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Stanford Health Care

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Senior Clinical Systems Analyst - Epic Billing Systems

Stanford Health CareAnywhereFull-time
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Compensation$123K - 163K a year

Support and maintain Epic Resolute billing applications, troubleshoot issues, and implement system enhancements. | Requires Epic certification, experience with Epic modules, and health system operations support, which are not present in your background. | If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) At Stanford Health Care, you’ll have the opportunity to work at a leading academic medical center that champions patient safety, innovation, and research excellence. Join a multidisciplinary team where your expertise ensures rigorous protocol implementation and high-quality patient care. As a Sr. Clinical Systems Analyst, you’ll be supported by an organization that truly invests in your growth. You’ll have access to internal mobility opportunities, annual education funds, and professional development programs that help you continue to advance in your career. We offer a strong benefits package, including paid time off, parental leave, 403(b) matching, tuition reimbursement, health and dental coverage, paid holidays, disability benefits, and even pet insurance. What You’ll Do: • Supports core functions of Stanford Health Care's Billing applications to enable cost-effective and efficient revenue cycle functions. • Implement, administer, and support the Epic Resolute billing module along with other assigned systems under the minimal guidance of senior members of the team. • Independently address issues and design decisions of moderate to high complexity with little or no supervision • Deliver clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. What We’re Looking For • Previous Epic Resolute Certification (or willingness to obtain) • Prior experience in supporting of Epic modules, ancillary systems, and health system operations. This is a Stanford Health Care job. A Brief Overview The Clinical Senior Systems Analyst I supports core functions of the health system's applications to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support assigned systems under the minimal guidance of senior members of the team. The position will have a thorough understanding of Epic modules, ancillary systems, and health system operations. This position independently addresses issues and design decisions of moderate to high complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. Locations Stanford Health Care What you will do Provide tier-2 support of application incidents reported through the help desk; including 24/7 on call coverage as required Provide analytical assistance to junior team members to resolve application incidents, maintenance items, and enhancement requests Coordinate application support with other information technology teams including Infrastructure, Integration, Reporting, and the help desk Implement changes using documented procedures that are compliant with department’s policies and procedures Work with and mentor junior staff members to document workflows Act as a technology subject matter expert and clearly communicate technical concepts in business terms between and across the different groups while influencing outcomes Perform a major role in complex software upgrade initiatives Lead small to medium complexity new software installations and enhancement requests Maintain up-to-date project documents for all initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables Continually identity opportunities for functional and stability improvement in applications Identify system optimization and enhancements and collaborate with vendors and other ITS analysts in order to design and implement effective solutions Anticipate and resolve system problems Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex and/or controversial matters, including pros, cons, risks, benefits, costs, and unintended consequences Participate in and frequently facilitate/organize team and cross-team meetings and maintain appropriate meeting records Education Qualifications Bachelor's Degree Bachelor’s degree in Information Technology, Computer Science, Business Administration, Management Systems, Electronics Technology, Computer Engineering, Health Information Management or a directly-related field from an accredited college or university. Must obtain Epic certification in relevant module(s) within 3 months of employment date Required Experience Qualifications 5 or more years of progressively responsible and directly related work experience Required Prefer experience with 2 major Epic upgrades or implementations Preferred Required Knowledge, Skills and Abilities Mid-level Microsoft Office skills Excellent written, oral, instructional, presentation and interpersonal skills focused on motivation and positive attitude. Highly self-motivated, directed and change oriented. Very strong customer orientation Ability to analyze highly complex systems and workflows Ability to conceptualize, plan, organize, coordinate, and manage the work of a major program or function within the department Ability to engage actively in complex discussions, often on challenging and/or controversial subjects Ability to negotiate on behalf of others to achieve best outcomes for the department and the organization as a whole Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness, and manages/resolves disputes appropriately Ability to communicate concepts in elegant, concise, eloquent form to management and to cross-functional departments or teams verbally, in writing, and through pictures or diagrams when appropriate Ability to establish a set of tasks and activities associated with an intended outcome and timeline Ability to take action consistent with available facts, constraints, and anticipated consequences Ability to use appropriate interpersonal skills to give information to and receive information from coworkers and clients in a tactfully and professional manner Ability to use effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions Ability to develop new skills and teach others Ability to collaborate and build consensus with stakeholders Ability to understand and adhere to operational standards, policies, and procedures Ability to identify risks and issues Ability to develop solutions for new and unfamiliar challenges Ability to analyze data, draw conclusions and interpret results Knowledge of current issues and trends in health care and clinical operations in a health care system Healthcare knowledge base that promotes a high level of credibility with organization end users and executives Knowledge of Epic Software as well as other information systems, clinical software, and computer applications used in a health care setting Understanding of Software Development Life Cycle (SDLC) Knowledge of a variety of server operating systems, storage systems, databases, scripting languages, monitoring and job scheduling tools These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $59.21 - $78.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care. Learn about our awards and significant events.

