Title: Quality Officer III Job Description: Location: NJ, NY, or PA. Department Name: HIM - Coding Quality Req #: 0000245907 Status: Salaried Shift: Day Pay Range: $83,156.00 - $117,458.00 per year Pay Transparency: The above reflects the anticipated annual salary range for this position if hired to work in New Jersey. The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Quality Officer 3 is responsible for ensuring accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Medicare encounters. This requires critical thinking and a higher level skill set due to the complexity and risk relative to Medicare patients. Quality Officer 3 must also sustain an excellent organizational average accuracy rate. The Quality Officer III also follows adherence to applicable Federal and State Regulations, Compliance Guidelines, and Coding Guidelines set forth by RWJBH, American Hospital Association (AHA) and the American Medical Association (AMA) must be maintained. Qualifications: Required: - HS diploma or GED equivalent - Bachelors degree or equivalent working experience. - 5+ years acute care coding and/or auditing experience with a concentration on inpatient Medicare records is required with a Bachelors degree. - 9+ years acute coding and/or auditing experience required without a Bachelors degree. - CCS required; ICD-I0-CM/PCS proficiency required; - Extensive knowledge of ICD-10-CM/PCS and CPT coding, medical terminology, human anatomy and physiology, clinical indicators associated with disease processes and pharmacology is required. - Knowledge of Medicare and Medicaid billing and coding regulations. Preferred: - Bachelor’s Degree preferred - CPC-H, RHIT, RHIA and/or RN preferred Scheduling Requirements: - Full-Time, Salaried position– 40 hours a week - Remote position, must reside in NJ, NY, or PA. Essential Functions: - Ensures the accuracy and integrity of ICD-10-CM/PCS, CPT coding when applicable and DRG assignment for adherence to Federal and State Regulations and Compliance Guidelines. - Critically analyzes each Medicare inpatient medical record to apply appropriate coding, DRG judgements, SOI, ROM and POA. - Independently manages SMART pending queues for all acute care RWJBarnabas facilities. - Reviews ICD-10-CM/PCS coding and DRG assignment of medical records as flagged by SMART. - Independently manages EPIC SMART WQs to assure proper workflow of identified accounts. - Directs coders with appropriate case-specific recommendations. - Educates and coaches coders in the application of coding principles, code assignment and sequencing, DRG assignment and clinical disease processes. - Coding advice must be clearly and concisely written with appropriate clinical indicators cited. - Additional facilities that may join the System receive the same education and coaching from the Auality Officers to ensure a unified methodology within the RWJBH organization. - This results in improved outcomes in DRG assignment, coder education and DNB lag time within all facilities. - Sustains an excellent organizational average accuracy rate by leveraging advanced knowledge of coding practices leading to exceptional results. - The Quality Officers coding analysis is reviewed by the Coding Specialists on a biannual basis. - The consequences of incorrect judgments affecting the DRG may include an increased monitoring, until quality scores of 90% or better for two consecutive months are obtained. - The consequences of incorrect coding resulting in erroneous DRGs includes under reporting and/or over reporting. - Incorrect coding may result in an incorrect reporting of diagnoses and procedures to the patient s EHR which may affect the patient s future care, insurance claims and coverage. - When accounts are not reviewed and released in a timely manner, there is a detrimental impact to the reimbursement flow for the facility (DNB). - Productivity Standards must be met for all Quality Officers. - Provides Guidance to Quality Officer 1 and 2 as requested. - Independently monitors SMART queues to ensure all records imported by SMART are reviewed and properly directed, with/or without coding or other recommendations, or released to billing as appropriate and within department accepted timelines. - Works as a team with other Quality Officers to ensure SMART review goals are met for all RWJBarnabas facilities. - May review ICD-10-CM/PCS coding associated with RAC audits and/or other additional medical records as needed, and provides appropriate written feedback including rationale, research, and coding guidelines to management and/or the Coding Specialists. - Reviews Discharge Status, Admission and Discharge Dates, and other related demographic information coded and entered by affiliate staff for accuracy and completeness. - Communicates the need for Case Management review to the RWJBarnabas facilities when appropriate. - Reviews Present on Admission (POA) indicators for all diagnosis coded and entered by coders for accuracy and completeness. - Reviews Physician Queries submitted by staff for necessity, accuracy icipates in the review of other payers as directed. - Independently reports problems with any and all computer system to RWJBarnabas IT&S or SMART helpdesk for resolution. - May perform classroom training in ICD-10-CM/PCS and CPT coding for affiliate staff when needed at the internal RWJ Barnabas Coding School which may be held to train new facility coders. - Maintains proper computer and written records of all review activity. - Effectively communicates coding recommendations and rationale to Coding team. - Performs regulatory coding research as needed. - Must have excellent interpersonal, oral, and written communication skills. - Must be capable of critical thinking and analysis and written conveyance of same. - Must have excellent organizational and time management skills. - Must maintain a professional demeanor. - Must be able to work independently and cooperatively with minimal supervision. - Must foster positive relationships with fellow co-workers and the coding team. - May be required to perform other related duties. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our market-competitive Total Rewards package provides comprehensive benefits and resources to support our employees’ physical, emotional, social, and financial health. - Paid Time Off (PTO) - Medical and Prescription Drug Insurance - Dental and Vision Insurance - Retirement Plans - Short & Long Term Disability - Life & Accidental Death Insurance - Tuition Reimbursement - Health Care/Dependent Care Flexible Spending Accounts - Wellness Programs - Voluntary Benefits (e.g., Pet Insurance) - Discounts Through our Partners such as NJ Devils, NJ PAC, Verizon, and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey—whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer

• Draft, review or revise Clinical QA SOPs to assess consistency and compliance with regulatory requirements/internal standards. • Attend cross-functional team meetings and provide guidance to clinical operations staff based on interpretation of current regulations to ensure best practices including risk-based management. • Work closely with Clinical Operations to ensure/coordinate appropriate and complete resolution of findings/non-compliant issues, quality investigations, etc. in a timely manner, including approval of corrective action and preventative action (CAPA) plans, as necessary. • Provide Quality Control (QC) review of clinical protocols, amendments, Informed Consent Forms, Clinical Study Reports and other clinical trial related documents. • Assist and advise with training QA and clinical staff as necessary for GCP. • Identify potential systemic gaps and coordinate with the appropriate stakeholder to ensure timely remediation. • As appropriate, escalate issues of critical non-compliance and/or lack of urgency in remediation to senior management via the Quality Board. • Perform program specific root cause analysis of compliance issues and provide the appropriate metrics for tracking and trending for the overall QA reporting requirements to functional and senior management. • Conduct and/or assist in internal audits (systems, processes, vendors, computer system validation). • Interact with contract auditors in the scheduling process, kick-off meetings with auditors and internal groups, assist in the drafting of audit plans, confirmation letters and agendas, etc. • Identify the need for, conduct and/or assist in external audits (includes, but is not limited to, investigator sites, central IRBs, CROs and clinical labs). • Oversee the audit response process for the Investigator Site and Contract Research Organization (CRO) audits/inspections and ensure acceptability of actions to address findings through the CAPA process. • Assist with inspection readiness, and regulatory inspections as needed. • Other duties and responsibilities as assigned.

• Oversight and Ownership of a Quality System (e.g. Change Control Lead including system and board lead). • Collecting and trending quality metrics. • Assistance and leadership in CCRS, CAPAs, Deviations, SCAR, Complaints, and NCRs and filing completed records. • Partner to provide review and approval of Quality Records. • Participate and contribute in Quality related meetings. • Assist with obtaining documentation and supporting the team during audits. • Work to help schedule Quality Events and Meetings. • Stays current on applicable regulation and guidance from FDA, ISO13485, CLIA, CAP, etc. • This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic) in order to perform the job. • Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire. • Must maintain a current status on Natera training requirements. • Employee must pass post offer criminal background check. • Performs other duties as assigned.

Role Description We are looking to onboard an experienced Senior Test Engineer for an offshore engagement to lead Quality Assurance activities for an AML project. The ideal candidate should be available for immediate onboarding and possess strong expertise in Temenos T24, AML testing, and banking domain processes. Key Responsibilities - Test Planning & Strategy - Develop comprehensive test plans and strategies for FATCA implementation in T24 - Define scope for functional, integration, and regression testing across T24 and channel interfaces - Prepare detailed test cases based on FATCA compliance requirements and interface specifications - Test Execution - Execute functional, integration, and end-to-end testing for T24 modules and connected channels - Validate data flows between T24 and external systems (channels, reporting systems, etc.) - Defect Management - Log, track, and manage defects using standard tools - Collaborate with development teams to ensure timely resolution of issues - Compliance & Quality Assurance - Ensure FATCA rules and reporting requirements are correctly implemented and validated - Interface Testing - Perform testing on channel integrations to ensure data consistency and performance - Reporting & Stakeholder Management - Participate in daily stand-up calls and provide timely updates - Prepare and publish daily status reports - Manage UAT cycles in collaboration with business users Qualifications - 6–10 years of experience in banking application testing - Minimum 3 years of experience in T24 - Prior experience working on AML projects is mandatory - Experience in developing comprehensive test plans and strategies for FATCA implementation Requirements - Core Banking Expertise - Strong hands-on experience with Temenos T24 / Transact - Functional knowledge of key modules such as Customer, Payments (FT/TPH), and Compliance - AML & Compliance Knowledge - Good understanding of AML concepts, KYC, transaction monitoring, sanctions screening, and PEP checks - Exposure to AML regulatory requirements and audit processes - Testing Experience - Hands-on experience in AML testing within T24 (SIT, UAT, Regression) - Ability to design and execute AML test scenarios and validate alerts - Integration & Tools - Experience in testing integrations with AML systems such as Temenos FCM and Ingenuous AML - Experience with external AML system integrations is an added advantage - Channels Experience - Testing experience across Internet Banking, Mobile Banking, Customer Onboarding, Payments, and Oracle HRMS