Samaritan

Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate This position shall act as a liaison between the hospital, clinical areas, and the Information Technology Department. This includes the primary responsibility of determining the needs and requirements for clinical applications in acute and ambulatory healthcare ancillary departments. The Clinical Informatics Specialist will also lead projects associated with the evaluation, selection, and implementation of clinical systems (i.e. EHR, PACS, digital imaging, etc.). This individual will work with staff and physicians to optimize the usage of clinical systems through education and training, quality outcomes, and providing support in accordance with organizational goals. The individual in this position will be required to fully understand the purpose and operation of Information Technology along with having the ability to make decisions based on sound judgment when a situation dictates. ESSENTIAL FUNCTIONS: - Responsible for planning, evaluating, and implementing extended training of staff for clinical information systems. Develops training materials and/or manuals for clinical information systems. - Develop and consistently update policy and procedures pertaining to use of clinical information systems, utilizing staff and manager feedback. Maintain knowledge of standards and ensure compliance with regulatory agencies. - Works closely with all Information Technology Department staff members and Clinical Informatics Specialists to ensure high quality IT products and services are provided throughout the organization. - Actively participate in performance improvement efforts for clinical areas as it pertains to clinical informatics. Collaborate with other departments to identify areas for improvement and efficiency. - Act as a liaison with clinical staff and medical staff to assess their system needs and provide information and training as needed. Provide day-to-day consultation and development support, interpret user problems and initiate the appropriate action for their resolution. - Facilitate planning for future direction of the Electronic Health Records (EHR) and related efforts, including requests for changes and enhancements to the current and future EHR systems. Direct and participate in computer training and orientation activities for current and new employees, students, and physicians. - Provide technical support to Samaritan Healthcare clinical areas, both at the hospital and physician clinic, regarding the use of software. Troubleshoot software problems and initiate corrective procedures. - Actively participate as a member of the Informatics Team and serve on other teams as requested. POSITION QUALIFICATIONS: - Graduate of accredited School of Nursing and current Washington State Registered Nurse License preferred or another clinical field with an associates degree and state licensure. - Current Washington State RN Licensure, preferred. - Basic Life Support Heartsaver (HS) level to be completed within 30 days of hire. - Two (2) to three (3) years experience with systems implementation and support preferred. COMPETENCIES: - Comprehensive understanding of clinical principles to evaluate information system needs. - Proficient with computers (MS Word, Excel, PowerPoint, Publisher, etc.). - Proficient with report writing software (Crystal Reports, etc.). - Excellent interpersonal, verbal, and written communication skills. - Excellent customer service skills. - Demonstrates competency on equipment listed on department specific checklist. - Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate. - Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines. PHYSICAL REQUIREMENTS: - Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. - Manual dexterity, light physical effort, ability to lift/.carry up to 50 lbs. (supplies, equipment). - Good reading eyesight. - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.

Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate Samaritan is searching for a Referral & Authorization Specialist to join our team! The Referral & Authorization Specialist is responsible for coordinating and securing prior authorizations, managing outgoing referrals, and ensuring compliance with payer requirements to support timely patient care and optimal reimbursement. This role serves as a critical liaison between providers, patients, payers, and internal departments to reduce denials, prevent delays in care, and ensure accurate documentation. This is a full-time remote position that will be required to come on-site for onboarding and equipment pick-up (2 DAYS ONLY). This is a full-time role working Monday-Friday from 8:00 AM – 4:30 PM PST. ESSENTIAL FUNCTIONS Prior Authorization Management - Obtain prior authorizations for hospital and clinic services, including but not limited to, outpatient procedures, imaging, surgeries, and other specialty services. - Identify the health plan(s) by confirming information provided and verifying eligibility and coverage. - Verify payer requirements for authorization, referral, and medical necessity requirements based on plan guidelines. - Submit complete and accurate authorization requests with appropriate clinical documentation. - Track authorization status and follow up with the payer at regular intervals to ensure timely approvals. - Escalate urgent or complex cases to avoid delays in patient care. - Document authorization numbers, effective dates, and limitations in the EMR. - Communicate authorization delays and denials to ordering providers and clinics. - Monitor authorization workqueues and ensure timely completion. Referral Management - Coordinate with providers and clinics to ensure appropriate scheduling and continuity of care. - Process outgoing referrals for specialty care. - Ensure referrals meet payer and regulatory requirements (e.g., PCP referrals, network rules). - Monitor referral workqueues and ensure timely completion. Denial Prevention & Revenue Cycle Support - Review payer policies to ensure compliance and minimize denials. - Partner with coding, billing, and clinical teams to resolve authorization-related denials. - Inform department professionals and/or providers when peer-to-peer review is necessary. Assist as needed. - Assist with retro authorization requests and appeals as needed. - Identify trends and recommend process improvements. Communication & Assistance - Serve as the point of contact for patients regarding referral and authorization status. - Communicate clearly with providers, clinical staff, payers, and patients. - Educate patients on authorization and referral procedures and next steps. - Maintain ongoing tracking and documentation for prior authorizations and referrals to promote team awareness. - Ensure HIPAA compliance when sharing patient information with authorized care providers. General - Participate in continuing education opportunities. - Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in the field of expertise. - Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of chemical Safety Data Sheets (SDS), equipment, infection control, fire, disaster, safe lifting and body mechanics. - Ensures self-compliance with organization policies and procedures, as well as labor agreements. - Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive to the organization's values. - Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization. - Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards. WORK