Workflow Mapping
Data Analysis
Process Improvement
Direct Apply
Posted 7 days ago
SH

Clinical Documentation Integrity Lead - Service Line (Remote)

Stanford Health CareAnywhereFull-time
View Job
Compensation$147K - 194K a year

Partner with clinical and coding teams to optimize documentation and education strategies, analyze data, and lead multidisciplinary projects. | Requires at least 5 years of clinical and CDI experience, certifications like CCDS or CPC, and expertise in coding and healthcare documentation. | 1.0 FTE Full time Day - 08 Hour R2552257 Remote USA 109012014 Shared Svcs Rev Cycle CDI TV Finance & Revenue Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Clinical Documentation Integrity (CDI) Service Line Outcomes Lead is responsible for partnering with service line & physician leadership to optimize documentation tools, improve processes, and develop strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. This leader will serve as a direct partner to service line leaders with the aim to improve query turnaround, identify & facilitate targeted education opportunities, and strengthen overall buy-in and engagement. Locations Stanford Health Care What you will do Responsibility for management and optimization of the positive relationships between CDI and the service lines assigned, meeting regularly with SL Physician Champion and Chair/Chief. Drive increased workflow efficiency through monitoring and escalating queries as appropriate. Performance of CDI targeted audits and analysis of the findings, related to documentation and coding, to build physician education, identify areas of individual and service line opportunity, and facilitate short and long-term resolutions. Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations, and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation opportunities within the service lines assigned. Assists in monitoring and evaluating CDI and coding quality in relationship to best practices, while completing project-related reviews and providing relevant feedback to peers, coding, CDI leadership and quality partners, as necessary. Coordinates data collection and analysis, in collaboration with quality teams, related to patient care activities, documentation opportunities, coding opportunities and clinical outcome performance gaps. Coordinates the development of working sessions of multi-disciplinary teams in goal setting and problem solving. Optimizes service line clinical documentation integrity programs, including related provider and multidisciplinary education content creation, delivery and evaluation of effectiveness. Leads multidisciplinary and multi-departmental CDI projects to achieve strategic goals and objectives. Partners with other CDI leads, IT and other technology partners to create and optimize documentation tools, process and strategies to reduce administrative burden on our providers, while maintaining high quality and integrity documentation. Education Qualifications Bachelor’s degree in Nursing, Medicine, Health Information Management or similarly related field of study. At least two currently active: - COC, CPC, or CCS certification - Certified Data Management Professional (CDMP) certification, Certified Analytics Professional (CAP) certification, or similar - CRCR or other revenue cycle certification - Health Care Quality (HACP, CPHQ, HCQM) certification - Case Management Certification (CCM) or clinical certification - Physician Educator Certificate Program (PECP) certification, or other education certification Experience Qualifications Five (5) years of progressively responsible and directly related inpatient clinical experience. At least 5 years of CDI, or provider education related work experience. Outcomes data reporting and analysis experience. ICU/ED and Academic Medical Center experience preferred. Case management, utilization review and/or direct provider interaction experience, preferred. Experience in public speaking, as well as educational content creation and delivery of formal multidisciplinary education, preferred. Experience with Vizient, Premier, Elixhauser and other risk adjustment methodologies, highly preferred. Required Knowledge, Skills and Abilities Expertise in coding and CDI practices., maintaining expertise in Medicare/Medicaid rules and regulations, as well as current trends and developments. Knowledge of, but not limited to, current CMS coding guidelines and methodologies, MS-DRGs, APR-DRGs, HCCs; current version of CM/PCS and AMA CPT coding guidelines and conventions, staying abreast of CMS rules and regulations and incorporating those changes into daily practice. Extensive knowledge and experience in computer systems, reporting software and electronic medical record systems used in functional area. Demonstrated leadership ability, organizational savviness, and critical thinking skills. Ability to develop and maintain strong, collaborative and supportive working relationships with peers, physicians and other clinical professionals. Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities. Knowledge of project management processes and systems with the ability to lead teams and manage high-profile projects to produce results within schedule and budget. Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation. Ability to work independently, creatively, and innovation-focused in high-volume, fast- paced, and highly political work environments. Ability to work independently in performing duties with minimal supervision with a high degree of self-motivation. Expertise in developing and delivering training and education to clinical, CDI and coding professionals regarding CDI practices, coding, and documentation requirements, as well as knowledge distribution to multidisciplinary teams. Licenses and Certifications At least 1 currently active: . CCDS - Cert Clinical Document Spec . CCDS-O or CDIP . Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $70.52 - $93.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Healthcare documentation
Coding practices
Clinical education
Direct Apply
Posted 12 days ago
SH

Talent Strategy Lead

Stanford Health CareAnywhereFull-time
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Compensation$155K - 206K a year

