SSM Health

Consultant

• Analyzes data and trends from internal and external sources to make recommendations related to the organization’s strategic positioning.
• Provides consultation to leadership to interpret data, advises and counsels system and regional senior leaders on decisions based upon data provided.
• Supports system strategy and regional leadership by completing demographic analysis, assessment of provider and service access, payer profiles and trending.
• Creates dashboards needed to monitor strategic priorities.
• Conducts research on health care and technology trends to support clinical program planning, digital health expansion, and transformation initiatives.

Strategic Analytics Consultant

Analyst

• Facilitates and delivers technical training; assessment, preparation, delivery and evaluation to meet the technical training needs of the organization.
• Configures, supports and maintains Epic Training applications to meet the needs of the organization.
• Builds in and understands the Electronic Health Record (EHR) (Epic) in order to competently develop training curriculum, resources, and facilitate training delivery.
• Analyzes training data, reviews training feedback, and assessment data to determine curriculum modifications that ensure training success.
• Solves complex problems based on the analysis of multiple sources of information.

Training Analyst

Systems Engineer

• Acts as a broad subject matter expert for service line Epic functionality and integrated third-party applications.
• Identifies best practices for the business and works closely with stakeholders to define the technical systems and enhancements needed to deliver business results.
• Conducts research on possible solutions and makes recommendations based on findings.
• Develops detailed analysis for proposals that outline feasibility, scalability and costs.
• Suggests, designs, tests, implements, and evaluates solutions.
• Contributes to service line research for business needs and translates into the technical enhancements necessary for configuration and business process changes.
• Develops proposals that outline feasibility and costs.
• Codes complex functions including building application tables and reports for multiple Epic applications.
• Tests build to ensure quality delivery to business partners.
• Implements and stabilizes core business applications, researching application infrastructure needs, associated hardware, endpoints, and databases.
• Proactively identifies and solves complex problems; uses ground-breaking and innovative methods to think beyond existing solutions which impact business direction and drive business performance.
• Researches and recommends best practices for scalability, supportability, ease of maintenance, and system performance.
• Analyzes, prioritizes, and organizes technical requirement specifications using data, diagrams, and flowcharts to inform decision making.
• Leads functional teams or projects in a project management role with moderate resource requirements, risk, and/or complexity.
• Plans and coordinates with internal and external stakeholders to establish project scope, system goals, and requirements.
• Troubleshoots and resolves complex integrated issues crossing applications and works with vendors to solve issues.
• Performs other duties as assigned.

Epic Systems Analyst – Ambulatory

Epic Systems Analyst – Ambulatory, Orders, MyChart

Account Manager

• Leads patient account representatives in performing activities or tasks relating to patient accounts.
• Leads or coordinates shift operations of assigned activities, resources, and staff.
• Serves as a technical or functional resource and performs similar duties with staff.
• Assigns, monitors and reviews progress of work.
• Monitors and reports compliance with policies and/or procedures.
• Oversees and evaluates orientation and training of assigned associates.
• May provide input in the review and evaluation of staff performance.
• Performs the duties of a Patient Account Representative.
• Performs other duties as assigned.

Patient Account Representative – Lead

Community Manager

• Assures the appropriate selection, dosing, administering and dispensing of medication orders.
• Provides supervision for actions of pharmacy technicians, residents, graduates and interns.
• Interacts with patients, physicians, and nurses concerning various clinical activities in order to provide proper drug therapy.
• Functions as Pharmacist in Charge (PIC) in the absence of the Pharmacy Supervisor/Manager.
• Verifies prescription orders and dispenses medications as ordered by ensuring the accuracy of entered prescription orders, by performing DUR/DUE, verifying drug/drug interactions and completing visual verification of orders.
• Transfers prescriptions to and from other pharmacies following state and federal law requirements.
• Compounds prescription medications when necessary and assures appropriate documentation is completed.
• Ensures Medication Guides, CMS notices and other documents required by law are distributed with prescriptions.
• Monitors medication therapy and makes recommendations to therapy when appropriate.
• Counsels as required by all state and federal laws and provides information on drugs, their pharmacological action, dosage, contraindications, reactions, etc. to physicians, nurses, patients, and other interested parties.
• Identifies and completes medication therapy management opportunities and recommends, administers, and educates on immunizations as appropriate.
• Stays current with professional literature and maintains competence required for position.
• Oversee technical personnel who assist in the preparation, maintenance, and dispensing of medications and supplies.
• Able to perform all duties of a pharmacy technician.
• Assist with academic functions such as serving as a preceptor for pharmacy students.
• Maintain appropriate inventory of medications and supplies.

