Confluence Health

Role Description This position does have the ability to be fully remote only if: - You reside in the following states: WA, OR, ID, WI, FL, MT, GA, TX, TN, or AZ. - You hold a minimum of one Epic certification and be up to date with all cert requirements (should be listed on your resume/application). Under limited direction, the Epic Application Analyst III gathers and analyzes user needs for developing and modifying assigned applications. Builds collaborative relationships with health system leadership, clinical department users, IT, and other departments to facilitate usage and acceptance of the system. Includes providing complex application support, writing documentation and specifications to mentor other team members. Analyzes complex results, proposes solutions and/or recommendations in addition to building, configuring, and/or modifying applications using existing application tools. The Analyst III will work as a key member of the support team to build, maintain, test, and train as needed to assure successful implementation and ongoing support. The Analyst III will be the key subject matter expert and act as the liaison between stakeholders and the support team for assigned applications. Qualifications - Education: Bachelor's degree or 5 years work experience in Healthcare IT or relevant healthcare training. - Have 6 plus years experience as an Application Analyst or equivalent position; or perform at required level per manager's discretion. - Hold a minimum of one Epic certification and be up to date with all cert requirements. - Take ongoing training, attend classes and seminars, and complete certifications that are required for the position. - Preferred: Two years as a Healthcare team member who will bring department specific workflow knowledge to the role. - Must possess good customer service skills, superior time management skills, and ability to prioritize tasks. - Ability to work with clinical staff, Providers, and managers to identify needs. - Recommend implementation and support strategies based on industry best practices. - Ability to keep professional demeanor in stressful circumstances and work well independently and in team environments. Requirements - Manages small to mid-size projects with little direction and monitors/balances schedules to ensure overall project deadlines are met. - Gathers specific and broad information to fully understand issues, both to solve the problem at hand and to address the “big picture”. - Uses analytical skills for complex analysis and problem resolution, developing project plans, standards, and policies. - Consults with clients and end users to evaluate requirements, designs strategies, and prepares action plans to address issues. - Actively supports organizational change, translates it into work plans, and reinforces standards within the work group. - Pro-actively provides specific and relevant feedback and accepts feedback in a positive and constructive manner. - Seeks and interprets client feedback, links this to short/long-term needs while referring only the most complex issues to management. - Provides coaching and mentoring, encourages others to achieve their goals, and works well with differing personalities and work styles. - Effectively handles challenges/resistance; consistently demonstrates ability to adjust smoothly to demands, shifting priorities, and crises. - Sets and achieves aggressive goals, makes challenging commitments, and consistently follows through on them. - Prepares/delivers written communications and presentations professionally. Coordinates and leads work group meetings as needed. - Consistently communicates appropriate information across organizational boundaries to facilitate information sharing and resolve issues. - Works well with others; expresses viewpoints tactfully, works to resolve conflict by suggesting approaches with mutually satisfactory results. - Supports leaderships' priorities and cultivates relationship with manager. Promotes collaboration using teamwork approach within and across work groups including building strong external networks. - Has expert technical knowledge of own area of responsibility and knowledge of interactions between systems components. - Performs other duties as assigned. - Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Benefits - Medical, Dental & Vision Insurance - Flexible Spending Accounts & Health Saving Accounts - Paid Time Off - Generous Retirement Plans - Life Insurance - Long-Term Disability - Gym Membership Discount - Tuition Reimbursement - Employee Assistance Program - Adoption Assistance - Shift Differential

