Wellstar Health System

• Oversee strategies and planning for the CDI Program • Promote effective review of physician documentation • Collaborate with interdisciplinary teams • Provide ongoing Clinical Documentation management program education • Develop and manage departmental budgets

• Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. • Abstracts demographic and coding information accurately and completely. • Codes and abstracts medical records with a minimum of accuracy. • Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable. • Accurately abstracts all required patient demographic data into the EMR. • Accurately assigns correct DRG/APC. • Meets productivity standards. • Queries providers, if needed to further clarify code. • Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days). • Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible. • Completes assigned work by goal date. • Assists with coding unassigned or backlogged accounts. • Serves as a mentor to new coders. • Assists with cleaning up or escalating missing documentation or other work queues. • If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned.

Role Description The Comprehensive Access Center Scheduler functions under the direction of the Comprehensive Access Center Scheduling Supervisor/Manager and the Comprehensive Access Center, AVP. The scheduler provides outstanding customer service to customers in a fast-paced busy environment, driving system-wide volume by scheduling appointments via inbound telephone calls. Responsibilities include: - Performing a wide variety of clerical procedures that require independent judgment, ingenuity, and initiative. - Handling heavy phone volume and providing appropriate telephone etiquette and scripting. - Assisting physician's office staff with scheduling issues in a timely manner. - Maintaining neat attire, hair, and appearance, following the department dress code. - Promoting positive working relationships with co-workers, Team Leads, Supervisors, and Managers. - Orienting new employees and assuring proper documentation of training. - Assisting other areas of Scheduling when needed. - Being flexible with hours to meet department needs. Qualifications - Minimum High School diploma or equivalent required. - Minimum 2 years experience in medical scheduling preferred. - Strong customer service skills, good communication, and organizational skills. - Basic insurance carrier and pre-certification knowledge and computer skills. - Basic typing and data entry experience. - Medical Terminology preferred. Requirements - All certifications are required upon hire unless otherwise stated. - The individual must be able to communicate and understand verbal and written English language and display a positive attitude. - This position requires a high level of attention to detail and a low error rate. - Regular, reliable attendance is required. Benefits - Support to do more meaningful work. - Enjoy a more rewarding life. - Connect with the most integrated health system in Georgia.

Role Description A WMG Pre-certification Specialist I is responsible for obtaining pre-certification/authorization for outpatient diagnostic procedures for practice and HOD visits and ensuring referrals are completed timely. The position reports directly to the WMG Central Precertification Manager. - Provides outstanding customer service to their dedicated physician practice. - Supports practice volumes and increasing revenues by obtaining Pre-Authorization for outpatient testing, outpatient diagnostic, and medications in a timely manner. - Maintains the required 3-day lead time ahead of the practice's schedule. - Consistent review of payer authorization policies to ensure all procedures are authorized in a timely manner. - Utilizes various departmental tools and appropriate reports to identify and trend ongoing issues with payers and physician practice processes resulting in fatal denials. - Works with physicians, nurses, clinic managers, and financial advocates to resolve issues during the prior authorizations process. - May support Pre-Registration including preparing patient estimates. - Maintains established productivity benchmarks and meets goals in a fast-paced environment. - Other duties as assigned. Qualifications - High School Diploma or GED required; Associates preferred. - Minimum 1 year experience in customer service and/or healthcare setting required. - Minimum 1 year computer/data entry experience or experience in insurance/benefits preferred. - Ability to communicate with various members of the healthcare team. - Effective communication skills (both written and verbal). - Attention to detail and self-directed with a positive attitude. - Effective problem-solving and critical thinking skills. - Working knowledge of patient registration systems. Requirements - Knowledge of all outpatient procedures. - Review and analyze medical record documentation for various medical and surgical procedures requiring authorization. - Demonstrate understanding of scheduling and updating patient insurance information. - Ensures all authorizations are requested with the appropriate CPT codes, diagnosis codes, and/or reasons for procedures (ICD-10). - Acts as the liaison between the specialist, primary care physician, and insurance carrier. - Knowledge of various insurance programs offered by each carrier (TPA). - Knowledge of Medicare guidelines regarding surgeries and procedures that require medical necessity checks. - Knowledge of insurance carriers' requirements for pre-authorization of surgeries and procedures. - Ability to type with a high degree of accuracy and computer skills to input data accurately. - Maintain accurate and thorough notes when updating authorization status. - Excellent communication and interpersonal skills. - Superior attention to detail. - Responsible for meeting the demands of the assigned facility schedule. - Ability to exercise judgment in taking appropriate actions in emergent situations. - Maintain neat attire, hair, and appearance, following the department dress code. - Acts in a way that demonstrates deep personal integrity. Benefits - Support to do more meaningful work. - Enjoy a more rewarding life. - Connect with the most integrated health system in Georgia.

