Stanford Health Care

• Provide strategic direction on mid to long term technology development inline with SHC's enterprise goals on Performance, Privacy, Security, Availability, Maintainability and User Experience • Collaborate with business partners, vendors and developers in defining strategic and tactical solutions • Identify opportunities to improve IT service quality through automation and reduction of process defects • Implement inhouse proof of concept, facilitate technical vendor evaluations and documentation • Share knowledge with technical team and senior management of emerging technology and trends, their implications, challenges and opportunities • Partner with MyHealth, SHC Mobile, UX Design and Internal Web teams • Hands on technical role; contributes and helps set standards for all phases of the software development lifecycle, including analysis, design, implementation, automation and QA • Develops functional prototypes from wireframes and mockups, and create proper documentation • Develops websites, performs unit testing, implementation, and production application support • Participates in troubleshooting problems related to user interaction, webpage performance & mobile web optimization • Collaborates with business, functional, technology system and operational owners engineers to refine and improve the user experience • Follows industry trends with regard to front-end technologies and techniques

• Support development, review, and negotiation of managed care agreements. • Assist with drafting, reviewing, and maintenance of network participation agreements. • Lead cross-functional evaluation of policy updates. • Negotiate varied and complex reimbursement methodologies. • Monitor, review, and summarize state and federal regulatory updates impacting health care reimbursement.

Role Description Under general supervision, the PAR handles a high-volume of inbound calls, outbound calls, faxes and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SMP departments/clinics. The PAR staff within SMP contact centers are responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquiries. The PAR I is an entry-level position with limited or no prior experience; under general supervision and performs a variety of clerical and patient care duties to assist practitioners and other members of health care team. For situations where the PAR is designated as a "trainee," the incumbent will work under close supervision, requiring mentor sign-off on certain activities. What you will do - Executes world class practices of service and patient care in support of C-I-CARE standards. - Uses C-I-CARE templates and the following components for all communication with patients and staff: - CONNECT with people by calling them their proper name, or the name they prefer (Mr., Ms., Dr.) - INTRODUCE yourself and your role - COMMUNICATE what you are going to do, how long it will take, and how it will impact the patient - ASK permission before entering a room, examining a patient or undertaking an activity - RESPOND to patient’s questions or requests promptly; anticipate patient needs - EXIT courteously with an explanation of what will come next Job Scope - Performs routine support work and in a learning capacity, assists in but not limited to the following: - Registers new patients, schedule appointments and updates existing patient accounts in a courteous and professional manner in accordance with performance standards. - Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary. - Resolves any system red flags as they are encountered. - Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care. - Assists patients with general questions. - Facilitates communication between the patients and the physician or clinic. - Delivers basic knowledge regarding clinic-specific processes. - Accurately documents and routes calls to the appropriate department(s). - Follows documented protocols and guidelines while utilizing reference documents and resources. - Accesses EHR to communicate to clinical staff members and/or physicians through telephone encounters using SBAR format and/or appropriate smart phrases in accordance with performance standards. - Manages EHR in-basket(s), work queues, CRM, telephone encounters and referrals. - Delivers consistent high-level of customer service by using CI-Care principles. - Meets all regulatory and compliance standards. Knowledge - Learns to apply general knowledge through work assignments. Level of Supervision - Works under general supervision and performs a variety of clerical and patient care duties to assist practitioners and other members of health care team. - For situations where the PAR is designated as a “trainee,” the incumbent will work under close supervision, requiring mentor sign-off on certain activities. - All other duties as assigned including department-specific functions and responsibilities. Education Qualifications - High school graduate or equivalent required. Experience Qualifications - One (1) year or more of customer service experience in medical office, insurance, or client services environment required. - One (1) year or more of call center, and/or patient access experience preferred. - EPIC experience