Design and implement innovative recruitment strategies, optimize the recruitment funnel, and develop employer branding initiatives. | Extensive experience in HR activities, recruitment program development, and stakeholder collaboration, with strong analytical and project management skills. | If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. At Stanford Health Care, we are looking for a programmatic visionary to join our HR Talent Acquisition and Contingent Workforce team focusing on talent attraction. In this role, you will own the employer branding, candidate experience and early-career strategy, including designing university- and community-based recruiting to ensure SHC remains the destination for the next generation of healthcare innovators. Why This is Your Next Career Move Build a Legacy: You aren't inheriting a static process. You are designing, developing, and deploying new recruitment programs, and you own their strategic direction. Data as Your North Star: You'll build and interpret the framework that proves the ROI of our efforts. Early Career Architect: You will scale our community and university recruiting engine, creating diverse, top-of-funnel pipelines that feed multiple business units across SHC. Architect of First Impressions: You own the "Top of the Funnel" for talent attraction at one of the most respected academic medical systems. You'll design the employer branding and social media programs that highlight SHC a destination of choice for top talent. The "Experience" Engineer: You will provide continuous process improvement audits for our entire recruitment lifecycle, identify friction points, and ensure a world-class candidate journey. A Brief Overview The Talent Strategy Lead designs and implements innovative recruitment strategies to deliver exceptional experience for candidates and hiring leaders. You will streamline recruitment processes, drive program development in HR, implement the top of the funnel sourcing strategies, and collaborate with the Talent Acquisition and Contingent Workforce Team. You will bridge the gap between human intuition and data-backed strategy. You will be responsible for building, maintaining, and interpreting the recruitment analytics framework to improve hiring efficiency, candidate quality, and belonging and community outcomes. In this role, you will turn complex datasets into actionable insights that shape our hiring strategy. This role reports to the Senior Manager of Talent Strategy and Programs. Locations Stanford Health Care What you will do Design, develop, and deploy new recruitment programs; own the strategic direction for programs within your area of expertise. Apply deep HR knowledge to program development, ensuring initiatives are effective, scalable, and sustainable. Identify opportunities for process improvement in recruitment strategies, attraction; lead efforts to implement changes. Establish and maintain relationships with local community programs, high schools and colleges. Create leading, best-in-class social media programs and branding for Stanford Health Care (SHC). Partner with Talent Acquisition, HR Business Partners, Hiring Managers, and candidates to deliver a high-quality people-focused recruitment experience. Support special HR projects and initiatives within the SHC enterprise. Data-driven analytics in recruitment uses quantitative and qualitative data to optimize the hiring lifecycle Establish and monitor program metrics and dashboards; provide monthly reporting and insights to leadership. Track and report on core KPIs including Time-to-Fill, Cost-per-Hire, Quality of Hire, and Offer Acceptance Rates. Audit the recruitment funnel to identify drop-off points. Evaluate the ROI of various sourcing channels (LinkedIn, niche job boards, agencies) to optimize the recruitment budget. Education Qualifications Bachelor's degree in a work-related discipline/field from an accredited college or university. A combination of experience and education will be considered. Experience Qualifications Twelve (12) years of progressively responsible and directly related work experience Deep knowledge of HR activities, with experience in recruitment or talent program development Proven track record in designing, developing, and deploying new talent acquisition recruitment programs and ensuring their success Strong analytical, project management, and stakeholder-management skills Excellent communication and collaboration abilities. These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $74.73 - $99.04 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care. Learn about our awards and significant events.

HR strategy and program development
Data analytics and KPI tracking
Stakeholder management
Direct Apply
Posted 14 days ago
SH

Revenue Integrity Program Manager (Remote)

Stanford Health CareAnywhereFull-time
View Job
Compensation$138K - 183K a year

Optimize hospital and professional revenue, identify revenue leakage, ensure compliance, and lead projects for process improvements within healthcare revenue cycle management. | Requires 5+ years of experience in hospital and professional revenue cycle operations, expertise in coding, billing, and healthcare regulations, and proficiency with Epic Care and related systems. | 1.0 FTE Full time Day - 08 Hour R2551101 Remote USA 108610067 Rev Cycle Admin Revenue Integrity Finance & Revenue Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical departments leaders, Clinical Department Chairs, and School of Medicine Directors of Finance & Administration (DFA). Through a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, and work closely with physician leadership and partnering with Compliance to provide education and training. This position will also provide ongoing communication through reports & regular presentations as well as handling intake of requests and potential improvement opportunities. Prepares and leads the monthly Revenue Integrity and the School of Medicine DFA meetings for professional revenue cycle. Locations Stanford Health Care What you will do Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings, provides education to both Providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue Cycle TDS IT teams. Reports potential compliance issues for further analysis and follow-up to the Compliance Department. CDM Optimization: Works to ensure a compliant and consistent system CDM. Works with existing tools to evaluate CDM requests with a focus on regulatory coding, compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard naming conventions and pricing integrity. Department Education: In collaboration with the Compliance Department, provides education to clinical department staff regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliance use. Project Management: Leads projects to improve revenue capture, increase efficiencies in the charge capture process, and reduce provider burden with the charging process. Financial Analysis: Performs basic financial analyses to report the impact of charge capture practice changes and corrections to current practices. Communicates findings fully with clinical departments and executive team. Issue Resolution: Through the combination of EPIC WQs, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions. Performance Review: Provides ongoing reporting of revenue performance to a variety of audiences including Chairs, Faculty, DFA’s, Division and Clinic Chiefs, Executive Director, Mid-Revenue Cycle, the Director of Revenue Integrity and others as appropriate. Responsible to present confidently to a wide range of individuals across the organization. Education Qualifications Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience) Experience Qualifications Five (5) years of progressively responsible directly related work experience Required Knowledge, Skills and Abilities Proficient in hospital and professional revenue cycle operations. Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. Ability to analyze revenue data and identify trends and opportunities and the ability to present such data to a variety of audiences Strong Interpersonal skills facilitating seamless communication with clinical staff, and faculty. hat allow ease of communication with Clinical staff and faculty Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of coding conventions Current knowledge of third party payer rules and regulations Knowledge of computer systems, specifically, Epic Care and related interfaces Knowledge of management and supervision and the ability to organize staff’s work Strong written and verbal communication skills to articulate analyses and finding to Chairs, DFAs and Clinical Operations leadership. Ability to write, and speak to the analyses performed Proven Ability to provide leadership skills in problem identification and issue resolution Ability to influence decision-making through persuasive data-supported arguments. Ability to change the course of events through convincing arguments supported by data Ability to apply critical thinking skills to complex issues and situations Competence in mediating and solving intricate work problems. Ability to mediate and solve complex work problems and issues Ability to effectively facilitate work groups towards to successful outcomes Ability to facilitate stakeholder meetings, including agenda development, discussion, documentation, action item follow-up and presentation development. Strong organizational skills and attention to detail, with the ability to manage multiple priorities effectively. Licenses and Certifications Non Clinical COC - Certified Outpatient Coder preferred . or CPC-H preferred . or CCS - Certified Coding Specialist preferred . or CPC and/or CCSP - Certified Professional Coder preferred . or RHIT - Registered Health Information Technician preferred . or RHIA - Registered Health Information Administrator preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $66.52 - $88.14 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Revenue cycle operations
Data analysis
Process improvement
Direct Apply
Posted 15 days ago
SH

