Altru Health System

Role Description The Revenue Cycle Compliance Analyst is responsible for monitoring and auditing revenue cycle operations to ensure compliance with federal and state regulations, payer requirements, and organizational policies. This role supports billing integrity, regulatory compliance, and revenue optimization through data analysis, auditing, and collaboration with operational departments. The analyst also assists with initiatives related to price transparency, documentation compliance, denial prevention, and revenue integrity improvements. - Monitors revenue cycle processes to ensure compliance with CMS, Medicare, Medicaid, and commercial payer regulations. - Supports the annual external audit and performs periodic ongoing audits of billing, charging, coding, and documentation practices to identify compliance risks and potential revenue leakage. - Reviews service line billing workflows for adherence to regulatory and organizational policies. - Analyzes claim denials, RTPs, and payer edits to identify trends and recommend corrective actions. - Assists with compliance related to Price Transparency, Good Faith Estimates, and No Surprises Act requirements. - Collaborates with coding, billing, HIM, finance, and clinical departments to resolve billing compliance issues. - Interprets and researches regulatory updates, payer guidelines, and reimbursement changes impacting revenue cycle operations. - Prepares audit findings, compliance reports, and recommendations for leadership and operational teams. - Supports education and training efforts for staff related to billing compliance, documentation standards, and regulatory requirements. - Performs other duties as assigned or needed to meet the needs of the department/organization. Qualifications - Preferred: Bachelors - Related Field Requirements - Required: A minimum of 5 years Related Experience - This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands - Sit: Frequently (34-66%) - Stand: Occasionally (5-33%) - Walk: Occasionally (5-33%) - Stoop/Bend: Rarely (1-4%) - Reach: Frequently (34-66%) - Crawl: Not Applicable - Squat/Crouch/Kneel: Rarely (1-4%) - Twist: Occasionally (5-33%) - Handle/Finger/Feel: Continuously (67-100%) - See: Continuously (67-100%) - Hear: Continuously (67-100%) Weight Demands - Lift - Floor to Waist Level: Sedentary (<10 pounds) - Carry: Sedentary (<10 pounds) - Push/Pull: Sedentary (<10 pounds) - Slide/Transfer: Not Applicable Working Conditions - Indoor: Continuously (67-100%) - Outdoor: Not Applicable - Extreme Temperature: Not Applicable Driving Requirement for this position - Infrequent Driver Benefits - Comprehensive benefits package for full- and part-time employees. - Health plan and 401(k) retirement plan. - Dental plan. - Vision plan. - Life and disability insurance. - Education assistance. - Paid time off (PTO).

Role Description The Insurance Follow Up Specialist assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The specialist monitors insurance EOB's and denials, ensuring proper payment is made. This position tracks pending eligibilities and unpaid claims, and works credit balances and payment work queues. - Reviews and monitors insurance EOBs and denials to ensure proper payment. - Edits, prepares, and submits insurance claims to the appropriate party. - Assists patients with billing inquiries via written communication, telephone, or in person. - Tracks pending eligibility and unpaid claims and manages credit balances and underpayment work queues. - Pursues reimbursement from carriers through phone calls and documents contacts in an electronic tracking system. - Coordinates third-party collections and works towards reducing outstanding balances. - Conducts insurance follow-up on all final billed claims. - Manages claims in assigned worklists to meet or exceed productivity standards. - Ensures timely submission of claims to the responsible party within filing limit guidelines. - Communicates with insurance payors by telephone or online regarding non-payment. - Reviews and edits rejections from electronic billing submissions, correct, and resubmit claims. - Verifies the accuracy of patient insurance and demographic information. - Performs other duties as assigned or needed to meet the needs of the department/organization. Qualifications - Preferred: Associates - Business Administration/Management - OR - Associates - Related Field - Required: A minimum of 2 years Related Experience Requirements - This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands - Sit: Frequently (34-66%) - Stand: Occasionally (5-33%) - Walk: Occasionally (5-33%) - Stoop/Bend: Rarely (1-4%) - Reach: Frequently (34-66%) - Crawl: Not Applicable - Squat/Crouch/Kneel: Rarely (1-4%) - Twist: Occasionally (5-33%) - Handle/Finger/Feel: Continuously (67-100%) - See: Continuously (67-100%) - Hear: Continuously (67-100%) Weight Demands - Lift - Floor to Waist Level: Sedentary (<10 pounds) - Carry: Sedentary (<10 pounds) - Push/Pull: Sedentary (<10 pounds) - Slide/Transfer: Not Applicable Working Conditions - Indoor: Continuously (67-100%) - Outdoor: Not Applicable - Extreme Temperature: Not Applicable Driving Requirement for this position - Infrequent Driver Benefits - Comprehensive benefits package for full- and part-time employees. - Health plan and 401(k) retirement plan. - Dental plan. - Vision plan. - Life and disability insurance. - Education assistance. - Paid time off (PTO).

