• Work Remote Position at the direction of the Regional Manager, Clinical Documentation Integrity (CDI) supervising daily operations of the CDI program. • Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. • Responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. • Ensures that defined goals are accomplished utilizing timely and compliant processes. • Assists with policy and education development on the use of guidelines and proper documentation requirements as it relates to reimbursement and clinical data quality management. • Provides quality and productivity monitoring; coordinates and participates in performance improvement initiatives. • Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets. • Responsible for scheduling and work assignments for colleagues. • Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record.

Role Description We are seeking an experienced Epic Clin Doc Analyst to support, maintain, and enhance the Epic Electronic Health Record (EHR) system for clinical documentation workflows. - Support and build Epic Clinical Documentation workflows including nursing, therapies, behavioral health, and long-term care. - Gather requirements, analyze workflows, and implement Epic configuration changes. - Perform testing, troubleshooting, upgrades, and end-user support. - Provide training and support during go-live activities. - Collaborate with cross-functional Epic teams to ensure seamless workflow integration. Qualifications - Epic Clin Doc Certification (Required) - 7+ years of Epic implementation/support experience - Strong knowledge of healthcare clinical documentation workflows - Experience with Epic configuration and workflow analysis Requirements - Epic Behavioral Health (BH) and/or Long-Term Care (LTC) Certification - Previous experience as an Epic Clinical Documentation Analyst/Builder in a healthcare environment

Title: Documentation Specialist Location: United States Remote Category Administrative Support Job Type Full-time Job Description: Typical Pay/Range $17.75 Hourly Red Peack Technical Services, LLC a subsidiary of Alutiiq, LLC has an opportunity for a Document Specialist. The entry level Documentation Specialist to be a part of the technical manual update (conversion and sustainment) teams; this is a remote position within Eastern NC area within one (1) hour of Havelock, NC. This individual will incorporate data into new or existing technical publications using various software programs and specifications. - Incorporating source data into new or existing technical publications using various software programs (MS Word, PTC Arbortext, Adobe Acrobat) - Digitizing data from paper format - Formatting data to meet various military specifications (MIL-DTL-81927, MIL-STD-3001, and S1000D) - Proofing the data to ensure all information was incorporated accurately - Preparing the technical manual update for quality assurance review - Reading and interpreting military and commercial specifications and be able to apply them to the technical manuals. Payrate: $17.75 Hourly REQUIRED QUALIFICATIONS AND EXPERIENCE: - Requires a high school diploma or GED. - Candidates must have a minimum of two years' data entry and software experience. - Must have proficient, working knowledge of data entry and word processing (using MS Word or comparable word processing software and Adobe Acrobat). - Must have strong proofing skills with attention to detail. - Must have the ability to follow oral and written directions and processes. - Must be willing to learn additional software (graphics software, XML authoring, PTC Arbortext, etc.). - Must be able to work in a high-paced environment and stay on task to meet assigned deadlines. - Must be able to work 40 hours per week on a consistent basis. - Must be an U.S. citizen. - Familiarity with military technical publications is a plus. - Experience in and proficient using MIL-DTL-81927, MIL-STD-3001, and S1000D specifications is preferred. Afognak Native Corporation and Afognak's direct and indirect subsidiaries, partnerships, joint ventures and affiliates to include Alutiiq, LLC; Afognak Commercial Group, LLC; Alutiiq Professional Consulting, LLC; and each of their respective domestic and foreign, direct and indirect subsidiaries, partnerships, joint ventures and affiliates are equal opportunity employers that do not discriminate on the basis of actual or perceived race, color, religion, national origin, citizenship status, age, sex (including pregnancy, childbirth, related medical conditions and lactation), sexual orientation, protected veteran status, disability, genetic information, or any other characteristic protected by applicable federal, state or local laws (collectively, "Protected Status"). The pay range information provided is a general guideline. The pay rate offered will be determined based on the candidate's experience and qualifications, as well as geographic locations, market data, and other business considerations, as permitted by law. Our full range of benefits include medical, dental, vision, disability protection, life insurance, prescription coverage, voluntary benefits, paid leave, and 401(k) retirement. Positions covered by the McNamara O'Hara Service Contract Act (SCA), Davis-Bacon Act (DBA), or a Collective Bargaining Agreement (CBA), or Fair Labor Standards Act (FLSA) will comply with the statute or CBA requirements as well as other client-customer contract requirements (all benefits are subject to eligibility requirements).

