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Charge Nurse Salary in Atlanta, GA

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Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. Feel free to contact the recruiter, Shannon McCallum, directly for more information-  [email protected]
Registered Rad Tech - Peds Orthopedics Marietta
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Overview The Registered Rad Tech - Peds Orthopedics Marietta is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Schedule:Full Time Shift: Day Shift Level: 6+ years of experience Success Profile Find out what it takes to succeed as a Registered Rad Tech - Peds Orthopedics Marietta: Collaborative Time Efficient Organized Critical Thinker Attention to Detail Compassionate Benefits that Reflect Your Contributions Your Pay A compensation program designed for fair and equitable pay. Your Future Secure your future with plans that also include an employer match. Plans and guidance for the future. Your Wellness Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!. Your Joy Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust. Job Details Facility: Wellstar Pediatric Orthopedics OverviewMust be flexible with work hours to meet department needs. Must be dependable, accountable and cooperative. Assists with providing safe, age-appropriate care to the patient by performing all exams provided by the department according to department procedures. Has the knowledge and ability to properly and safely obtain a quality diagnostic study. Responsible for performing a wide variety of technical procedures requiring independent judgment, ingenuity and initiative in the utilization of the equipment for the diagnosis and treatment of diseases. Able to independently perform job functions. Sets up the equipment to provide imaging service and positions patient for the procedure. Works with students during their clinical rotation.ResponsibilitiesCore Responsibilites and Essential Functions Equipment * Demonstrates the ability to adjust technique so that patient receives the lowest possible dose of ionizing radiation and that image quality is maintained. * Reports problems regarding malfunctioning equipment to supervisor or service provider, so that problem can be corrected in a timely manner. * Cleans, disinfects and maintains equipment in accordance with infection control policy and department schedule. * Ability to operate all aspects of the system. * Ability to operate all radiographic equipment in a safe and competent manner. Assuring that equipment is not abused and is left in good working order. Patient Care * Obtains complete clinical history, gathers examination data and assesses for contraindicating conditions. * Follows established procedures for the administration of contrast medias so that no patient condition deteriorates, and no patient suffers undue pain, due to error or poor technique if applicable. * Ensures that all studies have proper patient identification and right and left marker are utilized appropriately. * Reviews radiographic images for clinically acceptable results and releases patients. * Responds to emergency situations and provides for the restocking of the crash cart and maintenance of life support equipment if applicable. * Assists other technologists in all modalities when needed if applicable. * Observes patient condition and properly evaluates situations when physician intervention is necessary so that no patient condition deteriorates as the result of misjudgment. * Verifies two unique patient identifiers and correct clinical order prior to performing a procedure per policy. * Ensures patient's privacy and comfort is accommodated. * Demonstrates competence in the determination and application of appropriate procedures, equipment, supplies and techniques based on the age of patients. * Organizes schedule, time and priorities so that required activities are accomplished within designated time frames. * Uses critical thinking skills. * Asks clarifying questions. * Seeks clarification on ambiguous orders. * Understands, demonstrates and documents preprocedural verification and Time Out process when appropriate if applicable. * Demonstrates and understands pre-and-post procedural care. * Preps the patient for the procedure. * Demonstrates and understands sterile technique if applicable. * Maintains competency with venipuncture, where applicable. Education and Communication * Patiently and clearly explains purpose and nature of exam to patient prior to starting of procedure, to minimize anxiety and facilitate cooperation using AIDET; Acknowledge, Introduce, Discuss, Explain, and Thank you of all patients and family members. * Ensures that patient's questions, concerns or contraindications are satisfactorily addressed, notifying physician when this cannot be accomplished, prior to the initiation of the procedure. * Participates in the orientation and training of departmental employees. * Provides patients with preparatory instruction and explanation of procedures. * Required documentation is concise, legible and includes precise terminology. * Reads email each day scheduled to work and follows through with assignment. * Completes mandatory departmental and Hospital-wide education without prompting. Quality Control * Consistently produces high quality images including appropriate collimation, shielding, technique selection, penetration and positioning. * Ensures that equipment is fully operational prior to each use, by checking for proper calibration and operating deficiencies. * Sends all studies to PACS; prints CD's as necessary. All exams are complete in RIS including image oriented, marked, labeled, and notes are accurate. * Studies that have been transmitted after hours by teleradiography are printed and scanned into PACS, if applicable. * Checks for prior exams and assures that they are loaded, if necessary, and properly labeled prior to sending to PACS. Operations * Restocks linens and supplies, and maintains Diagnostic Imaging Services in clean and orderly condition. * Transports patients, positions patients, and helps them on and off procedure table. * Performs patient charging activities on the day the service is rendered. * Applies shielding, supportive and immobilization devices and equipment. * Willingly lends knowledge and assistance to others upon request as needed and routinely as time is available, without prompting, so that all working time is used for departmental advantage. * Performs routine duties of clerical and support personnel in accordance with procedure when warranted to * ensure continuity and quality of services. * Keeps supervisor informed on