preferred. Required Knowledge, Skills and Abilities - Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication. - Ability to maintain composure during challenging interpersonal interactions. - Legible handwriting. - Basic math skills. - Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR. - Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow. - Ability to work with others in a flexible, cooperative manner. Physical Demands and Work Conditions - Constant Sitting. - Frequent Walking. - Occasional Standing. - Occasional Bending. - Occasional Squatting. - Occasional Climbing. - Occasional Kneeling. - Seldom Crawling. - Constant Hand Use. - Constant Repetitive Motion Hand Use. - Frequent Grasping. - Occasional Fine Manipulation. - Frequent Pushing and Pulling. - Occasional Reaching (above shoulder level). - Frequent Twisting and Turning (Neck and Waist). - Constant Vision (Color, Peripheral, Distance, Focus). - Lifting: - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. - Carrying: - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. - Working Environment: - Occasional Driving cars, trucks, forklifts and other equipment. - May be required to drive personal vehicle to sites. - Constant Working around equipment and machinery. - Office equipment (computers, phones, fax, copy machines, printers, 10-key, etc.) - Seldom Walking on uneven ground. - Seldom Exposure to excessive noise. - Seldom Exposure to extremes in temperature, humidity or wetness. - Seldom Exposure to dust, gas, fumes or chemicals. - Seldom Working at heights. - Seldom Operation of foot controls or repetitive foot movement. - Seldom Use of special visual or auditory protective equipment. - Seldom Use of respirator. - Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc. - Blood Borne Pathogens: - Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment. Travel Requirements - 10% travel. Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale Generally starting at $25.03 - $31.92 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Role Description Under general supervision, the MA handles a high volume of inbound calls, outbound calls, faxes, and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SMP departments/clinics. The MA staff within the multiple SMP contact centers is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquiries. Distinguished Characteristics: - PAMA I – Entry-level position with minimal experience. - Learns to use medical terminology and concepts to resolve problems of limited scope and complexity. - Under general supervision and performs a variety of clerical duties to assist practitioners and other members of the health care team. What you will do - Patient Registration: - Registers patients, schedules appointments, and updates patient registration. - Resolves any system red flags as they are encountered. - Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary. - Communication and Contact Center Procedures: - Assists patients with general questions. - Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care. - Facilitates communication between the patient and the physician or clinic, responding to questions as needed. - Delivers basic knowledge regarding clinic-specific processes. - Accurately documents and routes calls to the proper department(s). - Meets all regulatory and compliance standards. - Delivers consistent high-level of customer service by using CI-Care principles. - Follows documented protocols and guidelines, while utilizing reference documents and online knowledgebase tools. - Meets and exceeds departmental quality assurance standards. - Electronic Health Record Documentation: - Accesses EHR to communicate to clinical staff and/or providers through telephone encounters. - Manages EHR in-baskets, pools, and process telephone encounters. - Responds to My Health messages, process refills, and pend referrals. - All other duties as assigned including department-specific functions and responsibilities: - Performs other duties as assigned and participates in organization projects as assigned. - Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies. Qualifications - High school graduate or equivalent. - Medical Assistant Diploma from an approved school/institution or equivalent documented training. Requirements - 1 year of patient care experience in a medical office. - 1 year of call center, and/or patient access experience preferred. - Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication. - Legible handwriting. - Ability to maintain composure during challenging interpersonal interactions. - Basic math skills. - Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR. - Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow. - Ability to work with others in a flexible, cooperative manner. Physical Demands and Work Conditions Physical Demands: - Constant Sitting. - Frequent Walking. - Occasional Standing. - Occasional Bending. - Occasional Squatting. - Occasional Climbing. - Occasional Kneeling. - Seldom Crawling. - Constant Hand Use. - Constant Repetitive Motion Hand Use. - Frequent Grasping. - Occasional Fine Manipulation. - Frequent Pushing and Pulling. - Occasional Reaching (above shoulder level). - Frequent Twisting