Role Description The Quality Improvement Coordinator is responsible for supporting quality assessment and improvement programs. This position plans and recommends ways to meet internal and external agency requirements by preparing reports and providing methods of tracking issues, actions, and follow-up. The Quality Improvement Coordinator acts as a resource regarding quality improvement activities to provide quality initiative education throughout the organization. - Collects and analyzes data related to quality indicators, patient care monitors, and patient related Best Practice guidelines. - Identifies, researches, educates, and communicates trends/patterns, and patient care variances to appropriate disciplines. - Performs data abstraction and reporting for mandated quality initiative registries. - Acts as a liaison/resource in planning, implementation, integration, evaluation and reporting of quality improvement initiatives. - Utilizes current systems and data sources for data extraction, validation of data integrity, and all data requirements to facilitate identified outcomes and organizational reports. - Collaborates with individuals and medical staff to assist in the development and/or implementation of quality improvement activities to improve data collection, outcomes, and compliance. - Collaborates with other Altru Departments and Epic Report writers in validating data integrity. - Completes collection of cases for peer review including procedural case, drug usage, and blood utilization to assist in coordinating Physician Peer Review Processes. - Identifies and reports concurrent case reviews as indicated. - Provides facilitation of new measure initiation, education, and delegation of quality related responsibilities. - Performs other duties as assigned or needed to meet the needs of the department/organization. Qualifications - Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to Start Date | HR Primary Sources - Registered Nurse | Minnesota Board of Nursing | Prior to Start Date | HR Primary Sources Requirements - Need to be licensed in primary state location prior to start. - This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands - Sit: Frequently (34-66%) - Stand: Occasionally (5-33%) - Walk: Occasionally (5-33%) - Stoop/Bend: Occasionally (5-33%) - Reach: Frequently (34-66%) - Crawl: Not Applicable - Squat/Crouch/Kneel: Occasionally (5-33%) - Twist: Occasionally (5-33%) - Handle/Finger/Feel: Continuously (67-100%) - See: Continuously (67-100%) - Hear: Continuously (67-100%) Weight Demands - Lift - Floor to Waist Level: Sedentary (<10 pounds) - Carry: Sedentary (<10 pounds) - Push/Pull: Sedentary (<10 pounds) - Slide/Transfer: Sedentary (<10 pounds) Working Conditions - Indoor: Continuously (67-100%) - Outdoor: Not Applicable - Extreme Temperature: Not Applicable Driving Requirement for this position - Infrequent Driver Benefits - Comprehensive benefits package for full- and part-time employees. - Health plan and 401(k) retirement plan. - Dental plan. - Vision plan. - Life and disability insurance. - Education assistance. - Paid time off (PTO).

