Ambulatory Clinical Nurse Leader - RUSH MD Anderson Cancer Center

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Revenue Cycle Revenue Integrit

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to solve complex charging scenarios, provide education and assistance to operational departments, support fellow team members, and develop processes/procedures to ensure accurate and timely capture of all chargeable procedures. The Billing Coding Auditor also monitors interfaces and ancillary software related to charging, and codes, and provides high-level professional support in working advanced code edits as well as auditing charges for service lines with potential missed revenue opportunities. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.

Other information:
Required Job Qualifications:
•Coding credential or certification from AAPC, AHIMA, or specialty-specific credentialling organization
•Minimum of 1 year of Epic HB & PB WQ and Charge entry experience
•Minimum of 5 years of healthcare experience working with billing, charge entry, charge capture, and code auditing with knowledge of CPT, HCPCS, ICD-10 codes and modifiers
•High School diploma
•Experience with practice management software
•Medical terminology, familiarity with technical billing
•Self-starter, can work independently
•Ability to handle multiple, changing priorities
•Good organizational skills and ability to work as a team member.
Preferred Job Qualifications:
•Some college.
Physical Demands:
Competencies:
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
•Use logic-based critical thinking and decision making to accurately assess and trouble-shoot documentation, images, visit records, registration issues, physician orders, attestations, physician signatures, charges, CPT, HCPCS, ICD-10, and modifiers on patient accounts for hospital/facility (HB) and professional (PB) charges in accordance with CMS and AMA guidelines
•Responsible for accuracy on all accounts within the assigned Epic Work queues and ancillary software systems.
•Solve edits related to National Correct Coding Initiatives (NCCI edits), Medically Unlikely Edits (MUE edits) Procedure to Procedure (PTP edits), and Outpatient Coding Edits (OCE edits) in Epic using patient documentation, coding rules, billing guidelines, and proper modifier use in a timely manner
•Assess the available charges in the Charge Description Master (CDM) and contribute to accurate CDM line items by evaluating revenue codes, descriptions, CPT/HCPCS code and pricing for applicable accounts being reviewed
•Reconcile charges against clinical documentation, code rules and charging methodologies for internal purposes along with external audits
•Works with external vendors, interfaced software, and ancillary software to review charge capture opportunities and documentation to identify missed charges and correct accounts
•Identify trends, analyze to propose and create meaningful solutions, improve processes, create training content, and participate in the education of departments regarding their CDM and missed charges
•Serves as subject matter expert for fellow team members to review questions and assist with resolving accounts
•Collaborates with operational departments to ensure accurate and complete medical records and charges
•Meets or exceeds accuracy, quality work, on-time delivery, and productivity standards set by CMS, OIG, and direct manager
•Researches all current and future complex payor requirements for compliant billing, timely payment, and maximum reimbursement
•Provides input and implements process improvement initiatives recognizing revenue enhancement and charge integrity opportunities
•Engages in continual education and training in the revenue integrity field and healthcare CDM, charges, auditing, data, and other duties or projects as assigned

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Location: Oak Park, Illinois

Business Unit: Rush Oak Park

Hospital: Rush Oak Park Hospital

Department: Laboratory

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 3

Work Schedule: 8 Hr (11:00PM - 7:30AM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $32.00 - $46.44 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
The Medical Laboratory Scientist 2 is responsible for performing all assigned laboratory testing and reporting for the testing area. This position requires teamwork to achieve common goals and meet deadlines to provide quality care to clients and patients. Demonstrates proficiency in identifying and resolving process issues that affect the laboratory's ability to perform laboratory testing. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures. Must adhere to the Rush code of Conduct and Rush ICARE values: Innovation, Collaboration, Accountability, Respect and Excellence, executing these values with compassion