Title: Sr. Virtual Utilization Review Specialist Location: Oregon and Alaska Remote Full time Job Description: Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: - Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. - Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. - Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: - Bonus Incentives - Paid Certifications - Tuition Reimbursement - Comprehensive Benefits - Career Advancement This position pays: - RN pay scale $39.40 - $53/hrbased on experience - LPN pay scale $32.65 - $46.90/hrbased on experience Must have current unrestricted LPN or RN compact licensure and willing to obtain single state licensure in Oregon and Alaska​. We are seeking Senior Virtual Utilization Review Specialists in Pacific Time and Mountain Time to join our team. The schedules we are offering include: Weekday work schedule: - Three - 12 hour shifts per week with rotating weekends and holidays - Training will be Monday - Friday, 8 hour shifts Essential job function include: Resource Utilization - Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services - Initiates appropriate referral to physician advisor in a timely manner - Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team - Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers Medical Necessity Determination - Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location - Provides inpatient and observation (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission - Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed - Collaborates with the in-house staff and/or physician to clarify information, obtain needed documentation, present opportunities and educate regarding appropriate level of care - Collaborates with the financial clearance center, patient access, financial counselors, and/or business office regarding billing issues related to third party payers Denial Management - Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when necessary and when assigned and maintains documentation relevant to the appeal process. - Maintains appropriate information on file to minimize denial rate - Assist in recording denial updates; overturned days and monitor and report denial trends that are noted - Monitor for readmissions Quality/Revenue Integrity - Demonstrates active collaboration with other members of the health care team to achieve the outcomes management goals including CMS indicators - Accurately records data for statistical entry and submits information within required time frame - Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle workflow - Accurately records data for statistical entry and submits information within required time frame - Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care management - Second-level physician reviews will be sent as required and responses/actions reflected in documentation Facilitation of Patient Care - Prioritizes patient reviews based on situational analysis, functional assessment, medical record review, and application of clinical review criteria - Collaborates with the in-house care manager Maintains rapport and communication with the in-house care manager Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignment - Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures Communication - Directs physician and patient communication regarding non-coverage of benefits - Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration - Educates hospital and medical staff regarding utilization review program. - Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis - Voicemail, Skype, and email will be utilized and answered in timely fashion. Hospital provided communication devices will be used during work hours. - Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements - Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made Team Affirmation - Works collaboratively with peers to achieve departmental goals in daily work as evidenced by appropriate and timely communication which is respectful and clear. Sensitive to workload of peers and shares responsibilities, fills in and offers to help - Actively participates in departmental process improvement team; planning, implementation, and evaluation of activities - Provides back-up support to other departmental staff as needed Other Job Functions - Complies with FCC and department policies and procedure, including confidentiality and patient’s rights. - Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities (i.e., medical necessity criteria, MS-DRGs, POA). - Actively participates in departmental meetings and activities. - Participates in FCC and community committees as assigned. - Actively participates in conferences, committees, and task forces as directed by the FCC division. - Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Experience: - Bachelor's Degree or equivalent experience; Specialty/Major: Nursing or related field - Must have current unrestricted LPN or RN compact licensure and willing to obtain single state licensure in Oregon and Alaska​ - Three years nursing experience in an acute care environment preferred - Utilization review/discharge planning experience preferred - Recent experience or working knowledge of medical necessity review criteria preferred - Current working knowledge of quality improvement processes Other Knowledge, Skills, and Abilities Required: - This is a remote role which requires access to high speed internet - Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues - Commitment to exceptional customer service at all times - Communicate ideas and thoughts effectively verbally and in writing - Strong clinical assessment, organization and problem-solving skills - Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes - Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment - Resourceful and able to work independently - Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences - This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require #LI-LS1 #LI-Remote Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 - Innovation - Work-Life Flexibility - Leadership - Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: - Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. - Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. - Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. - Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.