UofL Health

Title: Interpreter, PRN Part timePrimary Location: UofL Hospital Part time Address: 530 S Jackson St Louisville, KY 40202 Shift: Rotating (United States of America) Job Description: Job Description Summary: About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Position Summary and Purpose This position will provide spoken-language interpreter services for patients, families, staff, visitors, physicians, and others regarding consents, medical treatments, discharges, instructions, and other concerns as needed. The interpreter in this position will accurately and completely convey information between patient and provider; manage the flow of communication; facilitate rapport between the provider and patient; recognize and address clarifications both cultural and in language to ensure accurate and complete understanding. These duties enable patients and families to effectively communicate which allows UofL Health to achieve optimal patient outcomes. Other duties include assisting the manager in problem-solving with patient and family communication needs and proactively identifying opportunities for improving services to our limited-English proficient (LEP)/Deaf/ Hard of Hearing (HOH) patient and family population. Essential Functions: • Performs spoken language interpretation for LEP patients, families, staff and visitors; interpreted information includes, but is not limited to, giving directions and instructions for medical care, explaining hospital policies and procedures, informing and obtaining medical consents, and providing other verbal interpretation as needed to ensure a positive patient and family experience; communicates effectively with persons from various educational and socio-economic backgrounds • Follows and adheres to national interpreter standards of practice and ethical codes of conduct • Serves as cultural broker to educate and provide clarification to hospital staff, physicians, clinicians and patients/families on differences between LEP community culture and culture of medicine • May be asked to assist in translation and/or editing both medical and non-medical hospital documentation from English to target language (may on occasion need to translate from target language to English), as directed by manager • Educates hospital staff, physicians and clinicians on the importance of using interpretation and translations services, when needed, including the proper use of over-the-phone, video remote and in-person interpreters, as well as accessing translated forms and/or other auxiliary aids • Makes recommendations as appropriate for additional language assistance and corresponding programs, marketing, and services • Ensures that patients and families understand the information presented, seeking assistance and clarification when needed; acts as an advocate for patients and ensure that they are comfortable with what is happening in their medical treatment and that anxiety is reduced • Appropriately and regularly documents time spent interpreting during encounters as directed by manager • Rounds on LEP/Deaf/HOH inpatients, as needed, to confirm patient language needs and identify safety issues • Assists admissions staff, medical staff, and ancillary services in gathering background information on patients, as needed, including rounding on patients who are LEP/deaf/HOH • Investigates and problem-solves communication issues for LEP persons • May be asked to conduct, prepare, assist or participate in internal medical interpretation and translation classes and/or other educational programs to enhance cultural competency and language services compliance of the general hospital population • Travels, as needed, to other locations within UofL Health Other Functions: • Maintains positive working relationships with staff and physicians, including manager and fellow interpreters • Maintains a professional presence with patients and families; does not speak for or about patients and families but facilitates the conversation between them and their care team • Remains current on the latest developments, advancements, and trends in the field of language assistance/interpretation/translation and incorporates appropriate ideas into a clinical setting • Maintains knowledge of applicable laws, rules, regulations, policies, etc. that impact language assistance and ensure compliance in all areas • Acquires continuing education credits of at least four (4) hours per year or the amount required for national certification renewal, if applicable • Maintains compliance with all company policies, procedures and standards of conduct • Complies with HIPAA privacy and security requirements to maintain confidentiality at all times • Performs other duties as assigned Additional Job Description: Job Requirements (Education, Experience, Licensure and Certification) Education/Training: • High school diploma or GED/equivalent (required) • Successful completion of hospital approved interpretation training program, such as Bridging the Gap, 40 hours minimum (required) • Documentation of successful completion of a hospital approved language proficiency assessment (required) • Associates or Bachelor’s degree in a social science field or language (preferred) Experience: • Prior experience in medical interpretation (required) • Minimum two (2) years of experience in medical interpretation (preferred) Certification: • Successful completion of a nationally recognized certification process such as CMI (National Board of Medical Interpreters) or CHI (Certification Commission for Healthcare Interpreters) national certification (preferred) Job Competency: Knowledge, Skills, and Abilities critical to this role: • Displays service excellence – responsive, informs constituents of process, pleasant to work with, educates and provides timely, accurate information • Remains organized – manages time effectively, keeps tasks appropriately prioritized • Displays flexibility – able to change directions as needed