8 open positions available
The Government Reimbursement Analyst is responsible for preparing and managing reimbursement-related regulatory filings for Medicare, Medicaid, and other agencies. This role involves analyzing government program revenue streams and understanding financial impacts from operational changes. | A bachelor's degree in accounting or finance is required, along with a minimum of three years of experience in healthcare finance or a related field. Preferred qualifications include experience in consulting or within a multi-hospital system. | Standard salary range with minimum 3 years of experience: $$71,260 - $106,870/year. Senior salary range with minimum 5 years of experience: $83,096 - $124,675/year. Remote in Approved States with a preference for Remote Oregon. Please not apply to this role unless you currently reside in one of these states: Arkansas, Arizona, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Oregon, Tennessee, Utah, Wisconsin ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Cost Report and Government Reimbursement Analyst REPORTS TO POSITION: Controller DEPARTMENT: Accounting DATE LAST REVIEWED: March 18, 2021 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Accounting Department is responsible for maintaining accurate and timely financial records for the System, the hospital Foundation, and several Joint Ventures. The department facilitates an annual financial statement audit. The Department prepares and submits external financial reporting including, but not limited to, tax returns and cost reports. The Department is also responsible for internal reporting to support senior leadership in the decision-making process through the appropriate presentation of financial data. Not responsible for patient billing, collecting, account management or charity care assessments. This role collaborates with the Payer Contracting and Revenue Cycle teams. POSITION OVERVIEW: The Reimbursement Analyst is responsible for the preparation, coordination and management of the reimbursement-related regulatory filings for Medicare, Medicaid and other governmental or non-governmental agencies. In addition, the position is responsible for analyzing government program revenue streams and understanding financial impacts that arise from operational and programmatic changes. This position does not directly manage other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Responsible for the coordination of the preparation, filing, settlement and audit of the St. Charles cost reports and reimbursement-related regulatory filings for Medicare, Medicaid, other governmental or nongovernmental-agencies. Prepares and/or reviews Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and St. Charles polices. Manages the production of compliant State and Federal cost reporting documents, including all annual cost reports, S-10 and wage index audits. Includes management of internal resources and external cost report experts. Prepares and analyzes proposed audit adjustment impacts and submits additional documentation as required by the MAC or regulatory agency. Reviews monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable. Assists the Accounting team in validating that workbooks stay current with regulatory changes. Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or cost savings whenever possible. Ensures that all assigned statutory filings are timely and accurate. Oversees the timely preparation, analysis, interpretation and distribution of government payer performance reports to divisional and financial leadership. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Accesses rate schedules, product details and historical claims to build and deploy model scenarios. Leverages multiple data points to provide visibility into all key model components. Provides expertise to reimbursement strategies including review of methodology options and coordination of appeal opportunities in collaboration with Revenue Cycle leadership. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: Bachelors degree in accounting or finance. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: Certified Public Accountant. Certified Healthcare Financial Professional. EXPERIENCE Required: Three (3) years of demonstrated experience in the healthcare finance or related field, including regulatory reporting. Preferred: Previous work experience in consulting, in a multi-hospital system, health insurer, or MAC. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Senior Cost Report and Government Reimbursement Analyst REPORTS TO POSITION: Controller DEPARTMENT: Accounting DATE LAST REVIEWED: March 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Accounting Department is responsible for maintaining accurate and timely financial records for the System, the hospital Foundation, and several Joint Ventures. The department facilitates an annual financial statement audit. The Department prepares and submits external financial reporting including, but not limited to, tax returns and cost reports. The Department is also responsible for internal reporting to support senior leadership in the decision-making process through the appropriate presentation of financial data. Not responsible for patient billing, collecting, account management or charity care assessments. This role collaborates with the Payer Contracting and Revenue Cycle teams. POSITION OVERVIEW: The Senior Cost Report and Government Reimbursement Analyst is responsible for the preparation, coordination, and management of the reimbursement-related regulatory filings for Medicare, Medicaid and other governmental or nongovernmental agencies. In addition, the position is responsible for analyzing government program revenue streams and understanding financial impacts that arise from operational and programmatic changes. The Senior Reimbursement Analyst supports the forecasting process by developing