Northeast Georgia Health System

Role Description The Compensation Manager is responsible for the design, administration, and continuous improvement of the compensation programs supporting a multi-entity health system, including acute care hospitals, physician practices, outpatient clinics, and system services. This role partners closely with HR Business Partners, Finance, Talent Acquisition, Physician Compensation, and operational leaders to ensure compensation programs are competitive, compliant, fiscally responsible, and aligned with organizational strategy. The Compensation Manager provides leadership and subject-matter expertise related to job architecture, market pricing, pay practices, and incentive programs for non-physician roles. Qualifications - Licensure or other certifications: Certified Compensation Professional (CCP) or SPHR. - Educational Requirements: Bachelor's degree in Human Resources, Business Administration, Finance, Economics, or related field. - Minimum Experience: 5+ years of progressive compensation experience, preferably within a health system, hospital, or large complex organization. - Strong knowledge of healthcare labor markets, including clinical and non-clinical roles. - Demonstrated experience with market pricing, incentive design, and compensation governance. - Advanced analytical skills and high proficiency with Excel and HRIS systems. Requirements - Healthcare compensation expertise with strong business acumen. - Ability to interpret complex market data and translate insights into recommendations. - Strong consultative and communication skills. - High attention to detail with the ability to balance consistency and flexibility. - Ability to manage sensitive information with discretion. - Comfort operating in a fast-paced, highly regulated environment. Essential Tasks and Responsibilities - Manage and support system-wide compensation programs, including base pay structures, market pricing, incentive plans, and special pay practices. - Translate organizational strategy, labor market conditions, and workforce needs into effective compensation solutions. - Assess and recommend changes to compensation philosophy, structures, and policies to remain competitive within healthcare labor markets. - Lead job evaluation and market pricing activities for clinical, non-clinical, leadership, and corporate roles in a health system environment. - Maintain job architecture frameworks (job families, career ladders, levels, titles) with particular attention to clinical progression models. - Participate in healthcare compensation surveys and interpret data for decision-making. - Support the design, administration, and ongoing evaluation of incentive and variable pay programs, including performance-based and operational incentives. - Ensure incentive programs align with organizational goals, quality metrics, patient care priorities, and financial sustainability. - Partner with Finance and leadership to ensure incentive affordability and appropriate governance. - Ensure compliance with federal, state, and local compensation-related regulations, including Fair Labor Standards Act (FLSA), pay equity laws, and internal audit standards. - Support internal controls, pay equity analyses, and compensation audits. - Maintain documentation, policies, and procedures supporting consistent and defensible compensation decisions. - Serve as a trusted advisor to HR Business Partners and leaders on compensation decisions related to hiring, promotions, reclassifications, restructures, and retention actions. - Review and approve compensation requests in accordance with policy, market data, and budget guidelines. - Provide compensation education and training to leader and staff audiences. - Develop and analyze compensation data, trends, and reports to support workforce planning, budgeting, and leadership decision-making. - Partner with HRIS, Payroll, and Finance teams to ensure accurate compensation data governance and reporting. - Manage and mentor compensation analysts. - Manage compensation-related projects, including annual market reviews, merit and incentive cycles, and system expansions, or integrations. Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time. - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time. - Vision: Heavy, Constantly 66-100% of time. - Kneeling/Stooping/Bending: Occasionally 0-30%. - Standing/Walking: Occasionally 0-30%. - Pushing/Pulling: Occasionally 0-30%. - Intensity of Work: Constantly 66-100%. - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving.

