Boston Medical Center (BMC)

• Manage the day-to-day activities of CHAMPS’ integrated maternity care team initiative. • Coordinate meetings, develop agendas, take minutes. • Collect and manage data. • Help to develop training materials and set up staff and community trainings. • Conducting literature reviews. • Contribute to the preparation reports, presentations and manuscripts for publication. • Attending CHEER meetings and helping to draft agendas and minutes. • Maintain records, reports and files as required. • Participating in national and BMC-based groups that CHEER is a member of. • Maintain departmental policies and procedures, objectives, quality assurance programs, safety, environmental and infection control standards.

• Provide strategic leadership, design, and governance of physician compensation programs • Establish functional/organizational priorities • Manage subordinate professional staff • Design and oversee sophisticated, compliant compensation models • Provide executive-level oversight of physician compensation expense • Establish and oversee departmental policies and governance structures • Serve as a key leader within the integrated finance function • Direct the utilization of external market benchmarking data • Influence key internal and external stakeholders

• Set the enterprise strategy and governance framework for decision support and cost accounting • Serve as strategic advisor to the CFO and senior executive leadership • Direct decision support leaders, setting enterprise direction for service line growth strategy • Own the systemwide decision support and cost accounting platform • Establish the enterprise framework for capital investment evaluation • Direct the development of enterprise reporting and analytics infrastructure • Build and lead a high-performing decision support and service line finance organization • Cultivate executive, clinical, and operational partnerships across BMCHS

• Serve as a strategic finance partner to the VP & CFO and senior operational leaders • Lead the Financial Planning and Analysis team in developing annual budgets and forecasts • Direct the Labor Performance Management team in monitoring labor cost trends and staffing efficiency • Administer and optimize the Strata platform for enterprise-wide planning and reporting • Set the enterprise financial analytics strategy and operating model • Oversee Finance Reporting & Analytics and Business Intelligence teams for standardized reporting • Guide Decision Support team in delivering cost, margin, and utilization analyses

• Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. • Abstracts required data to input into the Medical Center's computerized data base. • Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. • Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. • Maintains coding accuracy rate of 95% or better. • Maintains productivity standards set forth in Departmental Policies and procedures. • Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. • Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems. • Enters coded/abstracted information in grouper, analyzes groupings, and assigns the appropriate grouper for appropriate and accurate reimbursement. • Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.

• Assists in the review and analysis of system issues and resolves issues with various vendors to improve effectiveness. • Coordinate team resources and activities to ensure both HB and PB Revenue cycle meets department goals and KPI’s. • Scrutinizes and creates reports to identify trend and process gaps; identifies and resolves problems for maximum revenue and reimbursement to Boston Medical Center. • Work with various departments, BMC vendor partners, and payers to develop processes.

• Work independently with business leaders to scope and conduct analyses that help the organization understand and monitor performance, break down key drivers, and identify new opportunities • Lead analytic projects such as vendor partnerships, development of predictive analytic tools, or data validation workstreams • Act as technical and analytic expert for the System Analytics team • Mentor, train, and onboard new analysts to the team • Create reports and dashboards that effectively communicate performance to operational and clinical leaders and stakeholders • Translate complex analysis into simple visualizations that can communicate key takeaways to leaders and stakeholders • Understand health system data sources and support data architecture team to ensure that data is clean, normalized, and accurate • Establish credibility and trust in data integrity and accuracy across internal and external stakeholders • Present analyses to senior leaders and other stakeholders • Collaborate across the health system to ensure that assumptions and methodologies are consistent • Manage multiple projects and analyses simultaneously while meeting key deadlines and deliverables, and prioritizing time and resources • Identify and elevate key obstacles for intervention that may jeopardize timelines

• The Patient Services Rep communicates with patients and staff using multiple advanced communication tools, including phone calls, online chats, emails, faxes or mail. • Answers and resolves patient inquires, in a professional, empathetic and patient-centered way, through the use of effective listening, written and verbal communication skills. • Utilizes established Practice guidelines to ensure patients issues are addressed in a timely manner and when necessary, transfers the call to the appropriate person at the Practice for additional consultation. • Uses a computerized scheduling system to schedule/reschedules appointments determining the right amount of time required for each patient appointment. • Provides accurate and detailed information and updates patients’ records, using Epic. • Provides detailed confirmation to the patient detailing where and when the appointment is, providing directions as needed, providing applicable and language specific home instructions as well as instructions for any required labs or imaging. • Identifies opportunities to improve the work processes and environment, and changes in Practice protocols; remains current on new developments in health care. • Escalates appropriately any issues that fall outside of an existing protocol or process to meet the needs of the patient. • Attends scheduled training sessions for phone support, customer service, systems upgrades, newly acquired clinical systems, additional practices or other relevant training sessions, as directed by manager. • Assists in the training/orientation of new personnel under the direction of a manager and/or supervisor. • Participates in staff meetings/is expected to identify process issues that are obstacles to providing a positive patient experience.

• Manage incoming calls using a harm reduction framework • Engage people who use drugs in meaningful conversation • Remain calm and compassionate in potentially challenging situations • Meet monthly call requirements to stay active on the team

• Assigns appropriate codes to reflect all diagnoses and procedures from physician and nursing documentation during a patient encounter according to the most current coding methodologies. • Abstracts required data to input into the Medical Center's computerized database. • Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group), ASC (Ambulatory Surgical Classification), APG (Ambulatory Patient Groups), APC (Medicare’s Ambulatory Patient Classification) assignments in order to optimize reimbursement for each patient encounter coded.