Director of Clinical Documentation Improvement

 Director of Clinical Documentation Improvement

Location: Good Samaritan Hospital, West Islip, NY

Good Samaritan’s reputation for excellence in nursing is built on great choices and empowered leadership.  As a Magnet designated hospital, Good Samaritan fosters a nursing team that’s focused on evidence based practice, continual learning and exceptional quality of care.  You’ll discover more ways to advance your nursing career; including funding for certification preparation and exams, and a clinical ladder that recognizes education and accomplishment.

Position Summary:
Reporting to the CFO, will be responsible for directing the operations of the Clinical Documentation Program at Good Samaritan Hospital. Oversees and facilitates modifications to clinical documentation through extensive interaction with attending physicians, nursing, other caregivers (PA’s, NP’s and Hospitalists) and HIM coding staff to ensure appropriate reimbursement is secured.  Coordinates the implementation of ICD 10 requirements, and plans and implements a physician education and engagement program.
Current NYS RN license with a Bachelor degree in an appropriate health care field required.  Must be able to coach, educate and participate with organizational initiatives.  DRG revenue cycle management experience required.
Please apply online at: 
http://goodsamaritan.chsli.org/index.php/career-opportunities

Posted 01/27/2012

Lehigh CFO

 Witt / Kieffer has been engaged by Lehigh Valley Health System to help them identify a very seasoned and strategic Chief Financial Officer.  This health system is a very successful organization with a long history of service and excellence. Its physician driven nature postures it for great success in the changing health reform world.

Interested candidates should have system experience, extensive senior level strategic finance experience in competitive markets, and be strong team players.

Resumes should be sent (with preference for email correspondence) to LehighCFO@wittkieffer.com.

 

Posted 01/27/2012

Healthcare Audit Senior Manager

 AUDIT SENIOR MANAGER (Healthcare):

 Do you want more work life balance, but also want to be part of a large dynamic firm based in the Seattle area with the opportunity for advancement to Partner? 

We are looking for a talented individual that has experience performing independent financial statement audits of hospitals to join our growing healthcare practice.  We currently work with many of the top healthcare organizations in the region, including hospitals and health systems, small and large clinics, community health centers, physician groups, HMO’s, PPO’s, provider care, managed care, behavioral health organizations, not-for-profit and for-profit retirement centers, continuing care retirement centers, assisted-living facilities, skilled nursing facilities, freestanding and hospital-based home health agencies, Biotech, BioPharmaceutical and surgery centers. 

Hospital independent financial statement audit experience is a must. We are offering the opportunity for an enthusiastic, entrepreneurial audit professional with 8+ years of recent public accounting experience performing independent financial statement audits of hospitals to join our team. Excellent technical and supervisory skills, Bachelors of Accounting Degree and a CPA License are required. Will also exemplify values of honesty, integrity and quality, as well as a commitment to excellent client service.

To apply go to the following link: https://www.clarknuber.com/careers/job19.php

 

 
Posted 01/27/2012

Administrative Director (BHSL)

 

Unmatched Behavioral Health Services:
Administrative Directors Make It Possible

At NewYork-Presbyterian, New York’s #1-ranked hospital (U.S.News & World Report, 2011), we’re boldly shaping the future of compassionate behavioral health services. Programs like the Brain Stimulation Service, the Center for Light Treatment, the College Student initiative and more indicate a visionary, real-world approach to care. We’re home to a nationally renowned geriatric research initiative, and we strive to continually grow our services to meet the ever-changing needs of our communities. 

Now, you can help Make It Possible:

Administrative Director – Behavioral Health Service Line

Lead the development and implementation of strategic plans for our Behavioral Health Service Line to ensure the delivery of high-quality, cost-effective care. Guide the evolution of services and revenue streams to capitalize on opportunities presented by local, state and national healthcare reform initiatives. Supervise and evaluate the performance of all support staff. Continuously recommend service line improvements.

Qualified candidates have a Master’s degree in Business Administration (or an equivalent combination of education and experience) and at least seven years of experience in a supervisory role. Prior experience in behavioral health is ideal.