Role Description The Clinical Informatics Analyst II works collaboratively with users of clinical information systems. The analyst utilizes the knowledge and skills of clinical practice to determine clinical functions that are suitable for computer application and ensures information systems are consistent with professional standards of clinical practice. The Clinical Informatics Analyst II maintains effective relationships with clinical managers and assists the Clinical Application Manager and other managers in identifying information system needs and project management related to information systems. Essential Job Functions - Provides input to the Manager of Clinical Applications and assists clinical departments in identifying, developing, implementing, and maintaining efficient, effective clinical information systems. - Serves as a resource and liaison in relation to the documentation, implementation, design, build, and continuous maintenance of clinical information systems. - Plans, develops, implements, and evaluates clinical information systems included in patient care processes in an efficient, organized manner that results in high levels of quality and customer satisfaction. - Assists and supports system implementations and the coordination of system enhancements by educating and updating those who handle the training of clinical systems to existing and new employees. Provides leadership and guidance to clinical informatics staff. - Uses the knowledge and skills of clinical practice to determine clinical functions suitable for computer application and to ensure information systems are consistent with professional standards of clinical practice. Ensures leadership is aware of these needs. - Serves as the primary contact and resource for daily nursing documentation problems or concerns. Follows up with customers and coordinates efforts for problem resolution in a timely manner. - Develops policies and procedures pertaining to the use of clinical information systems. Keeps policies and procedures up to date, utilizing staff and manager feedback. - Performs other duties as assigned or needed to meet the needs of the department/organization. Qualifications - Licensed by a governing board in healthcare | Health Care Governing Board | Prior to Start Date | HR Primary Sources - This position requires an active license through a governing healthcare board (e.g., RN, LPN, SW, PT, OT, RT). - Epic Certification is an expectation of this role. If not currently certified, training and certification will be coordinated upon hire and obtained within the first four months after the start date. Language Requirements - This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands - Sit: Continuously (67-100%) - Stand: Occasionally (5-33%) - Walk: Occasionally (5-33%) - Stoop/Bend: Occasionally (5-33%) - Reach: Frequently (34-66%) - Crawl: Not Applicable - Squat/Crouch/Kneel: Occasionally (5-33%) - Twist: Occasionally (5-33%) - Handle/Finger/Feel: Continuously (67-100%) - See: Continuously (67-100%) - Hear: Continuously (67-100%) Weight Demands - Lift - Floor to Waist Level: Sedentary (<10 pounds) - Carry: Sedentary (<10 pounds) - Push/Pull: Sedentary (<10 pounds) - Slide/Transfer: Not Applicable Working Conditions - Indoor: Continuously (67-100%) - Outdoor: Not Applicable - Extreme Temperature: Not Applicable Driving Requirement for this position - Infrequent Driver Benefits - Comprehensive benefits package for full- and part-time employees. - Health plan and 401(k) retirement plan. - Dental plan. - Vision plan. - Life and disability insurance. - Education assistance. - Paid time off (PTO).

Role Description Altru’s RN career ladder empowers RNs to manage their career growth and pay. This structure values experience, education, and engagement, providing opportunities for advancement and greater responsibilities. The requirements of each level are listed here. - RN I: ASN - RN II: - 6 years or more of RN experience with an ASN/ADN degree OR - 3 years or more of RN experience with a Bachelor of Science in Nursing (BSN) - BSN - RN III: - 12 years or more of RN experience with an ASN/ADN OR - 6 years or more of RN experience with a BSN OR - Masters/Doctorate of Nursing The RN Nurse Line performs duties of a Registered Nurse, functioning within nursing practices standards. This role answers phone calls, manages calls to provide telephone triage, assesses patients and provides healthcare information based on accepted protocols and policies. The RN Nurse Line refers the patient to appropriate physicians, hospital, and/or local healthcare center as appropriate. The nurse identifies changes or high-risk situations in the patient's condition and collaborates with the Call Center team to coordinate services. Essential Job Functions: - Answers telephone, routes calls and takes accurate and complete phone messages for the providers and relays information in a prompt manner. - Develops a plan of care based on assessment that reflects the patient's physical, psychological, social, educational, developmental and rehabilitative needs based on patient's age, ethnic origin, economic status, lifestyle, creed or philosophical beliefs. - Assesses the patient's condition and nursing needs, sets goals, and prescribes appropriate nursing actions to meet those goals and the physical, psychological, social, and rehabilitative needs of the patient, including discharge planning. - Assesses, intervenes, and reassesses the patient's self-report/symptoms of pain promptly and takes appropriate action according to standard operating procedure. - Establishes and maintains communication and utilizes educational opportunities with patients and other significant individuals. - Documents health-related