Franciscan Missionaries of Our Lady Health System

Medical writer

• Improves the accuracy and completeness of clinical documentation in medical records
• Performs thorough reviews and requests clarifications from clinicians
• Facilitates modifications that accurately reflect patient severity, risk, and resource use
• Collaborates with clinicians and coders
• Ensures compliance with regulatory guidelines
• Supports accurate reporting of provider and hospital outcomes
• Actively contributes to operational improvements
• Participates in education and program-related activities

Clinical Documentation Specialist

Analyst

• Analysis and Recommendations
• Provides on-going trend analysis to identify reasons for denials and apply corrective actions steps to prevent cash flow retardation.
• Proactively researches and understands payer issues. Troubleshoots and resolves issues that impact revenue. Responsible for facilitating the internal appeal process.
• Actively works through denied claims and attempts to gather information and take appropriate action to ensure claim is adjudicated properly.
• Quality
• Promotes the quality and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized skill training programs.
• Utilizes all equipment, supplies, facilities, and resources in a prudent and efficient manner in order to ensure efficient departmental operations and the provision of high-quality health care services.
• Other Duties as Assigned
• Performs other duties as assigned or requested.

Denial Analyst, RN

Affiliate Manager

• Coordination of Care
• Reviews evidenced based care measures for population of patients, assists providers with quality measures to ensure the care needs are outlined and established prior to visit optimizing patients time with the Provider.
• Prepares for clinic interdisciplinary team meetings/huddles by confirm previous orders have been completed and resulted, review inpatient admissions, review anticipated annual screenings, prepare agenda for meetings, print patient care summary for providers as needed, identify high risk patients and communicate with team for follow up.
• Call and schedule patients listed on Quality Gap report and meet specified deadline.**Request results from outside facilities and scan results into patient EMR by established deadlines.
• Observes and adheres to quality standards established by the department. Participates in continuous quality improvement programs in order to foster the provision of quality health care services by the department and clinic to ensure all services are provided with compassion, understanding, and respect for others.
• Conduct post visit review on clinic wellness patients as well as specific measures with Population (Adult and Pediatric) such as uncontrolled blood pressure, etc.
• Performs other duties as assigned or requested.

Clinical Care Partner, MA

• Facilitates Epic vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality technology and applications systems.
• Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of Epic and related application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards.
• Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion.
• Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance.
• Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures.
• Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems.
• Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations.
• Utilizes IS project management methodology and best practices to improve individual and organizational efficiency, effectiveness, and outcomes.

EPIC Application Analyst

Recruitment

• Develop and maintain working knowledge of the health system and regional communities in order to assist with candidate inquiries.
• Daily outreach to identify and recruit potential candidates to FMOLHS. Includes but not limited to written communication and cold calls.
• Acts as a contact person to facilitate communication between candidates and FMOLHS to answer questions.
• Assembles and distributes all collateral materials for advanced practice professionals and physician recruitment.
• Manages new hire and onboarding process for providers ensuring all new hire paperwork is received and processed accordingly.
• Sources and screens all advanced practice provider and physician recruitment candidates for the organization and routes to the hiring manager.
• Maintains and manages open positions and maintains job postings on all applicable sites.
• Meets with operations directors and physician leaders to understand the needs of the clinic/department to help ensure the right candidate is selected.
• Research potential recruitment programs, evaluates trends in recruitment and the job market, and recommends recruitment strategies.
• Coordinates start dates, clearances, credentials verification, onboarding and orientation of new providers.

Physician Recruiter

• Facilitates Epic vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality technology and applications systems.
• Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions.
• Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of Epic and related application systems.
• Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards.
• Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion.
• Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance.
• Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance.

EPIC Application Analyst 1

• Facilitates vision development, solution design, standards guidance, project scoping, IS strategy integration and implementation of efficient, high quality technology and applications systems.
• Evaluates technology, systems and application capabilities, analyzes workflow/data flow, and creates efficient and logical solutions. Plans, schedules, reviews, and performs analysis, design, construction, testing, and implementation of assigned technology and application systems. Participates in solution testing and documents clear and concise system descriptions that meet project requirements and departmental quality standards.
• Collaborates with FMOLHS Information Services, leaders, team members and end users to develop efficient, cost-conscious technology and applications system specifications that maximize organizational performance.
• Utilizes organizational project management methodology, processes, and systems to ensure effective and efficient project development and completion. Evaluates requests for programming and provides timetables for completion.
• Develops and implements data driven performance improvement methodologies. Maintains accurate records for use in evaluating organizational performance. Identifies ways of improving current services and consults with management on issues and problems.
• Ensures security, integrity, and privacy of FMOLHS data in conjunction with FMOLHS policies and procedures.
• Strives to promote the quality and efficiency of his/her own performance by remaining current with the latest trends in field of expertise through participation in job-relevant seminars and workshops, attendance at professional conferences, and affiliations with national and state professional organizations.
• Utilizes IS project management methodology and best practices to improve individual and organizational efficiency, effectiveness, and outcomes.

