurate clinical documentation. They collaborate with clinicians and coding teams to facilitate proper DRG assignment and support quality outcomes.
The Physical Therapy Assistant collaborates with a team of therapists to manage a caseload of patients requiring home-based therapy. They are responsible for evaluating and treating individuals with functional deficits secondary to medical, orthopedic, or neurologic conditions.