Other information:
•Bachelor's degree in laboratory science, biological science, chemistry, or education/work experience meeting the qualifications of high complexity testing personnel as defined by CLIA 42 CFR 493 1489.Additionally, must have certification, and a minimum of 24 contiguous months of high- complexity clinical laboratory experience required. In lieu of a Bachelors, then an Associate’s degree and/or education/work experience meeting the qualifications of high complexity testing personnel as defined by CLIA 42 CFR 493 1489 must be provided; and with MLT or other certification; and 7 contiguous years of high-complexity clinical laboratory
•Acceptable credentials (can vary depending on the laboratory section):
oMedical Laboratory Scientist (MLS) via the American Society for Clinical Pathology (ASCP)
oMedical Technologist (MT) via the American Medical Technologists (AMT)
oBlood Bank (BB) via the ASCP
oChemistry (C) via the ASCP
oCytogenetics (CG) via the ASCP
oCytotechnologist (CT) via the ASCP
oHematology (H) via the ASCP
oMicrobiology (M) via the ASCP
oMolecular Biology (MB) via the ASCP
oSpeciality in Cytometry (SCUM) via ASCP
oTechnologist in HLA (CHT) via ACHI
oMedical Laboratory Technician (MLT) via AACC or ASCP with a minimum of 5 contiguous year's high complexity clinical laboratory experience.
•Employees in this job classification are qualified to perform moderate and high complexity testing. Employees' education and/or laboratory experience meet the requirements delineated in the Clinical Laboratory Improvement Amendment of 1996.
Preferred Job Qualifications:
•NA
Physical Demands:
•Able to work in fast pace, often stressful, computerized environment. Able to lift 20 lbs and perform repetitive motions. Works in laboratory with exposure to potentially infectious and hazardous materials.

Responsibilities:
• Demonstrates proficiency in all duties as defined in the role of Medical Technologist I.
•Demonstrates proficiency in identifying and resolving process issues that affect the laboratory's ability to perform laboratory testing.
•Acts as a resource for identifying and solving quality control issues and escalating these when appropriate.
•Demonstrates troubleshooting proficiency and therefore rarely needs to seek additional help.
•Required to prepare and present a minimum of 15 minutes of continuing education within the department.
•Required to identify and participate in process improvement projects.
•Utilizes required Personal Protective Equipment (PPE) as defined by the lab area. Labels and processes specimens properly. Performs all laboratory procedures efficiently and effectively with minimal supervision once trained. All testing must be done following Rush-approved Policies and Procedures. Acts as a technical resource for the testing area.
•Performs required quality control (QC) procedures and preventative maintenance, including corrective action and documentation, for all procedures and instrumentation. Recognizes QC problems or discrepancies and attempts to determine the cause of the problem. Notifies the appropriate supervisor or designee regarding QC problems or discrepancies according to the established procedure. Acts as a resource for identifying and solving quality control issues and escalating these when appropriate.
•Performs basic and advanced troubleshooting of equipment and processes with minimal assistance, documents action and notifies appropriate personnel, for example, supervisors, of problems all the time. Demonstrates troubleshooting proficiency and therefore rarely needs to seek additional help.
•Keeps work area neat, clean, organized, and well-stocked at all times. Disinfect area at the beginning and end of each shift.
•Accepts no inappropriate specimens. Notifies the appropriate person of specimens that must be drawn or collected again and documents the notification.
•Utilizes time effectively and seeks out additional job duties when shift tasks are complete. Completes work without incurring overtime. Assists fellow workers in finishing shift tasks. Adheres to the defined allotted time for breaks and lunch.
•Required to obtain and document 12 hours of laboratory continuing education per year. Required to prepare and present a minimum of 15 minutes of continuing education within the department.
•Accepts and/or volunteers for method evaluations and new procedure development or other special projects and completes them within an agreed-upon time frame. Participates in procedure implementation and training of new staff and students.
•Required to perform the duties of the tech-in-charge for specified periods. Oversees operations according to departmental guidelines. Understands when to defer issues to appropriate personnel, for example, a supervisor or director, and does so.
•Reviews lab results as required and takes appropriate action before verification and release. Recognizes and calls critical results within defined time frames. Reviews paper-generated results and transcribes them accurately into the Lab Information System.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: Revenue Cycle Revenue Integrit

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 5:00:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $34.89 - $50.63 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
The Senior Revenue Integrity Data/Reporting Analyst is responsible for reporting and analytics needs around Revenue Cycle analytical and operational reporting needs that drive financial performance and informed decisions. The Senior Revenue Integrity Data/Reporting Analyst extracts and analyzes data from EPIC database(s), provides proactive high-level professional support in Revenue Data modeling as well as automating the pricing changes with potential missed revenue opportunities. The individual who holds this position exemplifies the Rush mission, vision, and values and acts in accordance with Rush policies and procedures.