reimbursement analysis, including impact for modifications to the System’s charge master, contract model changes, government program changes and other impacts on future reimbursement. This position does not directly manage other caregivers, however may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Responsible for the coordination of the preparation, filing, settlement and audit of the St. Charles cost reports and reimbursement-related regulatory filings for Medicare, Medicaid, other governmental or nongovernmental-agencies. Prepares and/or reviews Medicare and Medicaid cost reports and other regulatory filings, and the related work papers in accordance with all applicable regulations and St. Charles polices. Manages the production of compliant State and Federal cost reporting documents, including all annual cost reports, S-10 and wage index audits. Includes management of internal resources and external cost report experts. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Prepares and analyzes proposed audit adjustment impacts and submits additional documentation as required by the MAC or regulatory agency. Reviews monthly workbooks and resultant journal entries to record third party settlements, and provider taxes payable and supplemental payments receivable. Assists the Accounting team in validating that workbooks stay current with regulatory changes. Continuously monitors workload and methodologies used to achieve results, making recommendations to improve efficiency and/or cost savings whenever possible. Ensures that all assigned statutory filings are timely and accurate. Oversees the timely preparation, analysis, interpretation, and distribution of government payer performance reports to divisional and financial leadership. Manages the day-to-day analysis of government reimbursement models, utilizing Strata’s contract management and cost accounting systems, to evaluate the impact of proposed government (federal and state) reimbursement initiatives, contracts, amendments, payment disputes, and changes in regulation or provider manuals. Analyzes the reimbursement impact of proposed new programs, payment models, services, and operating strategies. Provides reports and recommendations for achieving proposed financial objectives. Accesses rate schedules, product details and historical claims to build and deploy model scenarios. Leverages multiple data points to provide visibility into all key model components. Provides expertise to reimbursement strategies including review of methodology options and coordination of appeal opportunities in collaboration with Revenue Cycle leadership. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor’s degree in accounting or finance. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: N/A Preferred: Certified Public Accountant. Certified Healthcare Financial Professional. EXPERIENCE: Required: Five (5) years of demonstrated experience in the healthcare finance or related field, including regulatory reporting. Preferred: Previous work experience in consulting, in a multi-hospital system, health insurer, or MAC. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing, or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: ANALYST FINANCE Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8:00 - 5:00 St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The Customer Service Specialist is responsible for delivering quality customer service and resolving patient billing concerns. This role includes conducting financial interviews and assisting with departmental duties. | A high school diploma or GED is required, along with one year of experience in data processing, word processing, accounting, or healthcare clerical work. Additional courses in medical terminology and office practices are preferred. | Pay range: $21.86 - $29.52 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Customer Service Specialist REPORTS TO POSITION: Customer Service Supervisor DEPARTMENT: Single Billing Office DATE LAST REVIEWED: June 27, 2025 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Single Billing Office (SBO) at St. Charles Health System (SCHS) provides revenue cycle services to our multi-hospital and medical group organization focusing on billing, collecting, and posting revenue. The goal of the SBO is to deliver a delightful, transparent, and seamless experience to patients and customers that capture and collect the revenue earned by SCHS in a quality, efficient and timely manner. Services include but are not limited to: billing insurance claims, posting insurance and patient payments, resolving insurance denials, collecting unpaid insurance claims, maintaining payer contracts in the EMR, resolving under and over payments, identifying and resolving payer issues, processing refunds, processing financial assistance applications, billing patients, resolving patient accounts including patient questions, and vendor management: lockbox, clearinghouse, early out, collection agencies. POSITION OVERVIEW: The St. Charles Customer Service Specialist is responsible for delivering quality customer service, receiving, reviewing and resolving patient billing concerns, performing financial assistance tasks, and assisting with other departmental duties. The Specialist must be comfortable working autonomously, be highly organized, and have excellent communication skills. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Answers incoming customer service phone calls. Communicates effectively with a wide range of customers, using strong interpersonal/public relations and time management skills. Enters clear and concise documentation in the patient health information system. Reviews/works both customer service and financial assistance reports and queues. Conducts financial interviews with patients/responsible parties to determine guarantor’s ability to pay, financial assistance eligibility, and payment plan options. Complete presumptive financial assistance screenings in alignment with all applicable policies, procedures and regulatory guidelines. Answers inquiries from external entities, law firms, third party collection agencies and other departments received via in-basket, mail, fax, phone and email. Maintains productivity and quality standards. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Supports the vision, mission and values of the organization in all respects. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High School diploma or GED Preferred: Additional high school or college courses up to one year in medical terminology and office practices preferred. LICENSURE/CERTIFICATION/REGISTRATION Required: N/A Preferred: Certified Healthcare Financial Professional (CHFP), Certified Revenue Cycle Representative (CRCR), Certified Specialist Account and Finance (CSAF), Certified Specialist Payment and Reimbursement (CSPR), Registered Health Information Technician (RHIT), Certified Coding Specialist Physician Based (CCS-P), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC), Certified Professional Biller (CPB). EXPERIENCE Required: One year experience in data processing, word processing, accounting, or health care clerical work required. Preferred: N/A PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: PHYSICAL REQUIREMENTS: Continually (75% or more): Sitting, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Standing, lifting 1-10 pounds, grasping/squeezing. Occasionally (25%): Bending, reaching overhead, carrying/pushing or pulling 1-10 pounds. Rarely (10%): Walking, stooping/kneeling/crouching, climbing stairs. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 11-50 pounds, operation of a motor vehicle, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP . Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: SPECIALIST PATIENT FINANCIAL SERVICES Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Typically 8 a.m. to 4:30 p.m. St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The Senior Incident Response Analyst leads complex cybersecurity investigations and response efforts, coordinating activities during high-pressure security events. This role also involves mentoring junior analysts and shaping incident response strategies to enhance the organization's cybersecurity program. | Candidates must have a bachelor's degree in a related field and at least seven years of experience in information security, with a focus on incident response. Advanced security certifications are required within one year of hire, with preferred certifications enhancing the candidate's profile. | Pay range: $50.33 - $75.50 per hour ($104,686 - $157,040 annually), based on experience. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Senior Incident Response Analyst REPORTS TO POSITION: Manager, Security Operations DEPARTMENT: Information Technology DATE LAST REVIEWED: August 2025 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Information Technology department helps improve the work of our caregivers by providing efficient and reliable platforms, comprehensive training, and stellar customer service. We do this by taking pride in the integrity of our workflows, data security, and training delivery. We partner with our customers to leverage various technologies to achieve the best patient outcomes possible by implementing new hardware and software solutions, upgrading existing environments, protecting the data we store, and integrating different solutions to achieve a seamless experience. POSITION OVERVIEW: The Senior Incident Response Analyst serves as a subject matter expert and leader within the Security Operations Center (SOC), owning the most complex and high-impact cybersecurity investigations and response efforts across the organization. This position requires deep technical expertise, strong decision-making capabilities, and the ability to drive cross-functional coordination during high-pressure security events. In addition to leading incident response efforts, the Senior Analyst is responsible for shaping incident response strategy, advancing detection and response capabilities, mentoring junior analysts, and advising leadership on emerging threats and risks. This role significantly contributes to the maturation of the organization’s cybersecurity program and acts as a trusted advisor for both technical teams and business stakeholders. This position does not directly manage caregivers but provides guidance, oversight, and quality assurance on the work of others. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Act as a senior escalation point for the SOC, leading the most complex investigations and providing expert-level analysis across security tools (SIEM, EDR, IDS/IPS, forensic platforms, cloud environments). Direct and coordinate incident response activities end-to-end, including containment, eradication, recovery, and executive-level reporting. Perform deep forensic analysis and malware investigation to determine root cause, scope, and impact of incidents. Own and evolve incident response playbooks, ensuring they align with industry best practices, regulatory requirements, and organizational needs. Partner with IT, infrastructure, compliance, and business stakeholders to mitigate vulnerabilities and implement long-term risk reduction strategies. Proactively conduct advanced threat hunting to identify signs of compromise and improve detection methodologies. Lead post-incident reviews, delivering actionable recommendations and driving continuous improvement across tools, processes, and training. Serve as a mentor and technical advisor to junior and mid-level analysts, fostering professional growth and knowledge transfer. Maintain deep knowledge of current threat actors, tactics, techniques, and procedures (TTPs) to inform detection engineering and response efforts. Collaborate with leadership to influence strategic cybersecurity initiatives, tool selection, and investment decisions. Lead or co-lead tabletop exercises and simulations to validate and strengthen the incident response program. Ensure adherence to all applicable regulatory frameworks (e.g., HIPAA, PCI-DSS, NIST, HITRUST) during investigations and response activities. Supports the vision, mission, and values of the organization in all respects. Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: Bachelor’s degree in Information Technology, Cybersecurity, or a related discipline, or equivalent combination of education and experience. Preferred: Master’s degree in Cybersecurity, Information Technology, or a related discipline. LICENSURE/CERTIFICATION/REGISTRATION: Required: At least one advanced security certification within one (1) year of hire (e.g., GCIH, GCIA, CISSP, CISM). Preferred: Advanced technical certifications such as OSCP, CHFI, GNFA, or equivalent. EXPERIENCE: Required: Minimum of seven (7) years of experience in information security, with at least four (4) years focused on incident response or SOC operations. Proven expertise in forensic analysis, malware investigation, SIEM/EDR tuning, and large-scale incident handling. Preferred: Experience in regulated industries such as healthcare or finance. Demonstrated expertise in cloud security, detection engineering, and proactive threat hunting. Prior experience influencing security strategy and mentoring teams. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/stepstool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? Yes Job Family: ANALYST INFORMATION TECHNOLOGY Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8 am-5 pm, with exceptions based on project and on-call work. St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The PB HIM Coding Specialist II is responsible for coding and charging SCMG Clinical Services, resolving billing edits and denials. This role requires advanced skills in interpreting medical records and ensuring proper code assignment according to guidelines. | Candidates must have a high school diploma or GED and certification in health information technology. A minimum of one year of hospital or professional coding experience is required. | Pay range: $25.18 - $37.77 per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: PB Coding Specialist II – Advanced Coding REPORTS TO POSITION: HIM Coding Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred: Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. EXPERIENCE: Required: Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred: Familiarity with 3M encoder. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Position Specific: Knowledge of ICD-10 CM Knowledge of CPT-4 code assignment. Knowledge of CCI and Medical Necessity edits Knowledge of modifiers Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees. Strong team working and collaborative skills. Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills. Ability to work in a fast-paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times. Ability to effectively reach consensus with a diverse population with differing needs. Organizational: Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, Excellent written and oral communication Excellent customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Language Skills: Read, write, speak, and understand English. Computer Skills: Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL’s. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: Is Exempt Position? No Job Family: SPECIALIST HIM Scheduled Days of the Week: Shift Start & End Time: St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The HIM PB Coding Specialist II is responsible for coding and charging SCMG Clinical Services, as well as resolving billing edits and denials. This role requires advanced skills in interpreting medical records and ensuring proper code assignment according to guidelines. | Candidates must have a high school diploma or GED and a valid coding certification. A minimum of one year of hospital or professional coding experience is required. | Pay range: $25.18 - $37.77Per hour, based on experience. In addition, this role is eligible to work remotely from an approved state by St. Charles (please refer to the list). If you do not reside in an approved listed state (or do not plan to relocate to an approved listed state) we request, you do not apply for this particular position. Approved states by St. Charles: Oregon, Arizona, Arkansas, Florida, Idaho, Missouri, Montana, Nevada, New Mexico, North Carolina, Oklahoma, Tennessee, Utah, and Wisconsin. About St. Charles Health System: St. Charles Health System is a leading healthcare provider in Central Oregon, offering a comprehensive range of services to meet the needs of our community. We are committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Our values of compassion, excellence, integrity, teamwork, and stewardship guide our work and shape our culture. What We Offer: Competitive Salary Comprehensive benefits including Medical, Dental, Vision for you and your immediate family 403b with up to 6% match on Retirement Contributions Generous Earned Time Off Growth Opportunities within Healthcare ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: PB Coding Specialist II – Advanced Coding REPORTS TO POSITION: HIM Coding Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred: Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. EXPERIENCE: Required: Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred: Familiarity with 3M encoder. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Position Specific: Knowledge of ICD-10 CM Knowledge of CPT-4 code assignment. Knowledge of CCI and Medical Necessity edits Knowledge of modifiers Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees. Strong team working and collaborative skills. Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills. Ability to work in a fast-paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times. Ability to effectively reach consensus with a diverse population with differing needs. Organizational: Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, Excellent written and oral communication Excellent customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Language Skills: Read, write, speak, and understand English. Computer Skills: Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL’s. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: SPECIALIST HIM Scheduled Days of the Week: Shift Start & End Time: St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The HRIS Analyst 2 serves as a liaison between HR, IT, and Operations, providing support and analysis to leverage technology solutions for Human Resources. This role includes maintaining knowledge of administrative systems, supporting Workday HCM, and developing reports and dashboards for data insights. | Candidates should have a high school diploma or GED, with a preferred bachelor's degree in a related field. A minimum of three years of HRIS experience supporting a high-volume HR department is required, with a preference for experience in Workday and UKG WFM Pro. | Pay range: $34.26 - $51.38 ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Human Resource Information Systems (HRIS) Analyst 2 REPORTS TO POSITION: HRIS Manager DEPARTMENT: Human Resources DATE LAST REVIEWED: April 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Human Resources Department provides a variety of functional and system support services for all department and campuses across the organization. At. St. Charles, we believe our strength is in our people. Human Resources is focused on supporting our people strategy by delivering a robust foundation of services and specialized expertise including people and organizational development, talent acquisition, caregiver (employee) relations, labor relations, compensation, benefits and absence management, human resources information services, and onboarding/off-boarding. POSITION OVERVIEW: The HRIS Analyst 2 works as a liaison between HR, IT and Operations to provide day-to-day support and analysis and to leverage technology solutions to meet the needs of Human Resources and users of HR information. The HRIS Analyst 2 maintains a broad knowledge of St. Charles administrative systems and processes with an expert understanding of their interrelationships and dependencies. This position does not directly manage any other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Supports Workday HCM, including data integration, reporting, and system configuration. Participates in system enhancements updates and upgrades ensuring that the system is functioning per the specifications and user’s needs. Develops advanced reports, including creating calculated fields and maintaining dashboards, to provide accurate data, analytics and insights to the HR team and the wider organization. Monitors and tests business process workflows for both new and optimization of current configuration. Documents system configuration changes in compliance with internal controls policies and procedures. Provides end-user support, training, and documentation. Creates EIB and mass data change templates and processes. Supports projects related to HR, Payroll, Timekeeping, Absence, and Benefit systems. Logs HRIS end user issues in the help desk tracking system. Follows up with users to ensure issues were resolved promptly. Assists with problem resolution for assigned systems and applications including but not limited to: Error reports, calls from caregivers, Payroll, and other data feeds, etc. Supports multiple concurrent projects/systems, makes trade-offs, facilitates project meetings, meets tight deadlines, and escalates effectively in order to meet project timelines. Manages and mitigates project risks. Serve as a subject matter expert for Workday, providing guidance and support to end-users, troubleshooting issues, and delivering training as needed. Expands upon knowledge of HRIS and application design tools, and the ability to design, develop, test and support customization. Partners with IT/Vendors in a responsive manner to implement and repair technology solutions. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION Required: High School diploma or GED Preferred: Bachelor’s degree in Human Resources, Information Technology, Business Administration or other related. LICENSURE/CERTIFICATION/REGISTRATION Required: N/A. Preferred: Workday Pro, PHR, PMP, HRIT, or other technical certification. EXPERIENCE Required: Three (3) years of increasingly responsible HRIS experience supporting a high-volume Human Resources department. Previous experience supporting an ERP system. Preferred: Experience with Workday. Experience with UKG WFM Pro. Prior healthcare experience is a plus. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: SKILLS: Must be able to break down a problem or situation into its component parts, and identify implications, time frames and sequences, while remaining cognitive of the big picture. Must have strong knowledge of system testing, best practices, and methodologies. Must have excellent understanding of ERP business modules and tools. Must be able to communicate effectively with internal and external audiences. Must be able to maintain a high degree of professionalism and confidentiality, while maintaining outstanding customer relations and understanding of customer needs. Must be self-directed, thrive in an unstructured environment, and handle ambiguity well. Must have excellent analytical, problem solving and decision-making skills. Must have strong team working and collaborative skills. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: ANALYST HUMAN RESOURCES Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0800 - 1700 St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The PB HIM Coding Specialist II is responsible for coding and charging SCMG Clinical Services, as well as resolving billing edits and denials. This role requires advanced skills in interpreting medical records and ensuring proper code assignment according to national and organizational guidelines. | Candidates must have a high school diploma or GED and be a graduate of an AHIMA Accredited Health Information Technology program or have relevant certification. A minimum of one year of hospital or professional coding experience is required. | Pay range: $25.18 - $37.77 per hour, based on experience. ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: PB Coding Specialist II – Advanced Coding REPORTS TO POSITION: HIM Coding Supervisor DEPARTMENT: Health Information Management DATE LAST REVIEWED: May 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Health Information Management Departments provide many services to our multi-hospital organization including prepping, scanning and indexing, physician deficiency analysis, release of information, medical record maintenance, facility and profee coding. POSITION OVERVIEW: The Professional Fee Coding Specialist II at St. Charles Health System is responsible for coding and charging SCMG Clinical Services as well as resolving billing edits and denials. This position does not directly manage other caregivers, however, may be asked to review and provide feedback on the work of other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Advanced skills in reading and interpreting documents contained in the medical record to identify and code all relevant ICD–10-CM diagnoses and CPT-4 procedures for professional fee charges by utilizing an encoder program, and following National and SCHS coding guidelines, Coding Clinic, CPT-4 and other appropriate coding references and tools to ensure proper code assignment and modifiers. Abstracts medical record information in compliance with CMS requirements and SCHS abstracting procedures as appropriate. Use available tools to check entries for accuracy. This may include data for clinical studies and quality management activities. Captures the correct modifiers appropriate for CPT code assignment. Reconciles CCI and Medical Necessity edits. Maintains productivity and quality standards. Works closely with the Patient Financial Services department on medical necessity issues, claim denials, charge master issues, and charge auditor issues. Supports the vision, mission, and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients, and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High School diploma or GED required. Graduate of an AHIMA Accredited Health Information Technology program or certification in a self-study course from AHIMA or AAPC required. Preferred: N/A LICENSURE/CERTIFICATION/REGISTRATION: Required: Must possess a valid Registered Health Information Technician (RHIT) certification or one or more of the following: RHIA, CCA, CCS, CCS-P, CPC, COC, CPC-H. This position will require the caregiver to maintain required educational credits (CE) through AHIMA or AAPC. Preferred: Risk Adjustment Coding (micro credential) or AAPCs Certified Adjustment Coder (CRC). Maintains required education credits (CE) through AHIMA and/or AAPC. EXPERIENCE: Required: Minimum of one year of hospital or professional coding experience with a Health Information Management focus. Preferred: Familiarity with 3M encoder. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Skills: Position Specific: Knowledge of ICD-10 CM Knowledge of CPT-4 code assignment. Knowledge of CCI and Medical Necessity edits Knowledge of modifiers Maintains professional knowledge by attending educational workshops, reviewing professional publications, participating in educational opportunities. Communication/Interpersonal: Demonstrates SCHS values of Accountability, Caring and Teamwork in every interaction. Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees. Strong team working and collaborative skills. Must have a positive attitude, ability to multi-task, pay close attention to details, and be able to act in a professional manner and demonstrate excellent public relations skills. Ability to work in a fast-paced work environment with frequent interruptions, maintaining the highest level of confidentiality at all times. Ability to effectively reach consensus with a diverse population with differing needs. Organizational: Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, Excellent written and oral communication Excellent customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision-making skills. Language Skills: Read, write, speak, and understand English. Computer Skills: Intermediate ability and experience in computer applications, specifically electronic medical records system, and MS Office. Basic experience in computer applications necessary to record time, obtain work directions, and complete assigned CBL’s. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: SPECIALIST HIM Scheduled Days of the Week: Monday-Friday Shift Start & End Time: St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
