My Executive Jobs

Risk Adjustment Coder job in Massachusetts LW1398

admin — Tue, 09 Aug 2011 00:27:37 +0000

Risk Adjustment Coder job in Massachusetts open at major health plan in Boston. There are four positions that need to be filled. Under the direction of the Quality Assurance Manager, the coder performs accurate and timely review and validation of Medicare Advantage HCCs through medical record reviews. The Coder audits provider documentation of ICD-9-CM codes to verify that coding meets both established coding standards as well as CMS Risk Adjustment guidelines. The Coder will lead efforts to evaluate the HCC coding practices and provide analyses and recommendations to improve overall provider documentation and coding. The Risk Adjustment Coder will review medical records to determine if diagnostic codes ICD-9-CM are accurately reflecting the provider documentation. Performs ongoing audit of medical records from coding vendor and network providers to ensure diagnosis coding accuracy.

Business Degree preferred. Registered Health Information Administrator RHIA, Registered Health Information Technician RHIT, Certified Professional Coder CPC-H certification or CCS Certified Coding Specialist preferred.

Ten or more years of coding experience is preferred. Three or more years of coding experience in health plan, hospital or physician practice billing and/or hospital care management environment required. Prior experience with Risk Adjustment coding and auditing preferred.

Thorough knowledge of ICD-9-CM and the documentation needed to support them. Ability to train providers on documentation required to support ICD9 and HCC codes a plus.

The salary for these positions is $60,000 plus depending upon education and experience. If you are interested in this position send your resume as an MS Word attachment to Larry White at healthcare1@staffpointe.com. For other opportunities register at www.staffpointe.com. This is job# LW1398

Charge Description Master Mgr job in WA BSX1664

admin — Mon, 08 Aug 2011 14:57:41 +0000

Large not-for-profit health system in beautiful location in Washington State is seeking a Charge Description Master CDM Manager. The position will report to the Director of Revenue Cycle, with direct reports of analysts and specialists. The position will plan, conduct, evaluate and identify proactive opportunities to strengthen charge capture processes; enhance regulatory compliance and facilitate appropriate revenue capture. Will provide expertise and guidance with respect to clinical documentation standards; billing guidelines and overall management practices as they relate to compliant organizational processes and standards related to charge capture and CDM. Qualifications include: Bachelors in Math, Statistics, Business or Accounting; 5 years experience in health care finance in a problem solving/analytical position; proficient with financial and analytical software; experience with charge to payment relationship and patient accounting functions; understanding of contracted payor reimbursement; knowledge of CMS regulations; billing compliance, and the various data elements associated with related claim form; in depth understanding of medical terminology, billing/reimbursement practices; revenue codes and HIM coding; knowledge of regulatory quality of care standards, and ability to manage complex projects. Salary midpoint is $115K, plus full benefits and relocation assistance. If you are interested in this position, please send a resume in Word format as an attachment to Beverly Slomka at healthcare5@staffpointe.com. Find more opportunities online or register for free at www.staffpointe.com. Only qualified candidates with an MS Word attached resume and recent, relevant healthcare experience will have their applications processed. You must reference Job# BSX1664

Direct Patient Access job in Oregon BSX1663

admin — Mon, 01 Aug 2011 13:24:56 +0000

Large health system with hospitals in the Midwest and western states is seeking a Director of Patient Access. The position will be based in eastern Oregon, near the border of Idaho. The incumbent will be responsible for two hospitals: one in Oregon and one in California. The position will be responsible for leading and directing the work of Patient Access and Revenue Management functions. This will include patient scheduling, reception/check-in, bed management, registration, financial counseling and revenue management support. The Director is expected to motivate staff to achieve the highest levels of customer satisfaction, and to meet the organization goals for customer service and financial performance. The Director optimizes staff performance through process redesign, policy/procedure implementation, communications, and outcome feedback. The Director will also interact with other departments within the Shared Service Center as well as within the ministry organization, and will serve as a representative of the department. Qualifications include: a demonstrated knowledge of Patient Access, Pre-Service and Revenue Management functions; a Bachelors degree in Healthcare or Business Administration, nursing or a related field; 3 or more years of experience managing functional areas of Registration, Pre-Service/Financial Clearance, Financial Counseling, Case Management/Utilization Review, or other management functions related to revenue cycle activities in a complex, multi-site environment. Salary range is from $67K to over $95K depending on experience. Full benefits. If you are interested in this position, please send a resume in Word format as an attachment to Beverly Slomka at healthcare5@staffpointe.com. Find more opportunities online or register for free at www.staffpointe.com. Only qualified candidates with an MS Word attached resume and recent, relevant healthcare experience will have their applications processed. You must reference Job# BSX1663

Chief Financial Officer job in MS LWX1396

admin — Tue, 26 Jul 2011 19:59:55 +0000

Chief Financial Officer needed for two psychiatric facilities totaling 200 beds in east-central Mississippi. Candidate must have current hospital CFO experience and psychiatric hospital experience is greatly preferred. Only hospital experienced CFOs will be considered or contacted. The salary for this position is 120K plus bonus plan. If you are interested in this opportunity please send your resume as and MS Word attachment to Larry White at healthcare1@staffpointe.com. For additional opportunities register for free at www.staffpointe.com. This is job# LWX1396

