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 ensures all inpatient/observation stay authorizations and/or referral numbers are present in the AMPFM system for discharged patients at the Hospital. This position also obtains valid inpatient / observation authorization numbers and/or referral numbers for approved Length of Stay (LOS) and Tier Level of Care (LOC) at point of discharge.
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.
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 Lead Educator Professional Services Coding is a primary resource to the team to develop education process and templates; identify PCMG/PCP needs through industry engagement and data; provide technical and professional support as the team members grow proactive and professional relationships; create targeted education to optimize the quality and accuracy of provider documentation and billing opportunities. This position has the ability to resolve high complexity issues, acts as a subject matter expert and demonstrates leadership through education, coaching and process/tool development for the Education team. As a part of the Education development and in coordination with Phoenix Children`s Annual Compliance plan, this position is also responsible for performing education and audits of medical records for compliance with federal coding regulation and guidelines under direct supervision of the Manager of Professional Services. 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 documentation, coding and EM management.
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 the Director of 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.
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.
Responsible for the overall operations in the sterile processing department ensuring the budget, staffing, resources, regulatory and patient quality standards are met. Serve as a liaison for all PCH outside facilities that send instruments for reprocessing or have an on-site SPD function. Serves as the liaison for Perioperative Services to the Facilities and Biomedical Engineering departments, with accountability for maintenance and construction within the Sterile Processing and Perioperative physical department.
Posting Note: This is a part-time position (20 hours/week). Great work from home opportunity. Employee has the ability to work from home within the first few days after training and onboarding. Currently for this position work from home is available to those that live in Arizona as occasional meetings and trainings do require staff to come on site. Hiring Supervisor can provide more information about this great opportunity during interview!
The Pre Access Specialist I is responsible for accurate and complete insurance verification, authorization, and complete pre-registration of all scheduled clinic visits and office based procedures. The position works within the EMR using an automated insurance verification tool along with payer websites and documents within the EMR.
This position manages all aspects of quality for PCH Transplant, Dialysis & Apheresis. The position ensures the ongoing compliance with all relevant regulatory agencies (CMS, OPTN, FACT, and DMV) through the establishment of a department-wide quality management program. Ensures that quality reports are developed to establish/maintain focus on delivering a mature quality culture. Administrative duties include the selection and supervision of personnel, budget management direct supervision of quality and research/data staff. This position receives supervision of completed work activities from the VP Transplant & Dialysis.
The Revenue Analyst III develops contract models for managed care contracts, creates and maintains ad hoc reporting on healthcare utilization and quality, and supports contract negotiation through consistent and thoughtful data analysis, and provides analytics and data support to Managed Care and Revenue Cycle. Modeling and analytics include gathering data from multiple data sources, evaluating and synchronizing resulting data, benchmarking key financial and quality indicators, adjusting for market conditions and strategic objectives, checking for reasonableness using independent judgment, and interpretation of various types of health care data including claims data, encounter data and financial reports. The Revenue Analyst III presents model results and reports and communicates internally and externally to support ongoing Managed Care and Revenue Cycle strategies, providing crucial insight into performance and opportunities to senior and hospital 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 oversees the collection activity for an assigned segment of the Accounts Receivable and performs collection duties in accordance with established federal and state regulations.
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 expertise in 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 for this position requires not only technical expertise but also the demonstrated ability to apply those skills to real world problems and explain and teach them to other staff. Significant emphasis is placed on an individual`s ability to analyze a business situation, determine the appropriate technology to address the need and conceptualize all components of a successful solution both in business and technical terms. It is expected that this individual will have a high degree of creativity, adhere to and help establish and maintain development coding standards, be able to teach others and be comfortable working in an unstructured environment with competing demands for time and attention.
This position supervises the daily activities of the hospital based coding staff and oversees the daily workflow to ensure that PCH maintains the highest quality for accurate and compliant coding. This position will oversee and assist with all of the internal and external coding reviews conducted throughout the year. This position will report directly to the Coding and Compliance Manager. This position will ensure that all coding staff are following the established coding guidelines and are compliant with regulatory standards. Collaborates with management to provide relevant education and ideas to develop comprehensive policies and procedures, compliance training, and reduce bill edits. Oversees that the coding staff are using all coding tools provided in addition to the successful usage of computerized assisted coding. Works closely with the Clinical Documentation Integrity staff by assisting with questions and recommended coding changes. Assists the Coding manager by evaluating, collecting data and recommending changes for documentation improvement for codable conditions. Assists the hospital in providing accurate data for State reporting and other key external programs.