all responsibilities on an ongoing basis, ensuring prompt notification in the event of problems or potential problems. * Maintains an individual productivity rate equal to other co-workers. * Maintains Joint Commission and any other regulatory agency standards. * Ability to transfer / retrieve images on the PACS system. * Takes call when necessary. * Any other duties as assigned Equipment a. Demonstrates the ability to adjust technique so that patient receives the lowest possible dose of ionizing radiation and that image quality is maintained. b. Reports problems regarding malfunctioning equipment to supervisor or service provider, so that problem can be corrected in a timely manner. c. Cleans, disinfects and maintains equipment in accordance with infection control policy and department schedule. d. Ability to operate all aspects of the system. e. Ability to operate all radiographic equipment in a safe and competent manner. Assuring that equipment is not abused and is left in good working order. Patient Care a. Obtains complete clinical history, gathers examination data and assesses for contraindicating conditions. b. Follows established procedures for the administration of contrast medias so that no patient condition deteriorates, and no patient suffers undue pain, due to error or poor technique if applicable. c. Ensures that all studies have proper patient identification and right and left marker are utilized appropriately. d. Reviews radiographic images for clinically acceptable results and releases patients. e. Responds to emergency situations and provides for the restocking of the crash cart and maintenance of life support equipment if applicable. f. Assists other technologists in all modalities when needed if applicable. g. Observes patient condition and properly evaluates situations when physician intervention is necessary so that no patient condition deteriorates as the result of misjudgment. h. Verifies two unique patient identifiers and correct clinical order prior to performing a procedure per policy. i. Ensures patient's privacy and comfort is accommodated. j. Demonstrates competence in the determination and application of appropriate procedures, equipment, supplies and techniques based on the age of patients. k. Organizes schedule, time and priorities so that required activities are accomplished within designated time frames. l. Follows physician's instructions when assisting with procedures and exams. m. Uses critical thinking skills. n. Asks clarifying questions. o. Seeks clarification on ambiguous orders. p. Understands, demonstrates and documents preprocedural verification and Time Out process when appropriate if applicable. q. Demonstrates and understands pre-and-post procedural care. r. Preps the patient for the procedure. s. Demonstrates and understands sterile technique if applicable. t. Maintains competency with venipuncture, where applicable. Education and Communication a. Patiently and clearly explains purpose and nature of exam to patient prior to starting of procedure, to minimize anxiety and facilitate cooperation using AIDET; Acknowledge, Introduce, Discuss, Explain, and Thank you of all patients and family members. b. Ensures that patient's questions, concerns or contraindications are satisfactorily addressed, notifying physician when this cannot be accomplished, prior to the initiation of the procedure. c. Participates in the orientation and training of departmental employees. d. Provides patients with preparatory instruction and explanation of procedures. e. Required documentation is concise, legible and includes precise terminology. f. Reads email each day scheduled to work and follows through with assignment. g. Completes mandatory departmental and Hospital-wide education without prompting. Quality Control a. Consistently produces high quality images including appropriate collimation, shielding, technique selection, penetration and positioning. b. Ensures that equipment is fully operational prior to each use, by checking for proper calibration and operating deficiencies. c. Sends all studies to PACS; prints CD's as necessary. All exams are complete in RIS including image oriented, marked, labeled, and notes are accurate. d. Studies that have been transmitted after hours by teleradiography are printed and scanned into PACS, if applicable. e. Checks for prior exams and assures that they are loaded, if necessary, and properly labeled prior to sending to PACS. Operations a. Restocks linens and supplies, and maintains Diagnostic Imaging Services in clean and orderly condition. b. Transports patients, positions patients, and helps them on and off procedure table. c. Performs patient charging activities on the day the service is rendered. d. Applies shielding, supportive and immobilization devices and equipment. e. Willingly lends knowledge and assistance to others upon request as needed and routinely as time is available, without prompting, so that all working time is used for departmental advantage. f. Performs routine duties of clerical and support personnel in accordance with procedure when warranted to ensure continuity and quality of services. g. Keeps supervisor informed on all responsibilities on an ongoing basis, ensuring prompt notification in the event of problems or potential problems. h. Maintains an individual productivity rate equal to other co-workers. i. Maintains Joint Commission and any other regulatory agency standards. j. Ability to transfer / retrieve images on the PACS system. k. Takes call when necessary. l. Any other duties as assigned. Required for All Jobs Performs other duties as assigned Complies with all WellStar Health System policies, standards of work, and code of conduct. QualificationsRequired Minimum Education Graduate of an AMA approved School of Radiologic Technology. Required Graduate of an AMA approved School of Radiologic Technology Required Required Minimum Experience Entry level position Required Required Minimum Skills Must exhibit excellent communication skills because this position requires frequent verbal and written communications with: physicians, patients, visitors, departmental staff and nursing staff. Candidate must be able to explain or give directions to maintain goodwill, and obtain cooperation with all contacts. Must possess the ability to function independently and under pressure while still actively participating in a team environment. Employee must exhibit excellent customer service skills at all times. Must be able to perform effectively in a stressful and fast-paced work environment. Must have the ability to prioritize appropriately. Must be detail-oriented and have the capacity to