and Turning (Neck and Waist). - Constant Vision (Color, Peripheral, Distance, Focus). Lifting: - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. Carrying: - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. Working Environment: - Seldom Driving cars, trucks, forklifts and other equipment. - May be required to drive personal vehicle to sites. - Constant Working around equipment and machinery. - Office equipment (computers, phones, fax, copy machines, printers, 10-key, etc.). - Seldom Walking on uneven ground. - Seldom Exposure to excessive noise. - Seldom Exposure to extremes in temperature, humidity or wetness. - Seldom Exposure to dust, gas, fumes or chemicals. - Seldom Working at heights. - Seldom Operation of foot controls or repetitive foot movement. - Seldom Use of special visual or auditory protective equipment. - Seldom Use of respirator. - Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc.. Blood Borne Pathogens: Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment. Travel Requirements - 10% travel. Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale Generally starting at $25.90 - $33.02 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

• Directs individuals and/or teams that lead performance improvement through lean methodology and tools for the mid-revenue cycle. • Develops and Manages improvement activities through engagement of teams, subject-matter experts, and stakeholders. • Provides leadership for large strategic initiatives and cross-functional workflow issues. • Identifies best counter-measures and solutions needed to address root causes. • Establishes baseline data for project improvement and implements measures for monitoring and continuous improvement. • Captures ROI for all improvement initiatives.

• Develops organizational strategies for enterprise-wide hospitals and professional revenue integrity, including long-range plans and annual goals. • Leads policy development for charging, charge capture, validation, charge reconciliation, CDM Governance and documentation integrity. • Oversees integration of revenue integrity operations across clinical departments, SOM leadership, Patient Financial Services, Office of Compliance & Privacy, HIM, and Coding. • Represents Revenue Integrity as a senior leader on enterprise committees, Steering Committees, Quality & Compliance groups, and major IT optimization programs. • Serves as a thought leader and change agent, driving innovation, automation, and best practice across the revenue integrity functions. • Ensures timely, accurate, and compliant completion of all charge capture, CDM maintenance, reconciliations, and revenue validation activities. • Designs and oversees comprehensive quality assurance programs for charging accuracy, documentation integrity, coding quality integration, and loss prevention. • Utilizes Lean, Six Sigma, and process improvement methodologies to optimize workflows and eliminate preventable revenue leakage. • Ensures the appropriate EPIC system configuration, workflow alignment, and adoption of technology enhancement opportunities. • Serves as the primary liaison for SHC revenue integrity matters to School of Medicine DFAs, Clinical Department Chairs, clinical leadership, and administrative partners. • Directs preparation of enterprise dashboards, KPIs, business reviews, and executive level reporting. • Educates hospital and professional revenue generating departments on charge capture requirements, compliance, and CDM practices. • Oversees governance of the hospital CDM and SOM professional fee schedule to ensure regulatory compliance and revenue accuracy. • Approves additions, deletions, and modifications stemming from new services, regulatory updates, payor requirements, and clinical changes. • Leads enterprise initiatives to mitigate late charges, preventable denials, claim edit failures, and avoidable under billing. Identifies meaningful revenue opportunities using analytics, benchmarking, and auditing. • Partners with IT, EPIC leadership, Revenue Cycle Optimization and digital innovation teams to enhance revenue impacting workflows.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care - University Healthcare Alliance job. A Brief Overview Under general supervision, the MA handles a high volume of inbound calls, outbound calls, faxes, and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SMP departments/clinics. The MA staff within the multiple SMP contact centers is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquiries. Distinguished Characteristics: PAMA II – Performs PAMA I duties, in addition, acquires job skills to complete substantive assignments/tasks of moderate scope and complexity; exercises judgment within defined guidelines and practices to determine appropriate actions; executes work in an assigned area to develop expertise needed to be fully functional in an assigned specialty area/clinic. Locations Stanford Health Care - University Healthcare Alliance What you will do - Patient Registration: - Registers patients, schedules appointments, and updates patient registration. - Resolves any system red flags as they are encountered. - Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary. - Communication