Advocate Aurora Health

Medical Billing and Coding

• Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS.
• Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software.
• Adheres to the organization and departmental guidelines, policies and protocols.
• Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
• Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.
• Maintains the confidentiality of patient records.
• Reports any perceived non-compliant practices to the coding leader or compliance officer.
• Meets then exceeds departmental quality and productivity standards.
• Recommend modifications to current policies and procedures as needed to coincide with government regulations.
• Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable

Coder II – Cardiology

People Operations

• Identify process improvement opportunities and participate in knowledge management efforts such as SOP updates, case documentation, and training content.
• Participate in cross-training in multiple content areas to support business continuity and enhance team agility.
• Monitor case queues, prioritize workload, and follow through on open items to drive resolution and accountability.
• Deliver a high-quality teammate experience by providing professional, empathetic and solution-oriented support.
• Partner with internal teams such as HR Business Partners, Centers of Excellence, and Payroll to ensure seamless end-to-end service delivery.
• Interpret and apply HR policies, procedures, and workflows across assigned cases, ensuring consistent and accurate execution.
• Maintain knowledge of federal and state employment laws and regulations, applying this knowledge to Advocate initiatives and practices to minimize risk.
• Act as a liaison between teammates, HR teams, and vendors to resolve escalated issues, track resolution status and maintain positive service experiences.
• Consistently review and improve HR Operations, HR Service Center, HR Leave and Compliance strategies through emerging technologies, innovative solutions, feedback from the business, and overall teammate experience.
• Ensure continuity and successful delivery of employee life cycle services to users throughout the organization in compliance with labor laws and audit principles.
• Resolve issues efficiently, accurately and with little to no errors while balancing policy compliance and teammate care.
• Ability to prioritize and manage high volumes of transactions, cases, claims, audits and emails while meeting service delivery metrics

People Operations Specialist II

Research Scientist

• Partner with internal executive recruiters and HR leaders to understand hiring needs and develop search strategies.
• Conduct market research and talent mapping to identify qualified internal and external executive candidates.
• Build and maintain talent pipelines for VP-level and above roles across clinical, operational, and corporate functions.
• Utilize tools such as LinkedIn Recruiter, internal databases, and external resources to source and assess candidates.
• Prepare research briefs, talent profiles, and competitive intelligence reports to support search strategy.
• Track candidate engagement and progress using ATS and CRM systems.
• Ensure confidentiality and discretion in handling sensitive executive search information.
• Support diversity-focused sourcing strategies to ensure inclusive representation in leadership pipelines.

Senior Executive Recruitment Researcher

• Edit and correct or coordinate the correction/review of edits generated on the 3M OCE/EAPG report
• Review alert against patient record to determine the appropriateness of corrections to patient's accounts
• Make revisions with the utmost attention to accuracy to ensure correct claim generation
• Document activities in a clean and concise manner in the Allegra system
• Responsible for the filing, security, confidentiality, retention and storage of all government and private documents initiated in unit
• Combine accounts according to payer requirements when appropriate
• Correctly identify when accounts are related or unrelated services by reviewing the clinical data contained in the patient's medical record
• Review and combine accounts in a timely manner, specifically, prior to the generation of the claim
• Contact physicians and other health care professionals to obtain needed information required for the correct assignment of CPT-4/HCPCS, modifiers and charges for outpatient services
• Responsible to read and understand all Advocate SRCO policies and departmental collections policies and procedures.

Prebilling Coding Specialist – Revenue Cycle

Manager

• Ensures care delivered is with respect for patient's rights and culturally competent
• Facilitates Patient Centered Care, promotes service recovery and the nursing professional model
• Maintains privacy, confidentiality and security for patients and staff
• Serves as a staff and patient advocate to ensure optimal patient care
• Interfaces with patient and families to ensure that care is consistent with expectations
• Promotes quality improvement and systems-thinking by openly supporting and consistently communicating the mission of the clinic and organization
• Collaborates with management team on the development, implementation and evaluation of policies and procedures designed to improve quality of care and operational efficiency
• Promotes a culture of safety by ensuring compliance with established hospital policies, procedures, objectives, quality control, safety, QC/PI, environment and infection control
• Coordinates appropriate QC/PI activities with staff
• Audits and maintains clinic metrics for unit and organizational goals
• Collaborates with Nurse Manager on personnel activities including hiring and performance management
• Collaborates with the Nurse Manager to plan, schedule, and organize work for group ensuring proper distribution and delegation of assignments and efficient utilization of personnel, space and facilities
• Monitors the appropriate utilization of staff based on credentialing, education and experience with consideration to the patient population
• Assesses, coaches, and monitors staff level of practice
• Maintains unit inventory and supplies
• Collaborates with Nurse Manager on management reports and budgetary recommendations
• Performs and maintains competency for point of care testing as assigned, ensuring compliance with WFBH Point of Care policies and with applicable state and federal regulations