Role Description The Insider Threat program is a standalone part of an advanced analytics capability of the larger Security Operations Program that provides comprehensive Computer Network Defense and Response support through monitoring and analysis of potential threat activity targeting the enterprise. The Team Lead, Insider Threat will conduct advanced security event analytics, insider threat monitoring, log analysis and case management. In support of this vital mission, WellStar Security Operations staff are on the forefront of providing Advanced Operations, and Systems Engineering support to include the development of advanced analytics and countermeasures to protect critical assets from hostile adversaries. To ensure the integrity, security and resiliency of critical operations, we are seeking candidates with diverse backgrounds in cyber security systems operations analysis and incident response. Core Responsibilities and Essential Functions - Strategy and Leadership - Provide leadership and work in partnership with IT, HR, Legal and other cross-functional teams. - Provide thought leadership to identify issues, develop alternatives, provide recommendations, and implement decisions on an ongoing basis for critical program issues. - Present relevant insider threat details to director and senior leaders. - Proactively work to develop relationships across the company and provide specialized support by gathering, handling, examining, preparing, entering, searching, retrieving, identifying and/or comparing digital and/or physical evidence. - Technical Implementation - Assess existing capabilities, identify gaps, and develop technical and non-technical indicators. - Provide system engineering, security engineering, programmatic integration, technical support documents, and expert assistance on solutions to enable the insider threat program operations and coordination. - Work with architecture to deploy and implement solutions as securely and effectively as possible. - Aggregate, analyze, and evaluate technical data sources to identify insider risks. - Evaluating tools for efficacy and interoperability with existing tool sets (data sources). - Integrating new data sources with existing detection tools. - Supporting testing, implementation, and updating of insider threat detection rules and policies as needed. - Knowledge of DLP technologies like McAfee/Symantec DLP Suite, McAfee/Symantec Cloud Access Security Broker (CASB), Microsoft Security Suite M365 (Defender, DLP for OneDrive, etc.), and Microsoft AIP. - Knowledge of UEBA/UBA technologies such as Exabeam, Varonis, Qradar and Microsoft Cloud App Security. - Broad understanding of IT security concepts and Defense-in-Depth practices. - Conduct security investigations - Manage day-to-day evaluation, analysis, and investigation of potential insider threat events. - Work with the director to support highly sensitive, complex, and confidential insider threat investigations into incidents of data loss and intellectual property theft, technology misuse, conflict of interest, etc. - Reporting, Metrics and Training - Create documentation including playbooks, procedures, and policies. - Provide metrics to show program effectiveness and maturity. - Participate in industry peer working groups to stay abreast of the latest technologies and emerging threats. - Lead, develop, and maintain Insider Threat performance measures, determining appropriate metrics, methodologies, tools, and procedures. - Cross Functional Liaison - Ensure compliance with industry and regulatory standards including local laws at global locations. - Act as subject matter expert (SME) spokesperson for all technical aspects of the Insider Threat Program Operations. - Performs other duties as assigned. - Complies with all WellStar Health System policies, standards of work, and code of conduct. Qualifications - Bachelors Information Security or Bachelors Computer Science or Bachelors Other or Masters Information Security - Preferred Requirements - Minimum 5 years information security, IT audit or a related field. - Insider Threat Investigations utilizing tools such as DLP, CASB, UEBA. - Experience with information security principles, industry standards, and best practices. Required Minimum Skills - Strategic planning and the development of supporting policies and procedures. - Technical lead/project leader experience in planning, implementing, and supporting enterprise information security solutions. - Project management. - Develop and manage key stakeholder relationships. - Effectively coordinating work on multiple and diversified tasks while working with conflicting priorities and deadlines. - Ability to balance business requirements, patient safety and security risks. - Ability to function in a highly dynamic results-driven and high-pressure environment in order to achieve required objectives. - Strong attention to detail and problem-solving skills. - Able to work independently and on a team. - Creative thinking and ability to "think outside the box". - Knowledge of HIPAA Security Rule, PCI DSS and NIST CSF. Benefits - Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. - Connect with the most integrated health system in Georgia, and start a future that gives you more.

