Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Required to pay meticulous attention to detail and have proficient knowledge of the electronic health record (Epic) in order to review and validate completeness and accuracy of medical record documentation for inpatients, ambulatory surgery, emergency department, and various outpatient encounters as indicated. Incumbent must demonstrate expert level knowledge of HIM pertinent Rules and Regulations for each delivery network and have the ability to validate automated deficiencies and/or manually assign deficiencies as appropriate. Identifies discrepancies and makes any necessary corrections to dates of service, missing core elements, and/or assignments. Participates in weekly alert and notification process to support routine suspension protocols. Assist medical staff members with Epic training and questions regarding record completion work flow. EEO/AA/Disability/Veteran Responsibilities 1. From the Epic Analysis Needed work queue, analyzes the on line medical record for inpatient, ambulatory surgery, and/or emergency department patients as well as various outpatient encounters. Determines completeness and accuracy of information as prescribed by hospital regulations, the Joint commission on Accreditation of Health Care Organizations and appropriateness state/federal regulations initiating appropriate action to correct any deficiencies noted. 1.1. Highlight the assigned discharge in the Analysis needed work queue and open the Episode to review the Deficiency Completion activity for the discharge. Review the Summary tab and the Deficiency tab to view a summary of the episode and details regarding each deficiency. 1.2. Click the Def Detective to review the summary of the patient's hospital stay and add or modify deficiencies to note any further work needed in the chart. 1.3. For any deficiency which has been amended or needs to be edited by the attending for missing information, attach a message using one of the departments Smart Text/Phrases. 1.4. When assigning deficiencies refer to hospital and department procedures and policies, and clinical department guidelines to accurately assign deficiencies to physician(s) responsible for completion of deficiencies. 2. Monitors and maintains the Epic Analysis work queue as assigned by the Senior Analysts to ensure, timely and accurate statistical reporting notification to physicians on status of incomplete medical records assigned to them for record completion. 2.1. Reviews deficiencies in the Declined work queue which the physician has declined and the reason. Based on the documentation in Epic make the decision to complete, reassigns to another physician or sends back the deficiency to the physician. 2.2. Before re-assigning a declined deficiency to another physician, reviews the audit trail of the edits that have occurred to a deficiency validating any other physicians who might have already declined. Reviews any messages from physicians that appeared in its earlier states. 2.3. Reviews deficiencies in the Done work queue which have been marked by physicians as completed. Verifies the documentation is complete and attach to the patient's chart. If the document is 'not' complete, send it back to the provider. 2.4. Reviews deficiencies in the Final Analysis work queue to make sure that all documentation is complete and all required information is present. Marks the chart episode as final or closed to remove it from the Incomplete Chart report. 2.5. Performs other related duties and special assignments as requested and directed by the supervisor or manager. Assists supervisor with training of staff in changes and new procedures. 3. Ensures adherence to hospital procedure regarding timely completion of delinquent medical records as outlined in the Hospital By Laws. Follows the department guidelines for notification and suspension of physicians who fail to complete their records within the required timeline. 3.1. Reviews each deficiency on the physician's Alert Letter of Delinquent Medical records assigned to them for monitoring. Reviews the Epic documentation to ensure that each deficiency is assigned to the correct physician(s), the deficiency status is accurate and that it is under the correct visit. 3.2. Follows up daily with physician's compliance with completion of delinquent deficiencies appearing on the Alert Letter sent to them for completion. Sends certified letters based on Alert Letters that have generated for records >14 days. Performs physician follow-up on prescribed schedule. 3.3. Upon approval, generates from Epic a Suspension of Admitting Privileges and Temporary Withdrawal of Clinical Privileges to the attending. Sends a copy of the letter to other designated individuals/departments as outlined in the HIM department policy and procedure. All suspension documentation, which includes fax confirmation is to be filed in the suspension book following the HIM department procedure and updates the attending?s status in the Provider Report. 3.4. Checks daily to determine if physicians have completed their records. Once all records (delinquent and non-delinquent) assigned to the physician are completed, a Restoration Letter from Epic letter to attending and a copy of the letter faxed to other designated individuals/departments as outlined in the HIM department policy and procedure. Updates the attending?s status in the Provider Report. 3.5. Assists in any/all necessary deficiency report cleanup and analysis for all delivery networks. 3.6. Verifies and updates appropriate spreadsheets with new information as indicated. 3.7. Performs according to departmental productivity guidelines 4. Provides assistance to physicians and secretaries responding to telephone and walk-in request/inquires in a timely manner. Assists patients/customers in providing good customer service. Demonstrates acknowledgement of responsibility to practice and promote good customer relations and mutual respect 100 % of the time. 4.1. Assists physicians with Epic training and issues with regarding record completion work flow. Supplies Epic Tip Sheets when needed and serves as the physician liaison. Answers policy and procedure questions regarding record assignment/completion trying to resolve the issue or return the call by the end of the day supplying or updating the physician or the office with the appropriate information. 