Assistant Nurse Manager, Pulmonary Medicine

Analyst

• Works with users and leadership to develop and/or modify procedures because of workflow process changes related to Epic clinical and business application use
• Assists users with using the full functionality of the applications
• Prepares input for the requirements definition including user procedures, flowcharts and preliminary report and screen definition
• Participates in testing, user training and results evaluation
• Monitors and documents post-implementation problems and revision requests

Epic Analyst Associate – Epic Prelude/RTE

Machine Learning Engineer

• Transform data science prototypes to production quality tools
• Ensure that machine learning (ML) models generate accurate results for end users
• Assist with managing ML software and platforms used for computing and model deployment
• Run tests on ML models and interpret the results
• Use those results to improve the models as needed
• Identify changes in data inputs that can affect model performance
• Communicates effectively with both internal and external clients, explaining highly technical methods and processes to audiences of varying technical backgrounds
• Continuously studying and researching new ML tools and technologies
• Participates in evaluation of vendor artificial intelligence solutions, acting as the data science subject matter expert on behalf of the enterprise

Senior ML Engineer

• Perform data collection and analysis.
• Assist with data collection and analysis, coordinating study logistics, maintaining regulatory documentation, and supporting scholarly outputs such as manuscripts and presentations.
• Conduct participant recruitment, screening, and interviewing, and follow-up activities for research studies.
• Generate study reports.
• Conduct literature reviews to support ongoing studies.
• Prepare tables, figures, and data reports for manuscripts and grants.
• Assist in writing research content for publications and presentations.
• Format and submit papers to journals.
• Submit IRB applications for research and quality improvement studies.
• Maintain regulatory documentation.
• Ensure all aspects of the study comply with protocol and institutional standards.
• Attend research meetings and take detailed notes.
• Schedule research meetings.
• Order supplies for research projects.
• Help train new personnel (undergraduates, medical students, resident physicians, fellow physicians).
• Serve as a liaison between the study team and research participants or community members.

Research Assistant – Neurology

Data Engineer

• Drive scope definition, requirements analysis, data and technical design, pipeline build, product configuration, unit testing, and production deployment
• Design scalable ingestion processes to bring on-prem, API drive, 3rd party, end user generated data sources to integrate in common cloud infrastructure
• Design reusable assets, components, standards, frameworks, and processes to accelerate and facilitate data integration projects
• Develop data integration and transformation jobs using Python, SQL and ETL /ELT tools
• Build the infrastructure required for optimal extraction, transformation, and loading of data from a wide variety of data sources
• Build processes supporting data transformation, data structures, metadata, dependency and workload management
• Develop and implement scripts for data process maintenance, monitoring, and performance tuning
• Test and document data processes through data validation and verification procedures
• Ensure delivered solutions meet/perform to technical and functional/non-functional requirements
• Provide technical guidance and mentorship to junior engineers, ensuring best practices in data engineering

IT Cloud Data Engineer – HVR, DBT

Therapist

• Interprets physician referrals and conducts a speech and language evaluation of patients
• Establishes a written plan of care and implements individual treatment
• Monitors and evaluates outcomes and adjusts the treatment plan
• Communicates and collaborates with appropriate stakeholders
• Completes all required documentation
• Responsible for maintaining site/department established productivity standards

Speech Therapist

Financial Planning and Analysis

• Lead advanced financial analysis and reporting to support strategic initiatives, capital planning, and organizational goals
• Develop and maintain sophisticated financial models for cash forecasting, capital planning, treasury management, and scenario analysis
• Conduct benchmarking, KPI analysis, and variance reporting to identify trends, risks, and opportunities
• Oversee budgeting processes, cost accounting, and productivity standards; provide recommendations for process improvements
• Apply government reimbursement rules and ensure compliance with GAAP, company policies, and regulatory requirements
• Lead or coordinate complex financial projects
• Research and document technical accounting issues
• Mentor accounting staff and support professional development within the finance team
• Present complex financial information and recommendations to senior leadership