Role Description The Outpatient Infusion (OPIC) Pre-Authorization Specialist functions under the direction of the OPIC Manager. Provides outstanding customer service to customers in a fast-paced busy environment. Drive volumes and increase revenue by obtaining Pre-Authorization for Outpatient Infusion in a timely manner while observing Quality and Productivity standards and other Key Performance Indicators. - Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity, and initiative in the utilization of computers and other equipment. - Works with staff and understands appropriate scheduling and authorization processes. - Assists Scheduling, patient, and physician's office staff with authorization issues in a timely manner. - Communicates any authorization issues with the patient and provider within 24 hours of the patients' appointment. - Makes all efforts to avoid Denials, assists with Denials, claim edits, and reconsiderations when needed. - Supports Revenue cycle and must be flexible with work hours to meet department needs. Qualifications - High School Diploma or GED. - Minimum 1 year experience in customer service and/or healthcare setting preferred. - Minimum 1 year experience in insurance/benefits preferred. - Strong customer service skills, communication skills, and organizational skills. - Basic typing and data entry experience. - Experience in computer usage and Medical Terminology preferred. - Ability to communicate and understand verbal and written English language. Requirements - Knowledge of all Outpatient Infusion exams in all modalities, including patient preps and instructions. - Demonstrate understanding of scheduling/Outpatient infusion. - Knowledge of CPT codes, Diagnosis codes and/or reasons for procedures (ICD-10). - Knowledge of testing frequencies based on insurance and Medicare guidelines. - Knowledge of various insurance programs offered by each carrier (TPA). - Knowledge of Medicare guidelines regarding infusions that require Medical necessity checks. - Knowledge of insurance carriers' requirements for Pre-Authorization of procedures and referrals for procedures. - Knowledge of the lead time required by an insurance carrier to process pre-auth referral numbers. - Assist the physicians' office with ICD-9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline. - Assist the physicians' offices with the pre-authorization process. - Knowledge of electronic orders (Epic, Image Now, Trace). - Provides appropriate telephone etiquette and scripting. - Ability to type with a high degree of accuracy and computer skills to accurately input data. - Maintain accurate and thorough notes when updating authorization status. - Obtain pre-authorization numbers from physicians' offices on all required procedures. - Excellent communication and interpersonal skills to effectively deliver pending pre-authorization issues. - Observe the guidelines of the authorization Policy & Procedure when communicating Authorization status. - Verify the accuracy of data entered and correct any errors. - Superior attention to detail. - Assist with monthly reports as requested. - Keep current with insurance requirements for pre-auth. - Working knowledge of assigned referral work queues. - Responsible for meeting the demands of the assigned facility schedule. - Assists with work queues as requested (Claim Edits, Accounts, etc). - Assume other duties as needed to support the staffing needs of the department. - Ability to exercise judgment in taking appropriate actions in emergent situations. - Maintain neat attire, hair, and appearance, following the department dress code. - Acts in a way that demonstrates deep personal integrity and serves as a positive example. Benefits - Support to do more meaningful work. - Enjoy a more rewarding life. - Connect with the most integrated health system in Georgia.