for the good of the department or organization • Strong Interpersonal skills – can build effective, strong working relationships with employees, colleagues, management and vendors through trust, communication, and credibility • Must be able to clearly communicate instructions, questions, and answers in both English and target language based on the patient, family member, or employee’s preferred language • Knowledge of medical terminology Language Ability: • Must be able to clearly communicate instructions, questions, and answers in both English and target language based on the patient, family member, or consumer’s preferred language Reasoning Ability: • Ability to break down problems or tasks; using own knowledge and experience to identify causes and consequences of events for future solutions Computer Skills: • Knowledge of Microsoft Word, Excel, Access and Outlook, as well as other internal systems • Must have the capacity to learn other relevant systems and databases, as needed Additional Responsibilities: • Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times • Maintains confidentiality and protects sensitive data at all times • Adheres to organizational and department specific safety standards and guidelines • Works collaboratively and supports efforts of team members • Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community UofL Health Core Expectation: At UofL Health, we expect all our employees to live the values of honesty, integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by: • Honoring and caring for the dignity of all persons in mind, body, and spirit • Ensuring the highest quality of care for those we serve • Working together as a team to achieve our goals • Improving continuously by listening, and asking for and responding to feedback • Seeking new and better ways to meet the needs of those we serve • Using our resources wisely • Understanding how each of our roles contributes to the success of UofL Health

Role Description WE ARE HIRING! Location: 100% Remote Shift: First Shift Primarily responsible for the review and follow up on paid insurance claims (including $0.00 pay) and payor recoupments to successfully determine if reimbursement is accurate according to current contracted rates and follow up with payers on outstanding monies due for services rendered to a patient. This position will provide “root cause” analysis and reporting of revenue opportunities to ensure appropriate reimbursement. - Perform thorough research of paid claims (including $0.00 pay) for appropriate follow up with payer. - Provide detailed analysis of findings and payer trends. - Review claim remittances to determine reimbursement rates and methodologies used by the payer when processing the claim. - Identify opportunities with underpayment or contract language that is determinant to reimbursement and report findings to leadership. - Perform extensive review of high dollar accounts that are subject to alternative reimbursement terms to validate payments are in accordance with contracted rates. - Responsible for reviewing and understanding explanation of benefits/remittance advice from third-party payers. - Process and review incoming correspondence from payers related to underpayment or high dollar/outlier payment discrepancies. - Audit, research accounts, payment posting, and contractuals to confirm the accuracy of the balance, financial class, and follow up schedule on the account. - Phone contact with patient, physician office, attorney, etc. for additional information to provide payer in order to process claim in accordance with contracted rates. - Communicate payment discrepancies to payer specific provider representatives via email, phone, or scheduled in-person meetings. - Work with reimbursement and contract modeling team members to verify contracted rates are properly calculated with contract modeling system. - Maintain regular contact with Managed Care & Contracting management team to ensure all new contract agreements/updated rates are received timely and effective dates for new rates are communicated to the appropriate Revenue Cycle teams. - Prepare and submit letters, emails, faxes, online inquiries, appeals, and adjustments. - Document all follow up efforts in a clear and concise manner into the AR system. - Work assigned accounts as directed while reaching daily productivity goals. - Complete tasks by deadline provided by leadership. - Participate in system testing and training. - Attend seminars as requested. - Other duties as assigned. Qualifications - High School Diploma or GED - 2-3 years of billing, insurance follow-up or insurance payor experience - Experience performing account resolution with third-party payors is preferred - Experience in working with ICD-10, revenue codes, CPT-4 and HCPCS - Moderate computer proficiency including working knowledge of MS Excel, Word and Outlook Requirements - Ability to read and interpret documents, i.e. contracts, claims, instructions, policies and procedures in written (in English) form. - Ability to calculate rates using mathematical skills. - Ability to define problems, collect data, and establish facts to execute sound financial decisions in regard to patient account(s). - Must have detailed knowledge of the uniform bill guidelines. - Ability to be persistent in the follow up of underpaid or partially paid claims in a timely manner. - Ability to review, comprehend, and discuss HCFA billing with Insurance or Government agencies. - Knowledge of general insurance requirements. - Experience working directly with EOBs, contractual adjustments, and payer contracts. - General computer knowledge and working with electronic filing systems. - Ability to communicate verbally and in writing with professionalism. - Organizational and documentation skills to ensure timely follow-up and accurate record keeping. - Ability to meet productivity expectations. - Strong team player. - Strong self-motivation to achieve goals.