effectively multitask throughout the work shift. Must have excellent communication skills and the capacity to interact professionally with a variety of "customers", including but not limited to patients, families, co-workers, volunteers, and physicians throughout the work shift. Must possess the ability to function independently, yet productively as a cooperative team member with various work teams associated with the position. Must be compliant, with a willingness to follow all Hospital policies as well as the established practices, protocols and procedures of the position, department and applicable professional standards Competent in all aspects of Diagnostic Radiology, patient positioning, exposure factors and radiation protection. Must have an understanding of anatomy and pathology as to how they affect the quality of a procedure. Competent in all aspects of Diagnostic Radiology, patient positioning, exposure factors and radiation protection. Must have an understanding of anatomy and pathology as to how they affect the quality of a procedure. Required Minimum License(s) and Certification(s)ARRT Radiography Required Basic Life Support Required BLS - Instructor Required BLS - Provisional Required Additional Licenses and CertificationsShare the opportunity Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.Our Mission To enhance the health and well-being of every person we serve.Our Vision Deliver worldclass health care to every person, every time.Our Values We serve with compassion We pursue excellence We honor every voice
Mammography Tech, FT Days - Outpatient (South Fulton)
Wellstar Health Systems, Atlanta
Overview The Mammography Tech, FT Days - Outpatient (South Fulton) is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Schedule:Full Time Shift: Day Shift Level: 6+ years of experience Success Profile Find out what it takes to succeed as a Mammography Tech, FT Days - Outpatient (South Fulton): Collaborative Time Efficient Organized Critical Thinker Attention to Detail Compassionate Benefits that Reflect Your Contributions Your Pay A compensation program designed for fair and equitable pay. Your Future Secure your future with plans that also include an employer match. Plans and guidance for the future. Your Wellness Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!. Your Joy Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust. Job Details Facility: Wellstar Family Medicine - Atlanta (3890 Redwine)Location:Camp Creek Imaging Center - South Fulton / East Point3890 Redwine Rd SW, Ste. 100Atlanta, Georgia 30331Work Hours: FT Days, Monday -Friday, 8a-4:30pOverviewMust be flexible with work hours to meet department needs. Must be dependable, accountable and cooperative. Assists with providing safe, age appropriate care to the patient by performing all exams provided by the department according to department procedures. Has the knowledge and ability to properly and safely obtain a quality diagnostic study. Responsible for performing a wide variety of technical procedures requiring independent judgement, ingenuity and initiative in the utilization of the equipment for the diagnosis and/or treatment of diseases. Able to independently perform job functions. Sets up the equipment to provide imaging service and positions patient for the procedure. Must maintain minimum FDA/MQSA requirements for continuing education, experience and equipment.ResponsibilitiesCore Responsibilites and Essential FunctionsEquipment* Demonstrates the ability to adjust technique so that patient receives the best study possible and that image quality is maintained.* Reports problems regarding malfunctioning equipment to supervisor or service provider, so that problem can be corrected in a timely manner.* Cleans, disinfects and maintains equipment in accordance with infection control policy and department cleaning schedule.* Ability to properly operate all radiographic equipment in a safe and competent manner. Assuring that equipment is not abused and is left in good working order.Patient care* Obtains complete clinical history, gathers examination data and assesses for contraindicating conditions.* Ensures that all studies have proper patient identification and right and left marker are utilized appropriately.* Reviews radiographic images for clinically acceptable results and releases patients.* Responds to emergency situations.* Uses critical thinking skills.* Seeks clarification on ambiguous orders.* Assists other technologists in all modalities when needed.* Observes patient condition and properly evaluates situations when physician intervention is necessary so that no patient condition deteriorates as the result of misjudgment.* Verifies two unique patient identifiers per policy and verifies proper clinician order prior to performing a procedure.* Ensures patient's privacy and comfort is accommodated.* Demonstrates competence in the determination and application of appropriate procedures, equipment, supplies and techniques based on the age of patients.* Understands, demonstrates and documents Pre-Procedure Verification and Time-Out process when appropriate, if applicable.* Demonstrates and understands pre-and-post procedural care, if applicable.* Demonstrates and understands sterile technique, if applicable.* Organizes schedule, time and priorities so that required activities are accomplished within designated time frames.* Follows physician's instructions when assisting with procedures and exams.* Practices RBAC (Read Back and Confirm) when taking verbal orders.Education and communication* Patiently and clearly explains purpose and nature of exam to patient prior to starting of procedure, to minimize anxiety and facilitate cooperation using AIDET; Acknowledge, Introduce, Discuss, Explain, and Thank you of all patients and family members.* Ensures that patient's questions, concerns or contraindications are satisfactorily addressed, notifying physician when this cannot be accomplished, prior to the initiation of the procedure.* Participates in the orientation and training of departmental employees.* Provides patients with preparatory instruction and explanation of procedures.* Required documentation is concise, legible and includes precise terminology.* Reads email each day scheduled to work and follows through with assignment.* Completes mandatory departmental and Hospital-wide education without prompting.Quality control* Produces acceptable images, as evidenced by maintaining a first-time acceptance rate of 95 percent.* Ensures that equipment is fully operational prior to each use, by checking for proper calibration and operating deficiencies.