4.2. Works with physicians to ensure that all of the deficiencies in an episode are complete and properly documented according to quality standards. 4.3. Exercises good judgment when required to make a decision regarding the appropriate action to be taken, working independently to resolve issues before referring problems to the Senior Analyst/Supervisor. 5. From time to time will complete special projects as assigned by the supervisor or manager. Qualifications EDUCATION Associates degree in healthcare related field or equivalent experience as a Documentation Integrity Technician; RHIA or RHIT preferred. EXPERIENCE Two (2) to three (3) years of health information management experience required; formalized training in medical record documentation requirements to ensure regulatory compliance. LICENSURE RHIA or RHIT preferred. SPECIAL SKILLS Requires knowledge of medical terminology and a thorough knowledge of a variety of regulations concerning the content of Medical Records. Thorough understanding of Documentation Integrity and MR Completion Policy. Working knowledge of computers for data entry and search and retrieval. Accurate keyboard skills ( 30-35 wpm). Ability to use peripheral equipment such as bar code scanners, printers, fax machine, photocopier. Ability to effectively communicate verbally and to deal professionally with co-workers, other departments, and medical personnel. Knowledge of various software packages. YNHHS Requisition ID 172437

Overview What We Do We calm the confusion of IT by guiding the connection between people and technology. If a customer is looking for a better way to manage their warehouse inventory, equip their workforce, or secure their data, we make it happen. All it takes is finding the right combination of tech hardware, software, cloud solutions, and support services. That’s what we do. We’re the IT Department’s IT Department. Who We Are Our team is made stronger by a multitude of backgrounds, experiences, and perspectives. It’s what makes Connection unique—what drives us to innovate and create technology solutions that stand apart from the crowd. We’d love for you to be a part of that fabric, to share your ideas and experiences with a team that thrives on fresh thinking, creativity, and helping others. Why You Should Join Us You’ll find supportive teammates and a rewarding career at Connection—plus great benefits. We take pride in supporting employees with a total rewards package that provides financial, emotional, and physical resources for you and your family. Our compensation, 401k plans, medical insurance, and other benefits are progressive and competitive. We value the importance of our employees’ emotional wellbeing. To support employees, we provide free therapy visits, mental health coaching and tools, and meditation resources. You’ll also enjoy a generous paid time off package that includes not only vacation and sick time, but also Wellness and Volunteer Time Off days. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Responsibilities Works with many suppliers, both EDI and non-EDI, processes a large number of orders each day; reviews data entry and responds to large volumes of email and phone calls with follow-up.Checks for order accuracy, processes electronic orders and modifies / changes orders placed by our sales team and customers.Executes daily exception reports and filling back orders.• Ensures accuracy of order processing and reviews reports for any exceptions or issues.Executes daily exception reports for EDI ordersEmails follow-ups with the Sales team and/or vendors regarding orders• Conducts strategic purchasing and planning for product availability and shipping on orders received, as needed.Compiles information on sources cost and manufacturer discounts.Analyzes vendor and manufacturer data on factors that affect prices.Reviews contract costs and RMA policy for long term agreements.Reviews proposals, selects suppliers, verifies delivery and approves payment.• Performs all other duties or special projects as assigned. Min USD $19.65/Hr. Max USD $24.57/Hr. Qualifications Basic computer knowledge with ability to operate keyboard for data entry.• Working knowledge of Microsoft Office Suite with ability to create a document or simple spreadsheet.• Experience working in the computer reseller industry is required. (i.e. manufacturer, distributor, reseller, etc.).• Strong negotiation skills with ability to be firm.• Experience working with and understanding of computer products and part numbers.• Attention to detail in composing, keying, and proofing professional business materials• Working knowledge with problem resolution, customer service, and working with vendors, suppliers, and sales.• Moderate experience inputting large volumes of data in a timely manner• Adaptable with ability to complete tasks while working under pressure and deadlines.• Excellent verbal communication skills with ability to present professional demonstrations• Excellent written communication skills with ability to compose professional business communications via email, letter, and proposals.• Interpersonal skills with ability to work well with all levels of the organization and maintain good working relationships with customers• Organized state of mind with ability to document activities, anticipate problems, plan schedules and monitor performance according to priorities and deadlinesBecause of the possibility for fraudulent job postings on many popular job boards, please be advised that Connection will never offer a position of employment without a complete interview process and communication with a “live person".