Responsibilities:

• Acts as a leader and subject matter expert for specific EPIC content issues, reporting, and solutions. Assists Revenue Integrity staff with analysis of complex systems and processes.
• Proactively researches and creates solutions through data analysis of current & proposed state.
• Translates complex data into relatable information and actionable activities that lead to positive outcomes.
• Analyzes and validates reporting results, identifying Revenue Cycle opportunity, escalating spikes in key performance indicators.
• Proactively assess systems, processes, and audit revenue integrity output data for accuracy and implements process improvement initiatives.
• Serves as an expert in the creation and maintenance of complex data models that will determine revenue impact for revenue generating projects across the health system.
• Use advanced logic-based critical thinking and decision making to accurately develop custom reports and then propose automation, when applicable.
• Seeks opportunities to optimize data reporting and analytics for the enhanced monitoring of charging trends and issues for the health system.
• Creates and maintains modeling tools to help revenue integrity and other revenue cycle departments measure the impact of performance interventions.
• Demonstrates the ability to provide meaningful information from raw data.
• Serves as a resource for educating and training others.
• Acts as a liaison with EPIC IT and Knowledge Management teams to facilitate the optimization of existing reporting or the creation of new reporting for Revenue Integrity.

Required Job Qualifications:

• Bachelor’s degree or higher in Computer science, engineering, business analytics or other related fields.
• 5+ years of healthcare experience working with EPIC Revenue Cycle.
• EPIC Cogito, Clarity, Caboodle, or Revenue Data Model Epic certification.
• 5+ years of Experience with EPIC RWB, Slicer Dicer, Dashboard development.
• 5+ years of Power BI or Tableau experience or Knowledge.
• Experience with SQL programming or extracting EPIC Data from Clarity/Caboodle.
• Excellent written and oral communication skills along with problem-solving.
• Proficiency with MS Office Suite.
• High degree of accuracy and ability to collaborate with others.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Location: Oak Park, Illinois

Business Unit: Rush Oak Park

Hospital: Rush Oak Park Hospital

Department: Laboratory

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 2

Work Schedule: 8 Hr (2:00PM - 10:30PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $17.63 - $24.91 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
This position is responsible for supporting laboratory operations by accepting, preparing, and processing specimens; maintaining laboratory equipment; and ensuring accurate data entry and specimen tracking.

Other information:
•A high school diploma or equivalent PLUS two years of documented work experience using formal, standard laboratory procedures OR
•An Associate Degree from an accredited intuition any of the following areas:
Chemistry, Biological Sciences, Medical Laboratory Science or Clinical Laboratory Science.
•This position requires teamwork to achieve common goals and meet deadlines to provide quality care to clients and patients.
Disclaimer:
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.

Responsibilities:
•Performs multiple computer entry, inquiry, and receiving functions. Performs transcription of laboratory orders and registration activities when needed. Demonstrates good communication and customer service skills on the phone and in person. Calls critical results, documents to whom and that a “read back” was performed and within the expected time frame.
•Accessions and processes specimens according to the appropriate procedure prepare specimens accordingly for transport or delivery. Recognizes and resolves any specimen and equipment problems.
•Utilizes required Personal Protective Equipment (PPE) as defined by the lab area. Labels and processes specimens properly. Performs all laboratory procedures efficiently and effectively with minimal supervision once trained. All testing must be done following Rush-approved Policies and Procedures.
•Performs required preventative maintenance, including corrective action and documentation, for all procedures and instrumentation.
•Performs basic troubleshooting of equipment and processes with minimal assistance, documents
action and notifies appropriate personnel, for example, supervisors, of problems all the time. Able to recognize when additional help is needed and seek out that help.
•Disinfects the area at the beginning and end of each shift; Accepts no inappropriate specimens. Notifies the appropriate person of specimens that must be drawn or collected again and documents the notification.
•Delivers specimens to RUSH laboratory locations, and/or loads specimens on instrumentation; Additional job duties will be defined by the laboratory's specific bench or assignment competencies.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: SBO Enterprise Services

Work Type: Full Time (Total FTE between 0. 9 and 1. 0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits).

Pay Range: $18.87 - $29.73 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
General purpose of the position is to manage the open receivable including, securing reimbursement, guarding the Medical Centers assets, minimizing financial risk, working on behalf of our patient's financial liability. The Financial Services Representative 2 is also responsible for responding to internal audits. The ultimate goal of this position is to decrease receivables and increase quality and productivity. This role includes performing re-bills, Debit & Credits, adjustments, refunds, and claim corrections resulting from the multitude of claims and payer edits as well as notifying denial management of audits. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.

Other information:
Required Job Qualifications:
• High School Diploma or GED.
• Two years of experience in health care or hospital billing with an understanding of coverage eligibility requirements for governmental payers.
• Previous experience in a hospital setting, familiarity with medical terminology and patient fiscal matters.
• Familiar with Nebo's eCare billing editors such as Classic and CMS. Strong familiarity with medical terminology and patient financial matters.
• Specific knowledge of Microsoft Office in order to design, implements, tracks, and maintain moderately complex statistical information.
• Strong analytical skills including statistical, mathematical, and organization abilities necessary for accurate reporting to payers and management.
• Strong interpersonal skills for communication of finance-related issues to management and ancillary departments.
• Sound understanding of billing and collection processes and eligibility requirements of private and governmental payers.
• Able to work independently.
• Good time management skills and possess the ability to multi-task.
• Good oral and written communication skills in order to work effectively with a diverse number of internal and external contacts.
Preferred Job Qualifications:
• Prior experience using Epic for hospital billing.