and Contact Center Procedures: - Assists patients with general questions. - Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care. - Facilitates communication between the patient and the physician or clinic, responding to questions as needed. - Delivers basic knowledge regarding clinic-specific processes. - Accurately documents and routes calls to the proper department(s). - Meets all regulatory and compliance standards. - Delivers consistent high-level of customer service by using CI-Care principles. - Follows documented protocols and guidelines, while utilizing reference documents and online knowledgebase tools. - Meets and exceeds departmental quality assurance standards. - Cross trains within assigned region. - Supports training of new staff as assigned. - Serves as a job expert in assigned areas, taking on additional special assigned duties. - Manages EHR in baskets, refills, telephone encounters, & referrals within multiple regions. - Electronic Health Record Documentation: - Accesses EHR to communicate to clinical staff and/or providers through telephone encounters. - Manages EHR in-baskets, pools, and process telephone encounters. - Responds to My Health messages, process refills, and pend referrals. - All other duties as assigned including department-specific functions and responsibilities: - Performs other duties as assigned and participates in organization projects as assigned. - Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies. Education Qualifications - High school graduate or equivalent. - Medical Assistant Diploma from an approved school/institution or equivalent documented training. Experience Qualifications - 2-3 years of patient care experience in a medical office. - 2-3 years of experience in patient access, or a call center preferred. Required Knowledge, Skills and Abilities - Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication. - Legible handwriting. - Ability to maintain composure during challenging interpersonal interactions. - Basic math skills. - Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR. - Fully proficient in Electronic Medial Record System. - Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow. - Ability to independently check In-basket, and respond to patient and care team messages. - Ability to work with others in a flexible, cooperative manner. - Subject matter expert in Contact Center tools and resources. Licenses and Certifications - None Physical Demands and Work Conditions Physical Demands - Constant Sitting. - Frequent Walking. - Occasional Standing. - Occasional Bending. - Occasional Squatting. - Occasional Climbing. - Occasional Kneeling. - Seldom Crawling. - Constant Hand Use. - Constant Repetitive Motion Hand Use. - Frequent Grasping. - Occasional Fine Manipulation. - Frequent Pushing and Pulling. - Occasional Reaching (above shoulder level). - Frequent Twisting and Turning (Neck and Waist). - Constant Vision (Color, Peripheral, Distance, Focus). Lifting - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. Carrying - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. Working Environment - Occasional Driving cars, trucks, forklifts and other equipment. May be required to drive personal vehicle to sites. - Constant Working around equipment and machinery. Office equipment (computers, phones, fax, copy machines, printers, 10-key, etc.). - Seldom Walking on uneven ground. - Seldom Exposure to excessive noise. - Seldom Exposure to extremes in temperature, humidity or wetness. - Seldom Exposure to dust, gas, fumes or chemicals. - Seldom Working at heights. - Seldom Operation of foot controls or repetitive foot movement. - Seldom Use of special visual or auditory protective equipment. - Seldom Use of respirator. - Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc.. Hazardous drugs included. Blood Borne Pathogens - Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment Travel Requirements - 10% travel: These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: - Know Me: Anticipate my needs and status to deliver effective care - Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health - Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $28.29 - $36.07 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Role Description Under general supervision, the MA handles a high volume of inbound calls, outbound calls, faxes, and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SMP departments/clinics. The MA staff within the multiple SMP contact centers is responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquiries. What you will do - Patient Registration: - Registers patients, schedules appointments, and updates patient registration. - Resolves any system red flags as they are encountered. - Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary. - Communication and Contact Center Procedures: - Assists patients with general questions. - Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care. - Facilitates communication between the patient and the physician or clinic, responding to questions as needed. - Delivers basic knowledge regarding clinic-specific processes. - Accurately documents and routes calls to the proper department(s). - Meets