Presbyterian Healthcare Services

Procurement

• Build enterprise‑wide sourcing strategy
• Influence physician engagement
• Drive improvements in cost, quality, and clinical outcomes
• Lead complex initiatives and collaborate with senior executives
• Identify opportunities to improve operational outcomes and reduce costs
• Manage full sourcing and contracting process
• Draft, negotiate, and implement contracts
• Conduct industry and market research
• Ensure standardization and alignment of purchased services
• Support enterprise cost‑savings and quality improvement initiatives

Senior Sourcing and Contracting Manager

Billing Specialist

• Prepare, process, and submit accurate and timely insurance claims for all payer types
• Resolve pre-billing edits and route accounts for additional review if needed
• Review and clear assigned work queues to meet KPIs
• Document account activity per PHS policies and procedures
• Contact insurance companies and patients for necessary information
• Notify leadership of billing issues with internal departments or vendors
• Submit electronic and paper claims with required attachments

PFS Billing Specialist

Financial Planning and Analysis

• The Finance Strategy Analyst reports to the Director of Budget and Forecasting and is a PHS enterprise strategic financial analyst role.
• Performs financial analyses and forecasting pertaining to ongoing performance.
• Creates financial models for financial viability analyses for new and expanded services and equipment.
• Analyzes business challenges/problems requiring strategic planning effort, compilation of data from a wide variety of source systems.
• Works with stakeholders on NPV development for capital projects.
• Prepares complex financial modeling and calculations, interpretation of results and preparation of presentation materials to senior leadership and other PHS consumers of information and analyses.
• Competent with using the Enterprise Resource Planning software applications for Long Range Financial Planning, Forecasting, Capital Planning, Operating Budget, reporting and report development.
• Supports the Long-Range Financial Planning process by quantifying strategic and operational initiatives.
• Works with stakeholders on collecting the necessary data to perform Net Present Value (NPV) calculations for capital projects under consideration.
• Determines data needs/construct and interface with Data and Analytics or IT partners to compile the necessary data to perform enterprise-wide analyses.
• Participates in the design and development of financial reports and dashboards.
• Performs ad-hoc analyses as requested.

Finance Strategy Analyst

Payroll

• Support and optimize payroll functionality within Workday
• Ensure payroll operations remain accurate, compliant, and stable in a healthcare environment
• Serve as the primary resource for troubleshooting payroll issues, supporting payroll processing, configuring Workday Payroll components
• Manage testing and release impacts, supporting reporting needs, and coordinating cross-functional dependencies with HR, Finance, IT, Clinical teams, and external partners
• Act as a primary point of contact for system troubleshooting, root cause analysis, and resolution of Workday Payroll issues impacting daily operations and payroll processing cycles
• Provide best practice guidance and consulting support to Payroll, HR, Finance, and IT stakeholders to drive process efficiency and operational improvement.
• Advise Payroll stakeholders on business process design options, risks, and best-practice solutions
• Configure and maintain Workday Payroll components including earnings, deductions, pay groups, pay period schedules, payroll calendars, run categories, and related business process workflows
• Execute and support payroll processing activities (on-cycle and off-cycle)
• Create, load, validate, and troubleshoot Payroll EIBs
• Partner with Finance and Accounting teams to support payroll-to-GL reconciliation and resolution of costing, posting, or allocation issues
• Develop and maintain Workday reports and dashboards to support payroll operations, compliance, and leadership decision-making
• Collaborate with stakeholders to align reporting needs with Workday’s standard delivered reporting capabilities

Payroll Analyst

Medical Billing and Coding

• Code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services
• Ensure adherence to Hospital and Departmental Policies and Procedures
• Review patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
• Access several systems via the computer to research the medical record when needed
• Take responsibility for accounts receivable by looking for lost documents
• Maintain and disseminate up-to-date technical knowledge of legal and regulatory information
• Responsible for resolving any and all pre-bill edits, denials, etc.
• Participate in all departmental in-services and updates

IP Facility PCS, ICD-10 Coder

• Code all inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services
• Ensure adherence to Hospital and Departmental Policies and Procedures
• Demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty
• Review patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
• Access several systems via the computer to research the medical record to code in a timely manner
• Take responsibility for accounts receivable by looking for lost documents
• Maintain and disseminate up-to-date technical knowledge of legal and regulatory information concerning the given business area
• Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts

IP Facility Coder

Solutions Engineer

• Capture deployments of solution from the business problem, data integrations (HL7, FTP, API), application components and specifications for technology (network, compute, storage)
• Deep understanding of business strategies and requirements
• Identify opportunities to eliminate technical debt
• Face-to-face interaction and collaboration with business partners, clients, architects, and IT teams to develop solutions, budgets, and timelines
• Evaluates and advises decisions regarding technology options required for a given solution
• Will work with multiple teams to ensure security, performance, maintainability, scalability, usability, and reliability are addressed in each solution
• Provides leadership and effectively communicates with all levels of management in areas related to solution architecture and future deployments
• Engages with partners and vendors to integrate their products and services into proposed solutions

Solutions Architect

Auditor

• Supports the Coding and documentation quality assurance (CDQA) team's responsibilities.
• Implements and ensures compliance with coding policies and procedures.
• Performs and manages internal audits or reviews for compliance/quality monitoring.
• Develops and presents educational programs for coding compliance.
• Audits and trains for corrective action plans related to coding and billing.
• Conducts systematic internal audits via medical record and charge ticket review.
• Maintains accurate, complete, and timely documentation.

Auditor/Educator

• Codes inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records, and/or professional fee services for PMG specialty providers for reimbursement, research and compliance with Federal regulation.
• Reviews patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG.
• Abstracts data essential to the QI department in determining patient care issues.
• Accesses systems via computer to research the medical record for timely coding.
• Takes responsibility for accounts receivable by looking for lost documents.
• Resolves any pre-bill edits, denials for assigned accounts.
• Maintains and disseminates up-to-date technical knowledge of coding updates.

PRN HCC Coder, CRC

• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment
• Must demonstrate knowledge of coding multiple areas of service and/or specialties
• Maintains at least a 95% accuracy rate
• Maintains average to high productivity based on PHS Productivity Standards
• Maintains continuing education (CE) requirements per PHS policy

IP Facility CCS Coder

• Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers
• Ensures adherence to Hospital and Departmental Policies and Procedures
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS)
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment
• Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate
• Must demonstrate knowledge of coding multiple areas of service and/or specialties
• Maintains at least a 95% accuracy rate
• Maintains average to high productivity based on PHS Productivity Standards
• Maintains continuing education (CE) requirements per PHS policy

PRN EKG Coder

Data Analyst

• Build your Career. Make a Difference. Presbyterian is hiring a skilled Data Analyst to perform data research, analysis, prepare reports to communicate results, and support development of appropriate reporting/analytics solutions.
• Analyze and synthesize related and seemingly unrelated data into an audience appropriate story to support the business initiatives, accreditation, and regulatory compliance.
• Act as a data steward and maintain the analytical foundation through business definitions and design of data marts to ensure integrity and reliability of analytics.
• Serve as a liaison with internal business units and external entities to support reporting/analytics efforts.

Data Analyst, Healthcare

Manager

• Provide leadership and day-to-day operational oversight of the clinic
• Partner with physicians, providers, and care teams to ensure high-quality clinical and service outcomes
• Manage staffing, scheduling, workflows, and clinic performance metrics
• Ensure compliance with regulatory requirements, quality standards, and organizational policies
• Support population health initiatives and Medicare Advantage care models
• Foster a positive, collaborative work environment focused on patient experience and team engagement
• Oversee budgetary, supply, and operational needs of the clinic

Clinic Manager – Medicare Advantage

• code inpatient and/or outpatient hospital records
• code ED records
• code Home Health & Hospice records
• code professional fee services for PMG specialty providers
• demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership
• ensure adherence to Hospital and Departmental Policies and Procedures
• review patients entire current medical record
• assign appropriate codes including CPT, ICD and MS-DRG
• access several systems via the computer
• maintain and disseminate up-to-date technical knowledge of legal and regulatory information
• resolve any and all pre-bill edits, denials, etc. for assigned accounts
• participate in all departmental in-services and updates

Certified Cardiothoracic Vascular Surgery Coder

Accounting Manager

• Performs denial follow-up activities for assigned payors utilizing work queues
• Submits corrected claims, reconsiderations and/or appeals to overturn denials
• Responsible for providing any information requested by insurance companies to process claims and overturn denials
• Document accounts in accordance with established PHS policies/procedures
• Actively participates in team meetings and communicates work related ideas and concerns
• Maintains strictest confidentiality, adheres to all HIPAA and CMS compliance rules and regulations