Northeast Georgia Health System

• Identify patients meeting trauma registry criteria • Abstract and analyze medical record data • Assign AIS, ISS, and ICD-10 codes • Ensure timely, accurate data entry and reporting • Support trauma program quality initiatives and education efforts

• 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. • Stands up a DW/ETL Center of Excellence to document and enforce best practices, standards, naming conventions etc. • Mentors and trains staff to hold periodic CoE meetings • Implements a reference data management system using tools like Microsoft Master Data Management Services to eliminate hardcoding in ETL jobs • Works with leaders in IT as well as operations to identify data from other source systems to form richer data sets • Promotes and utilizes the data request and development process • Conducts or coordinates tests to ensure that intelligence is consistent with defined needs.

Role Description The Sr. Revenue Integrity Analyst provides subject matter expertise in charge capture, CDM application, compliance, and reimbursement. The Sr. Revenue Integrity Analyst leads audits, supports governance, and drives revenue optimization initiatives across clinical departments while ensuring alignment with CMS and payer requirements. Qualifications - Bachelors Degree - 5+ years hospital revenue cycle, charge capture, or CDM - A combination of relevant certification(s) and demonstrated work experience may substitute for the required degree. Requirements - CPC, CCS, RHIT/RHIA, Epic Certification (preferred) - Advanced knowledge of CPT/HCPCS and reimbursement - Expertise in CDM structure and clinical application - Strong auditing and compliance background - Ability to analyze financial impact of charge issues - Experience with workflow redesign and optimization - Advanced Excel and data analysis skills - Ability to lead training and education initiatives - Strong communication across clinical and executive teams - Knowledge of CMS, Medicaid, and payor rules - Experience with dashboards and reporting Benefits - Opportunities for personal and professional growth - Supportive team environment Essential Tasks and Responsibilities - Monitor departmental charge capture accuracy to ensure thorough analysis of work queues and reconciliation reports. - Identify charge capture gaps, workflow issues, and systemic revenue loss risks. - Provide guidance, training, and education to clinical departments. - Partner with CDM team on updates and recommend improvements. - Conduct pre/post bill audits to validate charge mappings and billing rules. - Analyze trends and root causes impacting reimbursement, compliance, and financial performance. - Quantify revenue at risk and assess the financial impact of charge and develop corrective action plans to optimize revenue initiatives. - Ensure CMS and regulatory compliance. - Support CPT/HCPCS annual updates. - Collaborate cross-functionally with Coding, IT, Finance, Compliance and leadership to resolve issues and improve processes. - Support governance committees. - Develop reports and dashboards and deliver data-driven recommendations to leadership. - Perform other duties 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, Frequently 31-65% 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, Driving

Role Description The Georgia Heart Institute Triage Nurses duties include but are not limited to: - Use of telephone etiquette to provide immediate assistance to the caller. - Assess, coordinate and maintain proper function of patient care in a high call volume environment for General Cardiology, Interventional Cardiology, and Electrophysiology across all locations in a remote setting. - Utilize critical thinking and clinical decision-making skills along with approved nursing protocols to determine appropriate level of care needed based on assessment of patient symptoms. - Proficiently document interactions in EMR to communicate and collaborate with all departments within GHI. - Work independently on weekends and holidays to assist callers after normal business hours. - Serve as liaison to relay critical information received to physician and care team. Qualifications - Professional Nurse with Current State License. - Current BLS. - Associates Degree. Requirements - ACLS preferred. - Three (3) years experience as Registered Nurse. - One (1) year Cardiology experience, critical care or ED. Job Specific and Unique Knowledge, Skills and Abilities - Demonstrates knowledge appropriate to care for adult and geriatric cardiac patient populations. - Strong organizational and interpersonal skills. - Excellent written and verbal communication skills. - Ability to work effectively and independently in a remote setting. - Ability to prioritize and multitask in a dynamic work environment. - Strong analytical and problem-solving skills to make sound clinical judgements. - Excellent understanding of medical terminology and the disease process. - Advanced computer skills necessary to operate multiple computer systems in unison to provide the most efficient care (i.e. EPIC, Avaya, Microsoft, Outlook). Essential Tasks and Responsibilities - Triage accordingly. - Answer calls promptly to assess patient symptoms and conditions to determine level of care by utilizing approved protocols. - Document in EMR. - Provide excellent customer service. - Schedule Problem Visits. - Responsible for receiving urgent event monitors reports and assessing patient symptoms at time of event. - Receive critical labs or urgent cardiac testing results and immediately relay to appropriate care team. - Relays approved information for the current treatment plan. - Accountable for retrieving and addressing patient needs obtained from Avaya Message System and EPIC GHI Triage Nurse In Basket. - Utilize physician notes to enter orders relevant to plan of care. - Use the EPIC refill protocol to ensure all parameters are met to fulfill the medication request as appropriate. - Completes all duties as assigned. - Facilitate patient care. - Resource for Mas, CMS, and LPNs. - Maintains awareness of any updates or changes to current policies and procedures affiliated with NGHS/GHI. - Performs other related job duties or functions as requested or assigned according to the needs of the organization. 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% of time. - Standing/Walking: Occasionally 0-30% of time. - Intensity of Work: Frequently 31-65%. - Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding.