Director, Medical Staff Services job in Texas LW1395

admin — Sat, 23 Jul 2011 19:31:16 +0000

Director of Medical Staff Services needed for major Houston medical center. The Director of Medical Staff Services exists to provide leadership and support to the organized medical staff of the hospital and serves as liaison to the medical staff to promote and enhance communication and positive working relationships. The position is also responsible for establishing and maintaining continuity in the planning, development and implementation of standards, policies and procedures and operationalizing policies applicable to the medical staff department’s function including: credentialing, bylaws, rules regulations, fair hearing plan and allied health professional manual, medico-legal issues, quality and administrative functions. Candidate must have a Masters degree in Healthcare Administration, Business Administration, or other relevant field; ten years of progressively responsible experience in project and/or operations management with at least 5 years management experience in a major medical center institution; Certified Professional Medical Services Management CPMSM by the National Association of Medical Staff Services; thorough knowledge of medical staff services functions and procedures; the Joint Commission accreditation standards; and regulatory requirements relative to medical staff matters. The salary range is up to 130K and is dependent upon experience and education. If you are qualified and interested in this position send your resume as an MS Word attachment to Larry White at healthcare1@staffpointe.com. For additional opportunities register for free at www.staffpointe.com. This is job# LW1395

Director of Business Development (Psych) job in NY LWX1393

admin — Fri, 15 Jul 2011 17:57:35 +0000

Director of Business Development needed for free standing psychiatric hospital on Long Island in New York State. This person is also in charge of the Admissions Department and needs to be a seasoned psych trained Marketing Director that gets referral development contracting and tracking referrals from the community, from the ERs visiting referral sources, etc. Only candidates with a psychiatric hospital marketing and business development history will be considered or responded to. The salary range is 95 to 105K. If you are interested in this opportunity send your resume as an MS Word attachment to healthcare1@staffpointe.com. For additional opportunities register for free at www.staffpointe.com. This is job# LWX1393

Dir Critical Care Services job in Georgia BSX1654

admin — Thu, 14 Jul 2011 00:34:32 +0000

Small, but growing hospital in northern Georgia is seeking a Director of Critical Care Services. This position is responsible for cath labs and ICU. There is one cath lab, interventional cath labs with 11 FTEs. The ICU has 9 beds with 21 FTEs. The position reports to the Chief Nursing Officer. Qualifications include: RN license with a minimum of 5 years clinical experience in critical care; at least 2 years management experience; Bachelors degree required; Masters preferred. Salary is $90K to $100K depending on experience. Full benefits plus relocation assistance. If you are interested in this position, please send a resume in Word format as an attachment to Beverly Slomka at healthcare5@staffpointe.com. Find more opportunities online or register for free at www.staffpointe.com. Only qualified candidates with an MS Word attached resume and recent, relevant healthcare experience will have their applications processed. You must reference Job# BSX1654

Nurse Administrator in New York LW1387

admin — Tue, 12 Jul 2011 17:53:24 +0000

NURSE ADMINISTRATOR needed for hospital outpatient program in up-state New York south of Albany. The Nurse Administrator must have a Masters Degree level RN with clinical and management experience to assume role of Nurse Administrator for a 150 FTE hospital based multi-specialty practice employing 90 physicians, NPs, PAs and nurse midwives. Responsibilities will include clinical oversight of all nursing and clinical operations in outpatient centers, management of the Performance Improvement/Quality Program, recruitment and training of office nurses, and working with hospital administration to integrate outpatient and inpatient care. The salary is negotiable and dependent upon education and experience. If you are interested in this position and have the qualifications please send your resume to Larry White at larry@healthcare1@staffpointe.com. For other opportunities register for free at www.staffpointe.com. This is job# LW1387

Laboratory Billing Mgr job in New Mexico BSX1655

admin — Tue, 12 Jul 2011 17:36:24 +0000

Core Laboratory in northern New Mexico is seeking a Billing Manager. The position will supervise, train, and educate Billing office staff. Provide decision support to Administration and Marketing. Provide Billing and technical support to office staff, satellite and laboratory personnel, patients, and physicians. Maintain laboratory’s charge master. Monitor and maintain updated information on federal guidelines for claims processing, insurance reimbursement rates for carriers, services performed by send-out laboratories, and status of A/R and insurance follow-up for both lab and health system. perform special projects as directed by VP of Finance. Provide essential billing system configuration and file maintenance support. Must adhere to all laboratory policies. Perform other duties as assigned. Requirements include: Bachelors of Business Administration; 5 years of experience in medical A/R billing, claims processing and insurance procedures. Medical management and supervisory experience. Thorough understanding of CPT and ICD 9 coding, RBRVS and insurance reimbursement rates. Thorough understanding of federal regulations governing Medicare, Medicaid, and insurance claims processing. Medical terminology. Ability to research questions/problems utilizing all available resources within Billing office, laboratory, and the hospital system. Working knowledge of billing computer systems. Basic accounting and computer skills. Excellent interpersonal and communication skills. Salary is $60K to $65K plus relocation. If you are interested in this position, please send a resume in Word format as an attachment to Beverly Slomka at healthcare5@staffpointe.com. Find more opportunities online or register for free at www.staffpointe.com. Only qualified candidates with an MS Word attached resume and recent, relevant healthcare experience will have their applications processed. You must reference Job# BSX1655

Dir Critical Care Services job in Georgia BSX1654

admin — Tue, 12 Jul 2011 17:20:57 +0000