Revenue Integrity Program Manager (Remote)

Stanford Health CareAnywhereFull-time
View Job
Compensation$138K - 183K a year

Optimize hospital and professional revenue, identify revenue leakage, ensure compliance, and lead projects for process improvements. | Requires 5+ years in revenue cycle, proficiency in hospital billing, coding, and healthcare regulations, and strong communication skills. | If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional revenue, identifying potential revenue leakage while ensuring compliance in charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical departments leaders, Clinical Department Chairs, and School of Medicine Directors of Finance & Administration (DFA). Through a combination of data analytics, and process improvement techniques, this role will support the accurate capture of charges, identify meaningful opportunities to improve, and work closely with physician leadership and partnering with Compliance to provide education and training. This position will also provide ongoing communication through reports & regular presentations as well as handling intake of requests and potential improvement opportunities. Prepares and leads the monthly Revenue Integrity and the School of Medicine DFA meetings for professional revenue cycle. Locations Stanford Health Care What you will do Charging Optimization: Conducts prospective and retrospective reviews/audits of charge capture practices in the clinical departments. Reports findings, provides education to both Providers and charge capture support staff. Coordinates charge capture improvement tools in collaboration with Revenue Cycle TDS IT teams. Reports potential compliance issues for further analysis and follow-up to the Compliance Department. CDM Optimization: Works to ensure a compliant and consistent system CDM. Works with existing tools to evaluate CDM requests with a focus on regulatory coding, compliance, and adherence to SHC internal guidelines regarding CDM maintenance, standard naming conventions and pricing integrity. Department Education: In collaboration with the Compliance Department, provides education to clinical department staff regarding CPT codes, HCPCS codes, revenue codes and modifiers and their compliance use. Project Management: Leads projects to improve revenue capture, increase efficiencies in the charge capture process, and reduce provider burden with the charging process. Financial Analysis: Performs basic financial analyses to report the impact of charge capture practice changes and corrections to current practices. Communicates findings fully with clinical departments and executive team. Issue Resolution: Through the combination of EPIC WQs, external edit platforms, and ongoing evaluation, identifies charging issues and works to identify solutions. Performance Review: Provides ongoing reporting of revenue performance to a variety of audiences including Chairs, Faculty, DFA’s, Division and Clinic Chiefs, Executive Director, Mid-Revenue Cycle, the Director of Revenue Integrity and others as appropriate. Responsible to present confidently to a wide range of individuals across the organization. Education Qualifications Bachelor's degree in a work-related discipline/field from an accredited college or university (or equivalent combination of education/experience) Experience Qualifications Five (5) years of progressively responsible directly related work experience Required Knowledge, Skills and Abilities Proficient in hospital and professional revenue cycle operations. Expert in analyzing revenue data to identify trends and opportunities with the capacity to communicate findings effectively to varied audiences. Ability to analyze revenue data and identify trends and opportunities and the ability to present such data to a variety of audiences Strong Interpersonal skills facilitating seamless communication with clinical staff, and faculty. hat allow ease of communication with Clinical staff and faculty Solid understanding of coding conventions and current third-party payer rules and regulations Knowledge of coding conventions Current knowledge of third party payer rules and regulations Knowledge of computer systems, specifically, Epic Care and related interfaces Knowledge of management and supervision and the ability to organize staff’s work Strong written and verbal communication skills to articulate analyses and finding to Chairs, DFAs and Clinical Operations leadership. Ability to write, and speak to the analyses performed Proven Ability to provide leadership skills in problem identification and issue resolution Ability to influence decision-making through persuasive data-supported arguments. Ability to change the course of events through convincing arguments supported by data Ability to apply critical thinking skills to complex issues and situations Competence in mediating and solving intricate work problems. Ability to mediate and solve complex work problems and issues Ability to effectively facilitate work groups towards to successful outcomes Ability to facilitate stakeholder meetings, including agenda development, discussion, documentation, action item follow-up and presentation development. Strong organizational skills and attention to detail, with the ability to manage multiple priorities effectively. Licenses and Certifications Non Clinical COC - Certified Outpatient Coder preferred . or CPC-H preferred . or CCS - Certified Coding Specialist preferred . or CPC and/or CCSP - Certified Professional Coder preferred . or RHIT - Registered Health Information Technician preferred . or RHIA - Registered Health Information Administrator preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $66.52 - $88.14 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care. Learn about our awards and significant events.