Role Description The Physician Advisor is a key member of the NGHS Revenue Cycle team and is charged with meeting the organization's goals and objectives for assuring effective, efficient, and compliant utilization of health care services. The role includes significant educational and supportive services, working with providers and hospital staff. The Physician Advisor shall develop expertise on matters regarding: - Physician practice patterns - Over and under utilization of resources - Medical necessity - Levels of care - Care progression - Denial management - Compliance with governmental and private payor regulations - Documentation requirements The role works closely with the entire medical staff, including resident physician house staff, all areas of resource management, Utilization Management, and Case Management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided. Concurrent communication with medical staff will be crucial to ensure timely documentation in the medical record, to include status orders that reflect the appropriate level of care. Qualifications - Hold an unrestricted medical license in the state of Georgia - Member of the NGHS medical staff - Medical Degree, Board certification required - Five (5) - seven (7) years physician practice experience, 10+ preferred - Solid foundation, knowledge and/or experience in areas of Utilization Management and Quality Improvement - Working knowledge of UR operations, along with standard UR metrics and payor methodologies - Experience and knowledge in healthcare Federal and State regulations - Strong computer skills and working knowledge of the EMR Requirements - Working knowledge of the Revenue Cycle processes and goals - Excellent customer service and interpersonal skills - Able to effectively present information, both formal and informal - Strong written and verbal communication skills with all levels of internal and external customers - Persuasiveness and leadership to obtain action, consent, agreement, or approval - May involve difficult negotiations or a high degree of diplomacy and judgement to achieve results - Requires an innovative, creative thinker to initiate long range programs, goals, policies and procedures - Ability to foresee and assess potential problems and to plan alternative solutions - Strong analytical skills - Strong organizational skills and ability to set priorities and multi-task - Demonstrates flexibility, teamwork, and is accustomed to change in the healthcare environment - Demonstrates ability to drive results and produce outcomes - Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage - Knowledgeable of Federal and State regulations and hospital finance - Ability to work collaboratively; ability to network and access resources as needed by team - Obtains familiarity and working knowledge of standard published criteria such as InterQual/MCG - Functions with little direct supervision in accordance with the goals set forth by Administrators and Department Directors Essential Tasks and Responsibilities - Participation and active role in the Utilization Review Committee to include review of data related to utilization and presentation of findings with recommendations for improvement - Support physician education and collaboration, including but not limited to the following: - Provide education to physicians and other clinicians related to regulatory requirements, appropriate utilization of hospital services, community resources and alternative levels of care - Create action plans to address issues - Provide concurrent physician coaching and on-going education on appropriate documentation to support level of care and care standards - Provide regular feedback to physicians and all other stakeholders regarding level of care, length of stay and potential quality issues - Facilitate, mentor, and educate other physicians regarding payer requirements - Contact physicians in a timely manner to resolve delays and achieve positive outcomes - Demonstrates positive outcomes through interventions with attending or consulting physicians that impact status determination, delay care and affect LOS, or avoidable days - Participates in Medical Staff education on Healthcare Payment Models as needed, including value based purchasing, clinically integrated care, bundled payments - Identifies denial trends and works with the medical staff and administration to resolve the issue - Supports the Utilization Review process through second level reviews as needed and in a timely fashion - Assists in 2 midnight rule compliance - Works collaboratively with physicians and advanced health practitioners based on results of these reviews - Provides consultation to UR nurses and CM staff regarding complex clinical issues impacting length of stay, medical necessity and discharge transition - Assist with length of stay management and utilization of resources - Active participation in denials management processes to include peer to peer discussions, case review and appeal writing - Develops and maintains successful relationships within the payor community - Active participant in Complex Case Review, providing input on length of stay and transition of care opportunities - Assists in governmental regulation compliance through research, reviews, and education - Serves as active member of Acute/Post Acute Compliance Committee - Participates in payor contract development and negotiation processes as requested - Provides input on utilization and precertification components based on experience with payors - Identifies documentation opportunities through clinical/medical necessity reviews along with denial/appeal work - Drives documentation improvement strategies and works directly with providers to make improvements - Performs other duties and tasks as assigned Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time - Vision: Moderate, Occasionally 0-30% of time - Kneeling/Stooping/Bending: Occasionally 0-30% of time - Standing/Walking: Occasionally 0-30% of time - Pushing/Pulling: Occasionally 0-30% of time - Intensity of Work: Occasionally 0-30% of time - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding, Driving