all regulatory and compliance standards. - Delivers consistent high-level of customer service by using CI-Care principles. - Follows documented protocols and guidelines, while utilizing reference documents and online knowledgebase tools. - Meets and exceeds departmental quality assurance standards. - Cross trains within assigned region. - Supports training of new staff as assigned. - Serves as a job expert in assigned areas, taking on additional special assigned duties. - Manages EHR in baskets, refills, telephone encounters, & referrals within multiple regions. - Electronic Health Record Documentation: - Accesses EHR to communicate to clinical staff and/or providers through telephone encounters. - Manages EHR in-baskets, pools, and process telephone encounters. - Responds to My Health messages, process refills, and pend referrals. - All other duties as assigned including department-specific functions and responsibilities: - Performs other duties as assigned and participates in organization projects as assigned. - Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies. Qualifications - High school graduate or equivalent. - Medical Assistant Diploma from an approved school/institution or equivalent documented training. Requirements - 2-3 years of patient care experience in a medical office. - 2-3 years of experience in patient access, or a call center preferred. - Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication. - Legible handwriting. - Ability to maintain composure during challenging interpersonal interactions. - Basic math skills. - Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR. - Fully proficient in Electronic Medical Record System. - Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow. - Ability to independently check In-basket, and respond to patient and care team messages. - Ability to work with others in a flexible, cooperative manner. - Subject matter expert in Contact Center tools and resources. Physical Demands and Work Conditions - Constant Sitting. - Frequent Walking. - Occasional Standing. - Occasional Bending. - Occasional Squatting. - Occasional Climbing. - Occasional Kneeling. - Seldom Crawling. - Constant Hand Use. - Constant Repetitive Motion Hand Use. - Frequent Grasping. - Occasional Fine Manipulation. - Frequent Pushing and Pulling. - Occasional Reaching (above shoulder level). - Frequent Twisting and Turning (Neck and Waist). - Constant Vision (Color, Peripheral, Distance, Focus). - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. - Frequent lifting of 0 - 10 lbs. - Occasional lifting of 11 - 20 lbs. - Seldom lifting of 21 - 30 lbs. - Seldom lifting of 31 - 40 lbs. - Seldom lifting of 40+ lbs. Travel Requirements - 10% travel.

If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Business Reporting Analyst is a senior position responsible for identifying data needs and metrics and ensuring the integrity of all data used to support departmental reporting needs. The Business Reporting Analyst will work conjunctly with business operations leaders, project managers, and IT to develop metric reports and dashboards. This position requires the ability to extract, collect and maintain the data used to communicate performance within the organization and take a leadership role to manage the customer's business needs and translate them to analytic approaches, specifications, reports, and result analyses. Locations Stanford Health Care What you will do - Effectively translate end user reporting requirements into design documents; conduct report testing and validation - Responsible for data analysis across multiple systems; and defining data relationships and requirements for data repository - Develop new metrics to assess operational performance. Create, maintain, optimize and support new and existing reports - Develop databases and reports based on standard operating processes. - Extract and Integrate enterprise data from various information sources - Extract and maintain the quality and integrity of data stored database and other office tools that may apply. - Conducts analysis and identify trends in order to support reporting requirements. - Identify opportunities for improvement in databases, data sets, and reports utilized by the department - Run and analyze reports per requests of organizational departments and/or leadership. - May serve as a mentor to other Analysts. Education Qualifications - • BA/BS degree required or equivalent analytical experience and training • MS degree preferred Experience Qualifications - • Three to five years of experience in analysis and data management • Experience in data extraction, relational database, and other business intelligence tools • Prior healthcare or contact center experience a plus Required Knowledge, Skills and Abilities - Strong ability to build and query off of relational databases - Strong quantitative and analytic skills - Project management experience a plus - Strong technical skills including: MS Access, Excel, PowerPoint, Word - Ability to think creatively and work collaboratively to address problems - Ability to present solutions to multidisciplinary teams - Ability to write and present reports and presentations - Well developed written and verbal communication skills - knowledge and experience with relational databases and SQL query functionality - Ability to read data models and to understand database table relations - Expertise at communicating information to different levels of management These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: - Know Me: Anticipate my needs and status to deliver effective care - Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health - Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $55.85 - $74.00 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