* Completes all studies in RIS, images are oriented, marked, labeled, and noted correctly prior to sending all studies to PACS; prints CD's as necessary.* When submitting procedures for interpretation comparative studies are digitized if necessary and the preliminary sheet is filled out in its entirety, if applicable.* Maintain all documentation so that the facility meets ACR Accreditation standards.* Technologist is knowledgeable in completing and documenting the following ACR/MQSA QC test: Phantom, Visual checklist, Repeat analysis, Compression-pressure, compression thickness, flat filed test, calibration, Dicom printer test.Operations* Restocks linens and supplies, and maintains Mammography Department in clean and orderly condition.* Transports patients, positions patients, and helps them on and off procedure table.* Performs patient charging activities on the day the service is rendered.* Applies shielding.* Prepares and maintains patient follow-up data.* Willingly lends knowledge and assistance to others upon request as needed and routinely as time is available, without prompting, so that all working time is used for departmental advantage.* Performs routine duties of clerical and support personnel in accordance with procedure when warranted to ensure continuity and quality of services.* Keeps supervisor informed on all responsibilities on an ongoing basis, ensuring prompt notification in the event of problems or potential problems.* Maintains an individual productivity rate equal to other co-workers.* Familiar with Mammography Tracking System.* Maintains Joint Commission standards and any other regulatory agency standards* Familiar with FDA/MQSA EQUIP program* Any other duties as assigned.Required for All JobsPerforms other duties as assignedComplies with all WellStar Health System policies, standards of work, and code of conduct.QualificationsRequired Minimum EducationGraduate of AMA approved School of Radiology Technology Required andcurrently ARRT registered. RequiredRequired Minimum ExperienceMinimum 1 year experience as a Rad Tech Required andMinimum 1 year experience in Mammography. PreferredRequired Minimum SkillsMust exhibit excellent communication skills because this position requires frequent verbal and written communications with: physicians, patients, visitors, departmental staff and nursing staff. The employee obtains, presents and discusses clinical information regarding job responsibilities on a routine basis.Candidate must be able to explain or give directions to maintain goodwill, and obtain cooperation with all contacts.Must possess the ability to function independently and under pressure while still actively participating in a team environment.Position requires the employee to exhibit excellent customer service skills at all times.Must be able to perform effectively in a stressful and fast paced work environment.Must have the ability to prioritize appropriately.Must be detail oriented and have the capacity to effectively multitask throughout the work shift.Must have excellent communication skills and the capacity to interact professionally with a variety of "customers", including but not limited to patients, families, co-workers, volunteers, and physicians throughout the work shift.Must possess the ability to function independently, yet productively as a cooperative team member with various work teams associated with the position.Must be compliant, with a willingness to follow all Hospital policies as well as the established practices, protocols and procedures of the position, department and applicable professional standards Competent in all aspects of Mammography, patient positioning, exposure factors and radiation protection.Must have an understanding of anatomy and pathology as to how they affect the quality of a procedure.Required Minimum License(s) and Certification(s)ARRT Mammography RequiredARRT Radiography RequiredBasic Life Support RequiredBLS - Instructor RequiredBLS - Provisional RequiredAdditional Licenses and CertificationsShare the opportunity Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.Our Mission To enhance the health and well-being of every person we serve.Our Vision Deliver worldclass health care to every person, every time.Our Values We serve with compassion We pursue excellence We honor every voice
Coding Auditor
Wellstar Health Systems, Atlanta
Overview The Coding Auditor is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Schedule:Full Time Shift: Day Shift Level: 6+ years of experience Success Profile Find out what it takes to succeed as a Coding Auditor: Collaborative Time Efficient Organized Critical Thinker Attention to Detail Compassionate Benefits that Reflect Your Contributions Your Pay A compensation program designed for fair and equitable pay. Your Future Secure your future with plans that also include an employer match. Plans and guidance for the future. Your Wellness Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!. Your Joy Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust. Job Details Facility: VIRTUAL-GAJob Summary: Under direction of the Manager of Coding Assurance/Compliance, reviews chart documentation to ensure coders have appropriate coding and DRG assignment, discharge disposition, admit and discharge dates and reimbursement. Educate staff when errors are identified. Coordinates payment corrections with the assistance of the Billing and Revenue Cycle team: Audit hospital and/or physician medical records and charges to ensure compliance with coding and regulatory standards. Conduct medical record reviews to ensure accurate, ethical documentation, coding, charging and billing practices. Support and provide coding and compliance training to coding staff, physicians, clinical personnel, billing, and/or other hospital staff. Establish effective communication with coding staff, physicians, clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Educate coding staff, physicians, clinical staff, and/or hospital staff on appropriate documentation as required by medical review and governmental agencies. Develop written policies promoting WellStar's commitment to compliance and specific areas of potential fraud and abuse. Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues. Participate in special audits as instructed. Work as a team member within Coding Assurance and all other departments. Ability to work remotely and independently with self-driven focus on job completion. Document work processes as required. Perform other duties as assigned. Core Responsibilities and Essential Functions: DRG Validation, RAC and Government Entity Reviews, Appeals, Overpayment Review Functions Investigate overpayment and underpayment issues through DRG reviews, responses to RAC and other governmental audit requests, internally generated audit requests, Epic Work Queue assignments: - Conduct data sampling, auditing, and reporting on all reviews associated with the Annual IP Coding Assurance Audit plan and as otherwise directed to the level of detail required; - Participate in Epic Work Queue assignments as necessary to ensure compliance with governmental and internal regulations; - Research official guidelines to plan scope of focused reviews; - Participate and lead audits with focus on inpatient hospital ICD9-CM, ICD-10-CM / PCS, some CPT4 coding as well as National and Local Coverage Determinations, OIG Work plan, and any other federal/state regulations; - Communicate trends and audit findings with the respective hospital departments and educate as appropriate; - Prepare Findings and Executive Summary reports to distribute to coding and compliance leadership - Prepare and distribute audit findings worksheets to coders; - Engage in cooperative education with the coders when discussing audit findings; - Assist in data warehousing, data reporting, and data integrity tasks of audit data housed in Compliance db's and spreadsheets; - Direct resubmission of claims and help prepare disclosures as necessary. Benchmark comparisons and identification of trends and errors in coded data - Review data analytics; - Identify / track trends and errors to identify overpayments or revenue enhancement opportunities; - Trend and analyze denials, provide feedback and education to all entities ; - Identify, find solution, communicate solution with both external and internal customers as required utilizing Findings and Executive Summary formats; - Distribution and analysis of reports to relevant, affected departments; - Provide and participate in error resolution to correct variances in coding and/or charge practices; - Assist with the implementation of new processes as needed to assure error resolution. Provide education and support - Review CMS regulations and official coding guidance to stay abreast of coding/billing regulatory changes; - Summarize National/Local Coverage Determinations; - Presentations (Develop and present coding/compliance education material); - Provide denial/appeal follow-up; - Provide post review follow-up education with WellStar employees, management and physicians; - Provide education on new releases from Medicare and Medicaid; - Answer compliance/documentation/coding/billing questions via e-mail. Required Minimum Education: Bachelor or Associate-level degree in Health Information Management, Business, or other health care related field preferred (years' experience may be considered in lieu of same). Preferred Required Minimum License(s) and Certification(s): Reg Health Information Admin 1.00 Upon Hire Required Reg Health Information Tech 1.00 Upon Hire Required Cert Coding Spec 1.00 Upon Hire Required Cert Prof Coder - Hospital OP 1.00 Upon Hire Required Additional Licenses and Certifications:Required Minimum Experience: Minimum 5 years inpatient coding experience required with one to two years of hospital-based outpatient services coding experience and one-year inpatient coding audit experience preferred Preferred and A combination of 5 years of comparable experience with hospital coding, billing and reimbursement experience may be substituted for an Associate's degree. Required Required Minimum Skills: Excellent communication, organization, and educational skills. Extensive knowledge of medical terminology, ICD-10-CM and ICD-10-PCS coding (as well as ICD-9-CM), CPT-4 procedural coding (including Level II HCPCS), and all coding and billing guidelines. Hospital billing experience with focus on government payors. Extensive experience with (electronic) medical record chart review and/or extraction, hospital billing. Extensive experience with Medicare, Medicaid, and reimbursement rules and regulations. Experience with management information systems and medical software. Competence in Microsoft Word and Excel software in a Windows environment (Experience with Microsoft Access Is a plus). Share the opportunity Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.Our Mission To enhance the health and well-being of every person we serve.Our Vision Deliver worldclass health care to every person, every time.Our Values We serve with compassion We pursue excellence We honor every voice
Coding Compliance Auditor & Educator
Wellstar Health Systems, Atlanta
Overview The Coding Compliance Auditor & Educator is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Schedule:Full Time Shift: Day Shift Level: 6+ years of experience Success Profile Find out what it takes to succeed as a Coding Compliance Auditor & Educator: Collaborative Time Efficient Organized Critical Thinker Attention to Detail Compassionate Benefits that Reflect Your Contributions Your Pay A compensation program designed for fair and equitable pay. Your Future Secure your future with plans that also include an employer match. Plans and guidance for the future. Your Wellness Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!. Your Joy Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust. Job Details Facility: VIRTUAL-GAJob Summary: Under the direction of the Coding Compliance Manager, conducts independent audits of professional fee coding. Assures appropriate and accurate coding assignments in accordance with federal coding regulations and guidelines. Prepares written reports of findings and leads meetings with providers to review the audit findings and recommend ways to improve when indicated. Also responsible for providing assistance with coding inquiries from providers, coding, staff, etc. This position requires knowledge of applicable regulations for Medicaid and Medicare, as well as the principles of physician documentation, coding, and billing in a variety of settings and specialties. Also required is advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems. Responsibilities also include providing ICD-10-CM and EMR documentation training to physicians. Core Responsibilities and Essential Functions: Performs Audits a.Independently conduct reviews/audits on the adequacy of medical record documentation to support the codes selected by clinicians in accordance with professional standards, organizational policies and procedures, laws, and regulations. b.Creates and communicates clear and accurate audit findings to physicians and charge review staff which include references for authoritative guidance. c.Performs research related to compliance and coding issues. d.Schedules meetings with providers. Ensure compliance with coding guidelines a.Assist in creating and updating