Revenue cycle operations
Data analysis
Charge capture and coding
Process improvement
Stakeholder communication
Direct Apply
Posted 16 days ago
SH

Revenue Cycle Optimization Program Manager (Remote)

Stanford Health CareAnywhereFull-time
View Job
Compensation$155K - 206K a year

Lead and manage revenue cycle optimization projects using lean methodologies, collaborate with multiple stakeholders across the enterprise, and drive improvements in net revenue, cash flow, and cost reduction. | Bachelor's degree, 5+ years of mid-revenue cycle experience, EPIC system experience (certification preferred), strong leadership and project management skills, and knowledge of healthcare revenue cycle best practices. | 1.0 FTE Full time Day - 08 Hour R2550497 Remote USA 108590009 Rev Cycle Finance Optimization Finance & Revenue Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Revenue Cycle Optimization Program Manager reports to the Director of Revenue Cycle Optimization and is responsible for development and execution of optimization activities to completion. The manager will work with Revenue Cycle Leadership to identify ways to increase their net revenue, accelerate cashflow and reduce costs by addressing people, process, and technology components across the revenue cycle. The manager will employ a prescriptive and tailored approach that focuses on standard work, integrated workflow automation and technology improvements. The manager will use data and analytics to drive and recommend new initiatives to Revenue Cycle leadership and inform department priorities. The Revenue Cycle Optimization Program Manager's project scope will span across the enterprise requiring collaboration with the School of Medicine Directors of Finance and Administration, SHC, Stanford Medicine-Partners, and Tri-Valley Hospital and Ambulatory Directors, IT, as well as various SHC Revenue Cycle Leadership. The incumbent reviews, assesses, and designs workflows, as well as makes system functionality recommendations for the entire revenue cycle. . Additionally, the Revenue Cycle Optimization Program Manager ensures that all existing and new workflows are compliant and follow government, payer, and internal Revenue Cycle policies for both technical (facility) and professional policies. Other responsibilities include continuous collaborative learning and mentoring of indirect reports. Locations Stanford Health Care What you will do Directs individuals and/or teams that lead performance improvement through lean methodology and tools for the mid-revenue cycle. Develops and Manages improvement activities through engagement of teams, subject-matter experts, and stakeholders. Provides leadership for large strategic initiatives, cross functional workflow issues or complex rapid improvement events for value stream analysis, standard work, improved flow, pull, waste reduction, error proofing, workplace organization, and other objectives. Identifies best counter-measures and solutions needed to address root causes. Provides leadership to project training teams and provides mentoring support in root cause analysis, discovery workshops, and data interpretation. Provides, leadership, subject-matter expertise, and delivery of continuous improvement practices to Revenue Cycle Leadership and staff within the organization. Effectively creates a culture of accountability, communication, problem-solving, and resource/data effective decision-making, while keeping aligned with revenue cycle best practices. Ensures appropriate project management, and data analytics is utilized. Establishes baseline data for project improvement, as well as implement measures for monitoring and continues improvement. Captures ROI for all improvement initiatives. Manages and facilitates process improvement teams and directs timely completion of multiple projects, Kaizen events, and consultative activity that support strategic goals for Revenue Cycle. Serves as a Revenue Cycle methodology & systems expert and applies multiple performance improvement methodologies and tools to complex and cross functional solutions for resolution. Monitors organizational KPI’s, performs operational data analysis and interprets revenue cycle initiatives to align improvement efforts with the strategic goals of the organization and department. Promotes a culture of performance excellence, quality, high-reliability, and staff engagement. Presents information to diverse audiences with clarity and impact. Adjusts approach to match the audience and situation. Possesses expert leadership skills and maturity in managing difficult situations and conducting crucial conversations. Develops executive level presentations and statuses for senior revenue cycle leadership. Delivers presentations on Revenue Cycle programs and initiatives to a variety of audience levels Delivers ongoing status of past and present project initiatives and impacts including realized project benefits Participates in team intake process of project requests submitted by revenue cycle leadership for approval, benefits and prioritization. Provides feedback to Revenue Cycle leaders on project acceptance/rejection as well as recommendations for advancement as applicable. Drives meaningful and impactful change to key KPIs. Performs other related duties as needed or assigned. Education Qualifications Bachelor’s degree in Business Administration, Public Administration, or a work-related discipline. Experience Qualifications Five (5) years of progressively responsible and directly related mid-revenue cycle work experience. EPIC experience required (certification preferred). Required Knowledge, Skills and Abilities Knowledge of health care industry trends related to the patient experience Knowledge of Revenue Cycle industry trends and best practices Knowledge of the patient, family, and caregiver path through the health system and how to identify key pain points stemming from revenue cycle workflow Knowledge (proficient) of the Epic system as well as operational aspect Knowledge and experience in facilitating multi-disciplinary teams to determine solutions to recurring challenges Ability to maintain confidentiality of sensitive verbal and written information Ability to analyze operational and procedural problems and develop, recommend, and evaluate proposed solutions Ability to establish and maintain effective relationships with widely diverse groups, including individuals at all levels both within and outside the organization Ability to communicate effectively and act as a thought leader at all organizational levels and in situations requiring instructing, persuading, negotiating, conflict resolution, change management, consulting and advising, as well as prepare clear, comprehensive written and oral reports and materials Ability to prioritize and drive to results with a high emphasis on quality & integrity Ability to work autonomously, as part of a team as well as motivate, influence and direct the work of others Solid proficiency and skill with process improvement and root cause analysis Ability to collaborate and build consensus with stakeholders Highly self-motivated, directed, and change-oriented skills Demonstrated strong customer orientation skills Demonstrated Quantitative analytical skills Ability to engage actively in complex discussions, often on challenging and/or controversial subjects Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness Ability to manage/resolve disputes appropriately Strong project management skills Experience and skilled in leadership/management Demonstrated knowledge and understanding of Lean, project management, and/or Six Sigma principles and their applications Licenses and Certifications EPICC - EPIC Certification preferred . These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $74.73 - $99.04 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Revenue Cycle Management
EPIC System Proficiency
Lean Methodology
Project Management
Process Improvement
Data Analytics
Cross-functional Team Leadership
Healthcare Compliance
Direct Apply
Posted 4 months ago
SH