intervention, recommendations, authorized medication refills and the instructions necessary for all calls and completes all documentation in EMR. - Notifies Manager of any potential problems in regard to patient complaints, unsatisfactory outcomes, special needs or request. Makes call-backs, as appropriate, to follow-up on compliance with telephone triage recommendations. - Identifies high-risk situations and takes appropriate action according to standard operating procedure. - Performs other duties as assigned or needed to meet the needs of the department/organization. Qualifications - Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to Start Date | HR Primary Sources - Registered Nurse | Minnesota Board of Nursing | Within 12 Months of Start Date | HR Primary Sources Requirements - Temporary RN license accepted prior to start. - Must hold an unencumbered nursing license prior to start. Physical Demands - Sit: Frequently (34-66%) - Stand: Occasionally (5-33%) - Walk: Occasionally (5-33%) - Stoop/Bend: Occasionally (5-33%) - Reach: Occasionally (5-33%) - Crawl: Not Applicable - Squat/Crouch/Kneel: Occasionally (5-33%) - Twist: Rarely (1-4%) - Handle/Finger/Feel: Continuously (67-100%) - See: Continuously (67-100%) - Hear: Continuously (67-100%) Weight Demands - Lift - Floor to Waist Level: Sedentary (<10 pounds) - Carry: Sedentary (<10 pounds) - Push/Pull: Sedentary (<10 pounds) - Slide/Transfer: Not Applicable Working Conditions - Indoor: Continuously (67-100%) - Outdoor: Not Applicable - Extreme Temperature: Not Applicable Driving Requirement for this position - Infrequent Driver Benefits - Comprehensive benefits package for full- and part-time employees - Health plan - 401(k) retirement plan - Dental plan - Vision plan - Life and disability insurance - Education assistance - Paid time off (PTO)

Everything we do is underscored by a why — and that why is one another. Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $29.19 - $43.79 Summary: The Cardiac Device Technician completes device analysis and rhythm interpretation remotely. The Cardiac Device Technician communicates and reviews all pertinent device and rhythm findings with the physician and performs appropriate follow up measures under general supervision of RN and/or physician. Essential Job Functions: - Arranges for services, at direction of physician or RN, for patient with implantable cardiac device who needs ongoing monitoring. - Provides patient with remote monitoring device if applicable, educates patient on the use of the device and schedule of their transmissions. - Tracks patterns to ascertain any deviations over time. Compiles data into reports for physician on specified schedule. Consults regularly with physician on patient status and outcomes and documents outcomes in patient record. - Ensures charges are accurately captured for device interrogation and performs other clerical functions necessary for patient continuity of care. - Collaborates with Cardiac Device Nurses regarding device status and accurately documents device analysis in EMR for review. - Schedules patients for device appointment follow up in EMR and remote website including immediate/urgent contact with "no show" patients to ensure they are rescheduled. - Ensures programming rooms are adequately stocked with necessary supplies. - Troubleshoots critical device issues and takes immediate steps towards resolution. - Performs other duties as assigned or needed to meet the needs of the department/organization. Certification: - Registered Cardiovascular Invasive Specialist (RCIS) | Cardiovascular Credentialing International | Prior to Start Date | HR Primary Sources - Registered Cardiac Electrophysiology Specialist (RCES) | Cardiovascular Credentialing International | Prior to Start Date | HR Primary Sources - Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to Start Date | HR Primary Sources - Registered Nurse | Minnesota Board of Nursing | Within 12 Months of Start Date | HR Primary Sources - Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources - Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 Days of Start Date | Learning Management System Notes: - Must be licensed as a RN or registered as a RCIS or RCES. Education: • Required: Associates - Related Field • Preferred: Associates - Science Work Experience: • Preferred: A minimum of 2 years Related Experience Language Requirements: This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands : • Sit: Frequently (34-66%) • Stand: Occasionally (5-33%) • Walk: Occasionally (5-33%) • Stoop/Bend: Occasionally (5-33%) • Reach: Frequently (34-66%) • Crawl: Not Applicable • Squat/Crouch/Kneel: Occasionally (5-33%) • Twist: Occasionally (5-33%) • Handle/Finger/Feel: Continuously (67-100%) • See: Continuously (67-100%) • Hear: Continuously (67-100%) Weight Demands: • Lift -Floor to Waist Level: Medium (20-40 pounds) • Carry: Medium (20-40 pounds) • Push/Pull: Medium (20-40 pounds) • Slide/Transfer: Medium (20-40 pounds) Working Conditions: • Indoor: Continuously (67-100%) • Outdoor: Not Applicable • Extreme Temperature: Not Applicable Driving Requirement Definitions: - Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials. - Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily. - Occasional Drivers: Persons who drive from once per month to as frequently as once per week. - Infrequent Drivers: Persons who are generally not expected to drive. Driving Requirement for this position: Occasional Driver Reference ID: R7418 Making a real difference. For one another. To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another. At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go. Join our team and be a part of a small community with a big heart. Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)