coding reference materials and presentations as needed. b.Pursues education and training opportunities to assure compliance with current laws, rules and regulations by participating in professional education activities and obtaining and maintaining relevant certifications. Other Activities (5) a.Communicate with Management regarding trends, issues or assistance needed. b.Maintains an accurate record of time spent on all assignments. Required Minimum Education: Associate's Degree from an accredited college required or in lieu of associates degree candidate must meet the minimum experience Required Bachelor's Degree from an accredited college in a healthcare related field. Preferred Required Minimum License(s) and Certification(s): Cert Prof Coder 1.00 Required Cert Coding Spec 1.00 Required Additional Licenses and Certifications: Certified Professional Medical Auditor CPMA Upon Hire Preferred Required Minimum Experience: Minimum 5 years auditing or coding compliance experience in a physician practice Required or Minimum 7 years coding or billing (Revenue Cycle) experience in a physician or outpatient coding environment. Required Required Minimum Skills: High degree of coding accuracy. Attention to detail Ability to communicate effectively both verbally and in writing complicated coding and compliance concepts and maintain effective working relationships with physicians and staff. Proficient in public speaking, presentations and educational activities. Objective and detailed approach to problem solving. Extensive knowledge of Medicare regulations, documentation guidelines, and other federal and state laws and regulations concerning clinical documentation, coding, and reimbursement required. Must maintain a professional appearance and demeanor while working with physicians. High degree of coding accuracy. Attention to detail. Must be able to learn quickly and work independently to address a variety of complex issues. Excellent time management skills required Must be flexible and adapt well to change Ability to work independently, prioritize work and meet deadlines. Strong Knowledge of Microsoft Word, Excel, PowerPoint and Outlook is required. Ability to maintain confidentiality of sensitive information. Share the opportunity Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.Our Mission To enhance the health and well-being of every person we serve.Our Vision Deliver worldclass health care to every person, every time.Our Values We serve with compassion We pursue excellence We honor every voice
Account Resolution II (Shared Services)
Wellstar Health Systems, Atlanta
Overview The Account Resolution II (Shared Services) is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association. Schedule:Full Time Shift: Shift Level: 6+ years of experience Success Profile Find out what it takes to succeed as a Account Resolution II (Shared Services): Collaborative Time Efficient Organized Critical Thinker Attention to Detail Compassionate Benefits that Reflect Your Contributions Your Pay A compensation program designed for fair and equitable pay. Your Future Secure your future with plans that also include an employer match. Plans and guidance for the future. Your Wellness Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!. Your Joy Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust. Job Details Facility: VIRTUAL-GAJob Summary:This role sits remote, Monday-Friday 8am-5pmUnder the direction of the Manager of Account Resolution, the Account Resolution Representative II assists with planning and coordinating HB Accounts Resolution follow up activities for an account receivable portfolio of ~ approximately $375M-$500M, including, but not limited to collaboratively working with their Team Lead, Manager, and assisting with training, employees, as circumstances dictate. The Account Resolution Representative II will assist with the development of strategies for establishing a continuous improvement work environment, ensure eligible accounts are reviewed, appealed, escalated or adjusted within the designated payer time frames and are documented appropriately in the patient accounting system. As well as providing educational support in a variety of departmental and individual settings. The role requires data analysis, trending analysis, and educational capabilities regarding payor and revenue cycle business related processes.This role requires a versatile and well developed actionable understanding with demonstrated knowledge of billing, collections, denial management, contractual provision interpretation and provider / payor appeal requirements. In addition to a strong understanding and capability of common business technologies such as MS Office, Excel, PowerPoint, Word and Outlook to perform and communicate the assessment and analysis of multiple acute care and LTAC facility accounts receivable trending and findings is needed. The core role focus of this position is to ensure that accounts are brought final resolution through reimbursement for services and to mitigate financial losses through solid operational execution, development and conformity to defined Policies and Procedures. The Account Resolution Representative II must possess the ability to assist with developing and documenting action plans for quick resource deployment, communicate timely with leadership to understand the specific reasons for payment delays. The role requires the ability to effectively and efficiently communicate both orally and in writing to leadership, multi-task, meet deadlines, adhere to organizational policies and procedures. In addition, the Account Resolution Representative II will assist with additional Revenue Cycle related tasks and duties as assigned.Core Responsibilities and Essential Functions:Maintain a working knowledge and perform assigned duties in compliance of all-departmental billing and follow-up policies, procedures, processes and functions. Respond appropriately to inquiries from 3rd parties, insurance providers and patients regarding accounts, collection issues and hospital policies, to insure a minimal Accounts Receivables inventory.- Collect and resolve payments from insurance companies by working with assigned payers and utilizing established policies and procedures. Research and resolve payer rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract. Successfully appeal denied accounts and avoid excessive deferred accounts- Demonstrate effective collaboration skills, and support to the follow-Up staff in the performance of their daily functions by assisting with daily planning, organizing, prioritizing and management of workflow, as instructed by leadership. Review account receivables while evaluating trends and tracking recovery efforts by utilizing various departmental tools optimizing individual workflow and process to reduce AR growth, quickly propose solutions to reduce trends, resolve issues, etc. Consistently meet the productivity and quality standards.