Application Analyst 2

Human Resources

• Answers and responds to incoming phone calls in adherence with protocol and service standards.
• Provides assistance to managers and employees with time-sensitive requests, such as HRIS (Lawson) navigation, etc.
• Provides first-level assistance to managers and employees with HRIS self-service tools
• Assists employees and managers in all stages of the employee life cycle (onboarding, job changes, retirement, etc.).
• Initiates contact or makes referrals to the appropriate resource for situations that require specific attention or on behalf of other HR Centers of Excellence (CoE).
• Investigates and resolves first-level Human Resources and benefits issues. Successfully prioritizes and resolves issues to ensure consistent internal and external customer satisfaction.
• Maintains accurate and timely documentation and recordkeeping related to human resource and benefit activities in the designated database(s) and in adherence with human resource and benefit policies and applicable regulations.
• Participates in and shares expertise during team meetings and training sessions.
• Assist with HR projects as assigned

HR Performance Center Representative

Application Analyst, Level 2

Medical Billing and Coding

• Coding/Abstracting
• Determines the sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records, including ambulatory surgery, treatment type admission, observation, emergency room, and outpatient lab/radiology, using ICD-10-CM system and CPT-4 guidelines. Abstracts data elements such as discharge disposition, Consultants, Anesthesiologists, Operating Room Assistants, and verifies the correct status has been assigned to outpatient records.
• Communicates with the appropriate HIM staff members when records with missing information are identified. This is in an effort to foster effective health information management and ensure the provision of high quality health care services.
• Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion.
• Maintains an accuracy rate of not less than 93% based on internal and/or external review and productivity standards, engages in problem identification and resolution, and assists in data gathering and chart auditing.
• Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility.
• Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services and training sessions as required. When appropriate, the Coder shares his/her own expertise with others in an effort to further the quality of education and personal growth provided to new personnel, volunteers and interning students.
• Performs other duties as assigned or requested.

Coder 1 – Clinic

• Implements effective, fair and consistent employee relations strategies.
• Provides coaching and consultation on conflict resolution, facilitates problem solving, administers performance improvement plans and progressive discipline procedures.
• Ensures adverse employment actions (discipline, suspension, termination) comply with policy, regulations, and laws, in addition to being aligned with company mission & values.
• Conducts HR investigations; documents findings and makes recommendations that drive the appropriate actions to close cases in a timely manner.
• Maintains ER data & ensures tracking system is updated accurately.
• Tracks, trends & analyzes ER data and develops strategies in collaboration with HRBP and HR Leaders to address ER trends.
• Represents FMOLHS in unemployment filings, hearings, and appeals.
• Partners with legal, risk, compliance, HR Business Partners and HR Centers of Excellence as needed.

Employee Relations Specialist

• The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures.
• Works with coding databases and confirms DRG assignments.
• Familiar with standard concepts, practices, and procedures within a particular field.
• Relies on instructions and pre-established guidelines to perform the functions of the job.
• This position relies on guidelines and some experience and judgment to complete job and works under general supervision.

Coder 3 – Hospital

Account Manager

• Execute Business Office Operations and Functions
• Performs billing, collections, payment processing and/or customer service tasks according to documented process, applying critical thinking to determine appropriate outcomes based on the situation.
• Updates account with ownership and accountability of the entire account at that point in time; Notes should be sufficient and complete to describe current situation and next steps.
• Leverages contract knowledge and expertise to drive revenue
• Evaluates root cause and resolves issues on that specific account being worked in timely manner to maximize revenue flow, minimize write-offs and maintain customer satisfaction
• Completes most transactional updates with one interaction; completes majority of work independently including most of the complex scenarios and collaborates with other internal departments and external entities as appropriate
• Identifies patterns, trends in account issues and escalates as appropriate so root cause can be addressed and improved.
• Maintains subject matter expertise on regulations, process and policies by attending training and applying in daily work
• Consistently meets production and quality requirements for area, driving overall department objectives for A/R, Claim Counts and past dues.
• Responds to requests (from customers, co-workers, management) in a timely and professional manner.
• Assists with planning and participates in internal and external meetings as a representative of department

Patient Account Representative 4 – Hospital, PFS Epic Ticket Coordinator

• Benefits Program Maintenance and Daily Operations
• Writes, maintains and supports a variety of reports or queries utilizing appropriate reporting tools.
• Ensures that employees who should be eligible for coverage are actually made eligible in a timely and compliant fashion.
• Develops employee communication and enrollment plan to ensure compliance with the various notifications and reporting requirements.
• Accesses and uses data needed to track and reconcile with the government for those employees who choose to utilize a Public Exchange
• Assists in the development of self-service tools for benefits and implementation of company-wide benefit enrollment process.
• Integrates automated time and labor management tools, payroll services, and benefits administration to manage assigned hours.
• Develops special reports as needed to meet management requests and actively participates in reporting efforts related to benefit programs.
• Acts as a liaison with other HR functions and internal/external customers answering complex questions.
• Supports benefits training and education by conducting presentations as needed.
• Monitors ERP self-service tools and supports HRIS improvement initiatives.
• Participates in annual review of all applicable benefit policies to ensure accuracy.
• Monitors applicable regulations and maintains records to ensure legal compliance.
• Works with vendors to identify issues and develops solutions to complex problems.
• Supports HR team on projects as assigned.