Role Description The Coding Supervisor supervises the charge posting & coding workflow; monitors employee performance; addresses complaints and resolves problems; and actively oversees and supervises production and quality control efforts. This position monitors charge poster & coder compliance with national coding guidelines and NGHS coding policies for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to ensure minimal variation in charge posting & coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides charge poster & coder specific education based on review findings and trends. Qualifications - Licensure or other certifications: RHIA, RHIT, CCS, CCS-P, or CPC and an approved specialty credential required. Candidates with only a CPC must attain an additional credential within 6 months of hire. - Educational Requirements: High School Diploma or GED. - Minimum Experience: Minimum five (5) years acute care inpatient/outpatient coding experience required. Preferred Job Qualifications - Preferred Licensure or other certifications: Not specified. - Preferred Educational Requirements: Bachelors degree in HIM/HIT. - Preferred Experience: Leadership experience in healthcare related field. Minimum three (3) years coding auditing/monitoring experience strongly. Job Specific and Unique Knowledge, Skills and Abilities - Coding Technical skills - Extensive regulatory coding (ICD-9-CM, CPT-4, ICD-10-CM and ICD-10-PCS as applicable to transition to ICD-10) and associated reimbursement knowledge. - Analytical skills – Ability to analyze trends in data and determine root cause and address as appropriate. - Effective Decision Making – Relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values. - Initiative – Independently takes prompt proactive steps toward problem resolution. - Organization – Establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. - Communication - Communicates clearly, proactively and concisely with all key stakeholders. - Leadership - Leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services. - Customer orientation - Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. - Policies & Procedures - Articulates knowledge and understanding of organizational policies and procedures. - PC skills - Demonstrates proficiency in Microsoft Office applications and others as required. - Quality Orientation – Accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time. - Work Independently – Is self-supporting; not needing to rely on others to complete a job. - Building and Maintaining Strategic Working Relationships – Develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships. - Managing conflict – Dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people. - Mentor and Educate – Provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem. Essential Tasks and Responsibilities - Provides direct supervision/oversight to Coding Quality Reviewers for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities. - Exports data from EPIC into excel based data tracking models to monitor productivity and provide timely and consistent feedback to employees and Coding Manager/Director. - Creates and prepares coding benchmarking, charge posting & coding productivity, charge posting & coding quality, and coding productivity reports for the Coding Manager/Director. - Assists Coding Manager/Director in the review and improvement of processes and services. - Coordinates charge poster & coder training and orientation of staff, along with the development of coding tools, resources and education materials. - Coaches, facilitates, solves work problems, and participates in the work of the team. - Ensures charge posting & coding staff adherence with coding guidelines and policy. - Assures accounts that cannot be coded are held for valid reasons and documented accurately. - Assists in strategic planning and budgeting of the coding quality review function. - Communicates effectively with leadership, physicians, and team relating to potential compliance risks and to mitigate damages and resolve related issues. - Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees(s). - Ensures charge posting & coder compliance with regulatory coding compliance educational requirements and NGHS polices. - Initiates physician queries in compliance with coding guidelines where appropriate. - Reviews all official data quality standards, coding guidelines, NGHS policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current. - Practice and adheres to the “Coding Code of Ethics” and NGHS “Mission and Value Statement.” - Meets all educational requirements as stated in NGHS policy. - Occasionally provides back up for coders. - Other duties as assigned. Physical Demands - Weight Lifted: Up to 50 lbs, Occasionally 0-30% of time. - Weight Carried: Up to 50 lbs, Occasionally 0-30% of time. - Vision: Moderate, Frequently 31-65% of time. - Kneeling/Stooping/Bending: Occasionally 0-30% of time. - Standing/Walking: Occasionally 0-30% of time. - Pushing/Pulling: Occasionally 0-30% of time. - Intensity of Work: Frequently 31-65%. - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding. Company Description Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Job Category: Revenue Cycle Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary This position is responsible for assisting the Patient Contact Center Supervisors and Manager in managing the day-to-day operation of the Patient Contact Center. Assists in monitoring call volumes to ensure achievement of service standards, including taking calls during high volume periods. Responsible for specialty accounts to include: high balance accounts, payroll deduction and long-term payment plan processing, deceased and estate accounts, bad address/held statement review, bankruptcy processing, and client (non-patient) billing and collections. Provides staff with support, answering questions and ensuring the team consistently provides accurate information and exceptional customer service. Responds as needed to escalated calls and serves as department liaison for systemwide Patient Complaint Management System. Assists with monitors daily, weekly, monthly Patient Contact Center reports to achieve goals and service standards. Assists with monitoring the team’s customer service skills, working with the Patient Contact Center leadership in identifying areas that require further development/training. Minimum Job Qualifications - Licensure or other certifications: CPAR Certification - Educational Requirements: High School Diploma - Minimum Experience: Five (5) years minimum collection, hospital or business office experience - Other: Preferred Job Qualifications - Preferred Licensure or other certifications: - Preferred Educational Requirements: Two (2) years of college or Business School - Preferred Experience: - Other: Job Specific and Unique Knowledge, Skills and Abilities - Working knowledge of the Revenue Cycle processes and goals - Personal computer proficiency to include all Microsoft Office programs and Revenue Cycle systems necessary to perform job duties, including proper documentation - Excellent problem-solving skills with attention to details - Excellent customer service skills - Excellent verbal and written communication skills - Ability to work independently within guidelines - Can adapt to change quickly in a fast-paced demanding environment. - Maintains thorough understanding of the Patient Complaint Management System - Working knowledge of automated dialer systems - Ability to prioritize, organize, and coordinate daily workload - Ability to serve as a resource for all Revenue Cycle personnel from pre-services through collections Essential Tasks and Responsibilities - Be in good standing with all Facility policies including those related to attendance, positive attitude and staff development. Follow all department guidelines, policies and procedures. - Attends all Weekly/Monthly/Quarterly/Annual SPRC and Team Meetings (Unless has an excused absence). - Be a positive role model to all staff members, physicians, patients and visitors. - Assist with onboarding, training and support new team members. - Assist with ensuring Patient Contact Center is compliant with all standards, guidelines and policies. - Work with PCC Supervisors and Manager to ensure monthly key contact center performance goals for quality, productivity and key performance metrics are met. - Provide feedback to PCC Supervisors and Manager to assist with monitoring and evaluating staff monthly performance including call monitoring, and attendance and coach staff members to improve performance. - Report, analyze and resolve system, customer and operational issues that impact service quality. Strive to provide all customers with outstanding customer experience. - Collect, analyze and summarize data and track trends from various performance and audit reports. - Ensure that customers' questions and problems are resolved properly and quickly. Address challenging customers and problems that require escalation to PCC Leadership and to other departments outside SPRC. Review and resolve complaints logged on SPRC complaint tool received by PCC staff and referred to PCC using NGHS complaint tool. - Review specialty accounts for resolution and trending. High balance accounts from various sources for such actions as third-party rebilling, collection agency referral, or other options to appropriately resolve account balances. Process deceased and bankruptcy accounts according to state and federal guidelines. Review and process bad address and held statement accounts. Bill and collect client (non-patient) balances. Manage payroll deduction and long-term payment plan processes, including recourse and reconciliation. Serves as department liaison for systemwide Patient Complaint Management System. - Build and establish open lines of communication with staff, peers, managers and other areas of NGHS to facilitate problem solving. - Help identify trends impacting performance and facilitate cross-training between staff. - Manage call center tools and resources: auto dialer maintenance, campaign review and revisions, collect and tracking call center statistics (accuracy, call wait times, abandonment rate) to ensure top performance. - Assist with vendor liaison for invoice processing, reconciliation reports, account transfers, system request and facilitate onsite/offsite visits. - Maintain superior knowledge of patient accounts and department revenue cycle operations. - Process payroll deduction and long-term payment plan accounts in a timely manner. Assist Vendor with monitoring, reviewing and making recommendation for process and policy improvements. - Think critically and make reasonable judgments on patient accounts. - Adapt to frequently changing atmosphere including organizational and technological changes. - Maintain knowledge and understanding of insurance/patient billing and collections. - Maintain advanced knowledge of state collection laws and Fair Debt Collection Practices Act. - In addition to the above tasks and responsibilities, the Patient Contact Center Team Lead will be responsible for and must be proficient in all job duties of a Patient Contact Center Representative. These duties include but are not limited to: Accepts all calls via the ACD (Automated Call delivery) lines in a manner that keeps wait times to a minimum. Performs collection activities on outstanding patient balance, offering payment arrangements per guidelines when patient unable to pay in full. Follows required collection process. Applies resolution to patient calls based on established standards and procedures. Reviews accounts thoroughly, verifying balance to be correct. Performs required action to correct balances found to be in error. Refers errors to other departments for assistance only when appropriate. Documents and uses appropriate disposition codes in system for every account, including any action taken in order to allow for trending and process improvement. Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time - Vision: Moderate, Constantly 66-100% of time - Kneeling/Stooping/Bending: Occasionally 0-30% - Standing/Walking: Occasionally 0-30% - Pushing/Pulling: Occasionally 0-30% - Intensity of Work: Frequently 31-65% - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