- Assist staff by providing direction and guidance, creating a team environment through training, recognition, and education which produces optimum work habits and job performance- Assist with setting obtainable short-term goals, maintaining expected level of productivity and quality as defined by policy, or equivalent industry standards when not specifically defined by policy, as well as assisting with performance studies to improve productivity, streamline operations and reduce error rates. Provide assistance with staff training and oversight to ensure that implemented policies and procedures are being followed. Meet deadlines established through interaction with the Manager of Accounts Resolution or other senior leadership.- Review and improve work procedures to ensure that the most productive and efficient methods are used- Monitor progress for assigned workflow on a daily basis, utilizing quantitative technology and tools and providing feedback to leadership regarding success and obstacles to claim resolution- Provide assistance with departmental projects and presentations, as needed.- Maintain and reflect a positive team attitude, regarding any special projects or polices that are implemented by the Revenue Cycle or other senior leadership.- Resolve complaints and misunderstandings in a timely and appropriate manner while demonstrating the ability to tactfully handle difficult situations through an approach that reflects consistency and fairness.- Must maintain a proficiency in the application of, "key automated systems" that include: Epic, Emdeon Claims Master.- Act as an internal resource; resolving problems and providing expertise to other hospital departments- Review write-off requests, miscellaneous cash adjustments, and submit to manager for approval- Maintain Epic assigned workqueues to ensure timely (7 days or as specified) resolution of review requests. Become cross-trained and fill in for other staff as assigned.- Maintain a working knowledge of WellStar policies and procedures- Maintain membership and active participation in the HFMA professional organization or equivalent, to participate in workshops and classes ensuring a competency level beneficial to the department, as well as to meet minimum requirements in technology advances/applications.- Administrative- Maintain professional relations and convey relevant information to other members of the team within the facility and any applicable vendors Must actively participate and support the efforts of the Revenue Cycle Task Force, Monthly Denials Task Force, Monthly Compliance Coding Partnership as well as other committees as assigned.- Maintain ongoing communication with other PFS and Revenue Cycle departments, keeping the Manager of Accounts Resolution aware of more complex problems and opportunities while maintaining courteous, cooperative, flexible and positive working relationships with all levels of management, employees, physicians, guests and the general public.- Assist with reviewing denial reports and determining significant problems causing rejections and denials; communicate with the leadership of Accounts Resolution the findings and proposes denial prevention solutions- Maintain a working knowledge of relevant legal and compliance issues, including but not limited to HIPAA privacy, Fair Debt Collection Act guidelines, Medicare Medicaid regulations and reimbursement methodology, as well as state and federal laws.- Maintain effective communications with legal collection groups, the WellStar Compliance department and other agencies, regarding new and relevant issues must maintain appropriate knowledge and skill sets to read and interpret various regulatory requirements that affect follow-up functions. Maintain appropriate documentation to assure an audit trail of compliance-related activities.- Communicate with and obtain assistance from various type insurance, third party collection, governmental and regulatory agency representatives, in the interpretation of critical regulations and the collection/resolution of patient accounts. Assist with the development, processes and efficiency of Insurance Follow-Up and Denial policies procedures to ensure they are comprehensive in nature and current/updated.- Consistent review of current processes to ensure compliance with policies and procedures.- Assist with establishing controls and review mechanisms for every procedure to ensure that systems and procedures are being followed correctly- Ensure optimal system capabilities by assisting with staff training, documenting system parameters, challenging systems and obtaining feedback from staff/users.Required Minimum Education:High school diploma or equivalent Required andCertified Advanced CPAR or equivalent is strongly RequiredRequired Minimum License(s) and Certification(s):Additional Licenses and Certifications:Required Minimum Experience:Experience as an Account Follow-up Representative I or a minimum of two (2) years in hospital patient financial services or related area Required andMust have a thorough understanding of Governmental, i.e. Medicare, Medicaid and / or Non-Governmental, i.e. Commercial: healthcare revenue cycle functions, PFS operations, regulations and reimbursement methodology, denials management, payor technical denial appeals and a proven track record of successful performance within the Revenue Cycle RequiredRequired Minimum Skills:Strong interpersonal, mathematical, analytical, computer, problem solving and writing skills, with a "take charge" attitude.Must be comfortable interacting with insurance providers, physicians and leadership. .Must be able to perform a wide variety of tasks that require independent judgment, ingenuity, and initiative.Competent with MS Word, PowerPoint, and MS Excel is required as critical analysis will be conducted using this technology.Ability to:establish a climate to achieve optimal performance levels and maintain a cohesive work teamwork efficiently under pressure and deal effectively with constant changeoperate a computer and related applicationsapply appropriate supervisory, management and leadership techniques in an operational settingwork independently and take initiativedemonstrate a commitment to continuous learningdeal effectively with difficult people and/or difficult situationwillingly accept responsibility and/or delegate responsibilityset priorities and use good judgment for self and staffShare the opportunity Mission, Vision & Values At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.Our Mission To enhance the health and well-being of every person we serve.Our Vision Deliver worldclass health care to every person, every time.Our Values We serve with compassion We pursue excellence We honor every voice
