INTEGRIS Health

Manager

• Assess patient from clinical, social, financial perspective and coordinates post-discharge needs with care team.
• Functions as a clinical and financial resource for patients and interdisciplinary team members.
• Assists in clinical data collection utilizing established criteria and the InterQual system.
• Proactively performs utilization review; communicates coverage; Information with third party payers, medical staff and clinical providers.
• The Case Manager reports to the Director of the Case Management Services.
• The Case Manager meets established deadlines, attends required in-services, maintains staff competencies and completes required documentation; collaborates and works as a team player with all disciplines; presents a professional image to all customers and patients.
• Required to be on call as scheduled by the department.
• Potential exposure to infectious diseases, potential physical danger from disturbed/irate patients and families.
• Emotional stress due to inability to control volume of timing of referrals and necessity to respond to a wide variety of demands and expectations from patients, families, physicians, and other health care professionals.
• Occupational exposure to bloodborne pathogens and other infectious materials as defined by OSHA.
• This position may have additional or varied physical demand and/or respiratory fit test requirements.

RN Care Manager – Days

Accounting Manager

• Responsible for importing and processing of payment files, claim processing, collection of insurance, and/or physician charge entry
• Executes the auditing, denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third-party and government payers in a timely manner.
• Monitors payer files for accuracy, ensures payer documentation is completed and assist in updating files with pertinent information as necessary.
• Conducts relevant research to assist with resolving files or claims and to stay informed on best practices and policy reforms.
• Conducts internal and external correspondence accurately, clearly, concisely, and professionally while following organizational regulations.
• Works with internal departments and external organizations to resolve complex accounts.
• Maintains data for trending purposes on payer issues, underpayments, banking errors, payment trends and collaborates with team members to make recommendations for improvements and resolving issues.
• Prepares, maintains, assist with, and submits reports as required.
• Regularly makes complex decisions within the scope of the position, and is comfortable working independently.
• Collaborates with team members to continually improve services, and engages in process and quality improvement activities. Provides feedback to management on revenue opportunities and payer standards.
• Maintains thorough knowledge and can communicate effectively state and federal regulations, accreditation/compliance requirements, and INTEGRIS Health policies, including those regarding fraud and abuse, confidentiality, and HIPAA.
• Pinpoints improvement opportunities and contributes to the testing of system modifications; works closely with IT staff and department managers to ensure proper implementation.
• Participates in professional development to enhance job knowledge and performance.
• Conducts relevant research to assist with completing the appeals process and to stay informed on best practices and policy reforms.

Senior Patient Accounting Specialist - Physician Billing

Solutions Engineer

• supporting and leading enterprise architecture activities that guide the development and management of the health system’s database
• collaborate with stakeholders to understand business needs
• pivotal in shaping projects, products, systems, and services to ensure alignment with business objectives and long-term strategic vision
• translating business and technical requirements into architectural blueprints
• collaborating with product owners to ensure future-proof architecture
• monitoring and identifying deficiencies in the current solution portfolio
• analyzing industry trends and disruptions for informed decision-making
• assisting in product decisions and recommending actions
• consulting on application and infrastructure development projects
• leading evaluation, design, and analysis for solution implementations
• managing and developing architecture for multiple projects
• developing a roadmap for evolving the solution portfolio
• providing consulting support to ensure alignment with enterprise architecture
• installing and maintaining the administrative and monitoring tools for database engines
• building and administering environments for production and non-production needs
• applying upgrades / updates to environments
• responding to emergency and after-hours issues
• presenting recommendations for improvements based on industry experiences and best practices
• documenting measurable outcomes through KPI analysis and impact tracking
• planning and implementing database security policies according to organizational, industry, and vendor standards

Solutions Architect, Distributed DBA – EPIC ODBA

• shapes application technologies through the application build, enhancement delivery, and system architecture and design process
• facilitating the design, build, and implementation of a wide scope of clinical and/or business application systems
• serves the project team as a mentor and technical guide in the productive application of technology frameworks, standards, programming languages, and software development patterns and practices
• leads by example and contributes in a hands-on manner to put concepts into action
• leads the design, development, and implementation of clinical and/or business systems that advance the strategic goals of the enterprise
• comprehends the strategic plan and casts a vision for the application team to achieve established goals

