Baptist Health

Business Analyst

• Address reporting and analytics needs by working with analytic centers of excellence (ACE) leadership; service line, IT, and operational leaders; and teams responsible for the design and development of data and analytics solutions across the data ecosystem.
• Manage the master data set, developing reports, and troubleshooting data issues.
• Support the development and delivery of data to stakeholders so that they have the information necessary to operate successfully.

Senior Business Analyst

Trainer

• Responsible for following all hospital and departmental precautions and procedures in the performance of job duties to ensure a safe work environment for self and others.
• Obtains equipment needed for quality patient care delivery at all work sites (i.e., schools and/or event venues).
• Provides athletic health care services to assigned schools, groups, and/or sites in accordance with applicable sports medicine agreement(s) and within scope of practice as outlined by State of Florida.
• Documents, tracks, and reports organizational and administrative data (i.e., athletic injuries, referrals, and AT time/activity reports) from assigned schools and/or sites as instructed and by established deadlines.
• Participates in departmental events/services and/or activities (ex. preparticipation physical exams, concussion baseline testing, etc.).
• Communicates effectively and appropriately with all sports medicine team members, athletic health care team members, and Sports Medicine Outreach Leadership.
• Acts as an ambassador for BHC, Andrews Institute, sports medicine outreach, and the athletic training profession at all times.
• Responsibly completes and/or participates in other departmental requirements of the Athletic Trainer.
• Maintains current knowledge/certification/licensure. Pursues professional growth and development.

Athletic Trainer I – Outreach

Account Manager

• Receives and validates fee tickets from practice locations
• Completes and submits super bills for provider services

Account Representative I – Charge Entry

General

• Responsible for the independent operation of sonographic equipment.
• Performs and communicates results of diagnostic examinations using sonography.
• Daily operations of the sonographic laboratory, patient schedule, equipment maintenance.
• Reports equipment failures and performs quality assessment.
• Maintains a high standard of medical ethics.

Cardiovascular Sonographer I – PRN

Medical writer

• Reviews medical record for completeness and accuracy for severity of illness (SOI) and quality using the clinical documentation improvement strategies.
• Performs accurate and timely medical record review.
• Recognizes opportunities for documentation improvement.
• Initiates clinical documentation improvement severity worksheet for inpatients.
• Formulates clinically credible documentation clarifications.
• Requests documentation clarifications as appropriate for SOI, core measures, and patient safety.
• Follows up timely on all cases and resolution of those cases with clinical documentation clarifications.
• Participates in task force meetings.
• Communicates with HIM coding staff and resolves discrepancies
• Accurately inputs data into electronic clinical documentation improvement tool.
• Understands and support clinical documentation improvement strategies.
• Maintains current knowledge/certification.

RN Specialist – Clinical Documentation

Auditor

• Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable.
• Works with CDIS on DRG assignment and educates on missed Query opportunities.
• Reviews discharge summaries for coding accuracy.
• Appeals RAC DRG review charts.

Hospital Coding Auditor

Analyst

• Supports financial analysis, modeling, and implementation of managed care contracts within Epic.
• Translates contract terms into accurate reimbursement models.
• Evaluates contract performance.
• Supports payer negotiations through data-driven insights.
• Partners with Managed Care, Revenue Cycle, Finance, and Epic application teams to ensure contract accuracy, optimal reimbursement, and revenue integrity.

Managed Care Analyst

Insurance

• Responsible for the accounts receivables reconciliation process for patient accounts including but not limited to: examining, correcting and consistently updating patient health information to ensure accurate insurance payment/follow-up and applying appropriate contractual allowances.
• Resolves patient and insurance carrier inquiries in a timely manner to avoid increasing A/R days.
• Uses on-line systems provided by multiple payers to verify eligibility and benefits as well as checking claim status appropriately.
• Makes telephone calls to the payer to ensure receipt of claims filing and payment on submitted claims.
• Maintains appropriate/consistent documentation on accounts worked utilizing the accounts receivables work listing or patient accounting system.
• Identifies non-payment trends by payer and notify management and comes to the table with potential solutions to these non-payment trends.
• Applies proper account management principles to accounts to ensure accurate follow up.