Role Description This position has the option to work virtually. Must reside in the state of WA, OR, ID, WI, FL, MT, TX, AZ, VA, AL, TN. The CDS is responsible for facilitating a thorough, complete and accurate patient health record which will secure the correct reimbursement for resource utilization, the highest quality measures and outcomes, superior communication between providers, and ultimately high patient satisfaction. Travel may be required to outlying clinics. Work is conducted remotely, in the hospital and/or in the clinic. Position Reports To: Director of Quality Analytics Essential Functions - Ability to learn and develop the skills necessary to perform clinical documentation reviews using the tools provided. - Perform accurate and timely record review. - Recognize opportunities for documentation improvement. - Formulate clinically credible documentation clarifications. - Effectively communicate opportunities for clarification to providers in a way that secures complete and accurate documentation. - Effective and appropriate communication with providers, the clinical documentation and coding teams, and others that fosters collaboration and trust. - Timely follow-up on all clarification requests. - Participate in Task Force meetings. - Manage multiple priorities. - Adhere to established clinical documentation rules, processes and workflows. - Apply critical thinking, problem solving, and deductive reasoning skills to complex clinical and interpersonal situations. - Understand and communicate differences between IPPS and OPPS and how they impact DRGs and ICD-10 code assignment. - Able to process multiple sources of information simultaneously while maintaining clarity of thought and purpose. - Required to maintain active Basic Life Support (CPR) certification. - Performs other duties as assigned. - Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Qualifications - Recent 2 years acute care experience, preferably ICU, PCU or strong Med/Surg. - Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). - Must successfully pass an on-line clinical knowledge assessment (provided by Confluence Health) with 70% or greater. - Extensive knowledge of pathophysiology, disease processes and associated care-pathways. - Basic computer skills; familiarity with Microsoft software programs. Requirements - BSN (Desired). - 5 years acute care experience (Desired). - Experience in organizational, analytical, and writing skills (Desired). - ACDIS or other national CDI certification (Desired). - Knowledge of CMS and regulatory environment (Desired). Benefits - Medical, Dental & Vision Insurance - Flexible Spending Accounts & Health Saving Accounts - Paid Time Off - Generous Retirement Plans - Life Insurance - Long-Term Disability - Gym Membership Discount - Tuition Reimbursement - Employee Assistance Program - Adoption Assistance - Shift Differential Physical/Sensory Demands - Walking - C - Sitting/Standing - C - Reaching: Shoulder Height - O - Reaching: Above shoulder height - O - Reaching: Below shoulder height - O - Climbing - O - Pulling/Pushing: 25 pounds or less - O - Pulling/Pushing: 25 pounds to 50 pounds - O - Pulling/Pushing: Over 50 pounds - O - Lifting: 25 pounds or less - O - Lifting: 25 pounds to 50 pounds - O - Lifting: Over 50 pounds - O - Carrying: 25 pounds or less - O - Carrying: 25 pounds to 50 pounds - O - Carrying: Over 50 pounds - O - Crawling/Kneeling - O - Bending/Stooping/Crouching - O - Twisting/Turning - C - Repetitive Movement - C Working Conditions - Work is done throughout a specific clinical/reception area of the building. - Some work areas may be small, crowded, and confined. - Job requires both working closely with others and working alone. - Hours can vary from a normal schedule and overtime may be required. - Stressful working conditions do exist. Job Classification - FLSA: Non-Exempt - Hourly/Salary: Hourly Physical Exposures For This Position - Unprotected Heights - No - Heat - No - Cold - No - Mechanical Hazards - No - Hazardous Substances - No - Blood Borne Pathogens Exposure Potential - Yes - Lighting - Yes - Noise - No - Ionizing/Non-Ionizing Radiation - No - Infectious Diseases - Yes

Role Description The Certified Facility Coder will be responsible for reviewing all medical record information to extract data and apply appropriate diagnoses and procedure codes for billing, internal and external reporting, research, and regulatory compliance. - Accurately codes conditions and procedures as documented in the Official Guidelines for Coding and Reporting for Hospital Departments. - Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall within the established compliance guidelines for ICD-10CM/PCS, CPT & HCPCS according to American Medical Association (AMA) and CMS. - Assigning codes utilizing an electronic encoder application in accordance with the practice policy and regulatory guidelines. Qualifications - High School Diploma or equivalent GED. - Minimum 1 year coding experience or equivalent education/experience. - Knowledge of ICD-10, CPT coding, medical terminology, anatomy, and insurance billing. - Understanding of DRG’s for Inpatient Facility coding positions. - Possesses basic computer (e.g., spreadsheets, word processing) skills. - One of the following coding certifications: CPC (CPC-A), CIC, COC (COC-A) from American Academy of Professional Coders (AAPC) or CCA, CCS, CCS-P, RHIA, RHIT from American Health Information Management Association (AHIMA). Requirements - Facility coders are responsible for coding: Inpatient, Ambulatory, Observation, Emergency Department which includes charge capture, charging medication administration and knowledge of multiple specialties consultation/procedures. - Ability to extract and assign ICD-10CM/PCS, CPT, Modifiers and HCPCS codes per coding guidelines and appropriate service utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines. - Inpatient diagnoses and procedures shall be coded in accordance with UHDDS definitions for principal and additional diagnoses and procedures as specified in the Official Guidelines for Coding and Reporting. - Understanding/assign DRG’s, MC’s and CCs for Inpatient Facility Coding. - Reviews accounts and charges in EPIC. - Review and adjust coding for Part A/B rebilling. - Ability to research Coding Clinics. - Reviewing medications to apply appropriate infusion administration charges. - Assists with coding audits from payor and RAC audits providing rebuttal letters if needed. - Codes all records based on documentation, following coding guidelines, payer regulations and ethics. - Demonstrate knowledge of CMS Hierarchical Condition Category (HCC) Risk Adjustment coding. - Apply knowledge of coding rules, review and resolve CCI/LCD/NCD’s and modifier edits. - Effectively uses software and/or coding books to verify coding accuracy. - Responsible to stay current with billing guidelines and reimbursement rules and regulations. - Work with Revenue Integrity & Compliance on audits and coding questions. - Contribute as a team member with our Clinical Documentation Specialists. - Provides feedback to providers using authorized methods as directed by department policy. - Works with clinical staff to resolve coding issues and related problems. - Participates in educational activities as requested (i.e. attending meetings with clinical staff). - Maintain department coding production standards for the specialties you are assigned to code. - May be requested to perform job tasks not specifically related to primary assignments for the success of the organization as requested by management. - Performs other duties as assigned. - Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times. Benefits - Medical, Dental & Vision Insurance - Flexible Spending Accounts & Health Saving Accounts - Paid Time Off - Generous Retirement Plans - Life Insurance - Long-Term Disability - Gym Membership Discount - Tuition Reimbursement - Employee Assistance Program - Adoption Assistance - Shift Differential