Lead ServiceNow Analyst

Stanford Health CareAnywhereFull-time
View Job
Compensation$62.75 - 83.16 hour

The Lead Business Systems Analyst for ServiceNow supports core functions of the ServiceNow platform to enable efficient patient care. This position involves implementing, administering, and supporting the ServiceNow platform while providing tier-2 support and mentoring junior team members. | Candidates must have a Bachelor's Degree in a related field and 8 to 10 years of relevant experience in healthcare or technology. Experience with major implementations or upgrades of ServiceNow is preferred. | If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) Experience with ServiceNow Strategic Portfolio Management (SPM) - Demand and Project Management preferred This is a Stanford Health Care job. A Brief Overview The Lead Business Systems Analyst for ServiceNow supports core functions of the ServiceNow platform to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support the ServiceNow platform under minimal guidance from senior members of the team. This position independently addresses issues and design decisions of moderate to high complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. Locations Stanford Health Care What you will do Provide tier-2 support of application incidents reported through the help desk; including 24/7 on call coverage as required Provide analytical assistance to junior team members to resolve application incidents, maintenance items, and enhancement requests on the ServiceNow platform Coordinate application support with other information technology teams including Infrastructure, Integration, Reporting, and the help desk Implement changes using documented procedures that are compliant with department’s policies and procedures Work with and mentor junior staff members to document workflows Act as a technology subject matter expert and clearly communicate technical concepts in business terms between and across the different groups while influencing outcomes Maintain up-to-date project documents for all initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables Continually identity opportunities for functional and stability improvement on the ServiceNow platform Identify system optimization and enhancements and collaborate with vendors and other TDS teams Anticipate and resolve system problems Participate in and frequently facilitate/organize team and cross-team meetings and maintain appropriate meeting records Perform daily monitoring of ServiceNow platform in production use. Coordinate ServiceNow application support with various SHC departments like TDS, Finance, HR, Supply Chain, facilities etc. Assist in the implementation of low and medium complexity ServiceNow workflows. Drive major upgrade of platform. Assist in requirements gathering for various ServiceNow modules like ITSM, SPM, CMDB, HRSD/SLO/FSM/EAM and custom applications Assist in any testing that is required as part of new implementations, enhancements or upgrades. Implement changes using documented procedures that are compliant with department’s policies and procedures. Participate in team and cross-team meetings and maintain appropriate meeting records. Provide ongoing troubleshooting, support, and maintenance of ServiceNow platform; including 24/7 on call coverage as required. Take ownership of low complexity issues and act as a liaison between customer and other support staff to facilitate resolution. Education Qualifications Bachelor's Degree BACHELOR'S DEGREE IN RELATED FIELD Required. Experience Qualifications Eight (8) to ten (10) years of progressively responsible and directly related work experience in healthcare or technology related work environment Required. Experience with 2 major implementations or upgrades Preferred. Required Knowledge, Skills and Abilities Excellent written, oral, instructional, presentation and interpersonal skills focused on motivation and positive attitude. Highly self-motivated, directed and change oriented. Very strong customer orientation Knowledge of ServiceNow modules ITSM, ITBM/SPM and one of – HRSD, SLO, FSM. Knowledge of front-end browser technologies including HTML, CSS, and JavaScript Knowledge of Active Directory / LDAP Drive technical excellence and implementation of best engineering practices for the ServiceNow Platform. Lead role in the implementation of complex ServiceNow initiatives and workflows. Ability to solution for business problem utilizing ServiceNow platform Ability to conduct requirements sessions and document stories and other artifacts for delivery. Ability to collaborate and build consensus with stakeholders. Ability to understand and adhere to operational standards, policies, and procedures. Ability to identify risks and issues. Ability to develop solutions for new and unfamiliar challenges. Ability to drive Sprint releases for the ServiceNow platform Ability to analyze highly complex systems and workflows Understanding of Software Development Life Cycle (SDLC) Ability to communicate effectively with all levels of the organization. Ability to apply judgment and make informed decisions. Ability to demonstrate analytical and problem-solving skills. Ability to plan, organize, prioritize, work independently, and meet deadlines. Knowledge of core business and financial applications as well as other information systems and computer applications used in a health care setting Knowledge of a variety of server operating systems, storage systems, databases, scripting languages, monitoring and job scheduling tools Physical Demands and Work Conditions Blood Borne Pathogens Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: Know Me: Anticipate my needs and status to deliver effective care Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $62.75 - $83.16 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage. At Stanford Health Care, we seek to provide patients with the very best in diagnosis and treatment, with outstanding quality, compassion and coordination. With an unmatched track record of scientific discovery, technological innovation and translational medicine, Stanford Medicine physicians are pioneering leading edge therapies today that will change the way health care is delivered tomorrow. As part of our spirit of discovery, we also leverage our deep relationships with luminary Silicon Valley companies to develop new ways to deliver preeminent patient care. Learn about our awards and significant events.

