The following experience is strongly preferred:
*EPIC
*Hospital charge description master experience
*Charge audits
*Coding & billing guidelines
Schedule:
Monday-Friday 8:30am - 5:00pm
First 90 days, Monday through Thursday onsite, and Friday remote.
Upon successful training, hybrid 2 days onsite and 3 days remote.
Local onsite meeting requirements.
Job Summary:
The position is responsible for root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle workflows, charge capture, work queue and denial review processes within an Epic based EMR.
This position will help optimize Revenue Cycle by evaluating, validating and trending data for presentation to all levels of the organization. Will support the Virtua Hospitals, Physician Groups and Home Health.
Position Responsibilities:
Perform quantitative and financial analysis along with audits designed to identify opportunities for improvement across the full spectrum of the Revenue Cycle.
Assists in ensuring that the charge master and fee schedules are in accordance with government compliance policies and procedures, as well as third party payor needs. Review, identify, and analyze necessary CPT changes related to quarterly and annual AMA CPT updates and regulatory changes by timelines set. Works with revenue producing departments to ensure the ongoing coordinated consistency of the charge master and fee schedules, including accurate descriptions, coding, additions, deletions, pricing, and any other changes. Conduct analytical reviews determine net revenue effect of proposed charge master and fee schedule changes. Perform internal billing audits to ensure correcting coding/billing regulatory compliance and charge capture accuracy.
Incumbent must develop close working relationships with management and staff in Revenue Integrity, Finance, Information Technology and Revenue and Clinical Operations allowing them to perform deep-dive analysis and reviews assisting with the identification of trends, solutions and potential corrective action steps. Will work both independently and have a high level of self-directed work efforts as well as be an integral part of the Revenue Integrity Team. Revenue Cycle will include areas from Hospital, Physician and Home Health.
Monitor and assists with review of revenue cycle work queues in Epic. Perform analysis to identify issues, trending, root cause, and action plan development with work queue issues.
Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing coordination and resolution of revenue issues as they arise. Assists in troubleshooting and resolving issues related to the patient revenue cycle and assists in development and recommendations.
Provide guidance and communication and collaborate with Revenue Integrity Team, Clinical Operations and IT to help ensure work queue rules are accurate and updated based on annual and quarterly coding changes.
Assist with Epic performance reporting, including assisting with Revenue & Usage, Enterprise Charge Reconciliation and Volume Reports. Work queue and reporting will include areas from Hospital, Physician and Home Health.
Serve as resource to Patient Financial Services staff for reporting problems and denials on individual claims. Assist in researching coding issues, provide guidance and recommend solution to account representative.
Analyze billing errors and denial data to identify root cause of issues. Work with Revenue Integrity Team, Clinical Operations and Patient Financial Services staff to implement corrective actions to ensure compliant charges, prevent future rejections/denials and accurate and reimbursement. Claim issues and denials will include areas from Hospital, Physician and Home Health.
Lead and participate in projects related to Revenue Cycle initiatives. Participate in ongoing coordination and resolution of revenue issues as they arise. Provide input to Director and Manager for annual Revenue Integrity planning process. Assist with additional projects as needed for Hospital, Physician and Home Health.
Position Qualifications Required:
Required Experience:
3 to 5 years' experience within a large hospital or integrated healthcare delivery system.
Ability to work collaboratively across disciplines and business lines.
Exceptional oral/written communication skills and highly customer focused.
Excellent interpersonal and presentation skills.
Able to communicate with many, various customers.
Ability to prioritize, plan and execute.
Excellent critical thinking, analytical skills.
Required Education:
Bachelor's degree, in Accounting, Finance, Healthcare preferred
Training / Certification / Licensure:
EPIC Revenue Integrity, Hospital Billing, Physician Billing Certification, preferred #RD_P1
Read Less👩⚕️ Role: Advanced Nurse Clinician (OR Nurse Educator / Nursing Professional Development Specialist)
🕒 Experience:
• 2–5+ years of perioperative nursing experience (Operating Room required)
• Background in tertiary-level care (Cardiac, Neuro, and/or Transplant strongly preferred)
🎓 Education/Certification:
• MSN or near completion of an advanced nursing degree highly preferred
• CNOR certification preferred
Job Summary:
The Advanced Nurse Clinician’s primary focus is the assurance of clinical outcomes for select patient populations through the professional development of staff, interdisciplinary collaboration, and clinical leadership. The ANC applies the principles of HRO with the goal of zero harm. The ANC adheres to ANA Scope and Standards of Nursing Practice and Code of Ethics and aligns all work with the mission, vision, and strategic imperatives of the organization. The AVP/VP at the division and the Director of Clinical Practice and Education of the specialty area provide collaborative supervision of the ANCs.