Weekend Night Registered Nurse
Shepherd Center, Atlanta
Shepherd Center, located in Atlanta, Georgia, is a private, not-for-profit hospital specializing in medical treatment, research and rehabilitation for people with spinal cord injury, brain injury, stroke, multiple sclerosis, spine and chronic pain, and other neuromuscular conditions. Join us in our mission to help people with a temporary or permanent disability, rebuild their lives with hope, independence and dignity, advocating for their full inclusion in all aspects of community life. At Shepherd Center, you'll discover a diverse and inclusive environment, enlightened leadership, a culture of teamwork, professionalism and mutual respect. If you are seeking career advancement, continuing education opportunities coupled with a welcoming and fun workplace, competitive compensation and employment benefits, visit our careers page to explore current openings. The Registered Nurse RN provides basic care to patients, performing all job functions in an ethical manner and ensuring patient safety, privacy, dignity, and confidentiality. This role interacts with and contributes to the professional development and image of all unit staff practicing in a Shared Governance model of nursing practice.The RN Weekend Option generally works three (3) twelve (12) hour shifts (Friday/Saturday/Sunday or Saturday, Sunday, Monday) but is committed to working the weekend.TheRegistered Nurse (RN) ensures that the ANA scope and standards of practice and the code of ethics for nurses are the foundation for nursing practice. Promotes high quality care, outcomes, nursing research, and evidence based practice and contributes to building and maintaining a strong environment that facilitates collaboration to achieve quality outcomes.Utilizes a consistent, patient-focused care approach to meet patient needs and demonstrates initiatives to utilize a holistic approach to identify patient needs.Utilizes analytical skills and advanced assessment skills necessary to assess a patient's condition and utilize that data through the nursing process and clinical judgement to provide comprehensive care.Collaborates and supports the plan of care as established by the interdisciplinary team and prescribes interventions to attain the expected outcomes.Evaluates the patient's progress toward attainment of the outcomes, working collaboratively with the interdisciplinary healthcare team.Safely administers medications following policy/procedure Reports errors, near misses or adverse drug reactions in a timely and efficient manner.Prepares and maintains a record of observations and care given. Documents information clearly and completely utilizing correct forms/systems and in a timely manner according to Center policy.Assists with medical appointments and medical procedures as requested by MD.Educates and prepares the patient/family for future self-management by facilitating patient movement from passive to an active partnership and eventual to a personal self-care expert.Serves as a clinical preceptor for new staff/students from nursing schools performing clinical/senior practicums or shadowing experience for prospective new employees.Ensures appropriate usage/ordering of supplies and proper charging.Performs consistent with Shepherd Center standards, clinical policies, and procedures. Practices proper safety techniques in accordance with Center and departmental policies and procedures. Responsible for the reporting of employee/patient/visitor injuries or accidents, or other safety issues to the supervisor and in the occurrence notification system. Actively participates in center-wide efforts that affect nursing practice. Adheres to patient/family centered principles using the communication and engagement tools (OARS/AIDECT). Establishes relationships with other RNs. Performs other duties as required/requested/assigned. REQUIRED MINIMUM EDUCATION Graduate of a nursing program from an accredited college or university required. REQUIRED MINIMUM CERTIFICATION BLS required. Active Georgia RN license or NLC/eNLC Multistate License. Certified Rehabilitation Registered Nurse (CRRN) certification after three years from date of hire. REQUIRED MINIMUM EXPERIENCE Minimum one (1) year RN experience preferred. REQUIRED MINIMUM SKILLS Basic computer skills. Basic competencies are expected in nursing practice, patient and employee safety, infection control, performance improvement, practice innovation, professional nursing practice, standards of clinical nursing practice, and systems for patient safety. Demonstrates competency in time management, organization, prioritization and critical thinking by planning and organizing work assignments and prioritizing the specific needs of the patient. Ability to assess patient and family needs and coordinate appropriate nursing plan of care. Takes responsibility for growing professionally and seek opportunities for improving skills. Communicates effectively using timely verbal, non-verbal and written communication. Willingly adapts to changing work demands and work environment. Demonstrates critical thinking skills and makes sound judgments to monitor and respond to patient needs or changes in condition. Maintains congenial working relationships with RNs and others. Completes orientation and initial assessment of competency successfully by determined due date. Completes mandatory education and annual competency assessment requirements by determined due date. PREFERRED QUALIFICATIONS Previous experience with patients with Spinal Cord Injury, Traumatic Brain Injury, and/or behavioral health preferred. ACLS and appropriate specialty certification required after appropriate time frame. PHYSICAL DEMANDS Uses body, tools, or special devices to safely, effectively, and efficiently to move, guide, or place patients. Involves some latitude for judgement with regard to precision attained and the selection of what adaptive device(s) to utilize. Ability to transfer and position patients, consistent with lifting up to 50 lbs. WORKING CONDITIONS Normal patient care environment. Some potential for exposure to blood and body fluids. Some potential exposure to infectious viruses. The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be an exhaustive list of all job duties performed by the personnel so classified.