Job Category: Administrative & Clerical Work Shift/Schedule: 8 Hr Morning - Afternoon Northeast Georgia Health System is rooted in a foundation of improving the health of our communities. About the Role: Job Summary Rev Cycle Specialist II handles complex account follow-up, denials, and claims resolution, working more independently and applying advanced knowledge of payer rules and billing systems. Minimum Job Qualifications - Licensure or other certifications: GA HMFA Certified Patient Account Representative (CPAR) Certification (or must obtain with 6 months of hire) - ​Educational Requirements: High School Diploma or GED - Minimum Experience: Minimum 3 years hospital or professional billing/collections experience. - Other: Strong understanding of payer policies, explanation of benefits interpretation, and patient accounting systems. Preferred Job Qualifications - Preferred Licensure or other certifications: - Preferred Educational Requirements: - Preferred Experience: - Other: Job Specific and Unique Knowledge, Skills and Abilities - Solid knowledge of Revenue Cycle functions, including registration, authorization, and insurance billing. - Personal computer proficiency to include all programs necessary to perform job duties and ability to toggle between systems efficiently. - Excellent listening and problem-solving skills with attention to details. - Excellent customer service skills and ability to remain calm and professional in stressful situations. - Excellent verbal and written communication skills. - Ability to work independently within guidelines. Essential Tasks and Responsibilities - Review, resubmit, and follow up on complex insurance claims. - Perform detailed account research and update account information accurately. - Resolve denials and ensure adherence to payer contract requirements. - Maintain work queues and ensure timely resolution of accounts. - Provide support to teammates and cross-train in additional revenue cycle functions. - Demonstrate strong documentation, analytics, professionalism, and customer service. Physical Demands - Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time - Weight Carried: Up to 20 lbs, Occasionally 0-30% of time - Vision: Moderate, Occasionally 0-30% of time - Kneeling/Stooping/Bending: Occasionally 0-30% - Standing/Walking: Occasionally 0-30% - Pushing/Pulling: Occasionally 0-30% - Intensity of Work: Frequently 31-65% - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. NGHS: Opportunities start here. Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