• Responsible for assessing customer analytic needs and providing guidance on best possible course of action • Familiar with end-users workflows and align the customers business requirement with the analytic solutions • Develop custom metrics & RW SQL reports as well as operational dashboards using Radar. • Partner with the NGHS Technical Training team to develop and Implement training and documentation solutions • Establishing and enforcing best practices, mentoring junior analyst team members

• Handles complex account follow-up, denials, and claims resolution • 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

Role Description The Coding Supervisor supervises the coding workflow; monitors employee performance; addresses complaints and resolves problems; and actively supervises production and quality control efforts. This position monitors 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 coding practices and provides education where needed to improve the quality of physician documentation within the body of the medical record to support code assignments. Provides coder specific education based on review findings and trends. Qualifications - Licensure or other certifications: - Certified Coding Specialist (CCS) - Certified Professional Coder (CPC) - Certified Inpatient Coder (CIC) - Certified Outpatient Coder (COC) - Registered Health Information Technician (RHIT) - Registered Health Information Administrator (RHIA) - Educational Requirements: - High School Diploma or GED - Minimum Experience: - Five (5) years of hospital based coding experience to include complex CPT surgical coding and advanced ICD-10-CM-PCS coding. Requirements - Preferred Licensure or other certifications: - Certified Coding Specialist (CCS) - Preferred Educational Requirements: - Bachelors degree in HIM/HIT preferred - Preferred Experience: - Seven (7) years or more years of hospital-based coding experience to include complex CPT surgical coding and advanced ICD-10-CM-PCS coding. - Experience in Teaching and/or Trauma 1 Facilities. - Leadership experience in healthcare related field preferred. - Minimum 3 years coding auditing/monitoring experience strongly preferred. Essential Tasks and Responsibilities - Provides direct supervision/oversight to HIM IP or OP Coders for management of inpatient and outpatient coding functions, work queues, work processes, and overall work responsibilities. - Tracks and monitors productivity and provides timely and consistent feedback to employees and HIM Coding Manager/Director. - Creates and prepares coding benchmarking, coding productivity, coding quality, and coding productivity reports for the HIM Coding Manager/Director. - Assists HIM Coding Manager/Director in the review and improvement of processes and services. - Coordinates 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 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 to mitigate damages and resolve related issues. - Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees(s). - Ensures coder compliance with regulatory coding compliance educational requirements and NGHS polices. - Initiates physician queries in compliance with coding guidelines when 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 20 lbs, Occasionally 0-30% of time - Vision: Moderate, Frequently 31-65% 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 Environment and Working Conditions OSHA Category III: Job classifications in which the normal duties do not entail predictable or unpredictable contact with blood or other potentially infectious or hazardous materials. 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.

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.