Northern Arizona Healthcare

Role Description The Patient Call Center RN supports the Patient Call Center with current clinical knowledge in an effort to provide understanding to patients and their families of medical changes as a result of hospital discharge. S/he is a resource for patients/families to community care network and other community resources. Responsibilities - Team Development - Establishes rapport with patients, family members and other professionals as the initial step toward partnership in the plan of care development. - Provides leadership in the multi-disciplinary team within Community Care Management. - Provides referrals to other team members as appropriate. - Develops and maintains effective working relationships with staff, other departments, system administration/leadership, and community organizations to promote a positive image, heighten awareness and promote collaboration. - Provides leadership for quality improvement efforts. - Patient Care - Uses clinical knowledge in the patient and family assessment process. - Conduct comprehensive individual and family assessments to identify and prioritize needs to be addressed. - Provides emotional support to patients and family members. - Stabilizes patients who are in crisis. - Quickly establishes rapport with patients and families over the phone to promote quality assessment and education. - Quickly solves problems using critical thinking skills, responds to phone emergencies and crisis situations in a timely and professional manner. - Relates to and communicates over the phone with ill, disabled, culturally diverse, emotionally distressed patients of all ages and backgrounds. - Conducts post visit calls for inpatient, observation, outpatient surgery and emergency department encounters. - Evaluates post-discharge status, assess patient/family understanding of discharge instructions, review new medications and reinforce care transitions plan. - Documents post discharge call results with pertinent information entered into the electronic health record. - Supports patients and families as they transition through the continuum of care. - Assists with the mitigation of risk for readmission when patients have multiple and complex needs. - Documentation - Accurately prepares documentation utilizing the electronic medical record. - Communicates and documents assessment and ongoing needs. - Community Resources - Connect patients and family members with community service providers and other community resources. - Refers patients/families to community care network and community resources when issues arise and cannot be resolved quickly. - Compliance/Safety - Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. - Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. - If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. - Completes all company mandatory modules and required job-specific training in the specified time frame. - Involves law enforcement, Department of Children's Services or Adult Protective Services as appropriate to assist in addressing patient safety issues. - Collaborates with Compliance department when appropriate. Qualifications - Graduate of accredited School of Nursing - Required - If hired after December 31, 2018: BSN - Required - Continuing education expected - Active, unrestricted, Arizona RN License or valid, participating compact license - Required - BLS (American Heart Association) - Required upon hire - Acute care experience - Preferred - 2 years of Case management experience - Preferred Requirements - Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. - Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

Role Description This is a remote role open to residents of Arizona only. The Patient Scheduling Representative is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/referrals. S/he conducts either face-to-face or inbound/outbound telephonic interviews with the patient or authorized representative to secure information specific to requested services; accurately documenting the discussion and other referral/scheduling activities in the encounter, schedule book, and patient chart. Demonstrates customer-centric focus in all interactions with internal and external customers as well as an understanding of and ability to achieve acceptable performance standards as defined by Integrated Patient Scheduling Management. Responsibilities - Patient Registration and Scheduling - Demonstrates ability to navigate web-based products or system applications required for registration or scheduling. - Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned services. - Provides general explanation of scheduled procedures and patient instructions that are necessary for conducting medical services. - Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment. - Provides explanation of legal forms and secures signature of patient/authorized party as required for services. - Demonstrates basic understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations. - Eligibility/Authorization Management - Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services. - Navigation of web-based products or system applications to initiate and document insurance eligibility, benefit details, and authorization requirements. - Performs required notifications to ensure insurance authorization for identified medical services, surgical procedures, and inpatient/observation stays are secured and documented. - Demonstrates basic knowledge of CPT, ICD10 diagnosis coding documentation as required for medical services. - Financial Counseling - Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers. - Educates the patient on insurance eligibility, coverage, and availability of medical financial assistance program(s). - Collects identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps. - Revenue Cycle Support - Performs PBX Switchboard functions as required for answering and routing of internal/external calls; paging codes and fire alarms; handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments. - Acts as a resource for clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance. - Compliance/Safety - Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. - Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. - If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. - Completes all company mandatory modules and required job specific training in the specified time frame. Qualifications - High School Diploma or GED - Required - Medical Terminology Coursework - Preferred - Basic level of computer skills including keyboarding of 25 - 35 words per minute - Preferred - 1 year of call center or customer service experience, or 1 year of experience in a medical facility - Preferred - Proficiency in Microsoft Applications (Excel, Word, PowerPoint) - Preferred