The Surgery Scheduling Specialist is responsible for overseeing and coordinating surgery and procedure scheduling across multiple specialties. They work closely with patients to ensure all consultations and preoperative visits are completed prior to scheduling surgery. | A high school diploma or GED is required, with preferred candidates holding an associate degree and healthcare scheduling experience. One year of experience in healthcare registration and scheduling is required, with two years preferred. | (Full-Time, Days) Pay range: $21.86 - $29.52 ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Surgery Scheduling Specialist REPORTS TO POSITION: Surgery Scheduling Supervisor DEPARTMENT: Orthopedic, Neurosurgery & Physiatry DATE LAST REVIEWED: October 2024 OUR VISION: Creating America’s healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENT SUMMARY: The Orthopedic, Neurosurgery & Physiatry Services department encompasses multiple specialty providers / who providing specialized care to patients throughout their surgical and surgical experience in multiple locations across Central Oregon including St. Charles, Cascade SurgiCenter, Bend Surgery Center and office based clinic procedures. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate care. POSITION OVERVIEW: The Surgery Scheduling Specialist, in collaboration with our specialty providers, is responsible for oversight and coordination of surgery and procedure scheduling across multidisciplinary specialties. The scheduler works closely with patients to ensure they have completed all consultations and preoperative visits prior to scheduling surgery. The scheduler will monitor and analyze performance measures and quality indicators as well as provide training to new caregivers. They will demonstrate competency in all areas of surgery and procedure scheduling by working in these areas alongside fellow caregivers. This position does not directly manage other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Responsible for high-level accuracy in all functions of clinic business / patient process flow, from initial intake to final collections for services provided. Tracks and manages all aspects of care for patients and coordinates close follow up post operatively. Schedules and coordinates all procedures, including verification of completion of the prior authorization process. Provides concise, specific patient instructions for procedures. Establishes and maintains communication with other team members and departments such as the OR, MDU, pre-surgery and outside entities to ensure procedures and systems function smoothly as well as promotes continuity of care. Troubleshoots issues that arise between the clinic and other hospital departments and works in a collaborative manner to find resolution. Correlates the established provider procedure schedule to EPIC procedure schedules. Works with the clinic leadership to resolve conflicts when identified. Schedules inpatient and outpatient procedures and appointments accurately. Responds to telephone inquiries and faxes from the patient’s provider offices and clinics for all service locations. Coordinates procedures for orders received from providers outside of St. Charles processing for review from the performing MD. Reviews and verifies history and physical documentation has been received and performed in an appropriate timeframe, coordinates care with the patient. Understands that procedural time is in high demand across the health system and in ASCs and therefore works to optimize provider schedules to fully utilize available time. Demonstrates excellent phone etiquette and understands medical terminology, human anatomy, procedures, etc. Maintains knowledge of hospital operations and, block and open time rules and process for procedures both inpatient and outpatient. Prioritizes tasks to ensure all details are addressed and proper documentation is inputted into all systems. Develops and maintains a high level of understanding of EPIC process. Functions as a system super user and is proficient utilizing snap board, case requests/procedures, ambulatory chart, ancillary orders, telephone encounters, registration, scheduling functions and estimates. Continually evaluates department process flows and practices to seek opportunities for improvement, conveys feedback and suggestions to clinic leadership. Designs and runs the Surgery scheduling on-boarding training, develop training materials and maintain policy manuals. Evaluates trends and adjusts education as needed to always provide relevant and easy to absorb education. Works with the clinic leadership to compile and interpret key business, financial, operational and statistical data; performs analyses aimed at identifying process errors & education opportunities to improve performance. Keep accurate records on department spreadsheets and uses tools including rosters and shared data for tracking purposes, follow up & documentation. Anticipate the need for change through direct observation and maintains open communication with other departments and facilities. Learns and maintains knowledge of documents and forms according to state and federal requirements and guidelines including CMS, Medicaid, COBRA, EMTALA, HIPAA and many more. Supports the vision, mission and values of the organization in all respects. Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. May perform additional duties of similar complexity within the organization, as required or assigned. EDUCATION: Required: High School diploma/GED. Preferred: Associate degree plus healthcare scheduling experience LICENSURE/CERTIFICATION/REGISTRATION: Required: Ability to travel to business functions/trainings/meetings and all SCHS worksites. Preferred: N/A EXPERIENCE: Required: One year experience in healthcare registration and scheduling. Preferred: 2 years’ experience in healthcare registration and scheduling. PERSONAL PROTECTIVE EQUIPMENT: Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle. Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? No Job Family: SCHEDULER Scheduled Days of the Week: Monday-Friday Shift Start & End Time: Variable St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine. For additional information, such as Career FAQ's, benefits, and why your dream job awaits, please visit our Careers site. With a variety of nursing positions available, you can choose a career path that fits both your interests AND your lifestyle. Please click on the link for additional help on navigating the candidate site and features of the candidate home page. Candidate Home User Guide
Create tailored applications specifically for St. Charles Health System with our AI-powered resume builder
Get Started for Free