Role Description This employee is responsible for reviewing and evaluating medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for services provided at the Brown Cancer Center (BCC) including Bone Marrow Transplant (BMT) and infusions and injections (I&I) and clinic charges. The specialist performs code validation across multiple entities and applies the appropriate coding guidelines and criteria for code and modifier selections. The specialist adheres to the Official CMS Coding Guidelines and Facility Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for charge entry. The specialist supports the facility’s overall operational goals by efficiently and effectively providing account data needed for accurate and timely Revenue Cycle processing and billing. Essential Functions - Uses ICD-10-CM and/or HCPCS/CPT codes to assign, validate, and/or work pre-bill coding edits for the following patient types: - Medical Oncology (Med-ONC) - Radiation Oncology (Rad-ONC) - Bone Marrow Transplant (BMT) - Infusion & Injections - Multispecialty hospital-based outpatient clinics (Oncology, HepC, MS, Pulmonary, etc.) - Works pre-bill edits daily to resolve issues related to coding assignments, charge errors, and missed modifiers - Maintains or exceeds established productivity standard (minimum of 75 pre-bill edits cleared daily or a combination of daily charge capture and pre-bill edits) - Ensures that all assigned charges are captured timely and consistently within the 3-day charge goal - Performs coding audits for BCC coders upon request and as needed to reduce coding error trends - Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes Other Functions - Works collaboratively and supports efforts of team members - Ensures adherence to the official coding guidelines, infusion and injection coding guidelines, ethical coding standards as well as HIM coding compliance policies and procedures - Meets all educational requirements and attends required continuing education workshops, webinars assigned by manager for coding compliance - Maintains compliance with all company policies, procedures and standards of conduct - Complies with HIPAA privacy and security requirements to maintain confidentiality at all times - Performs other duties as assigned Qualifications - High school diploma or GED/Equivalent (required) - Completion of a Certified Coding Program (required) - Three (3) years outpatient coding experience (required) - Three (3) years of prior oncology coding experience (preferred) - Prior billing to include government and commercial payer experience (preferred) - Prior experience with 3M Coding and Allscripts STAR and TruBridge billing systems (preferred) - Nationally accepted Certified Coding Credentials (RHIT, RHIA, CPC, CPC-H, CCA, CCS, CCS-P or CHONC) (required) Job Competency - Working knowledge of medical terminology, anatomy, and physiology - Demonstrates a working knowledge of Infusion & Injections and Oncology Billing - Working knowledge of Official CMS Coding Rules and Guidelines, ethical coding standards as well as HIM coding compliance policies and procedures - Ability to complete project assignments in a timely manner and identify trends in charge reconciliation data Language Ability - Must be able to communicate effectively in both verbal and written formats Reasoning Ability - Ability to break down problems or tasks; using prior knowledge and experience to identify causes and consequences of events Computer Skills - Demonstrates strong Microsoft Office knowledge skills - Demonstrates strong coding skills; knowledge of 3M Coding and Allscripts STAR and TruBridge billing systems, preferred Additional Responsibilities - Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times - Maintains confidentiality and protects sensitive data at all times - Adheres to organizational and department specific safety standards and guidelines - Works collaboratively and supports efforts of team members - Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff, and the broader health care community UofL Health Core Expectation - Honoring and caring for the dignity of all persons in mind, body, and spirit - Ensuring the highest quality of care for those we serve - Working together as a team to achieve our goals - Improving continuously by listening, and asking for and responding to feedback - Seeking new and better ways to meet the needs of those we serve - Using our resources wisely - Understanding how each of our roles contributes to the success of UofL Health