ENVIRONMENT The professional in this position reports to the Director of Revenue Cycle. Professionals in this position will work closely with patients and other Samaritan professionals within various departments. EDUCATION & EXPERIENCE - Education: - High school diploma or equivalent required; Associate degree preferred. - Experience: - Minimum of two (2) years of experience in healthcare referrals, prior authorizations, or revenue cycle required. - Experience working in a healthcare setting providing multi-specialty support preferred. - Certified Healthcare Access Associate (CHAA) or similar certification preferred. - Experience with Medicare, Medicaid (including Washington Apple Health), and commercial payers. - Understanding of medical necessity criteria and utilization management. - Skills/Competencies: - Strong knowledge of insurance plans, payer requirements, and authorization requirements. - Familiarity with CPT, IDC-10, and medical terminology. - Experience with EMR systems (EPIC) and payer portals (e.g., Availity, OneHealthPort, payer websites) - Excellent organizational and time management skills. - Ability to manage high-volume workqueues with attention to detail. - Effective communication and interpersonal skills. - Demonstrates competency on equipment listed on department specific checklist. - Strong critical thinking skills: seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate. - Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines. - Demonstrates competency in ability to care for customers/patients across the age continuum. PHYSICAL REQUIREMENTS - Occasional lifting, reaching, kneeling, bending, stooping, pushing and pulling. - Occasional heavy lifting (lift/carry up to 50 lbs.). - Manual dexterity and mobility. - Ability to read and understand patient charts, provider orders, tests results, etc. - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.

Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate Samaritan is searching for a Referral & Authorization Specialist to join our team! The Referral & Authorization Specialist is responsible for coordinating and securing prior authorizations, managing outgoing referrals, and ensuring compliance with payer requirements to support timely patient care and optimal reimbursement. This role serves as a critical liaison between providers, patients, payers, and internal departments to reduce denials, prevent delays in care, and ensure accurate documentation. This is a full-time remote position that will be required to come on-site for onboarding and equipment pick-up (2 DAYS ONLY). This is a full-time role working Monday-Friday from 8:00 AM – 4:30 PM PST. ESSENTIAL FUNCTIONS Prior Authorization Management - Obtain prior authorizations for hospital and clinic services, including but not limited to, outpatient procedures, imaging, surgeries, and other specialty services. - Identify the health plan(s) by confirming information provided and verifying eligibility and coverage. - Verify payer requirements for authorization, referral, and medical necessity requirements based on plan guidelines. - Submit complete and accurate authorization requests with appropriate clinical documentation. - Track authorization status and follow up with the payer at regular intervals to ensure timely approvals. - Escalate urgent or complex cases to avoid delays in patient care. - Document authorization numbers, effective dates, and limitations in the EMR. - Communicate authorization delays and denials to ordering providers and clinics. - Monitor authorization workqueues and ensure timely completion. Referral Management - Coordinate with providers and clinics to ensure appropriate scheduling and continuity of care. - Process outgoing referrals for specialty care. - Ensure referrals meet payer and regulatory requirements (e.g., PCP referrals, network rules). - Monitor referral workqueues and ensure timely completion. Denial Prevention & Revenue Cycle Support - Review payer policies to ensure compliance and minimize denials. - Partner with coding, billing, and clinical teams to resolve authorization-related denials. - Inform department professionals and/or providers when peer-to-peer review is necessary. Assist as needed. - Assist with retro authorization requests and appeals as needed. - Identify trends and recommend process improvements. Communication & Assistance - Serve as the point of contact for patients regarding referral and authorization status. - Communicate clearly with providers, clinical staff, payers, and patients. - Educate patients on authorization and referral procedures and next steps. - Maintain ongoing tracking and documentation for prior authorizations and referrals to promote team awareness. - Ensure HIPAA compliance when sharing patient information with authorized care providers. General - Participate in continuing education opportunities. - Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in the field of expertise. - Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of chemical Safety Data Sheets (SDS), equipment, infection control, fire, disaster, safe lifting and body mechanics. - Ensures self-compliance with organization policies and procedures, as well as labor agreements. - Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive to the organization's values. - Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization. - Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards. WORK ENVIRONMENT The professional in this position reports to the Director of Revenue Cycle. Professionals in this position will work closely with patients and other Samaritan professionals within various departments. EDUCATION & EXPERIENCE - Education: - High school diploma or equivalent required; Associate degree preferred. - Experience: - Minimum of two (2) years of experience in healthcare referrals, prior authorizations, or revenue cycle required. - Experience working in a healthcare setting providing multi-specialty support preferred. - Certified Healthcare Access Associate (CHAA) or similar certification preferred. - Experience with Medicare, Medicaid (including Washington Apple Health), and commercial payers. - Understanding of medical necessity criteria and utilization management. - Skills/Competencies: - Strong knowledge of insurance plans, payer requirements, and authorization requirements. - Familiarity with CPT, IDC-10, and medical terminology. - Experience with EMR systems (EPIC) and payer portals (e.g., Availity, OneHealthPort, payer websites) - Excellent organizational and time management skills. - Ability to manage high-volume workqueues with attention to detail. - Effective communication and interpersonal skills. - Demonstrates competency on equipment listed on department specific checklist. - Strong critical thinking skills: seeks resources for direction, when necessary. Performs independent problem solving. Decision-making is logical and deliberate. - Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Practices within legal and ethical guidelines. - Demonstrates competency in ability to care for customers/patients across the age continuum. PHYSICAL REQUIREMENTS - Occasional lifting, reaching, kneeling, bending, stooping, pushing and pulling. - Occasional heavy lifting (lift/carry up to 50 lbs.). - Manual dexterity and mobility. - Ability to read and understand patient charts, provider orders, tests results, etc. - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.