ServiceNow
Project Management
Analytical Skills
Customer Orientation
Technical Communication
Workflow Documentation
Problem Solving
Software Development Life Cycle
HTML
CSS
JavaScript
Active Directory
ITSM
SPM
Collaboration
Mentoring
Direct Apply
Posted 4 months ago
Stanford Health Care

Senior Clinical Systems Analyst - Epic Referrals Analyst

Stanford Health CareAnywhereFull-time
View Job
Compensation$123K - 163K a year

Provide tier-2 support and maintenance for healthcare applications including Epic modules, lead software upgrades, mentor junior staff, and collaborate with IT teams to optimize system performance. | Requires 5+ years of related experience, bachelor's degree, Epic certification within 3 months, healthcare knowledge, and ability to manage complex systems and workflows. | 1.0 FTE Full time Day - 08 Hour R2549706 Remote USA 108480030 TDS Rev Cycle Systems Technology & Digital Solutions If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview The Clinical Senior Systems Analyst I supports core functions of the health system's applications to enable cost-effective, high quality, efficient, and safe patient care. This position will implement, administer, and support assigned systems under the minimal guidance of senior members of the team. The position will have a thorough understanding of Epic modules, ancillary systems, and health system operations. This position independently addresses issues and design decisions of moderate to high complexity with little or no supervision and delivers clear communication and documentation of complex concepts and issues related to applications, interfaces, data structures, and workflows across the organization. Locations Stanford Health Care What you will do • Provide tier-2 support of application incidents reported through the help desk; including 24/7 on call coverage as required • Provide analytical assistance to junior team members to resolve application incidents, maintenance items, and enhancement requests • Coordinate application support with other information technology teams including Infrastructure, Integration, Reporting, and the help desk • Implement changes using documented procedures that are compliant with department’s policies and procedures • Work with and mentor junior staff members to document workflows • Act as a technology subject matter expert and clearly communicate technical concepts in business terms between and across the different groups while influencing outcomes • Perform a major role in complex software upgrade initiatives • Lead small to medium complexity new software installations and enhancement requests • Maintain up-to-date project documents for all initiatives that include technical details, user expectations, project goals, work effort, accountability, and deliverables • Continually identity opportunities for functional and stability improvement in applications • Identify system optimization and enhancements and collaborate with vendors and other ITS analysts in order to design and implement effective solutions • Anticipate and resolve system problems • Research issues and use independent analysis and judgment to produce solution options (including alternative solutions when necessary to address system limitations) to complex and/or controversial matters, including pros, cons, risks, benefits, costs, and unintended consequences • Participate in and frequently facilitate/organize team and cross-team meetings and maintain appropriate meeting records Education Qualifications • Bachelor's Degree Bachelor’s degree in Information Technology, Computer Science, Business Administration, Management Systems, Electronics Technology, Computer Engineering, Health Information Management or a directly-related field from an accredited college or university. Must obtain Epic certification in relevant module(s) within 3 months of employment date Required Experience Qualifications • 5 or more years of progressively responsible and directly related work experience Required • Prefer experience with 2 major Epic upgrades or implementations Preferred Required Knowledge, Skills and Abilities • Mid-level Microsoft Office skills • Excellent written, oral, instructional, presentation and interpersonal skills focused on motivation and positive attitude. Highly self-motivated, directed and change oriented. Very strong customer orientation • Ability to analyze highly complex systems and workflows • Ability to conceptualize, plan, organize, coordinate, and manage the work of a major program or function within the department • Ability to engage actively in complex discussions, often on challenging and/or controversial subjects • Ability to negotiate on behalf of others to achieve best outcomes for the department and the organization as a whole • Ability to handle confrontation with appropriate grace, professionalism, cordiality, and firmness, and manages/resolves disputes appropriately • Ability to communicate concepts in elegant, concise, eloquent form to management and to cross-functional departments or teams verbally, in writing, and through pictures or diagrams when appropriate • Ability to establish a set of tasks and activities associated with an intended outcome and timeline • Ability to take action consistent with available facts, constraints, and anticipated consequences • Ability to use appropriate interpersonal skills to give information to and receive information from coworkers and clients in a tactfully and professional manner • Ability to use effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions • Ability to develop new skills and teach others • Ability to collaborate and build consensus with stakeholders • Ability to understand and adhere to operational standards, policies, and procedures • Ability to identify risks and issues • Ability to develop solutions for new and unfamiliar challenges • Ability to analyze data, draw conclusions and interpret results • * Knowledge of current issues and trends in health care and clinical operations in a health care system • Healthcare knowledge base that promotes a high level of credibility with organization end users and executives • Knowledge of Epic Software as well as other information systems, clinical software, and computer applications used in a health care setting • Understanding of Software Development Life Cycle (SDLC) • Knowledge of a variety of server operating systems, storage systems, databases, scripting languages, monitoring and job scheduling tools These principles apply to ALL employees: SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: • Know Me: Anticipate my needs and status to deliver effective care • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health • Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $59.21 - $78.43 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Epic Software
Healthcare Clinical Operations
Application Support
Software Upgrade Initiatives
Incident Management
Project Documentation
System Optimization
Microsoft Office
Verified Source
Posted 4 months ago
Stanford Health Care

Director - Professional Billing Organization (Remote)