• The PCA works under the direction of the Pharmacy Manager or Supervisor. • Serves as a liaison to patients/caregivers, physicians and other medical staff in identifying, facilitating, and ordering prescription medications via medication access programs for eligible patients who are underinsured. • Identifies opportunities from co-pay assistance foundations where available. • Creates, manages and performs financial/billing/clinical audits to maintain the integrity of the programs and creates and distributes reports to pharmacy and hospital management concerning operations. • Responsible for verifying accurate insurance and demographic information, obtaining or verifying prior authorization, referrals, and communicating need for medical necessity for outpatient medication infusions. • Coordinates patient encounters utilizing multiple system applications and communicates with appropriate team members to perform duties in a timely manner.

Role Description The Epic Prelude and Cadence Analyst is responsible for the design, configuration, implementation, optimization, and ongoing support of the Prelude and Cadence application within the Epic electronic health record (EHR) system. This role collaborates with Patient Access, Revenue cycle operations, clinical departments, information technology teams, and organizational leadership to support efficient billing workflows, ensure regulatory compliance, and promote revenue integrity. The Analyst serves as a subject matter expert in provider billing, charge capture, claims processing, reimbursement methodologies, and reporting. Core responsibilities include: - Analyze current-state business workflows and design system-based improvements to enhance operational efficiency and reduce claim denials. - Develop, coordinate, and execute testing plans for system upgrades, enhancements, and patches. - Collaborate with Patient Access, revenue cycle teams, IT personnel, and clinical departments to align system functionality with operational and business requirements. - Perform system upgrades, maintenance, and validation activities to ensure compliance with applicable healthcare laws and regulations. - Partner with training teams to develop, maintain, and update user education materials and documentation. - Adhere to organizational application change management policies and procedures. - Monitor changes in healthcare regulations and payer requirements; ensure system and process compliance. - Develop and maintain policies and procedures to support regulatory and operational requirements. Qualifications - Bachelor’s Degree required or Minimum of four (4) years of relevant Patient Access or revenue cycle experience in lieu of a degree. - Minimum of three (3) years of experience in healthcare information technology or Patient Access related experience. - Demonstrated knowledge of Epic EHR functionality, particularly Prelude and Cadence modules. - Preferred: At least one (1) Epic certification. - Strongly preferred: Epic certifications in both Prelude and Cadence. - Additional plus: Epic certifications in Decision Tree, Referrals, RTE, Welcome, and Data Courier Mover Badge. - If Candidate does not hold the Preferred certification at the time of hire, it must be obtained within ninety (90) days of employment and maintained in an active status throughout the duration of employment. Requirements - Strong analytical and problem-solving skills, with the ability to identify issues, evaluate data, and implement effective solutions to improve financial performance. - Knowledge of healthcare financial operations, reimbursement methodologies, and regulatory compliance requirements. - Ability to apply industry standards and best practices to organizational needs. - Effective verbal and written communication skills. - Requires excellent oral and written communication skills. - Requires strong problem-solving and analytic skills. - Proficiency in Microsoft Office applications (e.g., Word, Excel, PowerPoint). Benefits - Other responsibilities as assigned. Company Description UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.