Title: Revenue Capture Specialist - Relief, Remote (see full posting for eligible states) Job Description: Requisition ID 2026-22541 Schedule Variable Telecommute Yes FTE 0.150 / 6 hours (Relief / Per Diem) Overview This is a Relief position and working hours will assigned on an as needed basis according to department needs. NAH reserves the right to make hiring decisions based on applicants' state of residence if outside the state of Arizona. NAH currently hires for remote positions in the following states: - Alabama - Arizona - Florida - Georgia - Idaho - Indiana - Kansas - Michigan - Missouri - North Carolina - Ohio - Oklahoma - Pennsylvania - South Carolina - Tennessee - Texas - Virginia The Revenue Capture Specialist works within their assigned departments to insure revenue capture and optimization through charge master reviews, audits and reconciliation of charges. This position reports to the direct leadership of Revenue Integrity department. Responsibilities Technical and Critical Thinking Functions * Reconciles schedule of daily accounts to ensure that all charges are captured in the Accounts Receivable system * Reviews charges posted to ensure accuracy for type of case, type of procedure, coding/billing rules and edits charges as appropriate. * Maintains and updates charge screens in the Electronic Medical Record system. Also maintains any other charging methodology by department. * Follow up on late charges and write-offs by reviewing reports weekly to determine that revenue is appropriate. * Researches any deviation to expected revenue and proposes solution. * Maintains department charge master files. Reviews charge master every six months and submits changes as appropriate. * Works with department manager and Revenue Integrity Manager to ensure proper pricing, description codes and coding for new procedures or changed procedures. * Audits medical records against charges and claims for improvements in charge capture and documentation. * Accurate understanding and interpretation of medical records, hospital bills and charge master to ensure high-performing revenue capture. Communication Function * Responds to queries regarding department charges, providing responses and explanations and any information needed. * Identifies areas of improvement, prepares summary of findings to department manager and Revenue Integrity Manager and educates department staff as appropriate per managers' approval. * Represents department(s) with any compliance audit as needed. * Develops and maintains effective relationships among internal/external stakeholders, colleagues and staff in order to build trust and facilitate individuals/teams through change initiatives. Quality and Education Function * Reviews department medical record documentation on a quarterly basis for improvement opportunities. * Ensures knowledge and understanding of governmental and accreditation body standards for documentation of department's services and coverage. * Makes monthly observations and recommendations to prevent future revenue losses. Compliance/Safety * Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. * Maintains confidentiality of all department, patient, and billing matters. * Completes all company mandatory modules and required job specific training in the specified time frame. * Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. * Meets industry standard measures of productivity and accuracy. Qualifications Education High School Diploma or GED- Required Certification & Licensures Certified Coding Associate or equivalent (CPC/CSS/CCA/RHIT/RHIA/CPMA) - Preferred Experience 3 years' experience in the healthcare industry with an in-depth understanding of clinical areas - Required Medical coding and documentation review experience - Preferred Attention to detail, ability to work independently, ability to efficiently and accurately prioritize varying workload, strong qualitative, analytical and organization skills - Required Understanding of ancillary department functions, excellent communication skills to interact effectively with public and hospital staff, and positive attitude to work effectively with department staff - Required Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

• Responsible for two aspects of billing, collection, credit, payments, and/or reconciliations. • Billing responsibilities include manual re-bills as well as electronic submission to payers. • Follow-up includes telephone calls to payers and/or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary.

• Works in collaboration with physicians • Review medical record to abstract proper code assignment • Assign ICD-10 CM/PCS codes to outpatient, emergency room, and professional services • Responsible for reporting any safety-related incidents

Manage revenue cycle operations to ensure timely claims submission and denial resolution. Monitor accounts receivable reports, educate staff on insurance changes, and respond to billing inquiries to enhance customer service.

• Responsible for the day-to-day financials of fund management; including gift acceptance and revenue reconciliation in coordination with the Financial Operations Team. • Audit and process all transfer requests from departments for fund expenditures and work to resolve any request issues with NAH department leaders across healthcare system. • Consolidate all fund activity to provide customized reports to the leadership. • Responsible for the Operations Budget including projections, invoice management and monthly variance explanations. • Support financial analysis projects such as expense performance, investment interest allocation and trend analysis, and present relevant findings to senior leadership.