Billing QA/QC Representative - Lead - Monday to Friday, Between 8:30AM to 8:00PM EST Pay range: $23.48 - $27 / hour Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation. As the Billing QA/QC Representative - Lead, you’ll play a critical role in creating a quality experience that impacts the financial well-being of our patients. In an environment where the patient is at the center of everything we do, the Senior Quality Representative will directly support patient business operations by performing the following activities: - Customer service agent call monitoring QC assessments - Coordinate and maintain agent feedback documentation - Audit and administer quality control reporting for work completed in the department - Provide performance input to management team relative to agent quality assessments. - Perform ad hoc support duties at management discretion. The Billing QA/QC Representative - Lead is a direct point of contact for management in providing agent quality assessment reviews. Employees are required to have flexibility to work any of our 8-hour shift schedules between the hours of of 8:30 AM to 8:00 PM EST, Monday - Friday. Benefits information: We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: - Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours - Best-in-class well-being programs - Annual, no-cost health assessment program Blueprint for Wellness® - healthyMINDS mental health program - Vacation and Health/Flex Time - 6 Holidays plus 1 "MyDay" off - FinFit financial coaching and services - 401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service - Employee stock purchase plan - Life and disability insurance, plus buy-up option - Flexible Spending Accounts - Matching gifts program - Education assistance through MyQuest for Education - Career advancement opportunities - and so much more! Quest Diagnostics honors our service members and encourages veterans to apply. While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.

Overview Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving healthcare and want to be part of a team that is expanding rapidly and providing opportunities for career growth. If you want to make a difference and contribute to the improvement of healthcare payment integrity, consider an opportunity to join our healthcare recovery team as a Senior Payment Accuracy Specialist. The Senior Specialist position is responsible for developing new and existing audit concepts, gaining client acceptance, training all audit levels to execute audit projects and evaluating the effectiveness of audit concepts. The goal of the position is to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Conducts and documents more complex audit projects independently. This is the most senior skill level which may include supervisory responsibility. Assists Audit Managers in managing audit productivity, achieving expected quality and revenue goals. Considered a mentor, trainer, developer of less tenured Audit team members. Responsibilities - Generates and Develops New Audit Concepts. Utilizes healthcare and auditing experience to perform audit procedures that include identifying and defining issues, developing criteria, reviewing and analyzing evidence with the intent to audit standard medium and complex reports. Leader in concept development across multiple audit verticals. This includes specifying the concept, interact with client to test and gain acceptance. Will execute on the expansion of the concept based on customer requirements. Focused on growing concept approval. - Develops New Tools and Processes. Collaborates with Business Optimization and audit team in developing new reports. Fosters and implements new ideas, approaches, and technological improvements to support and enhance audit production, communication and client satisfaction. - Directs ownership for Quality Control. Reviews all level auditor claims prior to and after client submission. Set by the audit: for the auditing concept, audit against the expected level of quality and quantity (i.e.; hit rate, # claims written, ID per hour). - Prepares Responses to Client Disputes. Provides oversight to audit team for verification of claims validation, insurance or employer validation in concise written or oral manner. Makes determinations based on advanced experience of client knowledge of contract terms, likelihood of acceptance recovery. - Reviews provider Contracts. Subject matter expert in contracts and research requirements. Implements recommendations on contracts to fit projects within standard reports such as medical policies, state and federal statutes. - Validates New Claim Types. With proficiency, utilizes audit tools to evaluate, document and validate to audit and client new claims and concept effectiveness. Ensures that any new and existing concepts are achieving desired goals in terms of recoveries, collectability and client acceptance. - Auditor Development. Key participants in the development of audit staff. Actively trains audit team to execute basic, intermediate and complex audit projects with focus on new and existing audit concepts. May participate in auditor assessment, progression process, staffing functions. - QA Claim Association/Concepts. Responsible for performing quality control process. Makes determinations based on advanced expertise and comprehension (knowledge) of claim categories, claim types. Ensures submission and execution of quality work, proper use of available proprietary software, reports and IT resources to conduct audits. Qualifications - Bachelor's degree preferred Three (3) years of Cotiviti direct audit experience OR four (4) years related experience (healthcare billing, healthcare/medical claims, reimbursement, analytics) required. - Experience using SQL required. - Computer proficiency in Microsoft Excel, Access and system databases are required. - Ability to mentor staff and enhance performance as it relates to the quality and productivity of their auditors. - Prior Healthcare Billing and/or claims experience desired. Requires working knowledge of and applicable industry based standards. - Excellent verbal and written communication skills. - Ability to work well in an individual and team environment. Mental Requirements: - Communicating with others to exchange information. - Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: - Remaining in a stationary position, often standing or sitting for prolonged periods. - Repeating motions that may include the wrists, hands, and/or fingers. - Must be able to provide a dedicated, secure work area. - Must be able to provide high-speed internet access/connectivity and office setup and maintenance. - No adverse environmental conditions expected. Base compensation ranges from $36.50 to $39.00 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page. Date of posting: 4/8/2026Applications are assessed on a rolling basis. We anticipate that the application window will close on 5/8/2026 if a qualified candidate is selected. #LI-Remote#LI-KB1#senior