Solutions Architect – Network Engineering

Analyst

• Facilitate the team of clinical application analysts in the implementation, configuration, and maintenance of clinical applications, including electronic health records (EHR), clinical decision support systems, and other clinical software.
• Collaborate with clinical end-users, IT staff, and vendors to identify opportunities for improving clinical workflows and processes using technology.
• Leads system testing and validation to ensure the clinical applications meet regulatory requirements and user needs.
• Monitor and troubleshoot issues with clinical applications, and provide timely resolution to minimize impact on patient care and clinician productivity.
• Maintains awareness of upcoming development, offerings, and solutions in the EHR System or other clinical application.
• Maintains accurate and up-to-date documentation of system configurations, changes, and troubleshooting procedures. Ensure documentation is accessible to support staff and end-users.
• Works collaboratively with operational and medical staff leaders to implement and align strategic initiatives.
• Participates in all phases of the system development life cycle including development of use cases and evaluation of software solutions.
• Leads and facilitates the facility’s core clinical and business systems team on IT activities.
• Prioritizes based on understanding strategies, budget, epic, requirements, goals, and the value that project and tasks provide the business.
• Facilitation and mentor of other team members.
• Organizes and provides project management functions for small and medium project initiatives.
• Mentor other team member in round in collaboration with clinical and business end users.

EPIC Applications Analyst III – Hospital Billing

Database Administrator

• researches, designs, implements and maintains databases of moderate to high complexity, affecting multiple departments or entities
• accountable for the 24x7 availability of mission critical production environments and all aspects of administration for non-production environments
• ensures availability and performance of the databases that support customer's applications
• pro-actively monitors the database systems to establish secure services with minimum downtime
• gathers technical requirements and implements various database patches to support their database requirements
• assists with the planning, implementation, integration, and maintenance of the hardware and software infrastructure supporting a wide variety of applications
• resolves production problems and assist users with issues beyond what front-line support can resolve

Senior Database Administrator – EPIC Cogito

Infrastructure Engineer

• Mentoring and training of junior team members
• Serves as an escalation point for Infrastructure Engineers
• Conducts current state analysis of systems and procedures and recommends system design or modifications to achieve desired goals
• Assists with roadmap planning of production infrastructure keeping versions current and supported
• Implements and maintains enterprise standards for applications and infrastructure
• Installs and configures systems according to design specifications
• Assists with analysis, troubleshooting, repairing and performance tuning of complex systems and hardware components
• Supports the ITIL Service Transition process ensuring new and modified services are appropriately documented, including as-built documentation, and Operations personnel (Service Desk and L2 Operations) are informed and trained
• Supports testing and evaluation of technologies under review
• Actively monitors the environment and appropriately assigns problem tickets, incidents, and schedules reviews to determine support needs for existing and new systems
• Provides technical support and 24X7 incident response
• Completes root cause analysis on failures resulting in downtime or performance outside of service level agreement tolerances
• Assists with the development and ongoing support of annual infrastructure performance and capacity reports
• Effectively communicates with business professionals, application owners, and customers in plain English while keeping their needs and the needs of IT in mind

Senior Infrastructure Engineer – Data Center

• Supports the entire INTEGRIS Health system and affiliate’s Patient level data.
• Oversees Enterprise Master Patient Index.
• Facilitates chart correction synchronization in the electronic medical record and with other patient integrated applications throughout the system.
• Performs advanced health information management activities.