• Works in collaboration with physicians, in tracking un-coded charts and identifying opportunities to properly complete coding assignments. • Works closely with Clinical Documentation Improvement (CDI) specialists, providers and clinical staff to develop and maintain a comprehensive audit and management system to ensure proper charge capture, sufficient documentation and proper code assignment across all service lines. • Mentors and trains other coders in the department. • Communicates coding/documentation education and training to providers, staff and leadership. • Reviews medical record to abstract proper code assignment. • Assigns ICD-10 CM/PCS/CPT and HCPCS codes to inpatient, outpatient, emergency room, outpatient clinical and professional services, as required. • Applies accurate procedure coding, diagnosis coding, medical terminology, anatomy/physiology, and industry regulations. • Assists in maintenance of medical record integrity/documentation improvement opportunities. • Develops educational material based on coding changes, code updates and audit findings, as required. • Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. • Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. • Completes all company mandatory modules and required job-specific training in the specified time frame. • Maintains confidentiality of all department, patient, and coding matters. • Stays current with medical terminology and human anatomy. • Meets industry standard measures of productivity and accuracy.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Coder 3 electronically records, stores, and reports on reams of data. Responsible for coding the following service types, based on department and assignments: - Facility HIM: Inpatient, outpatient, emergency room, and outpatient clinical. - Ambulatory: Coding and auditing professional inpatient, outpatient, emergency and clinic. Coders will need to apply a broad knowledge of procedure coding, diagnosis coding, medical terminology and anatomy/physiology. - Hospital Coder Proficiency: ICD-10 PCS/DRG/CPT/HCPCS/ICD-10 CM. - Professional Coder Proficiency: CPT/HCPCS/ICD-10/CM. Responsibilities Communication - Works in collaboration with physicians, in tracking un-coded charts and identifying opportunities to properly complete coding assignments. - Works closely with Clinical Documentation Improvement (CDI) specialists, providers and clinical staff to develop and maintain a comprehensive audit and management system to ensure proper charge capture, sufficient documentation and proper code assignment across all service lines. - Mentors and trains other coders in the department. - Ambulatory/Professional Team Only: Communicates coding/documentation education and training to providers, staff and leadership. Data integrity - Review medical record to abstract proper code assignment. - Assign ICD-10 CM/PCS/CPT and HCPCS codes to inpatient, outpatient, emergency room, outpatient clinical and professional services, as required. - Apply accurate procedure coding, diagnosis coding, medical terminology, anatomy/physiology, and industry regulations. - Assist in maintenance of medical record integrity/documentation improvement opportunities. - Ambulatory/Professional Team Only: Develops educational material based on coding changes, code updates and audit findings, as required. Compliance/Safety - Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. - Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. - If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. - Completes all company mandatory modules and required job-specific training in the specified time frame. - Maintains confidentiality of all department, patient, and coding matters. - Stays current with medical terminology and human anatomy. - Meets industry standard measures of productivity and accuracy. Qualifications - High School Diploma or GED - Required - Associates Degree or Diploma School Program - Preferred - CPC/CSS/CCA/RHIT/RHIA/CPMA - Required - 2 year minimum - Required - ICD-10 proficiency - Required Requirements Healthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.

• Review and compile required denials documentation and submit in a timely manner to ensure payment. • Track and document tasks in Midas to assist Nurse Denials Specialist in preparing and following up on cases. • Assist in preparing documentation for appeal letters. • Track and monitor concurrent and retrospective cases on denials spreadsheets. • Assist in auditing for concurrent reviews, admission status, coding, DRG, and outpatient denials management. • Assist in gathering data for performance of retrospective denials. • Gather data and documentation to assist the Nurse Denials Specialist and the Physician Advisor in review of clinical denials. • Request necessary documentation from physician's offices for denials cases. • Assist with paperwork and follow up of self-denials cases, Code 44s, and Noridian appeal cases. • Track and monitor audits of clinical information from payers, governmental agencies, etc. • Provide outreach and assistance to other support staff within the department when absent or in need of additional support of their work. • Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. • Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility. • If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.