Pharmacist, Clinical, Community

Risk

• Responsible for overseeing risk management at the organization, focusing on the clinical and operational aspects of healthcare delivery.
• Develops and implements systems, policies and procedures for the identification, collection and analysis of risk related information.
• Collects, evaluates and maintains data concerning patient injuries, operational risks, and other risk-related data.
• Monitors and evaluates systems to track, analyze, and report occurrences and unanticipated outcomes and formulate and recommend prevention strategies to mitigate identified clinical risks.
• Develops risk metrics and risk mitigation reporting for department level, ministry level and executive leadership team on risk management activities to the departments, ministry leadership and executive leadership team.
• Develops, coordinates, and implements professional education and training programs, and policies and procedures related to risk management, and other relevant topics.
• Directs and maintains compliance with federal, state, local and agency regulatory requirements related to risk management, including the management, investigation and response to events.
• Participates in, and/or leads as appropriate, Root Cause Analysis (RCA) or Apparent Cause Analysis for identified events to understand the root cause(s), corrective actions, and risk mitigation strategies developed.
• Recruits, engages, develops, leads, and manages assigned staff.

Director, Risk Management Programs and Services

Medical writer

• Oversees and manages the daily operations and activities of the regional Clinical Documentation Improvement (CDI) program.
• Promotes consistent and standardized operations and documentation across the network.
• Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.
• Manages the daily operations and resources of assigned Clinical Documentation Improvement (CDI) team, including the development and monitoring of strategic operating goals, objectives, and data analysis; and report operational performance, justification, and/or corrective action.
• Provides on-going support of CDI with extensive collaboration with physicians, nursing, coding, quality, and leadership.
• Facilitates improvements to clinical documentation through chart review and educational training sessions (with CDI Educator), which could be performed onsite, with physicians and/or other clinical professionals.
• Initiates corrective actions to resolve any problem areas identified between CDI and any other areas of the organization.
• Collaborates with CDI educator for regional education.
• Provides ongoing clinical documentation management program education for new staff, including new clinical documentation registered nurses, physicians, nurses, and allied health professionals.
• Participates in the direction and education of all phases of the clinical documentation process.
• Supports and implements technologies designed to improve and/or ensure the accurate depiction of clinical services, patient’s severity of illness, and risk of mortality.
• Conducts audits on CDI reviews against quality, coding, and mortality.
• Provides feedback to staff and CDI educator and director.
• Reports monthly CDI metrics regarding KPIs and staff productivity.
• Strengthens technical coding practices and clinician documentation by reviewing patient records with flagged complications to ensure coding accurately reflects the patient’s clinical course and complexity to validate accurate risk-adjustment for administrative metrics used in government incentive/penalty programs.
• Collaborates with interdisciplinary teams including physicians, nurse practitioners, physicians assistants, and the department managers for revenue integrity, coding and data quality, case management and health information management.
• Demonstrate leadership and management skills to promote effective and efficient review of physician documentation and the medical record.
• Communicates with assigned regional/ministry physician leaders.
• Participates in monthly medical management meetings to report CDI metrics and act as subject matter expert for inquiries.
• Recruits, engages, develops, leads, and manages assigned staff.
• Performs other duties as assigned.

Manager, RN – Clinical Documentation Improvement

Therapist

• Provides physical therapy interventions under a plan of care written by a physical therapist.
• Performs therapy interventions utilizing techniques and skills as appropriate for the patient population.
• Documents treatment interventions given.
• May coordinate activities of physical therapy aides, students and other support personnel.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