Become part of a culture where patient and employee satisfaction scores are at all-time highs. Enjoy benefits like hospital housing, hospital retirement contributions, tuition reimbursement, financial planning assistance and more.
__________________

Behind every patient success story—before every clinical breakthrough—stands the unparalleled team of professionals at New York’s #1 hospital.

With leading specialists in every field of medicine, the advances pioneered at NewYork-Presbyterian Hospital (NYP) have improved the lives of people everywhere. Uniting the power of two renowned medical centers—NYP/Columbia University Medical Center and NYP/Weill Cornell Medical Center—we deliver the highest level of inpatient, ambulatory and preventative care.

Be one of the people who Make It Possible.

#1 in New York. #6 in the Nation. – U.S.News & World Report, “America’s Best Hospitals 2011”

Discover why we’re #1 in New York—an unparalleled pursuit of excellence and the widest array of choices for your career. Learn more about what we can offer you at: www.ecentralmetrics.com/url/?u=8824851408-356

NewYork-Presbyterian Hospital is an equal opportunity employer.
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Posted 01/10/2012

Hospital Coding Compliance Auditor

Location: Melville, NY

Department: Internal Audit & Compliance

Catholic Health Services of Long Island is a highly regarded financially sound healthcare system that includes six acute care hospitals and a Continuing Care division comprised of three nursing homes, a regional home care and hospice network and a community-based agency for person with developmental needs.

Position Summary:

Under the direction of the Director of Compliance, the Hospital Coding Compliance Auditor shall be primarily concerned with performing reviews to determine the accuracy of inpatient and hospital-based outpatient coding for Catholic Health Services of Long Island and it’s System Affiliates (collectively CHS). As a member of the internal audit and compliance department, he/she shall not have any direct responsibility or authority over any of the activities or operations that he/she reviews.  In accomplishing the compliance function, the Vice President of Internal Audit and Compliance and his/her staff is authorized to have full, free and unrestricted access to all CHS activities, records and personnel in accordance with approved compliance and audit programs.

Duties/Responsibilities:

Coordinate and perform educational training programs consisting of appropriate documentation guidelines and accurate coding to all appropriate personnel, including coding staff, physicians, billing personnel and ancillary departments.  Conduct regular audits and coordinate the monitoring of coding and documentation accuracy; reviewing claim denials and rejections pertaining to coding and medical necessity issues. When necessary, assist in the implementation of corrective action plans, such as educational programs, to prevent similar denials and rejections from recurring.

 

 
Posted 12/31/2011

Senior Financial/Reimbursement Analyst

Location: Rockville Centre, NY

Department: Finance

Catholic Health Services of Long Island is a highly regarded financially sound healthcare system that includes six acute care hospitals and a Continuing Care division comprised of three nursing homes, a regional home care and hospice network and a community-based agency for person with developmental needs.

POSITION SUMMARY:

Responsible for assisting in the cost report and annual operating budget preparation, monthly revenue proof analysis, and financial analysis. Must have excellent communication, interpersonal, leadership, organizational skills and possess the ability to multi-task.

DUTIES/RESPONSIBILITIES:

1. Assistance in preparation of the ICR, HCFA 2552, RHCF4 and HCFA 2540-96 and other required third party reporting obligations.
2. Provides support and work papers for the annual cost report desk audit.
3. Assist in reviews of Medicare settlements for accuracy and formulate appeals when necessary.
4. Assists in the preparation of all third party rate calculations.  Identify errors and notified director if any appeals with third party regulators are necessary.
5. Assists in the preparation of the year-end and interim “Due to Third Party Payors” work papers for financial statement purposes.
6. Coordinates and summarizes physician time studies.
7. Assists in the preparation of the Long Term Home Health Care cost report.
8. Prepares surveys for internal and external sources.
9. Assists the patient account department with rates and remittance variances.
10. Assist in the preparation of the annual operating, revenue and capital budget.
11. Assists in the preparation of the IRIS reporting requirement and all GME preparation.
12. Provides support to the Vice President-Finance, AVP-Financial Planning for CHS Services, Inc and support to the CFO of Good Samaritan Hospital.
13. Assists in special projects as assigned.