Senior Financial Analyst

• Uses Respiratory therapy processes to support assessment of patient utilizing a variety of skills such as pulmonary diagnostics, chest radiograph, hemodynamic values, laboratory values, and correlates blood gases and electrolytes.
• Can identify and address the special needs of patient population specific to department services.
• Operates specialized ventilators in critical and non-critical care venues.
• Assists physician with bedside or other procedures as applicable to facility.
• Provides medication treatments and therapies per physician order and/or patient driven respiratory protocols as prescribed.
• Cleans, maintains, and ensures proper functionality of equipment.
• Troubleshoots equipment as necessary and identifies the need for service and/or repair.
• Educates and instructs patients in purpose, technique, self-care, goal of therapy, and disease management.
• Facilitates clinical problem solving and collaborates with other departments to provide education on managing patients.
• Under physician direction, the respiratory therapist must be able to adapt and comply to policies and procedures for a variety of different service areas, perform tasks and/or special duties as required by assignment and maintain performance standards and organizational behaviors.

Respiratory Therapist, RT

Learning and Development

• Supports the orientation process by developing, coordinating, facilitating, conducting and evaluating orientation programs for nursing and other healthcare personnel
• Assists with competency management, which includes using tools that capture objective and subjective data regarding an individual’s knowledge base and actual performance
• Designs educational activities to address practice gaps for identified target audiences in consultation with a Nursing Professional Development (NPD) Specialist
• Utilizes best practice standards including adult learning principles in the planning, design, implementation, and evaluation of educational activities in order to facilitate the achievement of desired outcomes (for learners)
• Provides strategies to facilitate a continuous process of lifelong learning which may include role transition, role integration, skill acquisition, and mastery as learners advance from novice to expert in their professions and specialties
• Collaborates with system and operational leadership to meet the education needs of the site and nursing departments
• Adjusts materials and teaching strategies appropriate to the situation and the learner’s developmental level, learning needs, readiness, ability to learn, language preference, and culture
• Implementation reflects awareness of scope of practice of different employees and disciplines
• Uses assisted aids/technologies as needed to meet learners needs
• Evaluates and analyzes the impact of programming on learners, organizational resources, and patient outcomes and makes adjustments in consultation with an NPD Specialist as needed
• Establishes and implements appropriate evaluation tools and methodologies to identify needs or gaps in the knowledge, skills, and competencies of nursing personnel to advance the practice of nursing in consultation with an NPD Specialist as needed
• Develops and supports education needs based on specialty or department in collaboration with regional and system teams
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served

Nursing Professional Development – House Supervisor, FDL Emergency Department

• Interprets physician referrals and completes musculoskeletal, neuromuscular, cardiopulmonary, and/or integumentary evaluations utilizing appropriate methods.
• Establishes a plan of care and implements individual treatment based on evaluation results and functional goals.
• Monitors and evaluates outcomes and appropriately adjusts the individualized treatment plan based on the patient's response to treatment and provides status updates to physicians.
• Identifies factors affecting patient's physical and psychosocial comfort and attends to these needs.
• Plans for and completes patient discharge including providing written home programs, patient/family teaching, referral for community services, and ordering equipment.
• Completes all required documentation following department policy, including patient progress notes, team conference reports, and discharge summaries as appropriate, to record patient care and progress of each patient assigned as well as daily statistics, billing, and scheduling.
• Applies insurance guidelines regarding authorization and number of visits.
• Responsible for cleaning up after patient treatment, putting away equipment, and keeping area neat and orderly.
• Performs various manual techniques, patient positioning, transferring and transporting duties, which require lifting and pushing/pulling, while utilizing proper technique.
• Demonstrates skill in use of modalities, exercise equipment and other devices that are available in area worked per department orientation checklist.
• Participates in performance improvement activities designed to identify and resolve problems affecting patient care outcomes and to improve quality of care.

Physical Therapist Float – Outpatient

• Assist PCC leadership with day to day operation to ensure high quality and cost effective patient care
• Serve in the role of Charge Nurse and assign patient care tasks
• Collaborate with physicians, management and other healthcare professionals
• Ensure compliance with all regulatory agency standards
• Participate in safety initiatives and demonstrate positive support in performance improvement plans