Role Description The Research Regulatory Manager position is responsible for developing the training and education for researchers as needed to meet the regulatory requirements to conduct clinical research studies in UL Health. The position will build and maintain relationships with physicians, nurses, IT, Marketing, Supply Chain, and leadership as needed to promote and support research. It assists with the development of goals, policies, and procedures for oversight of clinical research. The position is responsible for monitoring compliance with policies, procedures, and governing regulations, including the informed consent process and HIPAA authorizations. It works closely with researchers and the corporate compliance team to identify and mitigate risks through education and process development. The position is responsible for oversight of IRB submissions, study review process, and research personnel vetting. Essential Functions - Develop training and education related to research processes and procedures and present to stakeholders. - Audit and monitor the informed consent process for research conducted within UL Health. - Assist in preparation for study monitoring visits for CMG studies. Review monitoring visit findings and provide training and education as needed. - Work with the Health Information Management team and researchers to ensure adequate documentation in medical records. - Train and supervise the Research Regulatory Coordinators, overseeing IRB process and research personnel vetting process. - Facilitate and lead planning meetings for new studies as needed and serve as liaison to internal stakeholders, such as marketing, IT, supply chain, and patient care teams. - Oversee facility and systems access for study monitors. - Review all study submissions to ensure HIPAA compliance prior to facility approval. - Exempt position works 80 productive hours each pay period and is paid biweekly. - Daily hours are flexible as long as no less than 80 productive hours are worked. - On occasion, the position may require additional hours to meet deadlines or for special projects. Other Functions - Review completed consent forms for accuracy and congruence with contracts. - Review protocols, waivers, consent documents, and data collection sheets to determine if any changes are needed for HIPAA authorization to be congruent with protocol. - Perform other duties as assigned. Qualifications - Bachelor’s degree (required) - Experience in clinical research, human subjects’ protection regulations, including HIPAA authorizations, and IRB process (required) - 5 years of experience in research administration (preferred) Licensure - None (required) - None (preferred) Certification - Professional certification such as CCRP, CHRC, ACRP-CP (preferred)

• Abstract and assign valid CPT, ICD-10, HCPCs, and modifiers • Ensure appropriate reimbursement in accordance with guidelines • Identify compliance concerns and education opportunities • Work with limited oversight and direction on complex cases

Role Description This position is responsible for reviewing patient medical records to facilitate modifications to clinical documentation through concurrent (pre-bill) interaction with providers and other members of the healthcare team to promote accurate capture of clinical severity of illness and risk of mortality (later translated into coded data) and to support the level of service rendered to relevant patient populations. CDIS exhibits expert knowledge of clinical documentation requirements, MS-DRG Assignment, case mix index (CMI) analysis, clinical disease classifications, major and non-major complications and comorbidities (MCCs or CCs), and quality-driven patient outcome indicators. Interacts as needed with internal customers to include but not limited to hospital staff, physicians, and other revenue cycle team members. Actively participates in department and hospital performance initiatives when needed to ensure ULH success. Responsibilities - Completes initial medical record reviews of all inpatient patient accounts (all payers) within 24-48 hours of admission for a specified patient population to: - Evaluate and review inpatient medical records daily, concurrent with patient stay, to identify opportunities to clarify missing or incomplete documentation. - Assign the principal diagnosis, pertinent secondary diagnoses, procedures for accurate MS-DRG assignment, score risk of mortality and severity of illness and initiate a review worksheet. - Conduct follow-up reviews of patients every 2-3 days to support and assign a working or final MS-DRG assignment upon patient discharge, as necessary. - Formulate clinically compliant and credible physician queries regarding missing, unclear or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary. - Proactively collaborate with physicians to discuss and clarify documentation inconsistencies to ensure accuracy of the medical record and appropriate capture of the course of treatment provided to the patient. - Educate providers about identification of disease processes that reflect SOI, complexity, and acuity to facilitate accurate application of code sets. - Gather and analyze information pertinent to documentation findings and outcomes, and use this information to develop action plans for process improvements. - Collaborate with case managers, nursing, and