Please apply online at:  https://www.healthcaresource.com/chslivilla/index.cfm?fuseaction=search.jobDetails&template=dsp_job_details.cfm&cJobId=642654

 

Posted 12/31/2011

Financial Counselor

 

HCE LLC- located in Manhattan, New York, provides Medicaid eligibility services to the New York metropolitan area. The firm’s clients range from independent health care providers to major medical systems. HCE maintains a consistent reputation for superior results and client-focused services, and has done so for the past seventy years.  The firm is currently seeking Financial Counselors to join our firm for assignment to a Westchester County engagement.

Description
The successful Financial Counselor, under general supervision, will interview patients and/or their relatives to evaluate the patient’s insurance coverage, if any; evaluate eligibility for various government insurance programs such as Medicaid, Child Health Plus, Family Health Plus, etc.  Work also involves establishing relations with providers including Blue Cross/Blue Shield, Workers Compensation, private insurance carriers, Medicare, and Medicaid to verify patient’s eligibility for coverage. Performs related duties as required.

Duties

• Interviews patients at bedside and post discharge to determine insurance coverage,  and to secure all required signatures and authorizations
• Obtains pertinent data regarding insurance or Medicaid coverage in accordance with established procedures
• Develops applications for Medicaid coverage for patients in need of coverage to pay hospital bill
• Interacts with local county Social Services Departments to process and verify eligibility of patients for Medicaid
• Prepares payment plan if appropriate
• Refers to clinic and admission records and other related forms to provide insurance carriers and third-party reimbursement agents with complete data to complete billing process
• Confers with physicians or other hospital staff members to collect information and appropriate forms required for submission to Medicaid and other third-party payers
• Reviews denial of benefits from Medicaid or third-party payers and takes action to appeal on behalf of patient
• Takes appropriate action to collect unpaid bills, either directly via a payment plan, or through referral to a collection agency
• Uses computer applications or other automated systems such as spreadsheets, word processing, calendar, e-mail and database software in performing work assignments
• Accesses protected health information (PHI) in accordance with departmental assignments and guidelines defining levels of access (i.e. incidental vs. extensive)
• May perform other incidental tasks as needed

 

Qualifications

Please send all inquiries/questions, resumes and cover letters to johnabitabilo@mcbeeassociates.com or via fax at 610-964-0870.  No agency calls please.

Posted 12/31/2011

Medicaid Representative

HCE LLC- located in Manhattan, New York, provides Medicaid eligibility services to the New York metropolitan area. The firm’s clients range from independent health care providers to major medical systems. HCE maintains a consistent reputation for superior results and client-focused services, and has done so for the past seventy years.  The firm is currently seeking a Medicaid Representative to join our practice.

Description
The successful Medicaid Representative will be responsible for working with Clients to determine Medicaid eligibility, as well as visiting patients and assisting them in the preparation of detailed applications.  This position also works directly with local Medicaid programs on city, county and the state level, to resolve issues that may arise in the application process, and requires an in-depth understanding of Medicaid programs in order to effectively utilize resources and to conduct external research to identify alternate funding sources as appropriate.

•Collect enrollment information from Clients as needed.
•Verify Medicaid benefits eligibility.
• Perform financial and demographic registration for Medicaid eligible clients.
• Research and resolve eligibility issues.
• Perform accurate data entry of enrollment information  
• Educate Clients  and patients on their financial liability.
• Demonstrate excellent customer service skills, answering and responding to Clients and telephone calls in a courteous and professional manner.
• Know, understand and comply with federal and state regulations including but not limited to HIPAA.
• Maintain client confidentiality at all times.

Qualifications
• High School diploma or equivalent required
• Prior experience with hospital or local Social Services District Offices
• Medicaid Eligibility background required
• Basic computer skills
• Willingness to travel to applicant homes and social service district offices as well as work from home
• Excellent interpersonal and communication skills
• Bilingual/Spanish preferred

Please send all inquiries/questions, resumes and cover letters to johnabitabilo@mcbeeassociates.com or via fax at 610-964-0870.  No agency calls please.