1.0 FTE Full time Day - 08 Hour R2655144 Remote USA 108700009 Rev Cycle Pro Fee Coding Audit Finance & Revenue Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Manager of Coding Quality, Audit & Education provides enterprise leadership for coding accuracy, audit oversight, regulatory compliance, and coder/physician education across inpatient, outpatient, and professional services. The Manager is responsible for communicating coding regulation, policy, and guideline changes health system wide to affected personnel and serves as a coding resource for Revenue Integrity departments, physicians, and administration on accurate and ethical coding and documentation standards, guidelines and regulatory requirements. The Manager assists in the development of structural documentation tools and works in conjunction with the Coding Director to create or revise policies and procedures based on regulatory changes. The Manager uses clinical and coding knowledge to serve as a subject matter expert and authoritative resource on interpretation and application of coding rules and regulations and conducts risk assessments of potential and detected compliance deficiencies. Responsible for conducting and coordinating ongoing audits in partnership with the Office of Compliance & Privacy, educational programs and training regarding MS and APR DRG/ICD (International Classification of Diseases), Ambulatory Payment Classification, CPT (Current Procedural Terminology) and physician coding and billing related updates. This role oversees a team of coding auditor & educators, ensuring consistent application of ICD10CM/PCS, CPT, and HCPCS guidelines and compliance with federal, state, and payer-specific regulations. Locations Stanford Health Care What you will do - Develops and provides educational and training programs in partnership with the Office of Compliance & Privacy regarding elements of the coding compliance program, such as appropriate documentation and accurate coding, to all appropriate personnel, including SHC coding staff, School of Medicine (SoM) physicians, providers, billing personnel, and ancillary departments. - Provides training & education to newly-hired and contractor coding auditor & educators; monitors performance of the Coding Audit & Education team, and reports standardized monthly reports to the appropriate Coding Director as well as Revenue Cycle Reporting. - Maintains and updates the Coding Audit Policy in accordance to their respective Coding Audit Program. - Ensure consistent monthly or quarterly audits on all internal coders and contractor coders in accordance with the published Coding Audit Policy. - Conducts and oversees any additional retrospective, prospective, targeted, external, and internal coding audits. - Applies standardized scoring methodology in partnership with the Office of Compliance & Privacy to consistently evaluate coding accuracy and standardize review findings and methodology to report monitoring results. - Prepare final reports and executive summaries of audit review findings and recommendations. Compiles and delivers formal presentations to the various management levels. - Communicates review results to coding department management, SoM Department, coders, coding vendors, coding contractors, and SoM physicians and other providers. Makes recommendations to management based on audit findings. - Evaluates the adequacy and effectiveness of internal and operational audits and education designed to ensure that coding processes and practices lead to appropriate execution of regulatory requirements and guidelines related to coding practices including federal and state regulations and guidelines, CMS (Centers for Medicare and Medicaid Services) and OIG (Office of Inspector General) compliance standards. - Research, abstracts and communicates federal, state, and payor documentation, and coding rules and regulations; stays current with Medicare, Medi-Cal and other third-party rules and regulations, ICD and CPT coding updates, Coding Clinic guidelines; serves as subject matter expert and authoritative resource for Stanford Healthcare. - Assesses medical record documentation to meet coding compliance and other third-party requirements and identifies documentation trends and issues to bring forward to management, physicians and providers, SoM departments/Chairs/Chiefs, Office of Compliance & Privacy, and Clinical Documentation Integrity for resolution. - Assures accuracy and compliance of coding, MS and APR DRG (Medicare Severity and All Patient Refined Diagnosis Related Group), APC (Ambulatory Payment Classification) assignments, ICD-10-CM, Current Procedural