Presbyterian Healthcare Services

Medical Billing and Coding

• Code inpatient and/or outpatient hospital records
• Review patients' entire current medical records
• Assign appropriate codes including CPT, ICD and MS-DRG
• Access several systems to complete coding in a timely manner
• 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

IP Facility Coder III – CCS

Program Manager

• As a Senior Program Manager, you lead the design, development, and implementation of community health initiatives that improve population health outcomes for patients, members, and communities
• Build strong partnerships across community, public health, clinical, and population health organizations while guiding multidisciplinary teams to successfully implement programs in both clinical and diverse community settings
• Lead and coordinate Presbyterian’s community health initiatives from planning through evaluation
• Implement and sustain community health programs that improve population health outcomes
• Build and maintain strong partnerships with internal leaders and external community, clinical, and government stakeholders
• Develop strategies that align providers and community partners with new health models and programs
• Prepare program reports and represent Presbyterian on community councils and boards
• Ensure financial, operational, and strategic goals are met for community health initiatives
• Identify grant opportunities, develop proposals, and track/report grant deliverables
• Manage complex community health programs and support collective‑impact efforts identified through community health needs assessments
• Oversee communication, outreach, and data management processes, including reporting, analytics, and use of tools such as Epic and Salesforce
• Provide research, analysis, and support for decision‑making, including occasional frontline or patient‑facing assistance as needed.

Senior Program Manager – Community Health

• Coordination of coding abstracting, statistics and data retrieval functions
• Responsible for equitable distribution of work and timely processing of charts
• Schedules staff in accordance with workflow and workload, troubleshoots problem areas
• Performs ongoing quality monitoring and provides feedback
• Coordinates educational inservices and serves as a resource for coding questions
• Acts as liaison between coding staff and Business Office, Admitting Office and physicians
• Prepares all quality information for review at the ED MD Quality Committee meeting
• Prepares return correspondence to patients and other providers for the ED Medical Director

Lead Coder

Security Engineer

• Conduct patrols, monitor safety and security risks, respond to incidents, and support emergency preparedness efforts.
• Conduct routine and ad‑hoc patrols of hospital buildings and grounds to prevent fire, theft, vandalism, unauthorized access, and safety or infection‑control hazards.
• Document all shift activities through accurate logs, incident reports, and required written documentation.
• Respond to security‑related incidents such as workplace violence reports, requests for escorts, and other calls for service.
• Support emergency and safety operations, including assisting medical staff with violent, agitated, or restrained individuals.
• Perform physically demanding tasks including heavy lifting and extended standing.

Security Technician

• code inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or 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 the patient's 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 to complete the coding in a timely manner
• take responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded
• maintain and disseminate up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
• responsible for resolving any and all pre-bill edits, denials for assigned accounts
• participate in all departmental in-services and updates to stay current with accepted coding guidelines

Claim Edit Coder

SEO Marketing

• Lead, train, and support Patient Access staff
• Ensure compliance with all policies, quality standards, and regulatory requirements
• Monitor productivity, staffing, and workflow efficiency across multiple registration areas
• Assist with setting productivity benchmarks and aligning staffing with patient volumes
• Support quality documentation and issue resolution
• Manage work queues and billing reports
• Collaborate with leadership to address operational issues
• Conduct monthly one-on-one meetings with staff

Patient Access Supervisor

Analyst

• Support problem solving with initiative Owners and Workstream Lead
• Identify initiative roadblocks or delays and communicate to TO team
• Ensure adherence to TO guidelines and processes; modify and reconcile reports when underlying data structures change; support documentation creation as required by Stage gates (L-gates)
• Partner with organizational leaders in a consultative nature to provide leadership to initiative resources in a manner that ensures timely delivery on commitments/tasks in support of broader initiative deliverables
• Align and lead cross-organizational resources to ensure successful delivery of the initiative
• Utilizing Wave Program Management tool, Excel or PowerPoint to design and prepare presentations and reports

Transformation Office Analyst

Billing Specialist

• Prepare, process, and submit accurate and timely insurance claims for all payer types
• Resolve pre‑billing edits and route accounts to appropriate departments when additional review is needed
• Review and clear assigned work queues promptly to meet key performance indicators
• Document all account activity in alignment with PHS policies and procedures
• Contact insurance companies, patients, and employer groups to obtain required information for claim submission
• Notify leadership of billing issues involving internal departments or contracted vendors
• Submit both electronic and paper primary and secondary claims, including required HIPAA‑compliant attachments, medical records, and supporting forms
• Stay current on billing procedure changes that impact claim processing or reimbursement

PFS Billing Specialist

• Leads, coordinates, and sustains Presbyterian community health initiatives, ensuring alignment with organizational goals and community needs.
• Promotes a systemwide community health approach, dynamically selecting, prioritizing, and redirecting initiatives while building organizational capacity for innovation, best practices, and knowledge transfer.
• Develops and deploys strategies that align practitioners, providers, and community partners with new community–clinical linkage models to improve population health.
• Engages, influences, and collaborates with internal leaders (executives, service lines, PCMH, PMG providers) and external stakeholders (network providers, government entities, community organizations).
• Manages complex community health programs from planning and design through implementation, evaluation, reporting, and continuous improvement.
• Identifies community health needs and relevant initiatives, supports outreach and engagement strategies, and participates on community councils and boards representing Presbyterian.
• Ensures financial and operational performance of community health initiatives, identifies grant opportunities, develops proposals, tracks deliverables, and presents outcomes to senior leadership.
• Coordinates communication strategies for internal and external stakeholders and supports data management planning, including data collection, databases/EHRs, privacy, and reporting.
• Provides technical and user support for program data systems (Epic, Salesforce, closed-loop referral platforms), gathers and analyzes metrics, and delivers research, analytical insights, and recommendations.
• Supports frontline workers and may provide direct patient assistance as needed, while performing additional duties that advance community health goals.