Stanford Health CareAnywhereFull-time
View Job
Compensation$185K - 245K a year

Lead and oversee all aspects of professional billing revenue cycle operations, including financial management, compliance, staff development, and stakeholder relations to optimize revenue and cash flow. | Bachelor's degree required with 10+ years of patient billing management experience, strong knowledge of revenue cycle functions, financial management, regulatory compliance, and leadership abilities. | 1.0 FTE Full time Day - 08 Hour R2546162 Remote USA 108530004 Rev Cycle PBO Finance & Revenue Cycle If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. Are you a seasoned revenue cycle leader ready to make a significant impact at one of the nation’s leading academic medical centers? The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead a high-performing team in supporting revenue generated by School of Medicine faculty and Stanford Medicine Partners physicians. In this critical role, you’ll oversee all facets of professional revenue collections—from billing compliance, enhancing payor relationships, and optimizing cash flow to strategic financial planning. You’ll also be instrumental in shaping future leaders through staff development and training programs, all while fostering strong relationships with payers, regulatory agencies, and physician leadership. This role is ideal for a dynamic healthcare executive who thrives at the intersection of financial operations, innovation, and regulatory excellence. You’ll be empowered to lead transformative initiatives, influence cross-functional strategy, and enhance the financial health of a world-class medical enterprise. With a strong commitment to collaboration, integrity, and continuous improvement, you’ll help drive long-term growth and maintain the highest standards of accountability and service excellence in a mission-driven environment. A Brief Overview The Director, Professional Billing Organization (PBO) manages all administrative and clinical functions that contribute to the capture, management and collection of patient service revenue generated by School of Medicine faculty and Stanford Medicine Partners physicians. The Director, PBO is responsible for enhancing and maintaining cash flow, revenue cycle performance, regulatory and HIPAA compliance, and guest relations. Locations Stanford Health Care What You Will Do • Assesses and responds to organizational and customers' needs with innovative programs to ensure customer satisfaction. Implements patient friendly billing guidelines. • Completes/contributes to the completion of various financial forecasts, including cost center salary and direct expenses, month-end financial reporting, receivables levels, net matched collections, Days in Accounts Receivable and aging, reserve analysis, cost center productivity, benchmarking, and any long-range strategic plans for the department. • Directs ongoing programs for staff development and training that fosters and mentors the next generation of Revenue Cycle leaders. • Ensures compliance with relevant regulations, standards and directives from regulatory agencies and third- party payers. • Maintains and fosters excellent payer relations with key fiscal intermediaries and government oversight agencies such as CMS, Medi-Cal, DHS, etc. Maintains and fosters excellent relationships with contracted health plans and medical groups to support effective claims submission/resolution and contract compliance. Maintains a climate of confidence in the billing process and results, with Department Chairs, physician leadership, and DFAs. • Maintains appropriate internal control safeguards over AR records, write-offs and collection of cash. Maintains compliance standards for providing accurate information on all facility or health system billings. • Manages all service programs, including external vendor programs and systems. • Manages, prepares and presents capital and operating budgets that demonstrate prudent use of organization's resources while at the same time achieves and maintains organizations goals and key performance indicators. • Monitors and support daily staff functions. Participates in key Revenue Cycle stakeholder venues such as physician and clinic leadership venues, IT, Contracting, and Department of Finance Administrators (DFAs) Oversees the financial interface between and performance analysis of the patient financial services functions and fiscal services functions. Oversees the integrity of financial and clinical interfaces, while facilitating the development of strategic system planning. • Performs related duties such as selecting and evaluating the performance of key reporting staff; preparing various reports, correspondence and position papers; conducting and/or attending meetings and conferences and serving as the department's primary appointing authority. • Plans, coordinates and prepares year-end audits with public accounting firms and third-party auditors as they relate to AR operations. Mediates and resolve conflicts regarding public accounting firms, third-party auditors and investigate parties. Education Qualifications • Bachelor's degree in a work-related field/discipline from an accredited college or university. • Master Degree preferred Experience Qualifications • Ten (10) years of progressively responsible and directly related work experience in patient billing management. Required Knowledge, Skills And Abilities • Ability to anticipate healthcare trends and alter the financial direction of the organization as necessary Ability to assess and keep current and compliant with all charity care, free bed fund and uninsured policies Ability to communicate complex concepts in simple form to non- finance users to understand the appropriate use and limits of the information provided. • Ability to develop financial budgets and manage expenses. • Ability to effectively influence change and manage effective the change process. • Ability to evaluate appropriate and key partnerships such as outsourcing, collections, underpayment vendors, eligibility, etc. • Ability to foster effective working relationships and build consensus. • Ability to keep operations technology up to date both in terms of legacy systems, EDI capable as well as added value tie in technologies. • Ability to provide leadership and influence others. • Knowledge of all functional areas of the revenue cycle, including health information management, case management, and charge capture. • Knowledge of computer systems and software used in functional area. • Knowledge of financial statements and the impact of the revenue cycle on them, including aging reports, bad- debt analysis, and calculation of bad-debt allowance. • Knowledge of local, state and federal regulatory requirement related to the functional area. • Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance practices, industry regulatory requirements (compliance and HIPAA), business office operations, A/R and financial reporting technology, wage and hour regulations, basic accounting and industry standard for healthcare revenue resolution management practices. • Knowledge of principles and practices of organization, administration, fiscal and personnel management. Licenses and Certifications • None These Principles Apply To ALL Employees SHC Commitment to Providing an Exceptional Patient & Family Experience Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family’s perspective: • Know Me: Anticipate my needs and status to deliver effective care • Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health • Coordinate for Me: Own the complexity of my care through coordination Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements. Base Pay Scale: Generally starting at $89.01 - $117.94 per hour The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.

Revenue cycle management
Financial forecasting and budgeting
Regulatory and HIPAA compliance
Staff development and leadership
Payer relations and contract compliance
Strategic financial planning
Healthcare operations
Cross-functional collaboration
Verified Source
Posted 5 months ago

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