• Conduct detailed home health and hospice pre-billing reviews to support Portfolio partners and their agencies. • Identify discrepancies, missing information, and opportunities for documentation improvement. • Utilize information gathered to provide education and facilitate alterations to the HCHB documentation, and process improvements to prevent recurrence. • Direct agencies to use documentation data outcomes for QA improvements. • Ensure documentation accurately reflects the patient’s clinical status and the care provided. • Set up meetings with clinical leaders to provide education, highlight findings, and make documentation recommendations. • Stay current with practices in both home health and hospice fields and suggest educational and resource materials which would be beneficial to the staff. • Recommend new approaches to on-going continued improvements to policies, procedures, and documentation. • Identify trending issues and share them with the team and the clinical leaders. • Stay up to date with all federal, state, and local regulations, as well as organizational policies and procedures to ensure compliance. • Work within and be comfortable with HCHB, PDF-Xchange, Excel, and Smartsheet.

Role Description Under the direction of CDI Manager, the Clinical Documentation Specialist reviews medical records to facilitate accurate and complete medical record documentation to reflect clinical treatment, decisions, and diagnoses used for measuring and reporting hospital and physician outcomes. Accurately identifies additional documentation opportunities and places appropriate queries and/or communicates with physicians, coders, and other health team members for documentation improvement. Works independently and works primarily in an approved remote home work environment. - Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. - Accurately reviews medical records concurrently for completeness in documentation of diagnostic and procedural information for compliance to CMS, DOH regulatory, and financial requirements. - Assures documentation of diagnoses, procedures, co-morbid, and complication conditions are reflected on the medical record to support proper severity of illness, intensity of service, and risk of mortality classifications and designated quality reviews. - Prepares well written and compliant queries to communicate with physicians and other providers regarding missing, incomplete or clarifying information needed in the medical record. - Works closely with coding staff to assure that documentation of discharge diagnosis and any co-existing co-morbidities are a complete reflection of the patient’s clinical status and care. - Interacts and continuously educates physicians, nurse practitioners, and physician assistants. - Provides real-time intervention/education when needed to promote correct coding, regulatory compliance, and correction of documentation deficiencies. - Competent in utilizing all computer applications, e.g., Epic EHR, 3M DRG, MS Office. - Maintains productivity expectations and accurately records activity in CDI software tracking tool. - Demonstrates working effectively and independently in a remote home work environment, and effectively troubleshoots systems issues in accordance with department policy and procedures. - Tracks and trends issues identified during concurrent reviews. - Attends department meetings and actively contributes to the continued improvement and success of the department and the hospital. - Attends continuing education meetings, in-services, and training sessions related to coding and CDI to maintain skills and stay abreast of coding guideline changes and best practice CDI processes. - Demonstrates initiative, judgment, and creative ability in performance of job duties. - Identifies problems with process and suggests possible solutions. - Functions in a professional, efficient, and positive manner. - Performs other duties and assignments as necessary. Qualifications - Bachelor of Science in Nursing - Bachelor of Science in Health Information Management or related field - Certification, Associate or Bachelor in other healthcare related field with experience noted below Requirements - CCDS, CDIP certification preferred - RN/BSN preferred - RHIA, or RHIT with CCS, MD or DO will be considered - CCDS within 6 months of hire for eligible candidates - Maintenance of appropriate registration/certification - Responsible for tracking Continuing Education credits to maintain professional credentials if applicable Experience Requirements - Working knowledge of Medicare reimbursement system and coding structures preferred - 5 years of Critical Care/Emergency medicine or 5 years of Medical Surgical Experience preferred - 2-3 years Clinical Documentation Improvement experience or 5 years of Coding experience preferred - MD/DO with two years of experience as a concurrent or retrospective coder or documentation specialist in an inpatient acute care facility using the United States IPPS system will be considered Benefits - Comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, and tuition assistance. - Access to voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. - Tuition discounts at Thomas Jefferson University after one year of full-time service or two years of part-time service. - Access to medical (including prescription) insurance for all colleagues, including those who work less than part-time.

Certification Specialist Location: United States Working time: Full-time Job Description: Description & Requirements At Maximus, the Certification Specialist serves as a key point of contact for certification operations, partnering with internal technology teams, business stakeholders, and external entities to ensure certification requirements are met. This role supports certification workflows, documentation, and system enhancements while ensuring accuracy, compliance, and adherence to regulatory timelines. This is a fully remote position. Requires 25% travel. * Why Join Maximus? - Competitive Compensation - Bonus opportunities based on performance. - ️ Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - ️ Unlimited Time Off Package - Enjoy UTO, Holidays, and sick leave, - Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - Tuition Reimbursement - Invest in your ongoing education and development. - Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - Professional Development Opportunities- Participate in training programs, workshops, and conferences. Essential Duties and Responsibilities: - Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects. - Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques. - Assist in establishing standards for information systems procedures. - Develop solutions to a variety of complex problems. - Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses. - Follow Information Management guiding principles, cost savings, and open system architecture objectives. Key Responsibilities - Serve as a point of contact for certification operations, collaborating with internal business partners, technology teams, and external stakeholders. - Apply business process improvement and re-engineering methodologies to certification workflows to improve efficiency, accuracy, and compliance. - Guide application development and operations teams in preparing and gathering required documentation to meet certification requirements - Support the implementation of technology and system enhancements related to certification processes, ensuring milestones and deliverables are achieved on schedule. - Track, and monitor certification service requests, issues, and change requests, communicating status and impacts to stakeholders as needed. - Collaborate closely with application development and operations teams to ensure appropriate resources are available to meet certification and regulatory-driven timelines. - Ensure certification-related documentation, including functional specifications, procedures, testing documents, -user guides, and training materials meet certification requirement - Participate in internal and external meetings to represent the organization in addressing certification requirements, risks, and stakeholder needs. Minimum Requirements - Bachelor's degree in related field. - 5-7 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. Program Specific Requirements - Bachelor's degree in a related field (or equivalent experience) - 1-3 years of experience in business analysis, certification operations or systems implementation - Demonstrated experience participating cross-functional initiatives or workstreams - Experience supporting technology solutions, including requirements, testing, and implementation. - Strong analytical, documentation, and stakeholder communication skills - Experience in regulated, shared service. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Minimum Salary $ 80,000.00 Maximum Salary $ 110,000.00

Provide exceptional customer service while maximizing sales through product expertise. Coach and develop new team members, fostering their retail skills and product knowledge to enhance overall store performance.