Title: Coding Denial Analyst Hospital Inpatient Location: Indiana , United States Department : Coding Hospital Location : Work From Home, Indiana Scheduled Weekly Hours : 40 Shift : Day Schedule : Regular Full time Work From Home : Yes Job Description: Work From Home Work From Home Work From Home, Indiana 46544 The Hospital Inpatient Coding Denial Analyst is responsible for addressing coding related denials across Franciscan Alliance. Additionally, the Coding Denial Analyst monitors denial results and notifies Coding Leadership of any identified trends. WHO WE ARE With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. WHAT YOU CAN EXPECT - Develops and submits well-supported appeal letters related to coding denials utilizing excellent written and communication skills. - Reviews, researches, and responds to inquiries, denial management, and follow-up questions, according to Coding Department approved resources. - Reviews and processes claims and edits for accuracy and insurance and coding compliance. - Utilizes official coding guidelines and follows established policies and procedures, to determine accurate code selection based upon documentation in the medical record. - Acts as a subject matter expert for coding, billing and payer edits and denials. - Assesses and ranks denials priority to align with Rev Cycle goals. - Assesses denial and takes action to adjust claim data and resubmit corrected claim, prepare and coordinate appeal response, and prepare avoidable write off documentation. - Collaborates with coding leadership, to improve key performance indicators through trending denials. - Coordinates timely response to denials, reaching out to other Franciscan Alliance departments, as well as payers when necessary through denial resolution. - Recommends improvements/adjustments to workflow and system build in response to changes in reimbursement methodology, coding guidelines, regulatory standards, or department workflow changes to prevent denials. QUALIFICATIONS - Associate's or Bachelor's Degree for Health Information Management - Preferred - High School Diploma/GED - Required - 3 years Coding - Required - 1 year Coding Denials/Payer Experience - Preferred - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Required - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Preferred - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - Preferred TRAVEL IS REQUIRED: Never or Rarely JOB RANGE: Coding Denial Analyst - Hospital Inpatient $51001.60-$75868.00 INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.

Title: Systems Application Analyst II Location: United States Contract $33.30 - $41.63/hr 1st Shift This position requires rotating 24X7, 365 on-call support Develops computer systems specifications that address business requirements and that fit with the company's system architecture standards. Establishes and documents system parameters and formats, ensures hardware and software systems compatibility and coordinates and/or modifies system parameters in terms of existing and projected computer capacity and capabilities. Revises existing systems and procedures to correct deficiencies and maintain more effective data handling, conversion, input/output requirements, and storage. - Oversight and maintenance of the Master Schedule in Control-M, which houses all jobs to run in batch mode on multiple platforms, while maintaining balance based on priorities, available resources and cross-platform dependencies and development of schedule for all workloads. -Schedule impact analysis as well as suggestion and provision of alternative scheduling scenarios. Coordinate all aspects of scheduled maintenance efforts by meeting the objectives of production functional requirements, as well as the requirements produced by system hardware/software maintenance personnel. Implementation and delivery of efficient and accurate operational processes, within adherence to corporate and sector policies, initiatives, and directives. -Analysis, monitoring, and resolution of job schedule anomalies. -Maintenance of scheduling and control procedures, processes and conventions, including preparation and maintenance of all auditable documentation as well as updating changes as they occur and assuring compliance. -Maintenance of the Production On-Call and Documentation system. -Supports processing of ad-hoc jobs and tasks for recovery, holidays, and other special processing. What are the top 3 skill sets you are looking for in an ideal candidate? Systems Application Analyst 2 • Quick Learner and self-starter (working under limited supervision) • Effective problem-solving and attention to details • Works well under pressure, while multi-tasking Special Requirements: Systems Application Analyst 2 • Experience with Scheduling and monitoring tools such as Control-M, Tivoli and Network Manager or equivalent. • Ability to work with systems that process on multiple platforms, for example UNIX and Windows. • Knowledge of networking and distributed computing concepts. • Scripting tools and program languages, such as UNIX scripting, Perl, Visual Basic a plus. • Familiarity with a ticketing system (i.e., SMAX, HPSM). • Good verbal and written communications required for gathering/supplying details about job failures from/to analysts and communicating with management and team leads. Basic Qualifications: Systems Application Analyst 2 Bachelors Degree and 2 years of experience. Masters Degree and 0 years of experience. 4 years of related exempt experience can be substituted for Bachelors degree. 8 years of non-related exempt experience can be substituted for Bachelors degree. Meet Your Recruiter Digvijay Singh About Newport News, VA Ready to discover exciting job opportunities in the vibrant city of Newport News, Virginia? Nestled along the picturesque shores of the James River, Newport News offers a perfect blend of historic charm and modern amenities. Known for its thriving aerospace industry, top-notch healthcare facilities, and proximity to renowned historical sites like the USS Monitor Center and the Virginia War Museum, Newport News is a hub for career growth and cultural exploration. With its diverse culinary scene, local art galleries, prestigious theaters like the Ferguson Center for the Arts, and beautiful parks such as Newport News Park, this area has something for everyone. Explore our job listings today and embark on a fulfilling career in this enchanting region! EEO Statement: Apollo Professional Solutions, Inc. is an equal opportunity employer. We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, marital status, age, national origin, ancestry, disability status, medical condition, pregnancy, genetic information, protected veteran status, gender, sexual orientation, gender identity or expression, or any other status or characteristic protected under federal, state, or local law.

