AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details Under direct supervision, performs activities associated with drug distribution, ordering and control for medication dispensing.  Direction and guidance are performed by a manager/supervisor, Pharmacist, or higher-level Pharmacy Technician. Responsibilities - Assists in entering minor edits to record correct dispensing quantity and manufacturer NDC used to dispense prescription order. - Uses pharmacy software to check and/record data about prescriptions. - Acts as a liaison between our customers and their providers and our pharmacy, receives and triages incoming phone calls and messages to answer questions, fill prescription orders or handle other requests to ensure that clients have a positive experience. - Establishes and maintains patient profiles, including lists of medications taken by individual patients, and uses our advanced proprietary software system to document medication care plans. - Uses pharmaceutical technician expertise to ensure compliance, efficiency, and quality of operations. Participates in company quality initiatives, recognizing opportunities for improvements and reporting quality assurance issues. Secures information in accordance with the privacy and security guidelines of the Company and applicable regulations such as HIPAA. The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Qualifications - Possesses high level of integrity - Quality-oriented - Innovative - Steadfast Education - HS diploma or equivalent required. - Active license in the state residing and must obtain NJ license within 60 days of hire. - CPhT preferred Experience - Minimum of 2 year pharmacy technician experience preferably in a healthcare setting. Skills & Abilities - Proficient with MS Office Suite and strong computer proficiency to navigate proprietary and other software. - Excellent communication skills, both verbal and written. - Ability to communicate effectively and professionally through written, verbal, and interpersonal skills as applied when interacting with employees, clients, or agency representatives; successfully conveying and exchanging information in a positive manner. - Must have a strong patient centered focus. - Excellent communication skills, especially via phone. - Understanding of clinical terms and impacts. - Able to multi-task and handle multiple priorities without sacrificing quality. - Detail oriented and organized. - Strong data entry capability. Physical/Mental Demands: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed. Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Rotating weekend schedule required approximately up to four times a year or as needed along with a rotating holiday schedule. AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire. AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

About Us HIGHLIGHTS Location: Fully remote Required Experience: Coding for ED/ER or hospital ancillary services Perks: Work equipment provided, Quarterly bonus, Medical/Dental/Vision Benefits, 401K matching up to 4%, PTO plan, tuition reimbursement We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. Position Overview The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Essential Job Functions - Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes - Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing - Abstract and code diagnoses and procedures from health records by using appropriate classification systems Other Job Functions - Attend staff meetings or other company sponsored or mandated meetings as required - Perform additional duties as assigned - Ability to work off hours and overtime Basic Qualifications - High School Diploma or GED, required - CPC, CPC-H, CIC, COS or CCS, or other coding certification, preferred, OR RHIA or RHIT certification with 3+ years of experience, required - 3+ years experience coding using ICD-10-CM, HCPCS and CPT codes, required - Experience coding emergency or hospital ancillary services, preferred - Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and procedures, preferred - Proficiency using Microsoft Office Tools (Microsoft Word, Excel and Outlook), required - Proficiency with patient accounting systems, preferred - Experience using Stockell InsightCS patient accounting system, EPIC Community Connect, Cerner and/or PICIS EMR, preferred - Experience and knowledge calculating and applying IV Infusion and Injection codes, preferred - Knowledge of all Health Insurance Portability and Accountability Act (HIPAA) guidelines and regulations, required - ICD 10 Training/Education - Position requires fluency in English; written and oral communication

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Desired Experience: - Hospital Based Service Line for Cardiology, Neurology and Oncology (CNO) Schedule: - Monday - Friday Flexible 1st shift / 40 hours a week Certification desired: - AHIMA – CCS, AHIMA -RHIT or AHIMA – RHIA Remote opportunity: Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $28.55 - $42.85 Major Responsibilities: - This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. - Adhere to organizational and internal department policies and procedures to ensure efficient work processes. - Responsible for coding high dollar and long length of stay cases for all patient types. - Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. - Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations. - Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues. - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. - Collaborates with the Clinical Documentation Improvement and Quality teams, to ensure a match in the DRG and reconciles each Medicare case with the working DRGs from a CDI perspective. - Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding. - Participates in payer audits and meetings by acting as a resource for coding-related audits, as requested. - Attends meetings with clinical teams regarding updates in codes for complex specialties. - Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. - Meets and exceeds departmental quality (95% or more) and productivity standards (100%). Achieves productivity expectations to support discharged not final billed (DNFB). - Performs any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time. Licensure, Registration, and/or Certification Required: - Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: - Associate's Degree in Health Information Management or related field. Experience Required: - Typically requires 7 years' experience inpatient coding in acute care tertiary facility that includes experience in revenue cycle processes, Clinical Documentation Improvement, Research and health information workflows. Knowledge, Skills & Abilities Required: - Advanced profiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. - Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. - Excellent communication (oral and written) and interpersonal skills. - Excellent organization, prioritization, and reading comprehension skills. - Excellent analytical skills, with a high attention to detail. - Ability to work independently and exercise independent judgment and decision making. - Ability to meet deadlines while working in a fast-paced environment. - Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: - Exposed to a normal office environment. - Must be able to sit for extended periods of time. - Must be able to continuously concentrate. - Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. - Operates all equipment necessary to perform the job. - This job description indicates the general nature and level of work expected of the incumbent. It is not designed - to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #REMOTE #li-REMOTE Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. - Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process - Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines - Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns - Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team - Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process - Assist with the pharmacy utilization review and reporting process - Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes - Assist with members’ inquiries related to the formulary process - Performs other duties as assigned - Complies with all policies and standards For Centene Pharmacy Services: High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred. Prior experience using analysis tools or systems (ex: web based, custom, proprietary, etc.). Experience in the implementation of quality process improvement efforts. Experience documenting requirements, creating training materials and working directly with end users. License/Certificate: Current state's Pharmacy Technician license preferred. Location: Position is remote. Hours: 8:00-5:00 PST Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act