Physical Therapist Assistant

Director

• Develops, implements, and monitors the pharmacy clinical practice model used in ministries across the system.
• Partners with region leadership to ensure policies, procedures, protocols, and guidelines are adhered to when practicing clinical pharmacy.
• Steers clinical pharmacy education for system pharmacy.
• Works with region leadership to identify gaps in skills, practice, and expertise and ensures that educational programs are created to develop appropriate competency in technicians and pharmacists.
• Serves as the contact for pharmacy school partnerships and educational offerings.
• Coordinates the System P&T Committee and serves as co-chair.
• Oversees the preparation and distribution of meeting agenda, materials, and minutes.
• Collaborates with the medical staff and serves as the pharmacy liaison for the system and region P&T Committees.
• Ensures that System P&T decisions are implemented and monitored.
• Oversees formulary governance process.
• Provides support for drug therapy decisions, including substitutions where needed, during shortages, emergencies, and unforeseen circumstances that cause concern for disruption of the drug supply chain.
• Develops and oversees the Pharmacy Clinical Programs to provide pharmacy practice and medication management expertise and decision making to the Clinical Programs.
• Identifies and recommends clinical pharmacy specialists for service on the Clinical Program teams.
• Partners with the multi-disciplinary leadership group at the system and region levels to support the quality, safety, and alignment of the Clinical Programs.
• Maintains a thorough knowledge of medication management standards and professional developments related to the practice of health-system pharmacy.
• Identifies opportunities to advance the practice of pharmacy and collaborates with system and region leadership for design and implementation of new programs.
• Oversees the development of pharmacy residency programs across ministries.
• Ensures that programs are designed to meet accreditation requirements of ASHP.
• Collaborates with residency directors and coordinators to advance the programs to meet the growing needs of the ministry and pharmacy profession.
• Develops and implements sourcing strategies by leading cross-functional teams of pharmacy specialists and professionals, uses analytical tools and performance metrics to complete value analyses, assembles and presents concise business cases, and partners with region leadership to oversee the implementation of team decisions.
• Identifies and develops cost reduction ideas and initiatives, working with key stakeholders for the most effective strategy for implementation.
• Evaluates internal and external benchmarking (including cost, quality, safety, user/patient satisfaction and performance) data to identify value beyond acquisition costs.
• Precept pharmacy students and residents, as applicable.
• Performs other duties as assigned.

System Director – Pharmacy

• Responsible for processing patient accounts.
• Duties may include one or more of the following: processing insurance payments, following up on denied claims, and resolving credit balances.
• May work in multiple functional areas.
• Processes the insurance component of a patient's obligation using the third party claims processing and payment rules.
• Bills claims appropriately.
• Follows up on denied claims by performing appeals and denial recovery procedures.
• Works denied claim lines and no response claims to resolve outstanding accounts.
• Analyzes credit balances on patient accounts and resolves.
• Responds to refund request letters from insurance carriers.
• Identifies process improvement opportunities and participates in improvement plans.
• Works on special projects as needed.
• May review the work of others.
• Performs other duties as assigned.

Patient Account Representative II

Recruitment

• Actively implements proactive recruitment plans and strategies that support all phases of the recruitment process.
• Engages with team members in a positive, mentoring manner, providing practice and process guidance.
• Serves as an informal leader to support training, department initiatives, projects and the cascading of information to/from leadership.
• Provides training and mentorship to Talent Acquisition team members, serving as a subject matter expert on recruitment processes, systems, tools, and programs.
• Identifies recruitment gaps/needs and effectively leverages cross-functional relationships to obtain solutions and process improvements.
• Consistently meets service level agreements and meets or exceeds performance & productivity goals set by the department/organization, as well as organizational goals, initiatives, KPIs and metrics as designed within the Talent Acquisition department.

Senior Talent Acquisition Partner

Medical Billing and Coding

• Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines.
• Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts.
• Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits.
• Enters in accurate charge information, when appropriate
• Monitors assigned work queues to ensure all records are charged in a timely matter.
• Generates coding queries for clarification regarding physician documentation as needed
• Stays abreast of all changes in coding conventions and coding updates
• Performs other duties as assigned.

Coder – Hospital Outpatient ED

• Play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes.
• Responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations.
• Manage assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.
• Identifies need for medical records from outside the organization and follows established procedures to obtain.
• Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
• Consults with physicians/providers as needed to clarify any documentation in the record that is inadequate, ambiguous, or unclear for coding purposes.

Coder II

Financial Planning and Analysis

• Responsible for determining the patient financial component for patient services.
• Estimates, communicates and collects the patient financial responsibility and provides patient financial counseling.
• Assists patients in understanding their insurance benefits including their co-payment, deductible and co-insurance responsibility.
• Educates patient regarding financial assistance programs when appropriate.
• Obtains patient demographic information and requests financial responsibility from the patient.
• Determines patient qualification for coverage by third-party payer and informs financial counselor, patient or family member of status.
• Verifies all commercial insurance coverage, workers compensation insurance, TPL insurance and state and government programs.
• Documents and resolves patient concerns or inquiries that are received via telephone, mail or walk-in within an established time frame.
• Validates Master Patient Index according to departmental policy.
• Interprets physician orders.
• Identifies process improvement opportunities and participates in improvement plans.
• Works on special projects as needed.
• Performs other duties as assigned.