As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.
This position coordinates and facilitates all billing activities by following patient accounts through the billing process payors to ensure timely and accurate billing.
Posting Note: Experience with Patient/Safety and Med Staff Credentialing Systems. Examples: RISE, Clearsight, Riskonnect, Midas, Interllicred, Origami Risk, or RL solutions. Salesforce reporting, PowerBI, or Tableau programming a plus.
Remote position but must live locally to come into the office if needed.
The Business Systems Analyst I provides primary day to day production support for implemented production and non-production applications. Core responsibilities include business and systems analysis, application training, works with IT team members and vendors to resolve software issues, creates new user access provisioning, and produces data as needed or requested.
Posting Note: The ideal candidate will have experience in facility collections, DRG payments, Rev codes, and be able to audit accounts based on payer contracts.
This position identifies accounts with credit balances, determines the nature of the credit balance and processes the refund or contractual adjustment while also maintaining the integrity of cash and accounts receivable transactions to ensure maximum efficiency and accuracy of accounts receivable balances. This position also inputs adjustment data into patient accounts and ensures that work complies with all cash related procedures and financial control policies set by the finance department.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes and CPT-4 procedure codes for Observation, Same Day Surgery, Emergency Department, Urgent Care and/or Ancillary medical records. Completes coding for all accounts on a timely basis within the four day bill hold time frame. Follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts. Completes coding for all accounts on a timely basis within the four day bill hold time frame. This position also follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and meeting department productivity standards.
Under direct supervision of the Manager of Professional Services, performs functions as both coding auditor and educator and is responsible for providing oversight on education and audits of medical records for compliance with federal coding regulation and guidelines. This position is responsible for the coordination of auditing and education in support of achieving organizational strategic initiatives. The position has a shared responsibility to assist in achieving teams goals. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position also assists with coding production as needed; reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvements related to coding and EM management.
This position collects payments for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
The goal of care coordination is to assist in managing care, cost, and outcomes across the continuum of care. The Manager of Population Health supports the Clinically Integrated Networks Disease Management, Utilization Management, Case Management, and Population Health initiatives. This position works collaboratively with Clinical Integration in developing and implementing an electronic health information system. Additionally, this position works with data analysts to provide the care coordination team high level technical and analytic support. This includes, but is not limited to, identifying high cost/high risk members and performance analysis, which will guide the care coordination team.
This position provides consult coordination, clinical assessment, therapeutic interventions, care coordination and transition planning to patients and families as an independently licensed clinician. This position participates as an interdisciplinary team member providing interventions with the patient/family that include a range of care on an outpatient or inpatient basis. The position requires knowledge of evidence-based treatment modalities and the ability to use that knowledge to assist patients and families in achieving therapeutic goals. This position requires knowledge of mandated reporter responsibilities; use of financial, community and other resource networks; ability to advocate with outside systems; and collaborate with medical staff. This position may provide individual, group, and/or family therapeutic interventions for an assigned caseload. In addition to therapeutic interventions with patients and families, the position must be able to provide appropriate clinical documentation and recommendations to insurance reviewers, referral sources and to other governmental agencies as requested. This position receives administrative supervision from division leadership, and clinical direction from the Manager, Mental Health Therapy, and Division Chief, Psychology.
The Manager of Revenue Integrity is responsible for overseeing the daily operations of the Revenue Integrity department. The Manager collaborates with the Revenue Integrity Director to operationalize Phoenix Children’s Revenue Integrity strategy and plan for improving revenue results across all revenue operations in all departments, financial processes, functions and interdependencies from the provision of patient care to final payments. It is the responsibility of the Revenue Integrity Manager to lead, coordinate, monitor, maintain, update, and analyze compliance of all Phoenix Children’s charge description master (CDM) files and charge capture practices, to optimize revenue generation and ensure compliance with all Federal, State, and third party payor applicable laws, regulations, requirements.
Posting Note: Will be responsible for the FFE (Furniture, Fixtures, and Equipment) planning, procurement, and installation as well as other Project Activation activities.
Must be a local candidate in AZ.
The Project Manager I - Construction is responsible for project management of all Phoenix Children`s Hospital (PCH) construction and master strategic plans set forth by the PCH Board of Directors at all PCH facility locations. This position coordinates and oversees internal and external staff, vendors and suppliers to ensure all projects are completed on time and within budget.
The Revenue Analyst III creates and maintains reporting on financial performance and supports Revenue Cycle operations through consistent and thoughtful data analysis. Typical responsibilities include gathering data from multiple sources, benchmarking to key indicators, adjusting for market conditions and strategic objectives, applying independent judgment to check for reasonableness, and interpreting various types of healthcare financial data—including transaction and denial records. The Revenue Analyst III presents modeling results and summaries, communicates with an array of internal departments to support ongoing Revenue Cycle strategies, and provides crucial insight into performance while identifying improvement opportunities for senior leadership.
This position oversees the collection activity for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
This position will provide scheduling navigator services aiding families and referring providers in coordinating appointments. The position works with systems, physicians and team members to appropriately schedule complex services across all divisions. The position will schedule for complex appointments, including but not limited to: inpatient discharge, urgent appointment requests from referring providers, and multidisciplinary appointments.
The Development Group at Phoenix Childrens develops leading edge solutions for healthcare problems using a wide range of technologies. We provide a wide variety of outcome-focused, innovative and cost-saving applications that allow Phoenix Childrens to provide unsurpassed quality of care to patients no matter how complicated or difficult their problem. Utilizing Microsoft Visual Studio and the .NET Framework (VB.NET/C#), successful developers in this position will produce cutting edge, robust, enterprise level web applications, web services, Windows forms, and mobile applications (iOS/Windows Store) on a variety of platforms and devices. This position requires a self-motivated individual with excellent written and communication skills, and experience with a broad range of technologies, including web applications (ASP.NET, HTML5, JavaScript, CSS, responsive web design), client applications (Windows Forms), mobile applications (iOS, Xcode, Cocoa Touch, Objective-C, WinJS, XAML/C#), and other technologies (MS SQL Server, SSIS, Powershell, Reporting Services). Key responsibilities will require collaboration with Healthcare professionals and Development team members to analyze business situations, determine the appropriate technologies needed, and produce working solutions. Significant emphasis is placed upon developer creativity, adherence to established Development coding standards, and ability to overcome difficulties.
The Contracts Manager, Managed Care is the subject matter expert on all managed care contract terms and conditions and has primary responsibility for negotiation, implementation and performance review of assigned managed care contracts. Contracting may include Phoenix Children`s Hospital, Phoenix Children`s Medical Group, Phoenix Children`s Care Network and all related entities.
The Supervisor, Professional Services Coding is responsible for the planning, coordinating and managing of daily operational functions of the team to include developing and implementing an efficient coding review and audit processes and an internal compliance audit plan. This position manages the budget, sets productivity standards by performing analysis of the daily workload of assigned staff and provides leadership with reports by service line, divisions and providers. This position assists with internal and external coding audits and with documentation education for providers and coders. Additionally, oversees the day-to-day production of the charge entry staff and ensures that charges are timely and accurate for both the facility and the professional revenue as needed.