Posted 12/31/2011

ASSOCIATE CLINICAL CONTROLLER Wake Forest Baptist Health (Formerly Wake Forest University Baptist Medical Center)

Williams, Roberts, Young Inc has been retained by Wake Forest Baptist Health to identify an Associate Clinical Controller.  Successful candidate will lead and develop professional staff while designing the future state corporate structure needed for centralizing all accounting for the health system.  Additionally, role will be responsible for establishing an effective and timely clinical financial reporting and analysis function.  In addition, will also serve as the key departmental liaison for the health system.  Position will report directly to the Associate Vice President and Controller.   This role will be second in a leadership position.  Other areas:

Position will require five to ten year’s experience with hospital accounting in an academic medical center or hospital environment.  Requires expertise in the following areas:  financial reporting, clinical net revenue, systems interface, cost reporting.  Undergraduate degree and CPA & MBA preferred.  Compensation $150K – 180K (DOE).

For consideration please forward your resume to Leigh Burton with Williams, Roberts, Young Inc.  leigh@wry.com

 Wake Forest Baptist Health is located in Winston-Salem, NC is  one of the nation’s preeminent academic medical centers, is an integrated health care system that operates 1,056 acute care, rehabilitation and long-term, psychiatric care beds, outpatient services and community health and information centers.   It employs over 11,000 professionals.  The Medical Center has 22 subsidiary or affiliate hospitals and operates more than 100 outreach activities throughout the region, including satellite clinics, health fairs, consulting services and medical director services. It provides a continuum of care that includes primary care centers, outpatient rehabilitation, dialysis centers, and home health care.

Posted 12/21/2011

Assistant Manager – Managed Care

In the most recent U.S.News & World Report “America’s Best Hospitals” issue, Hospital for Special Surgery was
ranked #1 for Orthopedics and #2 for Rheumatology in the nation. In addition, the American Nurses
Credentialing Center has honored HSS with three consecutive designations of Magnet® recognition. We
provide world-class patient care with a world-class team.

As the Assistant Manager of Managed Care, you will oversee the Financial Assistant Program and assist in managing the Insurance Advisory Service. You will be responsible for maintaining Access database activity, tracking patient calls/emails and processing applications as needed. You will also investigate patients by using online payer tools to respond to patient benefits questions and estimate out-of-pocket expenditures. You will also be responsible for monthly, quarterly and annual tracking of statistics. In addition, you will update policies, procedures and packages to assure compliance with all regulatory requirements.

The successful candidate will possess a Bachelor’s degree coupled with a minimum of five to seven years of experience in a healthcare environment (supervisory experience highly desirable). Experience with and understanding of health plan benefits plans as well as knowledge of hospital operations and patient accounting is also required. The ability to work both independently and collaboratively and meet strict deadlines will be vital to your success. Exceptional organizational skills and attention to detail are necessary. Proficiency with Microsoft Office, Excel and Access is preferred.

For more information about our mission and this career opportunity, visit our website: www.hss.edu

Equal Opportunity Employer

Posted 12/14/2011

Assistant Director – Financial Planning

 

Nassau and Suffolk Counties, New York

Catholic Health Services of Long Island is a highly regarded financially sound healthcare system that includes six acute care hospitals and a Continuing Care division comprised of three nursing homes, a regional home care and hospice network and a community-based agency for persons with developmental needs.

Reporting directly to the AVP of Financial Planning, this position provides support for various Budget, Reimbursement and Financial Planning activities including:

• Production of monthly statistical and operating indicators as part of monthly F/S process.
• Technical and program administrative resource for System operating and capital budgeting software.
• Consolidation and technical review of System budgeted financial statements.
• Assist in preparation of long range and strategic forecasts.
• Home Office cost report/allocations

Bachelor's Degree in Business Administration with a major in accounting, finance or other business discipline required.  MBA a plus.

The successful candidate should have a minimum of 3 to 5 years of progressive hospital financial experience.   Candidates must possess strong analytical and problem solving skills along with excellent oral and written communication skills.  Proficiency with MS Excel and Access required.  Familiarity with Lawson G/L, STAR, TSI and StrataJazz software systems highly desired.

Please apply on line at: https://www.healthcaresource.com/chslivilla

 

Posted 12/14/2011