Terminology (CPT), and HCPCS. - Serves as a resource for department managers, staff, physicians, and administration to support accurate and ethical coding and documentation standards, clinical concepts, and to gain information and/or clarification on institutional guidelines and regulatory requirements. - Lead audits across inpatient, outpatient, and professional coding environments, and coordinate ongoing monitoring of coding accuracy and documentation adequacy. - Establish risk-based audit priorities grounded in denial trends, volume, regulatory changes, and specialty variation. - Works with Revenue Cycle Academy to update or create educational e-learning webinars for the coding staff or new physician provider onboarding. - Participates in partnership with Office of Compliance & Privacy, education rendered to SoM Department Faculty Meetings. - Participates in multidisciplinary committees/groups within the organization working on code dependent initiatives such as PSIs, Mortality reviews, etc. Provides coding expertise in various forums that impact quality scores and reporting. - Works in conjunction with coding and Office of Compliance & Privacy leadership to administer the compliance work plan / program as it related to correct coding and auditing. - Responsible for the review, governance, and ongoing management of professional unlisted, custom, and special procedure codes used when services do not have a defined CPT or HCPCS code. - The role partners closely with School of Medicine Departments, Service Lines and Destination Service Lines, Hospital and Professional Coding Operations, Charge Description Master (CDM), Strategic Pricing, Compliance, Revenue Integrity, other Revenue Cycle departments, and Finance to support new technologies, emerging procedures, and atypical services across both HB and PB environments. Education Qualifications - Bachelors Degree in a work-related field / discipline from an accredited college or university. - Masters Degree in work-related field/discipline preferred Experience Qualifications - 5–7 years of progressively responsible, directly related experience, including at least 2 of those years in coding, auditing, and education. - EPIC experience is required - 3 or more years in an academic medical center is preferred - Experience with auditing software preferred Required Knowledge, Skills and Abilities - Clearly demonstrates elevated knowledge and skillset in professional coding and/or outpatient & inpatient hospital coding settings. - Clearly demonstrates elevated knowledge and skillset in auditing & education within professional coding and/or outpatient & inpatient hospital coding settings. - Demonstrates ability to analyze problems and issues and understand the regulatory and reimbursement impact of those decisions. - Demonstrates critical thinking skills; able to assess, evaluate, and teach clinical concepts. - Ability to communicate effectively in written and verbal formats including summarizing data, presenting results. - Advanced understanding of regulatory guidelines and official coding advice to ensure policies and procedures are current and compliant. - Ability to comply with the American Health Information Management Association’s (AHIMA) Code of Ethic and Standards of Ethical Coding and applicable Uniform Hospital Discharge Data Set (UHDDS) standards. - Ability to demonstrate familiarity, knowledge and understanding of the principles and provisions of HIPAA (Health Information Portability Accountability Act). - Ability to establish and maintain effective work relationships. - Ability to manage, organize, prioritize, multi-task and adapt to changing priorities. - Ability to use computer to accomplish data input, manipulation and output. - Ability to work effectively both as a team player and leader. - Ability to demonstrate familiarity, knowledge and understanding of health information systems for computer application to Health Information Management and hospital revenue cycle. - Advanced knowledge and understanding of ICD-10-CM/PCS & CPT-4 coding conventions expertise to code medical record entries; abstract information from medical records; read medical record notes and reports; select accurate codes for assignment and grouping to appropriate Diagnosis Related Groups. - Advanced knowledge and understanding of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases. - Ability to demonstrate knowledge and understanding of privacy regulations and confidentiality when dealing with confidential information and data. Licenses and Certifications One of the certifications below is required: - CCS - Certified Coding Specialist or - RHIA - Registered Health Information Administrator or - RHIT - Registered Health Information Technician or - CPC - Certified Professional Coder or - CCS-P - Certified Coding Specialist - Physician Based Physical Demands and Work Conditions Blood Borne Pathogens - Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: - Know Me: Anticipate my needs and status to deliver effective care - Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health - Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $70.52 - $93.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.