Position Responsibilities
Clinical Quality and Safety –
Interprets clinical, technical, and patient data to improve clinical quality and patient outcomes for the population of patients in the department.
Collaborates with members of the interdisciplinary teams in the planning, implementation, and evaluation of evidence-based approaches to patient care.
Supports patient throughput by facilitating individualized plans of care.
Utilizes evidenced based practice to resolve clinical quality issues in identified patient populations through inquiry and innovation.
Communicates practice changes and cascades relevant information from councils and committees to ensure the implementation of new policies, procedures, and technologies.
Assumes a leadership role in councils and committees as a subject matter expert and consultant to ensure clinical quality and safety across the continuum.
Promotes the principles of shared governance across the organization
Best People (Professional Development) –
Coordinates orientation, mediates education and competency of new staff.
Serves as the knowledge expert for staff education needs at both the unit and organizational level.
Fosters a learning environment through the implementation of Relationship Based Care (RBC) principles.
Provides mentorship and cultivates professional development across the organization.
Promotes the advancement of the nursing profession through research, knowledge, practice, and commitment to lifelong learning.
Identifies gaps in knowledge and practice to ensure adherence to policies, procedures, and regulatory requirements. Initiates action plans to ensure clinical excellence.
Annual and ongoing competency management.
Continuously evaluates return on investment for educational offerings.
Facilitates relationships with academic partners to promote the development of the future workforce.
Required Experience:
A minimum of 2 to 5 years recent clinical experience in specialty area is required, preferably at advanced level.
Required Education:
Masters Degree in Nursing or near completion of advanced degree.
Training / Certification / Licensure:
Must be a licensed registered nurse in the state of NJ.
Possess certification relative to specialty: BLS minimum requirement, ACLS requirement for critical care, labor and delivery, emergency department. NRP for neonatal areas. PALS for those areas with children: Pediatrics and emergency department
#RD_P1
Read LessPREVIOUS LEVEL III NICU EXPERIENCE REQUIRED
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must be a graduate of an accredited school of nursing and have valid NJ RN License. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc.
Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read LessLEVEL III NICU EXPERIENCE REQUIRED
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey licensing board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc. Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read LessPREVIOUS LEVEL III NICU EXPERIENCE REQUIRED
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must be a graduate of an accredited school of nursing and have valid NJ RN License. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc.
Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read LessPREVIOUS LEVEL III NICU EXPERIENCE REQUIRED
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must be a graduate of an accredited school of nursing and have valid NJ RN License. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc.
Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read LessLEVEL III NICU EXPERIENCE REQUIRED
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey licensing board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc. Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read Less1-2 years L&D experience required
Weekday hours 11a-11:30p
Weekend requirement hours 7a-7p
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey licensing board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc. Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read Less1-2 years L&D experience required
Weekday hours 11a-11:30p
Weekend requirement hours 7a-7p
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey licensing board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc. Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read Less1-2 years L&D experience required
Weekday hours 11a-11:30p
Weekend requirement hours 7a-7p
Summary:
Responsible for assessing, diagnosing, planning, implementing, and evaluating patient care through outcome identification and evidence-based practice.
As an integral member of the health care team, coordinates patient care and communicates and collaborates extensively with the other members of the healthcare team, patients and/or patient's family or significant other(s).
Maintains and demonstrates high standards of professional ethics.
Position Responsibilities:
• Performs an assessment of the patient, leading to development, implementation and evaluation of a plan of care.
• Administers, monitors and documents therapeutic interventions and regimes.
• Effectively manages rapidly changing situations.
• Participates in clinical decision-making.
• Educates patient and family/responsible party regarding disease process, individual care needs, wellness, safety issues, etc.
• Delegates and monitors care rendered by other members of nursing department and healthcare team.
• Demonstrates standard precautions and patient safety principles in practice.
• Participates in orientation, education and development of healthcare team.
• Identifies and participates in the performance improvement activities.
• Maintains professional and departmental level competencies.
Position Qualifications Required / Experience Required:
Must have valid NJ RN License. Approved licenses must be presented and maintained in accordance with the State of New Jersey licensing board. Refer to the Educational/Regulatory Requirement (Department Specific) policy in the Nursing Administrative Manual.
Demonstrates knowledge of nursing skills, hospital practices, procedures and standards.
Perfects skills and stays abreast of current nursing practice through on-going education, journals, etc. Must have strong communication skills.
Must be able to coordinate efforts of a team of care providers.
#RD_N
Read Less