Data Integrity Analyst

Medical Billing and Coding

• Analyzes relevant clinical and demographic information from the Health Information record
• Assigns appropriate ICD-10 codes following appropriate guidelines
• Ascertains compliance with CMS, state and other regulatory agencies
• Completes analysis of documentation, abstracting and code assignment by body system, organ, etiology and morphology according to the American Hospital Association Official ICD-10 Coding Guidelines
• Performs queries and obtains documentation required for coding
• Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations
• Answers customer calls
• Demonstrates basic knowledge of revenue cycle

Certified Coding Specialist – Professional Coder

Architect

• leading application implementations, upgrades, and ongoing maintenance activities
• supports Technology Governance, the Project Management Lifecycle, Service Transition and Service Operations
• serves as the work team lead providing direction to Applications Analysts and Senior Applications Analysts

Lead Architect

• Analyzes relevant clinical and demographic information from the Health Information record
• Assigns appropriate ICD-10 codes following appropriate guidelines
• Ascertains that the above are compliant with CMS, state and other regulatory agencies

Certified Coding Specialist – Hospital Outpatient

• work PRN Days with our Case Management team providing exceptional care to those who have entrusted INTEGRIS Health with their healthcare needs
• responsible for the clinical and financial outcomes for an assigned caseload of patients
• facilitate patient care during the hospitalization by managing, coordinating and monitoring resource utilization to achieve optimal clinical outcomes and financial goals
• proactively plan, coordinate and negotiate efficient patient movement throughout the continuum of care
• function in the role of clinician, educator, researcher, manager and advocate to serve the best interests of the system and patient
• required to be on call as scheduled by the department
• adhere to National Patient Safety Goals as appropriate based on the level of patient contact this position requires

• Mentors, trains, and directs the actions of junior team members.
• Employs information system life cycle and other tools to analyze data and systems requirements.
• Leads and coordinates the design, development and implementation of clinical application technology solutions.
• Leads implementations, upgrades, disaster recovery, and conversion projects.
• Analyzes problems, requested changes, and required modifications to develop appropriate business process solutions.
• Works in multiple specialty areas, interacting with customers regarding system design strategy and implementation solutions.
• Leads implementations, upgrades, and conversion projects.
• Participates in establishing appropriate testing criteria for information systems.
• Reads, analyzes and interprets business requirements, system documentation, and technical procedures.
• Responsible for root cause analysis on all issues impacting performance or availability of assigned apps.
• Responsible and accountable for creation, maintenance, and understanding of as-built architecture for service line solutions supported.

Solutions Architect, EPIC Client Systems Administrator

Senior Patient Accounting Specialist – Days

• implement, configure, and maintain Epic and other clinical applications, including the electronic health records (EHR), clinical decision support systems, and other clinical software.
• Collaborate with clinical end-users, IT staff, and vendors to identify opportunities for improving clinical workflows and processes using technology.
• Participates in system testing and validation to ensure the clinical applications meet regulatory requirements and user needs.
• Maintains accurate and up-to-date documentation of system configurations, changes, and troubleshooting procedures. Ensure documentation is accessible to support staff and end-users.
• Participate in testing and validation activities related to Epic software upgrades and enhancements. Ensure that system changes do not negatively impact clinical workflows and patient care.
• Monitor and troubleshoot issues with clinical applications, and provide timely resolution to minimize impact on patient care and clinician productivity.
• Keeps up to date with solutions in the Epic System or other clinical application.
• Works collaboratively with operational and medical staff leaders to implement and align strategic initiatives.
• Participates in all phases of the system development life cycle including development of use cases and evaluation of software solutions.
• Participate in rounding in collaboration with clinical and business end users.

RN Care Manager – Days

Senior Patient Accounting Specialist - Physician Billing

Solutions Architect, Distributed DBA – EPIC ODBA

Solutions Architect – Network Engineering

EPIC Applications Analyst III – Hospital Billing

Senior Database Administrator – EPIC Cogito

Senior Infrastructure Engineer – Data Center

Data Integrity Analyst

Certified Coding Specialist – Professional Coder

Lead Architect

Certified Coding Specialist – Hospital Outpatient

RN Care Manager – Days

Solutions Architect, EPIC Client Systems Administrator

Senior Patient Accounting Specialist – Days

EPIC Applications Analyst II – Patient Access