Responsibilities:
1. Actively manage account balances to ensure that we are compliant with Federal and State regulatory requirements and evaluate each account to ensure that each account balance is collected in accordance to contract allowable payment schedule.
2. Follow up on claims with the appropriate payer for reimbursement.
3. Work directly with various departments to insure the charges are properly credited and / or debited.
4. Develop, manage, and maintain various electronic documents used to manage these projects.
5. Develop and report status of the trend issues weekly.
6. Eagerly accept challenging assignments. Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.
7. Communicate constructively with patients and other Rush departments to achieve mutually positive business and service outcomes.
8. Monitor Illinois Healthcare and Family Services (HFS), website for any updates to ensure that our accounts are compliant with Federal and State requirements.
9. Work within your team to insure the team has all related job work flows and processes.
10. Monitor system enhancements - Develop and communicate constructive feedback/issue solutions for problems as discovered.
11. Collaborate with other departments, physician offices, and other clinical areas to ensure charges and diagnosis are consistent and that the financial information being used is correct during the billing process.
12. Develop, implement, & monitor system enhancements.
13. Develop and communicate constructive feedback/issue solutions for problems as discovered.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Location: Chicago, Illinois

Business Unit: Rush Medical Center

Hospital: Rush University Medical Center

Department: HB Commercial Billing-Collect

Work Type: Full Time (Total FTE 1. 0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM)

Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www. rush.edu/rush-careers/employee-benefits).

Pay Range: $27.47 - $43.27 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.

Summary:
This position requires a well-organized, detail-oriented individual with the ability to work directly with various payers, senior staff in International Health, Provider Practices/Billing Services, RUMC Finance, Contracting, Finance, EDW and Web/IT Services. The Bundled Pricing Coordinator must be able to work independently on multiple tasks, maintaining the highest level of efficiency, professionalism, and confidentiality. The successful candidate will demonstrate competence in Microsoft office applications, the ability to focus and perform well under pressure, as well as the ability to effectively prioritize and meet deadlines. The position of Bundled Pricing Coordinator is key to ensuring Rush Health is recognized as a competent and professional organization. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures

Other information:
Required Job Qualifications:
• Bachelor's Degree and 1-3 years of experience in Revenue Cycle or related experience.
• Proficient with Microsoft Office including Word, Excel, and PowerPoint.
• Proper telephone etiquette is essential.
• Excellent verbal and written communication skills.
• Have a high degree of professionalism, strong customer service orientation, good organizational skills and the ability to work independently.
• Strong interpersonal skills with the ability to prioritize, and a team player attitude.
• Able to manage several projects at once.

Responsibilities:
1.Accurately maintain and update the various tracking reports related to any bundled pricing arrangement. This includes investigating for missing information or erroneous information reported by the other users. The reports are to be maintained regularly and available for the specific users.
2.Support bundled pricing meetings, including scheduling meetings with physician practices, organizing meetings and preparing materials, if required. Take and prepare minutes of governance committee meetings, as assigned.
3.Support the participating providers in collecting the appropriate reimbursement for services provided. This includes providing email reminders and claims verification.
4.Administer the applicable schedule for collecting claims data, entering manual claims, verifying claims with providers, and submitting claims bundle to the payer. Follow-up with payer for late payments. Verify payment(s) with RUMC Finance, calculate distribution, and balance all supporting schedules before distributing schedules to RUMC Finance for payment distribution.
5.Ability to interpret contract terminology and apply the specific terms by contract in the calculation of expected payments. Troubleshoot discrepancies/disagreements with payers/providers to best ability and refer case to contracting staff for clarification when unfavorable terms emerge.
6.Provide Rush Health Finance and/or International Health with monthly schedule of settlements including any administrative fees.
7.Maintain corporate files for bundled pricing arrangements including all information/data/email correspondence related to the transaction, settlement schedules, tracking reports, and committee meetings. Maintain file of contracts (copies).
8.Support the department goals and promote a professional work environment and attitude within the department.
9.Establish and maintain excellent working relationships with key staff at Rush, the providers, and the providers billing and administrative staff.
10.Other duties and responsibilities as assigned.

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.