• Work with the Sales Teams in building price quotes for customers, including our largest and most strategic accounts • Analyze deal margins and competitive positioning to ensure we are winning deals and market share without sacrificing long-term financial health. • Actively collaborate with Operations, Finance, Legal, Product and Pricing teams to optimize the on-boarding experience of customers • Help drive the adoption of CPQ, the Sales self-service quoting tool in SFDC. • Transform raw deal data into actionable insights, identifying pricing trends and competitive shifts to influence Vonage’s global pricing strategy. • Streamline and improve business practices, including tools, templates and processes, to increase the efficiency of the Deal Desk team • Train and advise Sales and any other stakeholders on pricing, quoting, on-boarding process and commercial best practices • Define and manage projects to deliver further operational efficiencies and deal velocity.

Title: Revenue Integrity Charge Analyst Location: Richmond United States Job Description: This position will require up to 60% travel. This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Revenue Integrity Charge Review Analyst you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications The Revenue Integrity Charge Review Analyst is responsible for determining and identifying variations in daily total charges across all hospital revenue generating departments. Monitors daily ancillary charge report to identify any potential charging issue related to system failures, system updates or other. Reviews denial trends for documentation and charging opportunities. Serves as a liaison between facilities Administration, Shared Services Center, and ancillary department directors regarding total charge variations and revenue opportunities. In this role you will: - Conduct reviews of charging, coding, and clinical documentation, collaborating with Corporate Revenue Integrity Leadership during Meditech Expanse implementation. - Maintains constant communication with Facility Departments during Meditech Expanse implementation to address identified charging issues, both prior to and after go-live. This role ensures the Facility CFO is regularly updated on the progress of charging activities. - Perform detailed charge audits by verifying billing data against clinical documentation, making necessary corrections in Patient Accounting. Based on audit findings, present recommendations to Corporate and SSC Revenue Integrity Leadership, as well as facility ancillary department directors, to enhance documentation accuracy, charging workflows, and overall compliance. - Collaborates with Facility Department Directors in developing chargemaster and charging practices for new service lines or procedures, following approved standardization guidelines. Monitors charging practices post-implementation to offer targeted guidance and support. - Consistently monitors charging practices across all facilities through charge reviews, remedial training, and education. - Acts as Chargemaster liaison for clinical departments to facilitate education on appropriate charging of CPT codes and Revenue Codes. Collaborates with Ancillary Departments to resolve issues and coordinate necessary updates (activation, deactivation, or modification). - Review HCA regulatory communications, applicable CMS transmittals, and Local Coverage Determinations (LCDs), assess their impact on Revenue Integrity procedures, and implement necessary changes. - Maintain up-to-date billing knowledge through webcasts and conference calls, ensuring continuous education. - Possess working knowledge of Medicare guidance, inpatient/outpatient status, and observation requirements. - Knowledge of Revenue Cycle Pro, 3M Coding systems, and 3M Coding Resources. - Participates in charge optimization projects and supports the Corporate Revenue Integrity team on special projects, charge reviews, and patient audits as needed. Qualifications that you will need: - Associate Degree or above; or healthcare license/certification required. - Minimum 1 year directly related Healthcare experience or coding experience required. - Knowledge of CPT/HCPCS codes or experience in charging or performing charging validation reviews preferred. - Healthcare certification/licensure such as RHIT, CCS, CCP,CPC or other recognized AHIMA certified coding credential, LPN, LVN, RT, PT, etc., can be accepted lieu of degree with work experience. Benefits Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: - Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services - Wellbeing support, including free counseling and referral services - Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence - Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling - Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing - Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll, and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers, and their communities. HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Revenue Integrity Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.