Our Mission All of us, for each of you, every time. Our Vision Together, serving as the trusted regional healthcare partner. Our Values Listen~Love~Respect~Excel~Innovate At Samaritan Healthcare we are dedicated to providing healthcare services to the community that we serve. We are committed to providing the very best work environment for our professionals and the very best care to our patients. Samaritan Healthcare is searching for a Coder to join our team! The Certified Medical 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. Acts as a coding resource for team members as well as medical staff, ensuring coding practices fall with the established compliance guidelines for ICD-10-CM/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. We are searching for an experienced facility coder with preference to Certified Coding Specialist (CCS). This is a full-time remote position that will be required to come onsite for onboarding and equipment pick-up (2 DAYS ONLY). This position is a full-time role working Monday-Friday from 7:00am-3:30pm. ESSENTIAL FUNCTIONS - Ability to extract and assign ICD-10CM/PCS, CPT, Modifiers and HCPCS codes per coding guidelines. - Performs ICD-10-CM/PCS and CPT coding and abstracting, and transmit abstracts as required. - Codes all records based on documentation, following coding guidelines, payer regulations and ethics. - Ability to research Coding Clinics. - Assists with coding audits from payor and RAC audits providing rebuttal letters if needed. - Apply knowledge of coding rules, review and resolve CCI/LCD/NCD’s and modifier edits. - Work with Revenue Integrity & Compliance on audits and coding questions. - Effectively uses software and/or coding resources to verify coding accuracy. - Provides feedback to providers using authorized methods as directed by department policy. Such as physician queries for incomplete/contradictory diagnosis or greater specificity. - Works with clinical staff to resolve coding issues and related problems. - Participates in educational activities as requested (i.e. attending meetings with coding auditors or completing assigned education). - Reviews accounts and charges in EPIC, Cerner, or Meditech EHR systems. - Maintains confidentiality of the medical record, reports and Samaritan business - Maintains professional growth and development through seminars, workshops and professional affiliations to keep abreast of latest trends in field of expertise. - Perform general office and clerical duties (i.e. answer phones, distribute mail and maintain general office supplies). Operates office equipment. - Ensures no injuries to self or others by following safe work practices and policies. This includes, but is not limited to: security and safety, understanding of MSDS, equipment, infection control, fire, disaster, safe lifting and body mechanics. - Ensures self-compliance with organization policies and procedures as well as labor agreements. - Ensures the interface with team members and other support groups is conducted in a courteous and efficient manner conducive with the organization’s values. - Conducts self in a professional manner and ensures personal appearance meets the standards necessary to perform the job function while representing the organization. - Ensures that additional accountabilities, as may be required by management, be handled in a manner necessary to meet organizational standards. WORK ENVIRONMENT The professional in this position reports to the Manager of Health Information Management. This position works closely with clinical professionals and other healthcare professionals in order to provide high quality services to all customers. EDUCATION & EXPERIENCE - Education: - - High school diploma or equivalent required. - Associates degree preferred. - Certification: - RHIT, CCS, RHIA, CPC, CPC-H, CPC-A or CCA. - Experience: - - Minimum of 1 year experience coding. - Skills/Competencies: - Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing. - Understanding of DRG’s for Inpatient Facility coding positions desired. - Training and/ or experience in Medical Terminology - Anatomy and Physiology classes - Experience with EPIC EHR desired. - Excellent interpersonal, written and verbal communication skills. - Excellent customer service skills. PHYSICAL REQUIREMENTS - Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing and pulling. Light physical effort, ability to lift up to 10 lbs. - Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. As a Samaritan Healthcare professional, you will be asked to carry out the Mission, Vision, Values, and Strategy of Samaritan Healthcare, personifying service and operational excellence including the creation and maintenance of the best patient, professional, physician, and student experience.