• Oversee day-to-day operations of the Utilization Management Department • Ensure compliance with payer requirements and regulatory standards • Monitor and analyze key performance indicators (KPIs) • Recruit, train, and manage a high-performing UM team • Manage departmental budgets and financial responsibility • Develop and implement performance metrics

• Analyzing and managing payroll and financial management systems • Ensuring accurate payroll and 1099 processing and tax compliance • Maintaining payroll integrity and resolving tax discrepancies • Supporting audits and reporting requirements • Identifying process improvements to enhance operational efficiency • Preparing, filing, and monitoring payroll tax returns • Serving as the primary liaison with tax authorities • Supporting internal and external audits • Developing and maintaining payroll tax policies and procedures • Monitoring regulatory changes affecting payroll taxation • Training and mentoring payroll staff on tax compliance • Partnering with cross-functional teams to streamline processes • Generating detailed payroll tax reports and analytics • Collecting, validating, and reconciling vendor tax information • Preparing and electronically filing 1099 returns • Researching and resolving IRS inquiries

• Handle outbound and inbound patient phone calls related to patient collection activities • Provide efficient and professional customer service • Research and document all performed work • Refer patient accounts to bad debt agencies appropriately • Manage high-volume inbound and outbound calls • Deliver professional, courteous, and efficient customer service • Address patient inquiries and concerns • Ensure appropriate referral of accounts to bad debt agencies when necessary

• Receive hands-on training and feedback on assigning codes to patient accounts • Gain experience to become an independent medical coder • Reviews work queue assignments and prioritizes by date, charges and payors • Assigns and sequences diagnosis and procedure codes using appropriate classification systems • Follows coding guidelines and billing requirements to ensure compliance • Verify charge entries are accurate based on the documentation provided • Identify and escalate any obstacles to fulfilling job responsibilities

• Design end to end ETL architecture for Data Migration, Data Warehousing or Data Mart Solutions using Microsoft SSIS tool • Ensure all ETL Jobs have adequate error handling and audit balance control mechanisms implemented to enable automation • Stand up a DW/ETL Center of Excellence to document and enforce best practices, standards, naming conventions etc • Create a checklist to review all solutions developed to ensure adherence to the CoE standards • Mentor and train staff to hold periodic CoE meetings • Implement a reference data management system using Microsoft Master Data Management Services