Medical Coder

Employer: Metro East Healthcare Ltd
Type: Hourly Full-Time
Skills: Coding, Billing,Auditing, CMS guidelines, HIPPA Compliance, HCC, Risk Adjustment
Specialties: Internal Medicine,,Nursing Home
Required Certifications: CPC
Preferred Certifications: CPC
Location: Maryville, IL

Busy office seeking experienced ICD 10 Certified (no exception) Medical Biller and Coder. Will be responsible for coding and billing, Out patient and Nursing home patients, Insurance verification, working rejections, accounts receivable, aging accounts etc Professional, Dependable, Fast learner, with great customer service skills and works well under pressure. REQUIREMENTS GREAT PEOPLE SKILLS, Multitasking, attention to detail and organizational skills a must. Please email your cover letter and resume with desired salary. Immediate start date. Hiroo@metroeasthealthcare.com

Applying

Hiroo Motwaniemail : hiroo@metroeasthealthcare.com

www.metroeasthealthcare.com
Tel : 618-288-7605 X 5
Fax : 618-288-7644
2133 Vadalabene Dr. Suite # 5B 
Maryville, IL 62062




Manager, Population Health Improvement

Employer: Cedars-Sinai Medical Network
Type: Hourly Full-Time
Skills: process improvement,training,statistics,project management,team facilitation
Specialties: Medicare Stars,IHA Pay-for-Performance,Medicare ACO,Medicare ACO
Required Certifications: Nursing,or Health Administration. Coursework or background in statistics is required.,Public Health,Health Policy,Business Administration
Preferred Certifications: Clinical background (clinical degree or license) preferred.
Required Experience: 5 to 7 years
Preferred Experience: 5 to 7 years
Location: Los Angeles, CA


In conjunction with the Chief Medical Officer, VP of Population Health, Director of Quality and Performance Improvement, and collaboration with medical and operational leadership across the Medical Network, the Manager of Population Health Improvement is responsible for leading ongoing strategies to support and advance the Cedars-Sinai Medical Network’s Pillar on Clinical Quality and Efficiency. This position will partner with physician leadership and various management teams in the development, implementation, and delivery of clinical quality initiatives and related activities to support population health. This position trains/mentors staff and other members of the organization. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Responsibilities include coordinating and overseeing quality reporting activities and monitoring/tracking quality measure performance for various quality reporting and value-based payment programs including but not limited to IHA Pay-for-Performance, Medicare ACO, Medicare Stars, and other Commercial ACO quality programs. • Designs and implements quality improvement program(s)/projects to improve overall quality measure performance. • Leads practice improvement efforts using performance improvement methodologies in conjunction with operations (clinical and non-clinical), EIS, and decision support team to achieve to organizational goals. • Leads and facilitates discussion with physicians and other stakeholders in the development of clinical quality initiatives. Leads project planning sessions with the Clinical Performance Committee and other workgroups. • Understands definitions of quality measures including applicable codes from data sources, attribution and compliance. • Promotes scalable and lasting solutions. Use continuous improvement methodologies to monitor progress and ensure ongoing improvement. • Organizes the reporting needs of the quality initiatives and provide meaningful reports that support current metrics for the Medical Network. • Leads and grows a team of improvement professionals responsible for data analysis and validation, program management, population health improvement product development, quality reporting and auditing. • Oversees staff performance related to quality data validation and analysis needed to successfully meet quality reporting requirements, and performance dashboards development. • Manages and evaluate staff performance for all direct reports. • Other duties as assigned. EDUCATION and/or EXPERIENCE • Minimum educational requirement: Master's Degree required in the field of Nursing, Public Health, Health Policy, Business Administration, or Health Administration. Coursework or background in statistics is required. • Minimum experience/skills: (A combination of education/experience will be considered.) • 5+ years of recent healthcare experience required. • Must have progressive experience with independently facilitating performance improvement teams • Extensive knowledge of health care regulations, accreditation, and licensing requirements • Must have expertise in advanced process improvement methodologies, project management, and team facilitation • Demonstrated proficiency in applying principles, concepts, and techniques of quality/performance improvement • Must have excellent leadership, influential, listening, facilitation, and problem solving skills • Demonstrated experience in the design, development, and delivery of training programs • Extensive knowledge and skills using PC/Macintosh applications, especially spreadsheet, online analytic processing tools, and statistical functions • Must have excellent oral and written communication and interpersonal skills • Must be willing to work both collaboratively and independently within a deadline-driven environment • Ability to organize and manage multiple projects simultaneously • Ability to quickly develop and maintain productive relationships with team members • Ability to complete work assignments, accurately, timely, and with minimal supervision • Ability to projects an image of professionalism in communication, appearance and conduct • Must be self-motivated and able to adapt to evolving business needs • Able to complete work assignments, accurately, timely, and independently with minimal supervision • Able to work with staff at the highest levels of the Health System • Able to adhere to established Health System, State, and Federal confidentiality policies • Preferred qualifications: • Clinical background (clinical degree or license) preferred. • Working knowledge of Clinical and Population health applications /system modules and toolset such as Epic Healthy Planet preferred. • Prior training and experience utilizing process improvement principals based on Lean and Six Sigma methodology, which focuses on streamlining and refining specific work process, preferred. • Five (5) years of progressive responsibility in the application of process improvement and statistical process control methodologies preferred The physical demands described here are representative of those that must be met an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand; walk; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus

Applying

For more information or to apply online please visit us at : https://jobs.cedars-sinai.edu/job/beverly-hills/manager-population-health-improvement/252/7586087

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