Role Description The RN Remote, WMG is a member of an interdisciplinary team of licensed and unlicensed caregivers who ensure that patients, families, and significant others receive individualized, high quality, safe, and timely patient care. This position is fully remote, practicing in a non-traditional clinical setting where patient care and interaction are delivered over the telephone, or via secure messaging. This nurse has a range of responsibilities that focus on providing patient care and support without being physically present in a healthcare facility. Some of the main responsibilities include: - Patient assessment and triage - Hospital follow up - Patient education - Pre and post procedure/surgery care - Patient results communication - Support for preventative care It is expected that all remote nurses are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Qualifications - Diploma (Nurse) Nursing or Bachelor's Nursing - Preferred - RN - Reg Nurse (Single State) or RN-COMPACT - RN - Multi-state Compact - BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor Requirements - Minimum 2 years Experience with direct patient care in any care setting - Required - Minimum 1 year Experience in the physician practice setting in specific specialty area - Preferred - Minimum 1 year Experience with virtual care services (e.g., telehealth, triage, other remote nursing function) - Preferred - Excellent interpersonal, verbal, and written communication skills - High - Strong computer and technical skills - High - Excellent time management/organization skills - High - Effective problem solving and critical thinking skills - High - Ability to work in a fast-paced environment with constantly changing priorities - High Benefits - Support to do more meaningful work - Enjoy a more rewarding life - Connect with the most integrated health system in Georgia

• Develops and leads the strategic direction of HIM at WellStar Health System • Networks with other top tier organizations to bring changes necessary to ensure that the WellStar integrated medical record is precise and of the utmost integrity • Responsible for setting corporate policies and oversight of all HIM operational processes in the inpatient, hospital outpatient department, and ambulatory setting for all WellStar locations • Manages vendor and contract relationships alongside the Regional Director, ensuring adherence and negotiation of contracts • Ensures compliance with all regulatory and accreditation agencies and other rules for HIM functions