IT Support

• Support visit closure activities and ensure seamless coordination of patient care
• Guide patients through next steps ordered by the clinician
• Review and follow orders entered into the EHR by the clinician
• Schedule return visits, lab, radiology, STAT & ASAP appointments and advanced imaging
• Obtain Prior Authorization/Referral per payor protocols
• Validate patient MyChart Access
• Print AVS as applicable with double check for HIPAA privacy
• Collects any backend patient balance such as high deductible
• Communicate effectively to ordering clinician when any restriction prohibits scheduling as ordered
• Make appointment reminder calls and rescheduling
• Instruct patients on the Release of Information process
• Ensure checkout area, waiting area and walkways are clear and clean
• Perform other duties as required

Patient Visit Specialist

Financial Planning and Analysis

• Develop, review, interpret, and analyze financial data for administration, management and external agencies.
• Assists with control and regulatory compliance functions; leads projects and operational improvement teams; responsible for annual budget and quarterly forecast preparation; and serves as a resource and educator for the Fluent Health Finance Department.
• Demonstrates good verbal and written communication skills, including the ability to interpret, prepare and present data and make recommendations at a level understood by intended audiences.
• Ability to work in a team environment, be flexible and adaptable to changes in assignments and the work environment, work independently, manage time efficiently and multi-task effectively.
• Acts as a data steward maintaining and ensuring data integrity of support systems, including performing audits, evaluations, reviews and lead discussions regarding proper use of that information.
• Provides a wide range of ad hoc analytical support to administration, management and external agencies regarding financial performance.

Financial Planning Analyst IV – Health Plan

Recruitment

• Manage the complete recruitment process for MA and RN openings within our clinics, from requisition approval through onboarding.
• Source, screen, interview, and recommend qualified candidates aligned with organizational standards and clinical requirements.
• Collaborate with hiring managers to understand role competencies, staffing needs, and departmental culture.
• Build and maintain strong talent pipelines through proactive outreach, networking, and relationship management.
• Deliver an exceptional candidate experience by providing timely communication, transparency, and support through each hiring stage.
• Conduct behavioral and competency‑based interviews, ensuring consistency with Presbyterian’s hiring practices.
• Guide and coach hiring managers on recruitment best practices, interviewing techniques, and labor market insights.
• Facilitate hiring decisions by presenting vetted candidates and advising on selection strategies.
• Maintain regular communication with clinic leadership regarding hiring progress and workforce needs.
• Utilize innovative sourcing methods, including job boards, social platforms, partnerships with schools, and community outreach.
• Participate in job fairs, hiring events, and clinical school engagements to attract qualified MA and RN talent.
• Track recruitment data and trends to inform hiring strategies and improve recruitment outcomes.
• Ensure recruitment activities comply with organizational policies, employment laws, and regulatory guidelines.
• Maintain accurate candidate records and workflows within the Applicant Tracking System (ATS).
• Support onboarding activities in coordination with HR and clinic leadership.

Clinic Recruiter

Events

• Provide a safe environment where risks for infection are identified and minimized
• Act as a liaison and resource person for Infection Prevention and Control
• Manage all Infection Prevention and Control activities by providing environmental and case surveillance, data reporting, data analysis, practice consult, and developing interventions
• Conduct surveillance, analysis, interpretation, and reporting of infections including healthcare associated infections (HAIs)
• Investigation and response to outbreaks of infection amongst patients and/or healthcare workers
• Provide consultation to all PCNM delivery sites on Infection Prevention and Control practices
• Develop resources and education related to Infection Prevention and Control
• Collaborate with multidisciplinary departments to ensure prevention measures are in place.

Infection Preventionist

Accounting Manager

• Post manual and electronic payments, adjustments, and denials within 24 hours of receipt
• Ensure all unidentified receipts are logged and cleared by the end of each month
• Contact insurance companies, patients, employers, etc. to resolve payment issues
• Document accounts in accordance with established Patient Accounting Department guidelines
• Follow established billing/coding guidelines to flag accounts for follow-up as needed
• Maintain a daily credit balance log
• Handle all NSF dollars and documentation in accordance with established timeframes
• Compile and validate all payment receipts
• Ensure the accuracy of daily deposits by validating the dollar amount on the receipt
• Participate in team meetings, communicate work related ideas and concerns proactively

IP Facility Coder III – CCS

Senior Program Manager – Community Health

Lead Coder

Security Technician

Claim Edit Coder

Patient Access Supervisor

Transformation Office Analyst

PFS Billing Specialist

Senior Program Manager – Community Health

Patient Visit Specialist

Financial Planning Analyst IV – Health Plan

Clinic Recruiter

Infection Preventionist

Cash Process Specialist – Patient Accounting