other ancillary staff regarding interaction with physicians concerning documentation opportunities and to resolve physician queries prior to discharge. - Communicate/completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution with appropriate leadership. - Remain abreast and current on training of new hires and ongoing CDIS professional staff development as well as participate in CDI-related continuing education activities to maintain certifications and licensures. - Collaborate with HIM/coding professionals to review and resolve DRG mismatches for individual problematic cases and ensure accuracy of final coded data in conjunction with CDI managers, coding managers, and/or physician advisors. - Identify patterns, trends, variances, and opportunities to improve documentation review processes. - Aid in identification and proper classification of complication codes and present on admission (POA) determination (patient safety indicators/hospital-acquired conditions) by acting as an intermediary between coding staff and medical staff. - Contribute to a positive working environment and perform other duties as assigned or directed to enhance the overall efforts of the organization. Qualifications - CDIS candidate must have and maintain current licensure as a RN, RHIA, RHIT or possess an active CCS (AHIMA) or CPC-H (AAPC) coding credential. - CDIS must have 3+ years of acute care experience as a RN or 3+ years inpatient coding experience as a RHIA/RHIT/CCS/CPC-H. - Must have advanced clinical expertise and extensive knowledge of complex disease processes with broad clinical experience in an inpatient setting. - Certified Clinical Documentation Specialist or Clinical Documentation Improvement Professional (CCDS or CDIP) credential is required within 12 months of employment. Requirements - Working knowledge of medical terminology and Official Coding Guidelines. - Ability to work independently, self-motivate, and adapt to the changing healthcare arena. - Excellent verbal and written communication skills, analytical thinking, and problem solving with strong attention to detail. - Proficiency in organizational skills and planning, with an ability to multitask in a fast-paced environment. - Proficiency in computer use, including database and spreadsheet analysis, presentation programs, word processing, and Internet research. - Working knowledge of federal, state, and private payer regulations as well as applicable organizational policies and procedures. - Working knowledge of quality improvement theory and practice, core measures, safety, and other required reporting programs. - Ability to formulate clinically compliant and credible physician queries.

Role Description Medical insurance verification of patient accounts to determine eligibility, benefits and co-pays due and ability to analyze patient accounts for outstanding balances as well. Must be detail oriented and possess strong communication and interpersonal skills with the ability to multi-task. - Verifies patient eligibility six days out from appointment - Determines patient’s benefits including deductibles, co-insurance and co-pay amounts - Verifies if authorizations are required and obtain, if necessary - Verifies benefits - Calls patients prior to appointment if there is a problem with patient’s insurance - Works with patients to pay balances on account or create payment plan for balances due - Works hold bill and marked event alerts - Determines what is needed for the upcoming visit (e.g., consent, arrival form, ID, insurance card, picture, etc.) - Works visit insurance and arrange FSC accordingly Qualifications - High school diploma or GED/Equivalent (required) - Five (5) years of insurance experience (preferred) Requirements - Understanding of insurance policies and processes - Ability to utilize insurance websites proficiently - Ability to anticipate and adapt to change positively - Must possess solid customer service skills - Strong interpersonal and communication skills - Demonstrated organizational skills - Strong work ethic - Proven ability to work on a team - Maintains a professional appearance at all times - Must be able to communicate effectively in both verbal and written formats - Strong investigative and problem solving skills - Proficient in Microsoft Office - Extensive knowledge of Centricity Benefits - Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times - Maintains confidentiality and protects sensitive data at all times - Adheres to organizational and department specific safety standards and guidelines - Works collaboratively and supports efforts of team members - Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community

• Manage the appeal of unpaid claims in the Central Business Office • Work closely with insurance carriers in resolving unpaid claims • Review and appeal unpaid claims daily • Completes follow-up work on appealed claims • Works with insurance carriers on appeal issues • Provides feedback to the coding department with coding errors or updates • Review remit to ensure accurate payment was received • Reviews denials for accuracy • Obtains all necessary information to expedite the appeal process • Closes and prints daily batch proof • Makes charge corrections as needed in the practice management system • Attends continued education programs for coding • Other duties as assigned