Role Description The Application Analyst in the Wellstar Information Technology department is responsible for the support, optimization and enhancement of clinical and revenue cycle applications across the Wellstar Health System, with a primary focus on Epic. Reporting to the Manager of Clinical and Revenue Cycle Applications, this intermediate-level role requires proven experience in building, configuring and supporting Healthcare Information Technology systems to meet the evolving needs of clinical and operational stakeholders. - Deliver support to ensure the efficient operation of assigned applications. - Assist with troubleshooting and resolving system issues in collaboration with Associate Application Analysts, Senior Analysts and other IT teams. - Document system configurations, workflows and resolution steps to promote knowledge sharing and maintain long-term application stability. Qualifications - Minimum of three years healthcare experience, including a minimum of three years Epic and/or associated application build experience. - Certification in two or more relevant applications for Epic positions. - Preferably a minimum of one year of project management experience. - Lean certification is preferred or must be obtained upon hiring. - Human factors design awareness and commitment to Agile methodologies. Requirements - Gather, clarify and document clinical and operational requirements from stakeholders. - Prioritize tasks, manage time effectively and track progress across multiple assignments. - Schedule, facilitate and document meetings with clear agendas, notes and action items. - Create and maintain workflow diagrams and process documentation to support system improvements. - Build foundational skills in project planning and use tools like Excel, Project, SharePoint, etc. Benefits - Support to do more meaningful work. - Enjoy a more rewarding life. - Connect with the most integrated health system in Georgia. Company Description At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Role Description The Application Analyst in the Wellstar Information Technology department is responsible for the support, optimization and enhancement of clinical and revenue cycle applications across the Wellstar Health System, with a primary focus on Epic. Reporting to the Manager of Clinical and Revenue Cycle Applications, this intermediate-level role requires proven experience in building, configuring and supporting Healthcare Information Technology systems to meet the evolving needs of clinical and operational stakeholders. - Deliver support to ensure the efficient operation of assigned applications. - Assist with troubleshooting and resolving system issues in collaboration with Associate Application Analysts, Senior Analysts and other IT teams. - Document system configurations, workflows and resolution steps to promote knowledge sharing and maintain long-term application stability. Core Responsibilities and Essential Functions - Application Support & Maintenance: - Deliver support to ensure the efficient operation of assigned applications. - Assist with troubleshooting and resolving system issues in collaboration with Associate Application Analysts, Senior Analysts and other IT teams. - Document system configurations, workflows and resolution steps to promote knowledge sharing and maintain long-term application stability. - System Design, Build & Human-Centered Configuration: - Configure Epic and related third-party applications to meet evolving clinical and operational requirements. - Apply human factors design principles to reduce friction, support decision-making, and improve the user experience. - Lead integration testing, user acceptance testing, and go-live readiness assessments. - Assist in validation and testing of EHR systems to support clinical workflows and operational needs. - Collaborate with Application Analysts, Senior Application Analysts and clinical staff to implement EHR enhancements and optimize user workflows. - Participate in EHR testing, system upgrades and validation processes to ensure ongoing functionality, performance and regulatory compliance. - Learn how to thoroughly document EHR configuration changes, test results and issue resolutions to support team knowledge-sharing and long-term system stability. - Project Management: - Gather, clarify and document clinical and operational requirements from stakeholders. - Prioritize tasks, manage time effectively and track progress across multiple assignments. - Schedule, facilitate and document meetings with clear agendas, notes and action items. - Create and maintain workflow diagrams and process documentation to support system improvements. - Build foundational skills in project planning and use tools like Excel, Project, SharePoint, etc. - Cross-Department Collaboration & Functional Support: - Act as a liaison between IT and clinical or operational teams to support effective communication around Epic and related third-party application functionality. - Develop a foundational understanding of how healthcare applications integrate with other systems, contributing insights to improve usability and workflow alignment. - Support project teams by assisting with requirements gathering, process documentation and implementation tasks across departments. - Build collaborative relationships with stakeholders to ensure technology solutions align with clinical and operational goals. - Continuous Learning & Professional Development: - Be curious and enhance your knowledge through technical training as well as soft skills. - Develop skills in enhancing usability of technical systems. - Stay informed on emerging trends, technologies and best practices in healthcare IT. - Contribute to a culture of continuous learning by actively participating in training and development opportunities. - Build foundational knowledge and hands-on experience to prepare for EHR certification and future growth within the analyst career path. - Risk Management & Compliance: - Develop the ability to identify potential risks related to application performance, user adoption, and data security. - Assist in the development of strategies aimed at mitigating system-related risks. - Support efforts to ensure that applications comply with HIPAA, HITECH and other healthcare regulations while adhering to security standards. - Adaptability & Flexibility: - Demonstrates flexibility and professionalism in a fast-paced healthcare environment, remaining calm and composed under pressure. - Adjusts tasks, schedules and priorities to support evolving patient care and organizational needs. - Recognizes when shifting clinical or operational expectations require new approaches, and takes initiative to adapt accordingly. - Embraces changes in healthcare processes and technology with a positive attitude, focusing on how they enhance patient outcomes and system efficiency. - Works through ambiguity and challenges by evaluating options and collaborating on effective, patient-centered solutions. - Maintains a customer-focused mindset by partnering with clinical and non-clinical teams to deliver high-quality service. - Adapts behavior to meet the demands of different situations, including high-stress or urgent scenarios common in healthcare. - Quickly adopts new technologies and tools to improve care delivery, streamline workflows, and support organizational goals. Qualifications - Minimum 3 years Healthcare experience, including real-world exposure or internships in areas such as clinical applications, front office operations, RN training, project management, or other EMR experience. - Minimum 3 years Epic and/or related third-party application build experience for the assigned application area. - Minimum 1 year Project Management experience preferred. Requirements - High School Diploma General or Bachelors Information Technology-Preferred or Bachelors Health Administration-Preferred or Bachelors Nursing-Preferred or Bachelors Medical Technology-Preferred or Bachelors General-Preferred. - All certifications are required upon hire unless otherwise stated. - For Epic positions - Certification in 2 or more modules, including 1 for assigned application area. - For third-party application positions - Associated system certification/training. - Must obtain Project Management training within 1 Year. - For Epic positions, must have Epic Usability Training Upon Hire Preferred or must complete Epic Usability Training within 180 Days Required. - Wellstar or other Lean training and certification Upon Hire Preferred or must complete Wellstar's Lean training and certification within 180 Days Required. Benefits - Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. - Connect with the most integrated health system in Georgia, and start a future that gives you more.